318 Uterine Pathology Exam 1
An asymptomatic 65-year old patient presents to the ultrasound department with pelvic pain but no vaginal bleeding. Her endometrial thickness should not exceed: a. 6 mm b. 8 mm c. 5 mm d. 3 mm
8 mm
A change in menstrual bleeding associated with lesions within the uterus relates to: a. Dysfunctional uterine bleeding b. Abnormal uterine bleeding c. PID d. Fibroids
Abnormal uterine bleeding
Ectopic endometrial tissue within the uterus that leads to abnormal uterine bleeding is termed: a. Endometriosis b. Adenomyosis c. Fibroids d. Endometrial hyperplasia
Adenomyosis
The absence of menstrual bleeding is termed: a. Amenorrhea b. Dysmenorrheal c. Oligomenorrhea d. Polymenorrhea
Amenorrhea
Causes of postmenopausal bleeding include all of the following except: a. Asherman syndrome b. Endometrial atrophy c. Endometrial hyperplasia d. Intracavitary fibroids
Asherman syndrome
The development of adhesions within the uterine cavity is termed: a. Fitz-Hugh-curtis syndrome b. Dandy walker syndrome c. Stein levanthal syndrome d. Asherman syndrome
Asherman syndrome
The best description for endometrial polyp is: a. Malignant nodules that cause bleeding b. Benign lesions associated with cervical stenosis c. Malignant nodules that are associated with endometrial atrophy d. Benign nodules of hyperplastic endometrial tissue
Benign nodules of hyperplastic endometrial tissue
____ can be used as a tumor marker for endometrial carcinoma. a. CR-124 b. CE-125 c. CA-125 d. CA-45
CA-125
The most common cause of PID is: a. IUD use b. Postabortion c. Ruptured appendix d. Chlamydia
Chlamydia
Fitz-Hugh-Curtis syndrome is describes as: a. Clinical findings of GB disease as a result of PID b. The presence of uterine fibroids and adenomyosis in the gravid uterus c. Co-existing intrauterine and extrauterine pregnancies d. The presence of pyosalpinx, hydrosalpinx, and endometritis
Clinical findings of GB disease as a result of PID
All of the following are sonographic findings consistent with adenomyosis except: a. Diffuse, enlarged uterus b. Myometrial cysts c. Hypoechoic areas adjacent to the endometrium d. Complex adnexal mass
Complex adnexal mass
Endometrial polyps are associated with all of the following except: a. Intermenstrual bleeding b. Tamoxifen therapy c. Prolapsed through the cervix d. Coronary heart disease
Coronary heart disease
The removal of tissue from the endometrium by scraping is termed: a. Dilatation b. Curettage c. Sonohysterography d. Hysteroscopy
Curettage
Tamoxifen effects on the endometrium will sonographically appear as: a. Cystic changes within a thickened endometrium b. Cystic areas within a thin endometrium c. Thin endometrium d. No apparent effect on endometrial thickness or appearance
Cystic changes within a thickened endometrium
The sonographic findings of an endometrial polyp include: a. Diffuse thickening of the endometrium b. Menometrorrhagia c. Intermenstrual bleeding d. Infertility
Diffuse thickening of the endometrium
Painful and difficult menstruation is termed: a. Menorrhagia b. Dysmenorrhea c. Metrorrhagia d. Amenorrhea
Dysmenorrhea
The most common cause of postmenopausal bleeding is: a. Endometrial CA b. Endometrial atrophy c. Endometrial leiomyoma d. Cervical CA
Endometrial CA
The most common female genital tract malignancy is: a. Ovarian CA b. Cervical CA c. Endometrial CA d. PID
Endometrial CA
Unopposed estrogen therapy has been shown to increase the risk for developing: a. Alzheimer disease b. Colon CA c. Coronary heart disease d. Endometrial CA
Endometrial CA
Asherman syndrome is associated with: a. Uterine leiomyoma b. Endometrial polyps c. Endometrial adhesions d. Ovarian fibroma
Endometrial adhesions
