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ARRT (Ob/gyn US) > Chapter 17 The Uterus And Vagina > Flashcards

Chapter 17 The Uterus And Vagina Flashcards

(94 cards)

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1
Q

The recesses of the vagina are the:

A

Fornices

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2
Q

The area of the attachment of the fallopian tubes to the uterus is the:

A

Cornua

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3
Q

The normal position of the uterus is:

A

Anteverted

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4
Q

Anechoic fluid noted distending the uterus and vagina within a pediatric patient is termed:

A

Hydrometrocolpos

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5
Q

The superior portion of the cervix is the:

A

Internal OS

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6
Q

The location of a fibroid within the myometrium is termed:

A

Intramural

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7
Q

Leiomyosarcoma of the uterus denotes:

A

The malignant counterpart of a fibroid

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8
Q

Congenital malformation of the uterus that results in complete duplication of the genital tract is:

A

Uterus didelphys

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9
Q

Leiomyomas that project from a stalk are termed:

A

Pedunculated

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10
Q

Abnormally heavy and prolonged MENSTRUAL flow BETWEEN periods is termed:

A

Menometrorrhagia

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11
Q

Precocious puberty is defined as the development of pubic hair, breasts, and the genitals before the age of:

A

8

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12
Q

The paired embryonic ducts that develop into the female urogenital tract are the:

A

Mullerian ducts

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13
Q

What is typically not a clinical complaint of women who are suffering from adenomyosis?

A

Amenorrhea

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14
Q

The surgical removal of a fibroid is termed:

A

Myomectomy

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15
Q

What leiomyoma location would have an increased risk to undergo torsion?

A

Pedunculated

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16
Q

The uterine position in which the corpus tilts forward and comes in contact with the cervix describes:

A

Anteflexion

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17
Q

A simple fluid accumulation within the vagina secondary to an imperforate hymen is:

A

Hydrocolpos

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18
Q

Patient complaining of abnormal distention, you visualize a large, hypoechoic mass distorting the anterior border of uterus. Where is the location of the mass?

A

Subserosal

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19
Q

The rigid region of the uterus location between the vagina and the isthmus is the:

A

Cervix

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20
Q

_____would be considered the more common uterine anomaly?

A

Septate uterus

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21
Q

The outer layer of the endometrium is the:

A

Basal layer

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22
Q

What section of the uterus is also referred to as the lower uterine segment?

A

Isthmus

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23
Q

The most superior widest portion of the uterus is the:

A

Fundus

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24
Q

The layer of the endometrium that is significantly altered as a result of normal stimulation during the mestrual cycle is:

