Which of the following statements is false re: fallopian tubes

Infundibular portion is most medial

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Registry Review OBGYN 1

83 termsStudBud Administration109 plays

Non gravid pelvis

Flashcards83 cardsFPractice quizPHost liveL

Questions 83

Answers

1
Which group of muscles form the lateral pelvic sidewalls
Obturator internus
Uliopsoas
Piriformis
Coccygeus
2
The potential space surrounding the cervix
Pouch of Douglas
Vaginal Fornix
Anterior cul de sac
Space of Retzius
3
Violin string appearance is associated with this syndrome
Fitz hugh curtis
PCOS
Hyperstimulation
Meigs
4
Best answer for a nulliparous uterine size
10 x 4 x 6 cm
7 x 4 x 3 cm
11 x 2 x 3 cm
4 x 3 x 3 cm
5
The pituitary produces
hCG
Estrogen
Lactic acid
FSH
6
Describe the uterine position
Anteflexed
Retroverted
Retroflexed
Anteverted
7
All of the following influence the menstrual cycle except
Adrenal glands
Hypothalmus
Ovaries
Pituitary
8
Most ovarian tumors are
Solid
Post menopausal
Benign
Cancerous
9
Which vessel is best interrogated at the level of the cervix
Gonadal artery
Common iliac artery
Uterine artery
Ovarian artery
10
What is the arrowed structure
Piriformis
Obturator internus
Levator Ani
Coccygeus
11
Fitz hugh curtis syndrome is associated with
Polycystic ovary
Malignancy
Infection
Endometriosis
12
The pelvic floor is formed by
Piriformis
Levator ani
Kegel
Iliopsoas muscle
13
The iliac vessel location relative to the ovary
Posterior
Medial
Lateral
Inferior
14
The mature follicle is called
Theca Lutein
Graafian
Corpus Luteum
Corpus Albicans
15
Patients on OCPs should not develop
Follicles
Corpus Luteum
Menses
16
Doppler characteristics for malignant ovarian tumors usually exhibit this characteristic
Avascular
Low impedance
None of the above
High impedance
17
A normal appearing post menopausal endometrium should be
Thin and smooth
Layered
Hypoechoic
Cystic
18
What is the normal cervical length
4-5 cm
2-3 cm
3-4 cm
1-2 cm
19
A 65 year old patient not on HRT should not have an endometrial thickness greater than
3 mm
10 mm
8 mm
5 mm
20
hCG is produced by
Placenta
Yolk sac
Fetal liver
Ovary
21
We assume a menstrual cycle is
21 days
35 days
28 days
31 days
22
What embryologic structure forms the uterus, vagina and tubes
Mesonephric
Wolffian
Mullerian
Primordial
23
All are symptoms of fibroids except
Nausea
Back pain
Urinary frequency
Menorrhagia
24
34 yr old with menorrhagia and dyspareunia with bulky uterus on exam.
Adenomyosis
Hyperplasia
Fibroid
Cancer
25
Which of the following statements is false re: fallopian tubes
Infundibular portion is most medial
Located within the broad ligament
Fimbrae communicate with peritoneal cavity
aka: oviducts
26
Which of the following is a pediatric condition
PID
Endometriosis
Cervical squamous cell ca
Sarcoma botryoides
27
The maximum thickness for an endometrium with HRT
10 mm
3 mm
5 mm
8 mm
28
A fertilized ovum
Zygote
Conceptus
Primitive yolk sac
Morula
29
Widest portion of the fallopian tube
Interstitial
All same diameter
Isthmus
Ampulla
30
Estrogen is responsible for all of the following except
Endometrial proliferation
Stimulating fibroid growth
Inducing rhythmic contractions of oviducts
Premenstrual syndrome
31
Fertilization occurs how many hours after ovulation
24 - 36
36 - 48
48-72
12 - 24
32
Which of the following is most likely to occur in a post menopausal patient
Small infantile uterus
Globular uterus
Calcified endometrium
Prominent ovaries
33
Doppler waveform in a dominant ovary will typically demonstrate
Reverse flow
Low velocity, low resistance
Low velocity, high resistance
High velocity, high resistance
34
What is the arrowed structure
Levator ani
Coccygeus
Piriformis
Obturator internus
35
The location of the arrowed structure is best described as
Posterior intramural
Anterior intramural
Fundal serosal
Submucosal
36
The most common cause of PMB
Polyps
Cancer
Hyperplasia
Inflammation
37
Which is not associated with endometriosis
Hereditary
Multiparity
Cyclic symptoms
Caucasian
38
The endometrium is defined as the
Fascial layer
Muscular layer
Mucosal layer
Serosal layer
39
The appearance of the endometrium is best characterized as
Proliferative
Secretory
Pre-Ovulatory
Menstrual
40
The most common ovarian tumor is from this group
Serosal
Germ cell
Cord stromal
Epithelial
41
The arrow is most likely pointing to
Adenomyoma
Polyp
Myometrial cyst
Leiomyoma
42
Direct endometriosis
Diffuse in pelvis
Contained to ovary
Contained to uterus
43
Chocolate cyst
Endometrioma
Cystadenoma
Dermoid
Fibroid
44
ART procedure where oocytes are transfered into tube
ICSI
IVF
GIFT
ZIFT
45
An ovarian tumor with ascites usually suggests malignancy. An exception to this would be
Dermoid
Cystadenoma
Meigs
Pseudomyxoma peritonei
46
Which is not a uterine layer
Endometrium
Myometrium
Serosa
Premetrium
47
Tip of iceberg
Dermoid
Endometrioma
Fibroid
Cystadenoma
48
Which is false regarding the ovarian cortex
Peripheral portion
Contains vessels, nerves
Follicular development
Hormone production
49
Which of the following is false regarding transvaginal sonography
Does not require a full bladder
Can penetrate up to 12 cm
Improved resolution
Should never be performed on virginal patients
50
Which of the following scenarios is not ideal for EV ultrasound
Adnexal mass
Ectopic pregnancy
Impending AB
Large fibroid uterus
51
What is the physiologic state or prepuberty
Premenarche
Menarche
Puberty
Menopause
52
The most common gyn malignancy in US
Ovarian
Tubal
Endometrial
Cervical
53
Cul de sac fluid is not common with
Fibroids
Ectopic
Ovulation
PID
54
Absent menses
Dysmenorrhea
Agenesis
Amennorhea
Aorrhea
55
Which organ landmark can assist in identifying the levator ani muscles in a transverse plane
Ovaries
Vagina
Uterine corpus
Cervix
56
Embryologically, which system develops at the same time at the uterus
CNS
GI
CVS
Urinary
57
What lab value is used as a comparative with ultrasound to determine follicle maturity
Estradiol
FSH
hCG
LH
58
Asymptomatic patient,EV through the adnexa, which of the following is the best diagnosis
PCOS
Septated mass
Hydrosalpinx
Varices
59
PID causes include all except
DES
Ruptured appy
STI
TORCH
60
What are the bony landmarks for the true pelvis
Sacrum to iliac crest
Sacral promontory to the pubis symphysis
Lateral to innominate bones
Includes lateral Ilium to iliac crest to pubis
61
Which of the following is not typically a cause for infertility
Endometriosis
Ashermans
Dermoid
PID
62
The sonographic difference of a dominant follicle when compared to a corpus luteum
Internal striations
Peripheral flow
Thin walls
Debris
63
Which is false regarding the broad ligament
It is a major suspensory ligament
Ovaries attach along posterior surface
It is not a true ligament
Can be visualized when ascites is present
64
The uterine location of the arrowed structure is best described as
Anterior myometrial
Midline serosal
Posterior myometrial
Intracavitary
65
Which of the following masses is androgenic
Granulosa cell
Fibroma
Arrhenoblastoma
Brenner
66
Which of the following does NOT influence the menstrual cycle
Ovaries
Adrenal glands
Hypothalamus
Pituitary
67
Which statement is true regarding nabothian cysts
Cause hostile cervical mucous
Common, benign and often multiple
Risk for cervical cancer
Clinically significant
68
What anatomic region should be assessed when performing a uterine artery doppler exam
Lateral to the cervix
Adjacent to the cornua
Anterior to uterine body
Medial Cervix
69
A multilayered endometrium is indicative of
Mid cycle physiology
Post ovulation
Perimenopause
Pathological change
70
Which is not a physiologic condition of the ovary
Corpus Luteum
PCOS
Theca Lutein cysts
Cystadenoma
71
What is the appearance of ovaries in a patient w/ a history of bilateral salpingo-oophorectomy
Not visible
Atrophied
Prominent
Small but visible
72
Which is true regarding the post menopausal patient
Uterine size increases
Endometrial fluid collections are common
HRT decreases chances of developing endometrial cancer
Endometrial cancer is the most common cause of PMB
73
Unless there is a LPD, the luteal phase is always
14 days
21 days
28 days
7 days
74
Compared to the central endometrial stripe, the adjacent echoes appear symmetrically hypoechoic
Periovulatory
Menses
Early proliferative
Secretory
75
Which is consistently malignant
Fibroma
Dysgerminoma
Brenner
Cystadenoma
76
Which vessel is the best landmark for localizing the ovary
Common iliac artery
Internal iliac vein
Internal iliac artery
External iliac artery
77
The most common complication related to ART
Hyperstimulation
Death
Hemorrhage
Dysmenorrhea
78
An estimated 20-50% of women with this condition will have infertility
Leiomyoma
Endometritis
Adenomyosis
Endometriosis
79
Which of the following should not be seen in a postmenopausal patient
Endometriosis
Fibroids
Endometrial cancer
Endometrial hyperplasia
80
Hormone responsible for inducing ovulation
Progesterone
Luteinizing
Estrogen
Follicle stimulating
81
Transverse image indicates
Fibroid
Didelphys
Polyps
Septum
82
What is the best diagnosis for this sonographic image
Ectopic
Cyst
Hydrosalpinx
Large posterior myometrial cyst
83
Tubal ring sign is associated with
Malignancy
Ectopic
PID

Registry Review OBGYN 1 Flashcards | StudBud

Registry Review OBGYN 1

83 termsStudBud Administration109 plays

Non gravid pelvis

Flashcards83 cardsFPractice quizPHost liveL

Questions 83

Answers

1
Which group of muscles form the lateral pelvic sidewalls
Obturator internus
Uliopsoas
Piriformis
Coccygeus
2
The potential space surrounding the cervix
Pouch of Douglas
Vaginal Fornix
Anterior cul de sac
Space of Retzius
3
Violin string appearance is associated with this syndrome
Fitz hugh curtis
PCOS
Hyperstimulation
Meigs
4
Best answer for a nulliparous uterine size
10 x 4 x 6 cm
7 x 4 x 3 cm
11 x 2 x 3 cm
4 x 3 x 3 cm
5
The pituitary produces
hCG
Estrogen
Lactic acid
FSH
6
Describe the uterine position
Anteflexed
Retroverted
Retroflexed
Anteverted
7
All of the following influence the menstrual cycle except
Adrenal glands
Hypothalmus
Ovaries
Pituitary
8
Most ovarian tumors are
Solid
Post menopausal
Benign
Cancerous
9
Which vessel is best interrogated at the level of the cervix
Gonadal artery
Common iliac artery
Uterine artery
Ovarian artery
10
What is the arrowed structure
Piriformis
Obturator internus
Levator Ani
Coccygeus
11
Fitz hugh curtis syndrome is associated with
Polycystic ovary
Malignancy
Infection
Endometriosis
12
The pelvic floor is formed by
Piriformis
Levator ani
Kegel
Iliopsoas muscle
13
The iliac vessel location relative to the ovary
Posterior
Medial
Lateral
Inferior
14
The mature follicle is called
Theca Lutein
Graafian
Corpus Luteum
Corpus Albicans
15
Patients on OCPs should not develop
Follicles
Corpus Luteum
Menses
16
Doppler characteristics for malignant ovarian tumors usually exhibit this characteristic
Avascular
Low impedance
None of the above
High impedance
17
A normal appearing post menopausal endometrium should be
Thin and smooth
Layered
Hypoechoic
Cystic
18
What is the normal cervical length
4-5 cm
2-3 cm
3-4 cm
1-2 cm
19
A 65 year old patient not on HRT should not have an endometrial thickness greater than
3 mm
10 mm
8 mm
5 mm
20
hCG is produced by
Placenta
Yolk sac
Fetal liver
Ovary
21
We assume a menstrual cycle is
21 days
35 days
28 days
31 days
22
What embryologic structure forms the uterus, vagina and tubes
Mesonephric
Wolffian
Mullerian
Primordial
23
All are symptoms of fibroids except
Nausea
Back pain
Urinary frequency
Menorrhagia
24
34 yr old with menorrhagia and dyspareunia with bulky uterus on exam.
Adenomyosis
Hyperplasia
Fibroid
Cancer
25
Which of the following statements is false re: fallopian tubes
Infundibular portion is most medial
Located within the broad ligament
Fimbrae communicate with peritoneal cavity
aka: oviducts
26
Which of the following is a pediatric condition
PID
Endometriosis
Cervical squamous cell ca
Sarcoma botryoides
27
The maximum thickness for an endometrium with HRT
10 mm
3 mm
5 mm
8 mm
28
A fertilized ovum
Zygote
Conceptus
Primitive yolk sac
Morula
29
Widest portion of the fallopian tube
Interstitial
All same diameter
Isthmus
Ampulla
30
Estrogen is responsible for all of the following except
Endometrial proliferation
Stimulating fibroid growth
Inducing rhythmic contractions of oviducts
Premenstrual syndrome
31
Fertilization occurs how many hours after ovulation
24 - 36
36 - 48
48-72
12 - 24
32
Which of the following is most likely to occur in a post menopausal patient
Small infantile uterus
Globular uterus
Calcified endometrium
Prominent ovaries
33
Doppler waveform in a dominant ovary will typically demonstrate
Reverse flow
Low velocity, low resistance
Low velocity, high resistance
High velocity, high resistance
34
What is the arrowed structure
Levator ani
Coccygeus
Piriformis
Obturator internus
35
The location of the arrowed structure is best described as
Posterior intramural
Anterior intramural
Fundal serosal
Submucosal
36
The most common cause of PMB
Polyps
Cancer
Hyperplasia
Inflammation
37
Which is not associated with endometriosis
Hereditary
Multiparity
Cyclic symptoms
Caucasian
38
The endometrium is defined as the
Fascial layer
Muscular layer
Mucosal layer
Serosal layer
39
The appearance of the endometrium is best characterized as
Proliferative
Secretory
Pre-Ovulatory
Menstrual
40
The most common ovarian tumor is from this group
Serosal
Germ cell
Cord stromal
Epithelial
41
The arrow is most likely pointing to
Adenomyoma
Polyp
Myometrial cyst
Leiomyoma
42
Direct endometriosis
Diffuse in pelvis
Contained to ovary
Contained to uterus
43
Chocolate cyst
Endometrioma
Cystadenoma
Dermoid
Fibroid
44
ART procedure where oocytes are transfered into tube
ICSI
IVF
GIFT
ZIFT
45