A 60 year old patient presents to the emergency department with sudden onset of vaginal bleeding. The sonographic examination reveals an endometrium that measure 4 mm. There are no other significant sonographic findings. What is the most likely diagnosis? a. Endometrial atrophy b. Endometrial CA c. Endometrial polyp d. Cervical stenosis
Endometrial atrophy
A 68 year old patient presents to the ultrasound department complaining of vaginal bleeding. The most likely cause of her bleeding is: a. Endometrial CA b. Endometrial polyps c. Endometrial atrophy d. Endometrial fibroids
Endometrial atrophy
Endometrial hyperplasia may be caused by all of the following except: a. Hormone replacement therapy (HRT) b. Estrogen replacement therapy c. Endometrial atrophy d. Tamoxifen
Endometrial atrophy
An increase in the number of endometrial cells is termed: a. Endometrial hyperplasia b. Endometrial atrophy c. Endometrial CA d. Polyps
Endometrial hyperplasia
Tamoxifen has been linked with all of the following except: a. Endometrial polyps b. Endometrial hyperplasia c. Endometrial leiomyoma d. Endometrial CA
Endometrial leiomyoma
A 34 year old patient presents to the ultrasound department for an EV ultrasound complaining of intermenstrual bleeding. The sonographic findings include a focal irregularity and enlargement of an area of the endometrium. The most likely diagnosis is: a. Endometrial polyp b. Endometrial CA c. Endometrial atrophy d. Intramural leiomyoma
Endometrial polyp
The presence of functional, ectopic endometrial tissue outside of the uterus is termed: a. Adenomyosis b. Asherman syndrome c. Fitz-Hugh-Curtis syndrome d. Endometriosis
Endometriosis
The development of adhesions between the liver and diaphragm as a result of PID is termed: a. Fitz -Hugh-Curtis syndrome b. Dandy-walker syndrome c. Stein-leventhal syndrome d. Asherman syndrome
Fitz -Hugh-Curtis syndrome
A 24-year old female patient presents to the ultrasound department for a pelvic sonogram with an indication of pelvic pain. Upon ultrasound interrogation, the sonographer notes an anechoic mass within the vagina. The mass most likely represents a: a. Nabothian cyst b. Gartner duct cyst c. Dandy-walker cyst d. Ovarian cyst
Gartner duct cyst
Blood accumulation within the uterus is termed: a. Hematometra b. Hydrometra c. Asherman syndrome d. Endometrial CA
Hematometra
A simple fluid accumulation within the vagina secondary to an imperforate hymen is: a. Hydrometrocolpos b. Hydrocolpos c. Hematometra d. Hematocolpos
Hydrocolpos
Anechoic fluid noted distending the uterus and cervix within a pediatric patient is termed a. Hydrocolpos b. Hydrometrocolpos c. Hydrometra d. Hematometrocolpos
Hydrometrocolpos
The sonographic findings of tubular, anechoic structure within the adnexa are consistent with: a. Dyspareunia b. Hematosalpinx c. Hydrosalpinx d. Endometritis
Hydrosalpinx
_____________ is a gynecologic procedure to remove an endometrial polyp. a. Hysterectomy with myomectomy b. Histogram with myomectomy c. Hysteroscopy with polypectomy d. Hysteroscopy with polyp myectomy
Hysteroscopy with polypectomy
The location of a fibroid with the myometrium is termed: a. Submucosal b. intracavitary c. Subserodal d. Intramural
Intramural
Cessation of menstruation with advanced age is termed: a. Asherman disease b. Premenopausal syndrome c. Perimenopausal syndrome d. Menopause
Menopause
Heavy and prolonged menstrual flow is termed: a. Menometrorrhagia b. Menarche c. Menorrhagia d. Dysmenorrhea
Menorrhagia
The surgical removal of a fibroid is termed: a. Hysterosonogram b. Total abdominal hysterectomy c. Myomectomy d. Uterine artery embolization
Myomectomy
All of the following are clinical findings associated with leiomyoma except: a. Myometrial cysts b. Infertility c. Palpable pelvic mass d. Menorrhagia
Myometrial cysts
