Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB/GYN - ARDMS Registry > Vagina & Uterus > Flashcards

Vagina & Uterus Flashcards

1
Q
A

Hydrocolpos
- appears as a tubular cystic structure posterior to the bladder

  • associated with imperforate hymen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
A

Hydrometrocolpos
- appears as a large cystic mass posterior to the bladder

  • associated w/ imperforate hymen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
A

Hematocolpos

-appears as a tubular cystic structure with echogenic debris posterior to the bladder

  • associated with imperforate hymen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
A

Hematometrocolpos
- appears as a large cystic mass with echogenic debris seen posterior to the bladder

  • associated w/ imperforate hymen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

hydrocolpos & hydrometrocolpos are associated with what abnormality?

A

imperforate hymen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the most common congenital abnormality of the female genital tract?

A

imperforate hymen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
A

Gartner duct cyst

  • typically seen in the anterior wall of the vagina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the mc cystic lesion of the vagina?

A

Gartner duct cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
A

vaginal cuff

  • not a pathology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
A

Nabothian cysts

  • simple anechoic structure within cervix; may contain some internal debris or septations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
A

cervical polyp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
image showing postmenopausal cervix
A

cervical polyp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cervical polyps SONO

  • not always seen on US. ___________ & ____________ help visualize polyps
A
  • hypoechoic to echogenic mass in cervix.
  • sometimes see vascularized stalk

  • Sonohysterography & 3D US
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A 40 y/o women presents with Amenorrhea and pain/cramping. She has recently has a pelvic biopsy. Given the image and clinical information, what is the most likely diagnosis?

A

Cervical Stenosis

  • S/S include pain/cramping, amenorrhea, infertility, and asymptomatic
  • Image shows fluid trapped in the uterus (hydrometra).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A

hydrometra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
A

hematometra or pyometra

  • hematometra may be more echogenic than pyometra
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

mc risk factor of cervical carcinoma?

A

HPV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Those with HPV have a greater risk of developing ________________.

A

cervical carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the mc female malignancy in women under 50 y/o ?

A

cervical carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A

cervical carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
A

Unicornuate uterus

  • 1 uterine horn
  • 1/2 uterus
  • 1 fallopian tube / ovary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
A

Partial Bicornuate (aka Bicornis Unicollis)

  • 2 uterine horns / 2 endos
  • 1 cervix
  • concave uterine contour at fundus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
A

Complete Bicornuate (aka Bicornis Bicollis)
- 2 uterine horns / 2 endos
- 2 cervix
- concave uterine contour at fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
A

Uterus Didelphys
- 2 uterus / uterine horns
- 2 endos
- 2 cervix
- 2 vaginas

** 2 of everything **

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
A

Arcuate Uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
A

Septate (aka Complete Septate) Uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q
A

Subseptate (aka Partial Septate)
- upper medial septum is present
- divided upper endo cavity
- normal uterine contour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the mc mullerian duct anomaly?

A

Septate uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is the mc GYN tumor?

A

Leiomyomas (fibroids or myomas)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Leiomyomas (fibroids or myomas) are mc in what race of women?

A

African American

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

African American women are at risk of developing … (2)

A
  • Leiomyoma
  • Leiomyosarcoma
32
Q

Leiomyoma SONO: variable appearance…

A
  • Solid, hypoechoic mass
  • Can have internal necrosis / degeneration
  • Calcifications or rim calcifications can occur w/ degeneration
  • Variable vascularity
  • Uterine enlargement (when multiple fibroids are present)
33
Q
A

Leiomyomas (aka fibroids or myomas)

34
Q

What is the most symptomatic type of Leiomyomas (fibroids or myomas)?

A

submucosal
(can cause heavy bleeding & pain)

35
Q

What type of leiomyoma is most likley to cause heavy bleeding and pain?

A

submucosal
(most symptomatic type)

36
Q

What type of leiomyoma is seen in the image?

A

submucosal

37
Q

What type of leiomyoma is seen in the image?

A

subserosal

38
Q

What type of leiomyoma is the mc?

A

intramural

39
Q

What type of leiomyoma is seen in the image?

