Penny Chapter 15

Which of the following is an inherited bleeding disorder that is characterized by low levels of a specific clotting protein in the blood?

a. Stein-Leventhal disease

b. Fitz-Hugh-Curtis disease

c. Meis disease

d. von Willebrand disease

d. von Willebrand disease

What is the term for elevated white blood cell count?

a. Hematocrit

b. Leukemia

c. Leukocytosis

d. Leukopenia

c. Leukocytosis

What is another name for the anterior cul-de-sac?

a. Vesicouterine pouch

b. Pouch of Douglas

c. Morison Pouch

d. Rectouterine pouch

a. Vesicouterine pouch

Which of the following is also referred to as the space of Retzius?

a. Paracolic gutters

b. Retropubic space

c. Anterior cul-de-sac

d. Posterior cul-de-sac

b. Retropubic space

Which of the following would be the least likely indication for a pelvic sonogram?

a. Diarrhea

b. Palpable pelvic mass

c. Amenorrhea

d. Screening for malignancy

a. Diarrhea

Which of the following would be least likely associated with a palpable pelvic mass?

a. Ovarian hyperstimulation syndrome

b. Leiomyoma

c. Ovarian cyst

d. Endometrial hyperplasia

d. Endometrial hyperplasia

Which of the following is defined as painful or difficult urination?

a. Dyspareunia

b. Nocturia

c. Dyspnea

d. Dysuria

d. Dysuria

A linear structure coursing through an anechoic cyst separating it into two separate cavities may be referred to as a:

a. mural nodule.

b. septation.

c. polyp.

d. dringo.

b. septation.

Which of the following would least likely indicate the presence of a complex cyst?

a. Septation

b. Mural nodule

c. Acoustic enhancement

d. Internal debris

c. Acoustic enhancement

Which of the following is a protein produced by the fetal yolk sac, fetal gastrointestinal tract, fetal liver, and by some malignant tumors?

a. Lactate dehydrogenase

b. CA-125

c. Alpha-fetoprotein

d. Human chorionic gonadotropin

c. Alpha-fetoprotein

The "S" in the STAR criteria stands for:

a. Simple.

b. Sound.

c. Smooth walls.

d. Septations.

c. Smooth walls.

Which of the following is defined as pain during intercourse?

a. Dysuria

b. Dysmenorrhea

c. Dyspareunia

d. Hirsutism

c. Dyspareunia

Which of the following is defined as excessive hair growth in women in areas where hair growth is normally negligible?

a. Dyspareunia

b. Hirsutism

c. Meigs syndrome

d. Polycystic ovary syndrome

b. Hirsutism

Which of the following laboratory tests may be used as a tumor marker for an ovarian dysgerminoma?

a. Lactate dehydrogenase

b. Alpha-fetoprotein

C. CA-125

d. Tamoxifen

a. Lactate dehydrogenase

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

a. pelvic inflammatory disease.

b. ruptured ovarian hemorrhagic cyst.

c. perforated intrauterine contraceptive device.

d. Asherman syndrome.

d. Asherman syndrome.

Which of the following is best defined as intermenstrual bleeding?

a. Dysmenorrhea

b. Menorrhagia

c. Menometrorrhagia

d. Metrorrhagia

d. Metrorrhagia

Having the same echogenicity means:

a. anechoic.

b. isoechoic.

c. echogenic.

d. hypochoic.

b. isoechoic.

Which of the following would typically not be associated with amenorrhea?

a. Asherman syndrome

b. Polycystic ovarian disease

c. Pregnancy

d. Adenomyosis

d. Adenomyosis

Which of the following is best defined as difficult or painful menstruation?

a. Dysmenorrhea

b. Dyspareunia

c. Dysuria

d. Menorrhagia

a. Dysmenorrhea

What term relates to the number of pregnancies a patient has had?

a. Para

b. Menarche

c. Menorrhagia

d. Gravida

d. Gravida

Which of the following definitions best describes the term adnexa?

a. The area posterior to the uterus, between the uterus and the rectum

b. The area located posterior to the broad ligaments and adjacent to the uterus

c. The area anterior to the uterus, between the uterus and the urinary bladder

d. The area lateral to the iliac crest and posterior to the pubic symphysis

b. The area located posterior to the broad ligaments and adjacent to the uterus

All of the following statements are true of endovaginal imaging except:

a. endovaginal imaging requires a full urinary bladder.

b. endovaginal imaging leads to reduced waiting time for the patient and quicker medical management.

c. endovaginal imaging offers improved resolution of the endometrium, uterus, and ovaries, especially in the obese patient.

d. endovaginal imaging is contraindicated for pediatric patients and for those with an intact hymen.

a. endovaginal imaging requires a full urinary bladder

What laboratory value would be most useful to evaluate in a patient with suspected internal hemorrhage?

a. White blood cells

b. Lactate dehydrogenase

c. Amylase

d. Hematocrit

d. Hematocrit

What abnormality results from the ovary twisting on its mesenteric connection?

a. Pelvic inflammatory disease

b. Fitz-Hugh-Curtis syndrome

c. Ovarian torsion

d. Ovarian hyperstimulation syndrome

c. Ovarian torsion

Which of the following most often leads to an elevation of CA-125?

a. Ovarian carcinoma

b. Fitz-Hugh-Curtis syndrome

c. Ovarian torsion

d. Ovarian hyperstimulation syndrome

a. Ovarian carcinoma

When does the Centers for Disease Control and Prevention recommend that alcohol-based hand rub be combined with hand washing?

a. After performing a sonogram

b. Before performing a sonogram

c. When your hands are visibly soiled

d. Between patients

c. When your hands are visibly soiled

The best way to communicate with a patient who speaks a language other than your own is to use:

a. sign language.

b. proper body cues.

c. an online search engine.

d. a trained medical interpreter.

d. a trained medical interpreter.

