WRONG EXAM GYN Qs Flashcards
(128 cards)
1
Q
What lab test may be used as a tumor marker for an ovarian dysgerminoma
A
lactate dehydrogenase (LDH)
2
Q
What is best defined as intermenstrual bleeding
A
metrorrhagia
3
Q
What best describes the term adnexa
A
located posterior to the broad ligaments and adjacent to the uterus
4
Q
What is most likely associated with hirsuitism
A
PCOS
5
Q
What diagnostic test is used to evaluate emitted radiation from the patient to assess the function of organs
A
nuclear medicine
6
Q
Straight and spiral arteries are branches of the
A
radial artery
7
Q
What is considered the most dependent part of the peritoneal cavity
A
pouch of douglas
8
Q
The muscles that may be confused with the ovaries on a pelvic exam include
A
piriformis and ilio psoas
9
Q
Which vessels supply blood to the deeper layers of the myometrium
A
radial arteries
10
Q
Peritoneal spaces located posterior to the broad ligament are referred to as the
A
adnexa
11
Q
The space of retzius is located between
A
the bladder and pubic bone
12
Q
The right ovarian artery branches off of the
A
aorta
13
Q
The pelvic ligament that extends from the lateral aspect of the uterus to teh side walls of the pelvis is the
A
broad ligament
14
Q
The pelvic ligament that provides support to the ovary and extends from the ovary to the lateral surface of the uterus
A
ovarian ligament
15
Q
Pelvic bones will appear
A
hyperechoic
16
Q
The ligament that houses the vasculature of the uterus is
A
cardinal ligament
17
Q
Sonographic findings consistent with adenomyosis
A
diffuse enlarged uterus, myometrial cysts and hypoechoic areas adjacent to the endometrium
18
Q
Largest part of the uterus is the
A
corpus
19
Q
What is most indicative of a leiomyosarcoma
A
rapid growth
20
Q
Invasion if endometrial tissue into myometrium is
A
adenomyosis
21
Q
Pseudoprecocious puberty may be associated with the following
A
ovarian tumor, adrenal tumor and liver tumor
22
Q
Most superior and widest portion of the uterus
A
fundus
23
Q
Section of uterus referred to as the lower uterine segment
A
isthmus
24
Q
Outer layer of the endometrium is the
A
basal layer
25
Uterine position in which the corpus tilts forward and comes in contact with the cervix
anteflexion
26
The normal position of the uterus is
anteverted
27
An endometrioma most likely appears as a
mostly cystic mass with low level echoes
28
What ovarian tumor is Meigs syndrome associated with
fibroma
29
Most common benign ovarian tumor is the
cystic teratoma
30
Normal ovarian flow is said to be
high resistant during menstruation and low at time of ovulation
31
Tumor of ectopic endometrial tissue
endometrioma
32
What ovarian tumor has a moth eaten appearance
Krukenberg tumor
33
Patient with an ovarian mass has elevated AFP, this is a
yolk sac tumor
34
Ovarian cyst associated with trophoblastic disease is the
theca lutein cysts
35
Short and narrow segment of the fallopian tube distal to interstitial segment is the
isthmus
36
Longest and most tortuous segment of the fallopian tube is the
ampulla
37
Segment of fallopian tube where fertilization typically occurs is the
ampulla
38
What is associated with the whirlpool sign
ovarian torsion
39
What hormone maintains the thickness of the endometrium after ovulation
progesterone
40
What structure may be noted on the ovary just prior to ovulation
graafian follicle
41
When the ovary is in the luteal phase, the endometrium is in the
secretory
42
A change in menstrual bleeding associated with lesions within the uterus relates to
AUB
43
Which hormone maintains the corpus luteum during pregnancy
hcG
44
Sonographic appearance of the endometrium during the secretory phase
hyperechoic and thick
45
What is said to be a common cause of DUB
PCOS
46
When 3 line sign is present, the functional layer of the endometrium appears
hypoechoic
47
First phase of the ovarian cycle is the
follicular phase
48
Frequent regular cycles but less than 21 days apart
polymenorrhea
49
Described as intermenstrual bleeding
metrorrhagia
50
Ectopic endometrial tissue within the uterus that elads to AUB is
adenomyosis
51
Second phase of the endometrium cycle is the
secretory phase
52
The second phase of the ovarian cycle is the
luteal phase
53
What is most likely the pulsed doppler characteristics of endometrial cancer
low impedance flow
54
What would increase a patient's likelihood of suffering from thromboembolism
ERT
55
Most common cause post menopausal bleeding is
endometrial atrophyy
56
What is associated with endometrial hyperplasia
tamoxifen therapy, PCOS, ovarian thecoma
57
Gynecologic procedure to remove an endometrial polyp
hysteroscopy with polypectomy
58
Stein-Leventhal syndrome is related to
infertility, anovulatory cycles and hirsutism
59
Benefits of ERT include
reduction in osteoporosis, reduction in colon cancer risk and reduction in heart disease risk
60
Tamoxifen has been linked with
endometrial polyps, endometrial hyperplasia and endometrial carcinoma
61
Ovarian tumor that causes post menopausal bleeding
thecoma
62
Tamoxifen effects on the endometrium will appear
cystic changes within a thickened endometrium
63
Causes of post menopausal bleeding
endometrial atrophy, endometrial hyperplasia and intracavity fibroma
64
Asymptomatic 65 year old with pelvic pain but no vaginal bleeding, endo should not exceed
8mm
65
84 year old with sudden onset of vaginal bleeding, endo should nto exceed
5mm
66
68 year old with vaginal bleeding is most likely caused by
endometrial atrophy
67
Clinical findings with endometrial hyperplasia
obesity, PCOS and abnormal uterine bleeding
68
34 year old patient with intermenstrual bleeding, sonographic findings include focal irregularities and enlargement of one area of the endometrium