A

Functional layer

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25
Pseudoprecocious puberty may be associated with:
*Ovarian tumor *Adrenal tumor *Liver tumor
26
The invasion of endometrial tissue into the myometrium of the uterus is referred to:
Adenomyosis
27
Absence of a mensuration is referred to:
Amenorrhea
28
Difficult or painful intercourse is AKA:
Dyspareunia
29
The inner mucosal lining of the uterus is the:
Endometrium
30
The inferior portion of the cervix closest to the vagina is the:
Eternal OS
31
What would be most indicative of a leiomyosarcoma?
Rapid growth
32
The largest part of the uterus is the:
Corpus
33
What fibroid location would most likely result in abnormal uterine bleeding because of its relationship to the endometrium?
Submucosal
34
What congenital malformation of the uterus is common and has a clear association with an increased risk for spontaneous abortion?
Septate uterus
35
The normal position of the uterus is considered to be:
Anteversion or anteflexion
36
The uterus that is located on the right is referred to as:
Dextroverted uterus
37
The uterus that is located more on the left is referred to as:
Levoverted uterus
38
_____is used to obstruct the blood supply to the mass:
Uterine artery embolization
39
The normal prepubertal uterus has a cervix to uterus ratio of:
2:1
40
The endometrial cavity is located between the:
Two functional layers of the endometrium
41
The______of the uterine wall is continuous with the fascia of the pelvis
Outermost layer (perimetrium)
42
______ are the most common benign gynecologic tumors and the leading cause of hysterectomy and gynecologic surgery
Leiomyomas (leiomyomato)
43
______, which is the narrowing of the endocervical canal, often leads to an abnormal quantity of fluid in the endocervical or endometrial canals
Cervical stenosis
44
True precocious puberty is associated with:
Intracranial tumors or may simply be idiopathic
45
The _____of the uterine wall constitutes the bulk of the uterine tissue, providing the area where contractile motion occurs
Middle layer (myometrium)
46
The uterine wall consists of 3 layers:
*The outermost layer *Middle layer *Inner mucosal layer
47
The vagina is composed of 3 layers:
* Inner mucosal layer * Middle muscular layer * Outer layer (adventitia)
48
The ______is the most superior and widest portion of the uterus
Fundus
49
The _____envelop the inferior aspect of the cervix
Vaginal fornices
50
_______is when fluid accumulates within the uterus and vagina
Hydrometrocolpos
51
______is when fluid accumulates within the vagina
Hydrocolpos
52
______is when blood accumulates within the uterus and vagina
Hematometrocolpos
53
______is when blood accumulates within the uterine cavity
Hematometra
54
_______is when blood accumulates within the vagina
Hematocolpos
55
_____is a congenital malformation of the uterus that results in a normal uterine contour with an endometrium that branches into two horns
Subseptate uterus
56
_____is a subtle variant in which the endometrium has a concave contour at the uterine fundus
Arcuate uterus
57
_____has two complete separate uterine cavities separated by an anteroposterior septum
Septate uterus
58
______is complete duplication of the vagina, cervix, and uterus
Uterus didelphys
59
_______is a benign cyst(s) located within the cervix
Nabothian cysts
60
______is a common uterine anomaly in which the endometrium divides into two horns
Bicornuate uterus
61
_______ is the portion of the vagina remaining after a hysterectomy
Vaginal cuff
62
_______is the secondary sexual development induced by sex steroids or from other sources such as ovarian tumors, adrenal tumors or steroid use
Pseudoprecocious puberty
63
Leiomyosarcoma are more commonly found in ________ women
Perimenopausal or postmenopausal
64
_______is the malignant counterpart of the normally benign leiomyoma
Leiomyosarcoma
65
_______is the surgical removal of a fibroid and abdominally or laparoscopically
Myomectomy
66
The medical treatment for fibroids is:
Hormone therapy
67
_______are located adjacent to the endometrial cavity and often distort the shape of the endometrium
Submucosal fibroids
68
______is a leiomyoma that distorts the shape of the endometrium
Submucosal (fibroid)
69
______is the location of a leiomyoma in which the tumor grows outward and distorts the contour of uterus
Subserosal (fibroid)
70
The most common location for fibroids is:
Intramural or within the myometrium
71
A uterus that is distorted by multiple leiomyomas may be referred to as:
Fibroid uterus
72
______is a benign, smooth muscle tumor of the uterus, may also be referred to as a fibroid or uterine myoma
Leiomyoma
73
Focal adenomyosis in the form of a mass is termed:
Adenomyoma
74
______is the benign invasion of endometrial tissue into the myometrium of the uterus
Adenomyosis
75
The isthmus is the area located between the:
Corpus and cervix
76
During pregnancy, the isthmus may be referred to as the:
Lower uterine segment
77
The largest part of the uterus is the:
Corpus (Body)
78
The uterus, vagina, and fallopian tubes develop from the:
Paired mullerian ducts
79
______is when the uterine body tilts backward, without a bend where the cervix and body meet
Retroversion
80
______is when the uterine body tilts backward and comes in contact with the cervix, forming an acute angle between the body and the cervix
Retroflexion
81
_____is the typical version of the uterus where the uterine body tilts forward, forming a 90 degree angle with the cervix
Anteversion
82
_____is when the uterine body tilts forward and come in contact with the cervix, forming an acute angle between the body and the cervix
Anteflexion
83
_____is described as absent or incomplete breast development after the age of 12
Delayed puberty
84
______is pubertal development before the age of 8
Precocious puberty
85
_____is the most common female malignancy in women younger than age 50
Cervical carcinoma
86
Clinical findings of a uterine leiomyoma (fibroid)
1. Pelvic pressure 2. Abnormal bleeding 3. Palpable pelvic mass 4. Enlarged, bulky uterus (if multiple) 5. Urinary frequency 6. Dysuria (painful urine) 7. Constipation 8. infertility
87
Clinical finding of a nabothian
1. Asymptomatic
88
Clinical findings of a Gartner duct cyst
1. Asymptomatic
89
Sonographic findings of nabothian cyst
1. Anechoic mass within the cervix 2. May be multiple 3. May be complex
90
Sonographic findings of a Gartner duct cyst
1. Anechoic mass within the vagina
91
Sonographic findings of leiomyosarcoma
1. Rapidly growing mass 2. Hypoechoic 3. Posterior shadowing 4. calcifications or cystic components 5. Multiple enlarged, irregularly shaped, diffusely heterogeneous
92
Clinical findings of leiomyosarcoma (8):
1. Pelvic pressure 2. Menorrhagia (abnormal bleeding) 3. Palpable pelvic mass 4. Enlarged, bulky uterus (if multiple) 5. Urinary frequency 6. Dysuria 7. Constipation 8. infertility
93
Sonographic findings of a uterine leiomyoma (fibroid)
1. Hypoechoic mass 2. Posterior shadowing 3. Degenerating fibroids may have calcifications or cystic components 4. Multiple fibroids appear as an enlarged, irregularly shaped, diffusely heterogeneous uterus
94
Sonographic findings of adenomyosis (6):
1. Enlarged uterus 2. Hypoechoic or echogenic areas adjacent to endometrium 3. Heterogeneous myometrium 4. Myometrial cyst 5. Ill-defined interface between myometrium and endometrium 6. Thickening of the fundus or posterior myometrium

ARRT (Ob/gyn US) (18 decks)

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