What artifact would be seen posterior to a tooth within a cystic teratoma?

a. Ring-down

b. Reverberation

c. Through transmission

d. Shadowing

d. Shadowing

Which of the following is best described as an artifact that is produced by a strong reflector and results in a copy of the anatomy being placed deeper than the correct location?

a. Reverberation

b. Mirror image

c. Acoustic shadowing

d. Comet tail

b. Mirror image

Which of the following statements is not true concerning transabdominal pelvic imaging?

a. Transabdominal imaging of the pelvis provides a global view of the entire pelvis.

b. Transabdominal imaging lacks the detail of endovaginal imaging.

c. Obese patients and patients with a retroverted or retroflexed uterus present a unique challenge to the transabdominal technique.

d. Transabdominal imaging is contraindicated for pediatric patients.

d. Transabdominal imaging is contraindicated for pediatric patients.

Malignant ovarian tumors may leak mucinous material, and this condition is known as:

a. Dandy-Walker syndrome.

b. pseudomyxoma peritonei.

c. Asherman syndrome.

d. Fitz-Hugh-Curtis syndrome.

b. pseudomyxoma peritonei.

All of the following are proper techniques for providing patient care for patients during a pelvic

sonogram except:

a. all transducers and their cords should be cleaned before performing a pelvic sonogram.

b. endovaginal transducers should be cleaned with a high-level disinfectant.

c. a probe cover should be placed on the transducer for transabdominal imaging to prevent the spread of infection.

d. a sterile jelly should be used as a lubricant for endovaginal imaging.

c. a probe cover should be placed on the transducer for transabdominal imaging to prevent the spread of infection.

The breast cancer drug that inhibits the effects of estrogen in the breast is:

a. CA-125.

b. methotrexate.

C. RA-916.

d. tamoxifen.

d. tamoxifen.

Which of the following statements would be considered an acceptable disadvantage of endovaginal imaging?

a. Endovaginal imaging has a limited field of view.

b. The resolution of endovaginal imaging is reduced compared to transabdominal imaging.

c. Endovaginal imaging is more time-consuming than transabdominal imaging.

d. Endovaginal imaging can be performed only by female sonographers.

a. Endovaginal imaging has a limited field of view.

What artifact could be noted emanating from air or gas within the endometrium in a patient with

endometritis?

a. Ring-down

b. Mirror image

c. Posterior enhancement

d. Dirty transmission

a. Ring-down

What Doppler artifact occurs when the Doppler sampling rate is not high enough to display the Doppler shift frequency?

a. Doppler noise

b. Aliasing

c. Twinkle artifact

d. Absent Doppler signal

b. Aliasing

Which of the following would be the least likely to cause abdominal distension?

a. Ascites

b. Multiple leiomyoma

c. Ovarian hyperstimulation syndrome

d. Polycystic ovarian disease

d. Polycystic ovarian disease

All of the following are common indications for a pelvic sonogram except:

a. evaluation of congenital anomalies.

b. evaluation of pelvic anatomy immediately following a motor vehicle accident.

c. localization of an intrauterine contraceptive device.

d. postmenopausal bleeding.

b. evaluation of pelvic anatomy immediately following a motor vehicle accident.

Precocious puberty is best defined as:

a. pubertal development before the age of 8.

b. pubertal development before the age of 13.

c. excessive hair growth in girls in areas where hair growth is normally negligible.

d. changes within the female that are caused by increased levels of alpha-fetoprotein.

a. pubertal development before the age of 8.

Amenorrhea is defined as:

a. the first menstrual cycle.

b. excessive bleeding after the cycle.

c. lack of menstrual flow.

d. painful menstrual flow.

c. lack of menstrual flow.

Which of the following would most likely be associated with hirsutism?

a. Polycystic ovary syndrome

b. Meigs syndrome

c. Adenomyosis

d. Adenomyomatosis

a. Polycystic ovary syndrome

Which of the following would be caused by a large acoustic interface and subsequent production of false echoes?

a. Posterior shadowing

b. Acoustic enhancement

c. Mirror image

d. Reverberation

d. Reverberation

Which of the following would be best defined as abnormally heavy menstrual flow?

a. Menometrorrhagia

b. Menorrhagia

c. Metrorrhagia

d. Hypomenorrhea

b. Menorrhagia

Which of the following would be best defined as regularly timed menses but light flow?

a. Menometrorrhagia

b. Menorrhagia

c. Metrorrhagia

d. Hypomenorrhea

d. Hypomenorrhea

All of the following would be relevant laboratory tests to evaluate before performing a routine pelvic sonogram except:

a. human chorionic gonadotropin.

b. hematocrit.

c. white blood cell count.

d. lipase.

d. lipase.

Which of the following could be described as an infection of the female genital tract that may involve the ovaries, uterus, and/or the fallopian tubes?

a. Pseudomyxoma peritonei

b. Pelvic inflammatory disease

c. Polycystic ovarian disease

d. Ovarian torsion

b. Pelvic inflammatory disease

Which of the following diagnostic tests is used to evaluate emitted radiation from the patient to assess the function of organs?

a. Magnetic resonance imaging

b. Nuclear medicine

c. Radiography

d. CT

b. Nuclear medicine

Endovaginal transducers may be disinfected by submerging in a(n)

-based solution.

a. glutaraldehyde

b. ascites

c. formaldehyde

d. alcohol

a. glutaraldehyde

Leukocytosis would most likely be associated with:

a. multiple degenerating fibroids.

b. ovarian teratoma.

c. adenomyosis.

d. pelvic inflammatory disease.

d. pelvic inflammatory disease.