GYN FINAL (past tests) Flashcards

(93 cards)

1
Q

Which term defines the physiologic process of growing new vessels?

A

Angiogenesis

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2
Q

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

A

Pourcelot resistive index

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3
Q

Which vessel carries blood to the uterus?

A

Uterine artery

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4
Q

Which of the following is a quantitative method of doppler analysis?

A

Systolic and diastolic ratio

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5
Q

Select the definition of a low-resistance arterial flow.

A

High systole, high diastole

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6
Q

Select the optimal angle of incidence to obtain a spectral tracing.

A

60 degrees

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7
Q

Where does the uterine artery anastomoses with the ovarian artery?

A

At the uterine cornua

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8
Q

Select the normal flow velocity in the nongravid uterine artery.

A

5 to 10 cm/sec

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9
Q

Which of the following describes spectral doppler flow found surrounding the corpus luteal cyst?

A

Low-resistance flow

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10
Q

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

A

Arteriovenous malformation (AVM)

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11
Q

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

A

Adrenarche

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12
Q

Where does a rhabdomyosarcoma develop?

A

In straited or skeletal muscle

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13
Q

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

A

Turner syndrome

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14
Q

Select the sonographic findings for an ovarian malignancy

A

Cystic with multiple septations

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15
Q

Select the formula to calculate ovarian volume.

A

L x W x H x 0.523

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16
Q

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

A

Rhabdomyosarcoma

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17
Q

Select the increased laboratory finding that corresponds to pelvic inflammatory disease (PID).

A

White blood cell (WBC)

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18
Q

Which of the following describes hydrometra in the pediatric patient?

A

Anechoic fluid collection within the uterus

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19
Q

What pathology demonstrates prominent arterial flow?

A

Dysgerminoma

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20
Q

Select the term describing the failure of a woman to ovulate.

A

Anovulation

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21
Q

Choose the definition for a blood-filled ovarian cyst resulting from endometrial implants.

A

Endometrioma

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22
Q

Which of the following is a fluid-filled mass located in the cervical canal?

A

Nabothian cyst

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23
Q

Which of the following is a focal area of decreased echogenicity within the myometrium?

A

Leiomyoma

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24
Q

Select the physiologic ovarian cyst.