A

intramural

40
Q
A

pedunculated

41
Q

What type of leiomyoma is seen in the image?

A

intracavitary

42
Q
A

Lipoleiomyoma

43
Q

Pelvic ultrasound of a 54 y/o women shows large complex mass in the myometrium with hypervascularity. What is the most likely diagnosis?

A

Leiomyosarcoma

44
Q

What is the defining characteristic of Leiomyosarcoma?

A

RAPID GROWTH (increasing by cms)

45
Q
A

Adenomyosis
- hypervascularity
- myometrial cysts
- heterogeneous uterus w/ hypoechoic striations (Venetian blind appearance)
- posterior myometrium thicker and more hypoechoic than anterior myo
- lose distinctino between endo and myo

46
Q

Adenomyosis is often present in the uterus afflicted with _____

A

fibroids

47
Q

What is the mc type of adenomyosis?

A

diffuse

48
Q

What pathology may present with multiple small cyst in the myometrium?

A

adenomyosis (specifically diffuse)

49
Q
A

Arteriovenous Malformation
- mosiac pattern (color doppler)
- lots of tiny serpiginous anechoic vessels in the uterus (greyscale)

50
Q

What pathology presents with a mosaic pattern on color doppler?

A

Arteriovenous Malformations

51
Q

What pathology is the mc cause of ABNORMAL uterine bleeding in postmenopausal women?
- can also be asymptomatic

A

Endometrial hyperplasia

52
Q

What is the mc clinical symptom of endometrial hyperplasia?

A

postmenopausal bleeding

53
Q

What drug is associated with the sonographic appearance of this endometrium?

A

Tamoxifen
- causes cystic changes in the endometrium

54
Q
A

Endometrial hyperplasia

55
Q

Endometrial hyperplasia is a precursor to _____________ ________________.

A

endometrial carcinoma

56
Q

(postmenopausal uterus)

A

endometrial atrophy

  • thin echogenic endo
  • endo measures < 5 mm
57
Q
A

endometrial polyps

58
Q
A

Endometritis
- hypervascularity
- pneumouterus: gas/air in endo (ring down artifact)

59
Q
A

Synechiae (Asherman’s Syndrome)

60
Q

Synechiae often occur after…(3)

A

Surgery
Trauma
Pregnancy

61
Q

65 y/o presents with postmenopausal bleeding.

A

Endometrial Carcinoma
- hypervascularity
-thickened/enlarged, heterogeneous endo with lobulater contour
- fluid in the endo
- solid mass int he endo

62
Q

What is the mc type of endometrial carcinoma?

A

adenocarcinoma

63
Q

What is the mc GYN malignancy in north America?

A

Endometrial carcinoma

64
Q

What is the mc clinical presentation for endometrial carcinoma?

A

postmenopausal bleeding

65
Q

Endometrial carcinoma is associated with what other pathology in postemenopausal women?

A

Endometrial hyperplasia

66
Q

What is the mc female genital tract malignancy?

A

Endometrial carcinoma

67
Q

Elevated CA-125 is associated with GYN ________.

A

malignancies (endometrial,vaginal,cervical carcinoma)

68
Q

MC type of IUD

A

Mirena
(& Paraguard)

69
Q

IUD SONO

A
  • highly echogenic linear structure within the endo
  • shadowing may be present
70
Q
A

IUD

71
Q

What is the MC cause of uterine calcifications ?

A

leiomyoma (aka fibroid or myoma)

72
Q

Adenomyosis is MC in ____________ women

A

multiparous

73
Q

w/ __________________ you lose distinction between myometrium and endometrium

A

adenomyosis

74
Q

What is the MC cause of abnormal uterine bleeding in postmenopausal women?

A

endometrial hyperplasia

75
Q

STDs are a cause of ________________

A

endometritis

76
Q

What drug can cause cystic changes in the endometrium, giving it a similar sonographic appearance to Endometrial Hyperplasia ?

A

Tamoxifen
- given to pt w/ breast cancer or at high risk of breast cance

OB/GYN - ARDMS Registry (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions