GYN Module Final Exam

What feature best corresponds to adenomyosis?

Bulky, heterogeneous myometrium with cystic spaces

What is the most common benign ovarian solid tumor?

Fibroma

What blood test can reveal the probability of malignancy in the presence of an abnormally thickened endometrium?

CA-125

What uterine position is demonstrated in the image?

Retroflexed

What complication is most often associated with a fibroma?

Meigs syndrome

What phase corresponds to the endometrium in the image?

Late proliferative

What is the most common congenital uterine abnormality?

Septate uterus

Which of the following conditions is most likely to demonstrate a reverberation artifact?

Endometritis

What would cause an elevation in the serum AFP in a non-gravid patient?

Yolk sac tumor

What condition is demonstrated in the image?

Endometrioma

What is the most likely diagnosis in a patient with clinical findings of dysmenorrhea, hypermenorrhea, and multiparity?

Adenomyosis

What condition is being documented in the following image?

Ovarian torsion

What condition is most likely to be a factor in infertility?

Chronic PID

What is Asherman's syndrome?

Scarring of the uterine cavity

Which scenario would lead to further investigation with sonohysterography with saline infusion?

Endometrial synechiae

What vessel supplies a layer of the endometrium?

Spiral artery

Which pelvic vessel is most likely to become abnormal?

Left ovarian vein

What endometrial measurement is abnormal in the post-menopausel patient?

9mm

Fluid in the posterior cul-de-sac in the reproductive age patient is most likely the result of what event?

Ovulation

Which fibroid distorts the peripheral contour?

Subserosal

What abnormality is most likely to result in the first trimester miscarriages?

Asherman's syndrome

What is the significance of pyometra?

Pus within the endometrial cavity

What muscle group forms the pelvic floor and provides support to the pelvic organs?

Levator ani

What hormone is responsible for the maturation and preparation of the Graafian follicle for ovulation?

Follicle stimulating hormone

A patient presents to the ER with acute pelvic pain and negative hCG. Which of the following is the most likely differential diagnosis?

Ovarian torsion

What hormone is responsible for the appearance of the secretory endometrium?

Progesterone

What pathology is shown in this parasagittal transvaginal image?

Pedunculated fibroid

Approximately what day would the trilaminar appearance be imaged in a patient with a 26 day cycle?

12

This waveform is documented within the myometrium of a patient with a recent D/C. How should it be interpreted?

Arteriovenous malformation

What characteristics are most suggestive of ovarian malignancy?

Thick septations and papillary projections