A 38-year old female patient presents to the ultrasound department for a pelvic sonogram with an indication of pelvic pain. Upon ultrasound interrogation, the sonographer notes an anechoic mass within the cervix. This mass most likely represents a: a. Nabothian cyst b. Benign follicular cyst c. Dermoid cyst d. Gartner duct cyst
Nabothian cyst
PID can lead to all of the following except: a. Infertility b. PCOD c. Ectopic pregnancy d. Scar formation in the fallopian tubes
PCOD
Leukocystosis would most likely be associated with: a. Multiple degenerating fibroids b. Endometriosis c. Adenomyosis d. PID
PID
Which of the following is defines as an infection of the female genital tract that may involve the ovaries, uterus, and/or fallopian tubes? a. Pseudomyxoma peritonei b. PID c. PCOD d. Ovarian torsion
PID
All of the following statements concerning PID inflammatory disease are true except: a. PID is typically a unilateral condition b. PID can be caused by douching c. PID can lead to tubo-ovarian abscess d. Dyspareunia is a clinical finding in acute pelvic inflammatory disease
PID is typically a unilateral condition
Leiomyomas that project from a stalk are termed: a. Submucosal b. Intramural c. Subserosal d. Pedunculated
Pedunculated
The presence of pus within the uterus defines: a. Pyosalpinx b. Pyometra c. Pyocolpos d. Pyomyoma
Pyometra
The sonographic evidence of a hyperemic fallopian tube is consistent with: a. Pyosalpinx b. Hydrosalpinx c. Endometritis d. Salpingitis
Salpingitis
The breast cancer treatment drug that may alter the sonographic appearance of the endometrium is: a. Progestogen b. Estrogenate c. Tamoxifen d. CA-125
Tamoxifen
Leiomyosarcoma of the uterus denotes: a. The benign invasion of endometrial tissue into the myometrium b. The ectopic location of endometrial tissue in the adnexa c. The malignant counterpart of a fibroid d. An anechoic, simple cyst located with the cervix
The malignant counterpart of a fibroid
All of the following are tubo-ovarian abscesses except: a. The presence of 10 or more small cysts along the periphery of the ovaries b. Cul-de -sac fluid c. Thickened, irregular endometrium d. Fusion of the pelvic organs as a conglomerated mass
The presence of 10 or more small cysts along the periphery of the ovaries
All of the findings are clinical findings with endometrial hyperplasia except: a. Obesity b. PCOD c. Abnormal uterine bleeding d. Thickened endometrium
Thickened endometrium
Sonographic findings of the endometrium in a patient with a history of PID, fever, and elevated WBC count would include all of the following except: a. Ring down artifact posterior to the endometrium b. Thin, hyperechoic endometrium c. Endometrial fluid d. Thickened, irregular endometrium
Thin, hyperechoic endometrium
A patient presents to the sonography department with a fever, chills, and vaginal discharge. Sonographically, what findings would you most likely not encounter? a. Cul-de-sac fluid b. Uterine adhesions c. Dilated uterine tubes d. Ill defined uterine border
Uterine adhesions
All of the following are considered risk factors for PID except: a. IUD b. Multiple sexual partners c. Post childbirth d. Uterine leiomyoma
Uterine leiomyoma
The most common initial clinical presentation of PID is: a. Endometritis b. Tubo-ovarian abscess c. Vaginitis d. Pyosalpinx
Vaginitis
The sonographic appearance of a 59-year old woman on sequential hormone replacement therapy (HRT) is: a. Hypoechoic and thickened b. Hyperechoic and thickened c. Cystic areas within a thickened endometrium d. Variable depending upon the menstrual cycle
Variable depending upon the menstrual cycle
The invasion of endometrial tissue into the myometrium of the uterus is referred to as: a. Amenorrhea b. Adenomyosis c. Endometriosis d. Adenomyomatosis
b.Adenomyosis
Difficult or painful intercourse is referred to as: a. Dysuria b. Dysmenorrheal c. Dyspareunia d. Hydrocolpos
c. Dyspareunia