A

Theca Lutein

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25
Which of the following is an acquired condition associated with polycystic ovaries?
Cushing syndrome
26
Which of the following describes the sonographic appearance of a mature teratoma?
Echogenic foci with fluid/solid levels
27
A 35 year-old woman presents with an acute onset of pain bloating and a palable mass. During the sonographic examination, a unilocular mass with low-level debris and thin wall is observed. What is the most likely differnential for these findings?
Serous cystadenoma
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 differnetial for these findings?
Granulosa cell tumor
29
Select the most common benign ovarian neoplasm.
Cystic teratoma
30
Identify the sonographic appearance of the endometrium in the patient with Asherman syndrome.
Whorled internal architecture of a mass
31
A full bladder can cause suboptimal angles for doppler in the uterine artery. (T/F)
True
32
Suspicion for vascular occlusion occurs when a low resistance pattern is detected where flow resistance is normally seen. (T/F)
False
33
Normal arterial flow is seen as:
alternating quick uptake systolic peak followed by a lower diastolic flow
34
The functional layer of the endometrium is supplied by the straight artery. (T/F)
False
35
An arteriovenous malformation :
is typically acquired through surgery or trauma
36
The best description of classic ovarian torsion is
an enlarged, edematous ovary with multiple small peripheral follicles and little or no vascular flow
37
Complex masses of the pelvis are:
difficult to discriminate because benign and malignant characteristics can be similar
38
The best method to visualize an adolescent vagina is by:
TA us
39
The most common urinary tract tumor discovered in the pediatric community is:
rhabomyosarcoma
40
Select the sonographic appearance for a leiomyoma.
Whorled internal architecture of a mass
41
Select the least common gynecology malignancy.
Fallopian tube carcinoma
42
Identify the risk factor associated with endometrial cancer.
Unopposed estrogen
43
Tamoxaphin therapy for breast cancer raises the risks of _________
leiomyosarcoma development
44
Which of the following is used to help stage endometrial carcinoma?
Involvement of the cervix
45
Choose the differential for sonogrpahic findings of hydrosalpinx in a 50 year old female patient.
Fallopian tube carcinoma
46
A rapid increase in uterine mass in a 30 year old woman raises suspicion for__
Leiomyosarcoma
47
Postcoital bleeding is a symptom of _________________ cancer.
cervical
48
What type of uterine malformation results in daughters of dethylstibestrol (DES) users?
T-shaped
49
Select the karyotype see with a partial mole.
69XXX
50
The extensive chorionic villi invasion is characteristic of a(n)_____
invasive mole
51
Select the ovarian cyst that occurs with one-fourth of patients with placental trophoblastic disease.
Theca-lutein
52
Select the drug that increases the risk of endometrial cancer.
Tamoxifen
53
Which of the following is a sonographic finding for uterine sarcomas?
Rapidly growing heterogeneous mass
54
Which of the following is a tumor marker for colon, stomach, breast or ovarian carcinoma?
Carcinoembryonic antigen (CEA)
55
Identify the malignant ovarian tumor that is the result of metastasis to the ovary.
Krukenberg tumor
56
Which of the following is pseudomyxoma peritonel?
Mucinous material accumulation within the peritoneal cavity
57
Which of the following increases a womans risk for developing ovarian cancer?
15 year history of postmenopausal estrogen therapy
58
Which neoplasm is associated with gonadal dysgenesis?
Dysgerminoma
59
Choose the least common malignant ovarian cancer.
Androblastoma
60
An 18 year old presents to the department with complaints of intermittent left lower quadrant pain. Though she has not missed any periods, her clinician ran a regnancy test and it came up positive. The sonographic exam revealed a solid mass with calcifications and multiple small cysts in the left side apart from the uterus. What is the most likely cause for these findings?
Immature teratoma
61
Which form of ovarian cancer demonstrated prominent color doppler flow in septations?
Epithelial
62
Select the term describing painful menstruation.
Dysmenorrhea
63
Which of the following is implantation of endometrial tissue outside of the uterus?
Endometriosis
64
Which term describes an infection of the fallopian tube?
Salpingitis
65
Which is a complication of pelvic inflammatory disease?
Pyosalpinx
66
Select the complication of endometriosis
Endometrioma
67
Which of the following area becomes infected with stage 2 pelvic inflammatory disease?
Salpingitis
68
Which of the following is a clinical presentation of pelvic inflammatory disease?
Cervical motion tenderness
69
Select the etiology for pelvic inflammatory disease
Ascending infection
70
Choose the term which describes the presence of ectopic endometrial tissue.
Endometriosis
71
How does the fallopian tube image in a patient with stage 2 pelvic inflammatory disease?
Hypoechoic with a cogwheel appearance
72
How do the fallopain tube and ovary image with acute tubo-ovarian complex?
Ill defined with a large adhered ovary
73
Which of the following are sonographic signs of endometriosis?
Discrete adnexal mass with peripheral doppler flow
74
The sonographic appearance of the chinease ring IUD is a hyperechoic "S" shaped divice. (T/S)
False
75
The sonographic appearance of the Lippes Loop IUD is a curved structure within the endometrium with posterior shadowing. (T/S)
True
76
The sonographic appearance of the Lippes Loop IUD is a curved structure within the endometrium with posterior shadowing. (T/S)
true
77
The two types of IUCD are copper and hormone-based (LING-IUD). (T/S)
True
78
Transcervical tubal occlusion device is a form of permanent contraception using metallic coils or a silicone plug to obstruct the fallopian tubes. (T/S)
True
79
Myometrial penetration outside the endometrial cavity with an intact serosa
Embedment
80
Complete or partial migration through the external cervical device
Expulsion
81
Positioning or rotation within the lower uterine cavity or cervix
Displacement
82
Complete or partial invasion through the myometrium and serosa
Perforation/Extrauterine
83
Least common gyn malignancy
Fallopian tube carcinoma
84
The triple line (three line sign) indicates the _________________ stage.
Late proliferative
85
During late proliferative phase, the endometrium thickens to approximately:
5-11 mm
86
During what phase of the menstrual cycle do follicles become dominant?
Follicular phase
87
A uterus in a young girl would:
Appear cylindrical
88
What layer of the endometrium is shed every month during menstruation?
Stratum functionalis
89
What cells produce a gender appearance?
primordial germ cells
90
gender (sex) is determined at approximately:
44-48 days
91
what hormone is absent in the female fetus that causes regression of the mesonephric ducts
male inducer substance
92
The vaginal fornices surround the end of the:
Cervix
93
Cysts of the cervix are caused by occluded cervical glands and are known as:
Nabothian cysts