Penny Ch15-21

STAR criteria

Smooth borders, through transmission, anechoic, round

Which lab test may be used as a tumor marker for an ovarian dysgerminoma?

Lactate dehydrogenase

All of the following are associated with acute pelvic pain except:

Pelvic inflammatory disease

Ruptured ovarian hemorrhagic cyst

Perforated intrauterine contraceptive device

Asherman syndrome

Asherman syndrome

Malignant ovarian tumors may leak mucinous material, and this

condition is known as:

Pseudomyxoma peritonei

Which diagnostic test is used to evaluate emitted

radiation from the patient to assess the function of organs?

Nuclear medicine

Endovaginal transducers may be cleaned by submerging in a(n) ___-

based solution

Glutaraldehyde

Anterior cul-de-sac

Between bladder and uterus

Vesicouterine

Posterior cul-de-sac

Between uterus and rectum

Rectouterine, pouch of douglas

Space of Retzius

Between the bladder and symphasis pubis

Spiral arteries

Supply the functional layer of endo

Straight arteries

Supply the basal layer of endo

What is considered the most dependent part of the peritoneal cavity?

Pouch of Douglas

The right ovarian vein drains directly into the:

IVC

The innominate bones of the pelvis consist of the:

Ischium, ilium, and pubic bones

Pelvic muscles appear:

Hypoechoic

The paired muscles that are located lateral to the uterus and anterior to

the iliac crest are the:

Iliopsoas muscles

The right ovarian artery branches off of the:

Aorta

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

The ovary is supplied blood by the:

Ovarian artery and uterine artery

Pseudoprecocious puberty may be associated with all of the following

except:

Ovarian tumor

Adrenal tumor

Liver tumor

Brain tumor

Brain tumor

The outer layer of the endometrium is the:

Basal layer

The most common benign ovarian tumor is the:

Cystic teratoma

Normal ovarian flow is said to be:

High resistant during menstruation and low resistant at the time of

ovulation

What ovarian tumor will most likely have a moth-eaten appearance on

sonography?

Krukenberg tumor

The inner layer of the wall of the fallopian tube is the:

Mucosal layer

What substance does hysterosalpingography utilize for the visualization

of the uterine cavity and fallopian tubes?

Radiographic contrast

FSH is produced by the:

Anterior pituitary gland

When the sonographic three-line sign is present, the functional layer of

the endometrium typically appears:

Hypoechoic

Which of the following would not be a cause of AUB?

Endometrial hyperplasia

Hypothyroidism

Adenomyosis

Ovarian torsion

Ovarian torsion

What structure produces hormones that directly act upon the

endometrium to produce varying thicknesses and sonographic

appearances?

Ectopic endometrial tissue within the uterus that leads to AUB is termed:

Adenomyosis

The measurement of the endometrium during the early proliferative

phase ranges from:

4 to 8 mm

What is the most likely pulsed Doppler characteristic of endometrial cancer?

Low-impedance flow

The removal of tissue from the endometrium by scraping is termed:

Curettage

What is the most common form of endometrial carcinoma?

Adenocarcinoma

Stein–Leventhal syndrome is related to all of the following except:

Infertility

Anovulatory cycles

Hirsutism

Ovarian hyperstimulation syndrome

Ovarian hyperstimulation syndrome

The sonographic appearance of a 59-year-old woman on HRT is:

Variable depending upon the menstrual cycle

An asymptomatic 65-year-old patient presents to the sonography department with pelvic pain but no vaginal bleeding. Her endometrial thickness should not exceed:

8 mm

An 84-year-old patient presents to the sonography department with sudden onset of vaginal bleeding. Her endometrium should not exceed:

5 mm

All of the following are clinical findings with endometrial hyperplasia

except:

Obesity

Polycystic ovary syndrome

Abnormal uterine bleeding

Thickened endometrium

Thickened endometrium

Endometrial polyps are associated with all of the following except:

Intermenstrual bleeding

Tamoxifen therapy

Prolapse through the cervix

Coronary heart disease

Coronary heart disease

A 31-year-old patient presents to the sonography department for a saline infusion sonohysterogram complaining of intermenstrual bleeding and infertility. Sonographically, a mass is demonstrated emanating from the myometrium and distorting the endometrial cavity. What is the most likely diagnosis?

Submucosal leiomyoma

A patient presents to the sonography department with a fever, chills, and vaginal discharge. Sonographically, what findings would you most likely not encounter?

Cul-de-sac fluid

Uterine adhesions

Dilated uterine tubes

Ill-defined uterine border

Uterine adhesions

Fitz-Hugh–Curtis syndrome could be described as:

Clinical findings of gallbladder disease as a result of PID

Which of the following would be described as functional cysts that are found in the presence of elevated levels of human chorionic gonadotropin?

Theca lutein cysts

The presence of pus within the uterus defines:

Pyometra