Hagen Chapter 44 Flashcards
(25 cards)
1
Q
On a baseline pelvic ultrasound, an ovarian cyst greater than\_\_\_\_\_ mm could interfere with ovarian stimulation. Select one: a. 5 b. 8 c. 10 d. 15
A
d. 15
2
Q
A dominant follicle grows at a rate of \_\_\_\_\_ to \_\_\_\_\_ millimeters per day (mm/day). Select one: a. 0.5; 1 b. 1; 1.5 c. 1; 2 d. 1; 3
A
d. 1;3
3
Q
The fallopian tubes are evaluated by a sonographic and saline examination to determine which one of the following characteristics? Select one: a. Size b. Patency c. Length d. Duplication
A
b. Patency
4
Q
During in vitro fertilization, the optimal placement of the embryos is considered to be within 2 cm of the apex of which one of the following structures? Select one: a. Cervix b. Uterine body c. Uterine fundus d. Cornua
A
c. Uterine fundus
5
Q
When evaluating the patient who is infertile, in addition to assessing structural anatomy, the sonographer should evaluate the: Select one: a. Endometrium b. Presence of corpus luteal cysts c. Presence of follicular cysts d. Vagina
A
a. Endometrium
6
Q
Producing more luteinizing hormone (LH) than follicular stimulating hormone (FSH) results in which one of the following conditions? Select one: a. Meige syndrome b. Luteal phase deficiency c. Polycystic ovarian syndrome d. Ovarian hyperstimulation syndrome
A
c. Polycystic ovarian syndrome
7
Q
Lack of progesterone production is known as which one of the following? Select one: a. Secondary infertility b. Luteal phase deficiency c. Polycystic ovarian syndrome d. Ovarian hyperstimulation syndrome
A
b. Luteal phase deficiency
8
Q
Patients who undergo assisted reproduction procedures have an increased risk factor for a(n) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ pregnancy. Select one: a. Molar b. Heterotopic c. Anembryonic d. Monoamniotic and monochorionic
A
b. Heterotopic
9
Q
The triple-line sign is associated with which one of the following structures? Select one: a. Cervix b. Vagina c. Endometrium d. Uterus
A
c. Endometrium
10
Q
Patients with polycystic ovarian syndrome may have the clinical triad of all the following characteristics except: Select one: a. Oligomenorrhea b. Hirsutism c. Bulimia d. Obesity
A
c. Bulimia
11
Q
Which one of the following syndromes demonstrates enlarged ovaries with multiple cysts, abdominal ascites, and pleural effusion? Select one: a. Polycystic ovarian b. Fritz-Hugh-Curtis c. Ovarian hyperstimulation d. Stein-Leventhal
A
c. Ovarian hyperstimulation
12
Q
A hyperechoic linear strand of tissue extending from one wall of the uterine cavity to the other describes which one of the following? Select one: a. Adenomyosis b. Decidua basalis c. Uterine synechiae d. Normal proliferative phase
A
c. Uterine synechiae
13
Q
Which one of the following hormones and follicle size determine the approximate time of ovulation? Select one: a. Follicular stimulating hormone b. Progesterone c. Human chorionic gonadotropin d. Estradiol
A
d. Estradiol
14
Q
The uterine anomaly most frequently associated with a high incidence of infertility is a \_\_\_\_\_\_\_\_\_\_\_ uterus. Select one: a. Septate b. Bicornuate c. Didelphys d. T-shaped
A
a. Septate
15
Q
Which one of the following statements about infertility is false?
Select one:
a. Infertility is the inability to conceive within 12 months with regular coitus.
b. Infertility affects one in three couples in the United States.
c. Infertility in 40% of patients is attributable to men.
d. Infertility in 20% of patients is attributable to either the man or the woman or is unexplained.
A
b. Infertility affects one in three couples in the United States.
16
Q
In the luteal phase, the endometrial lining may be thinner than expected from an inadequate level of which of the following? Select one: a. Estrogen b. Progesterone c. Luteinizing hormone d. Follicular-stimulating hormone
A
b. Progesterone
17
Q
The T-shaped uterus is a congenital anomaly caused by which one of the following?
Select one:
a. In utero exposure to diethylstilbestrol (DES)
b. Partial fusion of the müllerian ducts
c. Incomplete fusion of the müllerian ducts
d. Exposure to radiation
A
a. In utero exposure to diethylstilbestrol (DES)
18
Q
A normal endometrial response associated with overstimulation is an increasing thickness between 2 to 3 mm and \_\_\_\_\_\_\_\_\_\_ mm. Select one: a. 7 to 10 b. 10 to 20 c. 12 to 14 d. 20 to 25
A
c. 12 to 14
19
Q
Multiple gestations occur in approximately \_\_\_\_\_% of in vitro fertilization (IVF) pregnancies. Select one: a. 15 b. 30 c. 50 d. 75
A
b. 30
20
Q
Endometrial thickness of at least \_\_\_\_\_\_ mm is necessary for achieving pregnancy. Select one: a. 4 b. 6 c. 8 d. 10
A
b. 6
21
Q
After ovulation, progesterone is secreted by which one of the following? Select one: a. Graafian follicle b. Follicular cyst c. Corpus luteum d. Hyperstimulation
A
c. Corpus luteum
22
Q
Which one of the following is used as a substitute for luteinizing hormone (LH) to trigger ovulation? Select one: a. Clomid b. Estradiol c. Progesterone d. Human chorionic gonadotropin (hCG)
A
d. Human chorionic gonadotropin (hCG)
23
Q
Ovarian induction therapy requires documentation of all follicles greater than \_\_\_\_\_ mm in both longitudinal and transverse planes. Select one: a. 5 b. 10 c. 15 d. 17
A
b. 10
24
Q
Complications associated with assisted reproductive technologies include all of the following except: Select one: a. Hyperstimulation b. Multiple gestations c. Cervical stenosis d. Ectopic pregnancy
A
c. Cervical stenosis
25
```
Which one of the following tends to have a narrow base attachment to the endometrium with a vascular pedicle feeding it?
Select one:
a. Endometrial polyp
b. Submucosal fibroid
c. Endometrial carcinoma
d. Synechiae
```
a. Endometrial polyp