An ovarian tumor with ascites usually suggests malignancy. An exception to this would be
Dermoid
Cystadenoma
Meigs
Pseudomyxoma peritonei
46
Which is not a uterine layer
Endometrium
Myometrium
Serosa
Premetrium
47
Tip of iceberg
Dermoid
Endometrioma
Fibroid
Cystadenoma
48
Which is false regarding the ovarian cortex
Peripheral portion
Contains vessels, nerves
Follicular development
Hormone production
49
Which of the following is false regarding transvaginal sonography
Does not require a full bladder
Can penetrate up to 12 cm
Improved resolution
Should never be performed on virginal patients
50
Which of the following scenarios is not ideal for EV ultrasound
Adnexal mass
Ectopic pregnancy
Impending AB
Large fibroid uterus
51
What is the physiologic state or prepuberty
Premenarche
Menarche
Puberty
Menopause
52
The most common gyn malignancy in US
Ovarian
Tubal
Endometrial
Cervical
53
Cul de sac fluid is not common with
Fibroids
Ectopic
Ovulation
PID
54
Absent menses
Dysmenorrhea
Agenesis
Amennorhea
Aorrhea
55
Which organ landmark can assist in identifying the levator ani muscles in a transverse plane
Ovaries
Vagina
Uterine corpus
Cervix
56
Embryologically, which system develops at the same time at the uterus
CNS
GI
CVS
Urinary
57
What lab value is used as a comparative with ultrasound to determine follicle maturity
Estradiol
FSH
hCG
LH
58
Asymptomatic patient,EV through the adnexa, which of the following is the best diagnosis
PCOS
Septated mass
Hydrosalpinx
Varices
59
PID causes include all except
DES
Ruptured appy
STI
TORCH
60
What are the bony landmarks for the true pelvis
Sacrum to iliac crest
Sacral promontory to the pubis symphysis
Lateral to innominate bones
Includes lateral Ilium to iliac crest to pubis
61
Which of the following is not typically a cause for infertility
Endometriosis
Ashermans
Dermoid
PID
62
The sonographic difference of a dominant follicle when compared to a corpus luteum
Internal striations
Peripheral flow
Thin walls
Debris
63
Which is false regarding the broad ligament
It is a major suspensory ligament
Ovaries attach along posterior surface
It is not a true ligament
Can be visualized when ascites is present
64
The uterine location of the arrowed structure is best described as
Anterior myometrial
Midline serosal
Posterior myometrial
Intracavitary
65
Which of the following masses is androgenic
Granulosa cell
Fibroma
Arrhenoblastoma
Brenner
66
Which of the following does NOT influence the menstrual cycle
Ovaries
Adrenal glands
Hypothalamus
Pituitary
67
Which statement is true regarding nabothian cysts
Cause hostile cervical mucous
Common, benign and often multiple
Risk for cervical cancer
Clinically significant
68
What anatomic region should be assessed when performing a uterine artery doppler exam
Lateral to the cervix
Adjacent to the cornua
Anterior to uterine body
Medial Cervix
69
A multilayered endometrium is indicative of
Mid cycle physiology
Post ovulation
Perimenopause
Pathological change
70
Which is not a physiologic condition of the ovary
Corpus Luteum
PCOS
Theca Lutein cysts
Cystadenoma
71
What is the appearance of ovaries in a patient w/ a history of bilateral salpingo-oophorectomy
Not visible
Atrophied
Prominent
Small but visible
72
Which is true regarding the post menopausal patient
Uterine size increases
Endometrial fluid collections are common
HRT decreases chances of developing endometrial cancer
Endometrial cancer is the most common cause of PMB
73
Unless there is a LPD, the luteal phase is always
14 days
21 days
28 days
7 days
74
Compared to the central endometrial stripe, the adjacent echoes appear symmetrically hypoechoic
Periovulatory
Menses
Early proliferative
Secretory
75
Which is consistently malignant
Fibroma
Dysgerminoma
Brenner
Cystadenoma
76
Which vessel is the best landmark for localizing the ovary
Common iliac artery
Internal iliac vein
Internal iliac artery
External iliac artery
77
The most common complication related to ART
Hyperstimulation
Death
Hemorrhage
Dysmenorrhea
78
An estimated 20-50% of women with this condition will have infertility
Leiomyoma
Endometritis
Adenomyosis
Endometriosis
79
Which of the following should not be seen in a postmenopausal patient
Endometriosis
Fibroids
Endometrial cancer
Endometrial hyperplasia
80
Hormone responsible for inducing ovulation
Progesterone
Luteinizing
Estrogen
Follicle stimulating
81
Transverse image indicates
Fibroid
Didelphys
Polyps
Septum
82
What is the best diagnosis for this sonographic image
Ectopic
Cyst
Hydrosalpinx
Large posterior myometrial cyst
83
Tubal ring sign is associated with
Malignancy
Ectopic
PID