Chapter 10, 11, and 12 Test

Question 1

Which term defines the physiologic process of growing new vessels?

Answer 1

angiogenesis

Question 2

The doppler measurement take the highest systolic peak minus the highest diastolic peak divided by the highest systolic peak.

Answer 2

Pourcelot resistive index

Question 3

Which vessel carries blood to the uterus?

Answer 3

uterine artery

Question 4

Which of the following is a quantitative method of doppler analysis?
a. systolic and diastolic ratio
b. color doppler
c. power doppler
d. strain

Answer 4

a

Question 5

Select the definition of a low-resistance arterial flow.
a. high systole, high diastole
b. high systole, low diastole
c. monophasic flow
d. High RI value

Answer 5

a

Question 6

Select the optimal angle of incidence to obtain a spectral tracing.
a. 90 degrees
b. 60 degrees
c. 70 degrees
d. 65 degrees

Answer 6

60 degrees

Question 7

Where does the uterine artery anastamose with the ovarian artery?

Answer 7

at the uterine cornua

Question 8

Select the normal flow velocity in the nongravid uterine artery.
a. greater than 10 mm/sec
b. less than 5mm/sec
c. less than 5 and greater than 10 cm/sec
d. 5 to 10 cm/sec

Answer 8

d

Question 9

Which of the following describes spectral doppler flow found surrounding the corpus luteal cyst?
a. low-resistance flow
b. high-resistance flow
c. high systolic peak
d. low, end diastolic velocity

Answer 9

a

Question 10

What is a vascular plexus of arteries and veins without an intervening capillary network?

Answer 10

arteriovenous malformation

Question 11

Select the term describing the increase in adrenal gland activity seen at the onset of puberty.

Answer 11

adrenarche

Question 12

Where does a rhabdomyosarcoma develop?

Answer 12

in striated or skeletal muscle

Question 13

What results in an individual with an X and O chromosome?

Answer 13

Turner syndrome

Question 14

Select the sonographic findings for an ovarian malignancy.
a. complex adnexal mass with shadowing fecolith
b. cystic with multiple septations
c. solid ovarian mass without detectable flow
d. complex masses with hyperechoic zones and posterior shadowing

Answer 14

b

Question 15

Select the formula to calculate ovarian volume?
a. L x W x H x 0.523
b. L x W x H
c. W x H
d. obtain an elipse measurement

Answer 15

a

Question 16

What is the most common malignant lesion of the vagina in the pediatric patient?

Answer 16

rhabdomyosarcoma

Question 17

Select the increased laboratory finding that corresponds to pelvic inflammatory disease.
a. gonadal sex steroids
b. serum testosterone to dihydrotestosterone
c. white blood cell
d. alpha-fetaprotein

Answer 17

c

Question 18

Which of the following describes hydrometra in the pediatric patient?
a. anechoic fluid collection within the uterus
b. cystic, pear shaped mass in the midline
c. complex fluid within the vagina
d. renal pelvis dilation

Answer 18

a

Question 19

What pathology demonstrates prominent arterial flow?

Answer 19

dysgerminoma

Question 20

Select the term for describing the failure of a woman to ovulate.
a. involute
b. hirsutism
c. anovulation
d. oligomenorrhea

Answer 20

c

Question 21

Choose the definition for a blood-filled ovarian cyst resulting from endometrial implants.
a. red degeneration
b. chorioadenoma destruens
c. placenta accrete
d. endometrioma

Answer 21

d

Question 22

Which of the following is a fluid-filled mass located in the cervical canal?
a. nabothian cyst
b. Gartner’s duct cyst
c. Endometrial polyps
d. myoma

Answer 22

a

Question 23

Which of the following is a focal area of decreased echogenicity within the myometrium?
a. Nabothian cyst
b. Leiomyoma
c. Paratubal cyst
d. Rabson-Mendenhall syndrome

Answer 23

b

Question 24

Select the physiologic ovarian cyst.
a. Gartner’s duct cyst
b. Hemorrhagic
c. Endometrium
d. Theca Lutein

Answer 24

d

Question 25

Which of the following is an acquired condition associated with polycystic ovaries? a. steroidgenic enzyme deficiencies b. lipoatrophic diabetes c. Cushing syndrome d. Congenital adrenal hyperplasia

Answer 25

c

Question 26

Which of the following describes the sonographic appearance of a mature teratoma? a. echogenic foci with fluid/solid levels b. unilocular, thin-walled cyst with low-level debris c. ascites with a large multiseptate tumor d. solid, hypoechoic mass with posterior enhancement

Answer 26

a

Question 27

A 35 year old woman presents with an acute onset of pain , bloating, and a palpable mass . During the sonographic examination, a unilocular mass with low-level debris and thin wall is observed. What is the most likely differential for these findings?

Answer 27

serous cystadenoma

Question 28

An 8 year old presents to the emergency department with a history of early onset of puberty, increasing abdominal girth, breast tenderness, and right sided pain. During the sonographic examination, a unilateral, multiloculated, 8 cm mass with low-level internal echoes images. What is the most likely differential for these findings?

Answer 28

Granulosa cell tumor

Question 29

Select the most common benign ovarian neoplasm. a. Brenner tumor b. Serous cystadenoma c. Benign stromal d. Cystic teratoma

Answer 29

d

Question 30

Identify the sonographic appearance of the endometrium in the patient with Asherman syndrome. a. hypoechoic bridge like bands b. triangular linear anechoic area at scar site c. Hyperechoic areas within the myometrium d. Calcifications

Answer 30

a

Question 31

Select the sonographic appearance for a leiomyoma. a. Loculated complex mass with posterior enhancement b. whorled internal architecture of a mass c. 6 mm myometrial defect d. endometrial membranes

Answer 31

b

Question 32

True or False: A full bladder can cause suboptimal angles for Doppler in the uterine artery.

Answer 32

true

Question 33

True or False: Suspicion for vascular occlusion occurs when a low resistance pattern is detected where flow resistance is normally seen.

Answer 33

false

Question 34

Normal arterial flow is seen as:

Answer 34

alternating quick uptake systolic peak followed by a lower diastolic flow

Question 35

True or False: The functional layer of the endometrium is supplied by the straight artery.

Answer 35

false

Question 36

An arteriovenous malformation:

Answer 36

is typically acquired through surgery or traum

Question 37

The best description of classic ovarian torsion is: a. free pelvic fluid b. an oval structure with peripheral cyst measuring approximately 7 mm c. an ovary with hypervascular patterns d. an enlarged, edematous ovary with multiple small peripheral follicles and little or no vascular flow

Answer 37

d

Question 38

Complex masses of the pelvis are:

Answer 38

difficult to discriminate because benign and malignant characteristics can be similar

Question 39

The best method to visualize an adolescent vagina is by:

Answer 39

transabdominal sonography

Question 40

The most common urinary tract tumor discovered in the pediatric community is:

Answer 40

rhabdomyosarcoma