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Chapter 42 - Doppler Evaluation Flashcards | StudBud
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Chapter 42 - Doppler Evaluation
Chapter 42 - Doppler Evaluation
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1
Which technique involves rotation of the transducer 90° to obtain coronal images?
TA only
TV scanning
Both TA and TV scanning
Sonohysterography
2
What is the most anterior pelvic organ seen on sagittal ultrasound?
Vagina
Bladder
Rectum
Ovary
3
Which view best shows the long axis of the uterus?
Transverse
Coronal
Axial
Sagittal
4
The ________________ view best measures uterine length from fundus to cervix.
Longitudinal
Coronal
Transverse
5
What does the internal os separate?
Fundus and isthmus
Bladder and uterus
Vagina and cervix
Cervix and uterine body
6
What scan plane is used when the transducer is rotated 90 degrees from sagittal?
Axial
Oblique
Transverse (coronal)
Longitudinal
7
Sonohysterography uses sterile saline to evaluate the endometrium.
False
True
8
Which muscle is hammock-shaped and seen inferior to the bladder?
Piriformis
Levator Ani
Rectus abdominis
Iliopsoas
9
What happens to the resistive index (RI) just before menstruation?
It decreases
It remains constant
It increases
It doubles
10
A filled bladder displaces bowel and acts as an acoustic window.
True
False
11
Which of the following is a contraindication to TV scanning?
Postmenopause
Full bladder
Retroverted uterus
Intact hymen
12
Which muscle group is most commonly mistaken for ovaries?
Gluteus maximus
Rectus abdominis
Iliopsoas
Piriformis
13
The ________________ phase of the endometrium appears as a three-line sign.
Secretory
Proliferative
Menstrual
14
Pelvic muscles are never mistaken for ovaries on ultrasound.
False
True
15
The ________________ is the hypoechoic muscle layer surrounding the endometrium.
Myometrium
Vagina
Uterus
Perimetrium
16
Which part of the menstrual cycle shows the “three-line sign” on ultrasound?
Early proliferative phase
Menstrual phase
Secretory phase
Ovulation
17
During which days of the cycle is the menstrual phase?
Days 1-4
Days 5-9
Days 15-28
Days 10-14
18
Which uterine measurement is obtained on a transverse image?
Cervix length
Fundus to cervix
Endometrial thickness
Width of uterus
19
Which term describes the uterus tilting backward?
Decubitus
Flexed
Anteverted
Retroverted
20
What is the most echogenic layer of the uterus on ultrasound?
Myometrium
Serosa
Endometrium
Basalis
21
What structure separates the cervix from the uterus?
External os
Fundus
Internal os
Myometrium
22
Which phase shows the thickest and most echogenic endometrium?
Ovulatory phase
Secretory phase
Menstrual phase
Early proliferative phase
23
What should not be included in endometrial thickness measurement?
Basalis layer
Fluid in the canal
Echo interface
Functional layer
24
During menstruation, the endometrial canal appears as a ________________ line.
Isoechoic
Hypoechoic
Hyperechoic
25
What scan technique helps evaluate endometrial polyps or adhesions?
Pulsatility index
Pourcelot resistive index
Sonohysterography
TA Sagittal
26
Which structure forms the posterior enhancement seen during the secretory phase?
Myometrium
Bladder
Vagina
Endometrium
27
The endometrium should include fluid when measuring thickness.
True
False
28
The ________________ artery forms arcuate branches in the myometrium.
Radial
Uterine
Ovarian
29
Which of the following most accurately describes arcuate arteries?
Only seen in postmenopause
Deep inside endometrium
Located near ovaries
Found in the periphery of the uterus
30
What type of Doppler is used to evaluate direction and velocity of blood flow?
Spectral Doppler
Color Doppler
Power Doppler
31
What is the purpose of sonohysterography?
Assess ovaries only
Measure cervical length
View bladder shape
Evaluate endometrium with saline
32
What is a common finding in postmenopausal endometrium?
Three-line pattern
Nabothian cyst
Thin echogenic line
Thick fluid collection
33
The ________________ index is calculated using (A - B)/A.
Resistive
Resistance
Pulsatility
34
The endometrium should include fluid when measuring thickness.
False
True
35
What is the most common patient position for a pelvic ultrasound?
Lithotomy
Supine
Trendelenburg
Prone
36
What structure is commonly used as a landmark to locate the lateral adnexa?
Urethra
Rectum
Vaginal artery
Iliac vessels
37
The S/D ratio is calculated using which values?
Systolic and diastolic
Peak systolic only
Mean diastolic
Resistance only
38
What is the echogenicity of Nabothian cysts on ultrasound?
Anechoic
Isoechoic
Hypoechoic
Hyperechoic
39
Ultrasound is essentially absorbed by bone.
False
True
40
The ________________ artery is the main blood supply to the uterus.
Ovarian
Iliac
Uterine
41
Endometrial thickness is measured from the interface of the ________________ layer.
Functional
Basalis
Myometrial
42
Which view is best to identify Nabothian cysts?
Transverse uterus
Coronal view of cervix
Longitudinal bladder
Axial ovary
43
What artifact is commonly seen posterior to the endometrium during the secretory phase?
Shadowing
Ring down
Acoustic enhancement
Reverberation
44
TV sonography uses ________________ frequency for better resolution.
Low
High
45
The uterine fundus is measured from which scan plane?
Longitudinal
Transverse
Coronal
Axial
46
What imaging technique allows for reconstruction and 3D volume rendering?
Four-Dimensional ultrasound
Sonohysterography
Three-Dimensional Ultrasound
47
The pulsatility index is calculated using which formula?
B - A
(A - B)/mean
A/B
(A + B)/2
48
Which vessel supplies the uterus?
Ovarian artery
Uterine artery
Internal pudendal
Vaginal artery
49
What does the term “anteverted uterus” mean?
Uterus is hypertrophied
Uterus is tilted forward
Uterus is rotated laterally
Uterus points backward
50
In what phase does the endometrium reach its peak thickness?
Secretory
Ovulation
Menstrual
Early proliferative
51
During the secretory phase, the endometrium may measure up to __ mm.
10mm
8mm
14mm
2mm