CH 46 WB EVALUATING FEMALE INFERTILITY Flashcards

1
Q

Infertility is the inability to conceive within ______ months with regular coitus.

A

12

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2
Q

The role of the cervix in fertility is to provide a(n) _______ environment to harbor sperm.

A

nonhostile

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3
Q

When assessing the endometrium, the sonographer wants to evaluate the ________ and _________ characteristics and to include evaluation for any ________ lesions.

A

thickness, echogenicity, intracavitary

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4
Q

The congenital anomalies most easily assessed with ultrasound require evaluation for _________ uterus and _________ uterus.

A

bicornuate, didelphys

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5
Q

________ uterus is associated with a low incidence of fertility complications.

A

bicornuate

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6
Q

The fallopian tubes can be examined by ultrasound to evaluate for a hydrosalpinx and assess _______ by injecting saline into the tube and looking for spillage of fluid into the cul-de-sac or by using contrast to evaluate for spillage.

A

patency

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7
Q

A follicle is selected to develop into a _______ follicle in response to follicle-stimulating hormone (FSH) and increase in estradiol.

A

dominant

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8
Q

The dominant follicle will grow at a rate of approximately 2 to 3 mm per day until it reaches an average diameter of ____ mm.

A

22

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9
Q

If serum estradiol is ________ and a large ovarian cyst is present, then oral contraceptives may be indicted to suppress follicular activity before ovarian stimulation therapy is started.

A

elavated

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10
Q

A normal endometrial response associated with ovarian stimulation is increasing thickness from 2 to 3 mm to ______ mm.

A

12 to 14

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11
Q

Complications associated with assisted reproductive technologies include ovarian ________ syndrome, multiple ______, and _______ pregnancy.

A

hyperstimulation , gestation, ectopic

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12
Q

_________ is a syndrome that presents sonographically as enlarged ovaries with multiple cysts, abdominal ascites, and pleural effusions.

A

Ovarian hyperstimulation syndrome

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13
Q

An ectopic pregnacy coexisting with an intrauterine pregnancy is a(n) ________ pregnancy.

A

heterotopic

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14
Q

ID the abnormality demonstrated in this infusion sonography image

A

multiple fibroids

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15
Q

which abnormality demonstrated in this infusion sonography image. may interfere with implantation?

A

submucosal fibroid w/ saline infusion sonography

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16
Q

id the phase of the ovary shown in this image

A

ovarian follicular phase

17
Q

the transvaginal image of the ovary is found in what condition

A

hyperstimulation of the ovary

18
Q

technologies that use male and female gametes to assist the infertility patient to become pregnant; -these methods include in vitro fertilization, gamete transfer and intrafallopian transfer, zygote intrafallopian transfer

A

assisted reproductive technology (ART)

19
Q

a technique that follows IVF in which the fertilized ova are injected into the uterus through the cervix

A

embryo transfer

20
Q

a hormonal substance that stimulates the function of the testes and ovaries; -in females FSH and FH are gonadotropins

A

gonadotropin

21
Q

a glycoprotein secreted from placental trophoblastic cells (developing placenta cells); indicates pregnancy when lab test (urine) levels are elevated

A

human chorionic gonadotropin (hCG)

22
Q

the introduction of sperm into the uterus by mechanical or instrumental means rather than by sexual intercourse

A

intrauterine insemination

23
Q

a method of fertilizing the human ova outside the body by collecting the mature oocytes and placing them in a dish with a sample of sperm

A

in vitro fertilization (IVF)

24
Q

syndrome presents on US as enlarged ovaries w/ multiple cysts, abdominal ascites, and pleural effusions; common in pt who have undergone ovulation induction after the administration of follicle-stimulating hormone or a GnRH analogue followed by hCG

A

ovarian hyperstimulation syndrome (OHSS)

25
Q

controlled ovarian stimulation with clomiphene citrate or parenterally administered gonadotropins

A

ovarian induction therapy

26
Q

diminished reproductive capability

A

subfertility