endometrial polyps
69
Fever, chills and vaginal discharge, sonographically what will you not encoutner
uterine adhesions
70
Most common initial clinical presentation of PID is
vaginitis
71
Fits-Hugh-Curtis syndrome could be described as
clinical findings of gallbladder disease as result of PID
72
Complaints of infertility and painful menstruation cycles, you discover cystic mass on ovary with low level echoes
endometrioma
73
PID can lead to all of the following
infertility, ectopic pregnancy and scar formation in the fallopian tubes
74
Sonographic findings of a tubo-ovarian abcess
cul de sac fluid, thickened irregular endometrium and fusion of pelvic organs as a conglomerated mass
75
String of pearls is a sign of
PCOS
76
Sonographic findings of OHS include
cystic enlargement of the ovaries, ascites and pleural effusions
77
What would be described as functional cysts that are found in hte presence of elevated levels of hcG
theca lutein cysts
78
What form of permanent birth control would be seen as echogenic linear structures within the lumen of both isthmic portions of the fallopian tubes
essure devices
79
The pelvic muscle that provides support to the ovary to the pelvic side wall is the
suspensory ligament of the ovary
80
The uterine artery branches off of the
internal iliac artery
81
Pseudoprecocious puberty nay be associated with all of the following
ovarian tumor, adrenal tumor, liver tumor
82
Clinical findings associated with leiomyoma
infertility, palpable pelvic mass, menorrhagia
83
The most distal part of the fallopian tube
infundibulim
84
Common cause of DUB
PCOS
85
Structure noted within the graafian follicle containing the developing ovum
cumulus oophorus
86
Hormone produced by the hypothalamus that controls the release of the hormones for menstruation by the anterior pituitary gland
GnRH
87
Hormone produced by the trophoblastic cells of the early placenta
hCG
88
Which hormone released by the ovary during the proliferative phase stimulates endometrial thickening
estrogen
89
The periovulatory phase may also be referred to as the
late proliferative phase
90
During which phase of the endometrial cycle would the endometrium yield the 3 line sign
late proliferative
91
Most common form of endometrial carcinoma
adenocarcinoma
92
Sonographic appearance of a 59 year old woman on HRT is
variable on menstrual cycle
93
What ovarian tumor would be most likely to cause post menopausal bleeding
thecoma
94
With endometrial atrophy the endometrial thickness should not exceed
5mm
95
Most common female genital tract malignancy
endometrial carcinoma
96
31 year old patient with intermenstrual bleeding and infertility. Mass emanating from the myometrium and distorting the endometrial cavity
submucosal leiomyoma
97
Risk factors for PID
IUD, multiple sex partners and post child birth
98
Functional ectopic endometrial tissue outside the uterus is termed
endometriosis
99
Infertility is defined as
inability to conceive a child after 1 year of unprotected intercourse
100
What is not typically associated with amenorrhea
adenomyosis
101
What would be least likely to cause abdominal distention
PCOS
102
Fluid noted posterior to the uterus would most likely be located within the
pouch of douglas
103
What is considered the most dependent part of the peritoneal cavity
pouch of douglas
104
The innominate bones of the pelvis consist of the
ischium, ilium and pubic bones
105
Peritoneal spaces located posterior to the broad ligament are referred to as the
adnexa
106
Fluid noted anterior to the uterus would most likely be located within the
vesicouterine pouch
107
The pelvic ligament that provides support to the ovary to the pelvic side wall is the
suspensory ligament of the ovary
108
The arteries that directly supply blood to the functional layer of the endometrium are the
spiral arteries
109
The pelvic ligament that provides support to the ovary and extends from the ovary to the lateral surface of the uterus is the
ovarian ligament
110
Prolapse of the pelvic organs most often involves the
levator ani and coccygeus muscles
111
The invasion of endometrial tissue into the myometrium of the uterus is referred to as
adeomyosis
112
The normal position of the uterus is
anteverted
113
What ovarian tumor is Meigs syndrome most likely associated
fibroma
114
The most common benign ovarian tumor is the
cystic teratoma
115
The ovarian cysts that are most often bilateral and are associated with markedly elevated levels of hCG are the
theca lutein cysts
116
The malignant ovarian mass that is associated with pseudomyxoma peritonei is the
mucinous cystadenocarcinoma
117
Which of the following is an estrogen-producing ovarian tumor
thecoma
118
The short and narrow segment of the fallopian tube distal to the interstitial segment is the
isthmus
119
When the ovary is in the luteal phase, the endometrium is in the
secretory
120
The temporary endocrine gland that results from the rupture of the graafian follicle is the
corpus luteum
121
What would not be a cause of AUB
ovarian torsion
122
The hormone that surges at ovulation is
LH
123
Which hormone released by the ovary during the proliferative phase stimulates endometrial thickening
estrogen
124
The corpus luteum primarily releases
progesterone
125
Ectopic endometrial tissue within the uterus that leads to AUB is termed
adenomyosis
126
The arteries within the functional layer of the endometrium that are altered by the hormones of the ovary and are shed with menstruation are the
spiral arteries
127
During which phase of the endometrial cycle would the endometrium yield the three-line sign
late proliferative
128
The second phase of the endometrial cycle is the
secretory phase
