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Pediatric Sonography

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

The size and shape of the neonatal uterus is influenced by:

a)

the paternal hormones

b)

the maternal hormones

c)

the maternal uterus

d)

the maternal physical size

2.

The normal dimensions of a neonatal uterus are the following:

a)

3.5 cm length x 1.4 cm AP

b)

1.4 cm length x 3.5 cm AP

c)

6 cm length x 3 cm AP

d)

3 cm length x 6 cm AP

3.

Which describes the neonatal endometrium:

a)

anechoic

b)

hypoechoic

c)

echogenic

d)

cannot be seen in a neonate

4.

Which part of the premenarchal uterus is twice the size of the corpus?

a)

body

b)

vagina

c)

fundus

d)

cervix

5.

What is the correct fundal:cervical ratio in the premenarchal uterus ?

a)

1:2

b)

2:1

c)

1:3

d)

3:1

6.

Which of the following words describes the shape of the premenarchal uterus?

a)

"traverse"

b)

"hollow"

c)

"trumpet"

d)

"tubular"

7.

The infantile appearance of the uterus is maintained until:

a)

2 years of age

b)

5 years of age

c)

7 years of age

d)

10 years of age

8.

Postmenarchal uterus is:

a)

the same size and configuration as the neonate

b)

the same size and configuration as the menopausal patient

c)

the same size and configuration as the adult

d)

normal size is 3 cm length x 1 cm AP

9.

The postmenarchal uterus measures :

a)

7 cm x 3 cm

b)

3 cm x 1 cm

c)

3.5 cm x 1.4 cm

d)

none of the above

10.

The neonatal ovaries are:

a)

very small in size, hard to see

b)

neonates do not have ovaries yet

c)

never can have a cyst at this stage

d)

influenced by maternal hormones

11.

Which of the following is not a Germ cell tumor in the female patient?

a)

dysgerminoma

b)

teratoma

c)

endodermal sinus or yolk sac tumor

d)

embryonal carcinoma

e)

seminoma

12.

Which of the following is the most common germ cell tumor in adolescents ?

a)

choriocarcinoma

b)

teratoma

c)

yolk sac tumor

d)

dysgerminoma

13.

Aggressively malignant in infants, often caused by the spread of malignant chorionic cells from the placenta to the fetus in utero:

a)

teratoma

b)

dysgerminoma

c)

endodermal sinus or yolk sac tumor

d)

choriocarcinoma

e)

embryonal carcinoma

14.

Arise from primordial germ cells, occur primarily in women less then 30 years old, always malignant:

a)

dysgerminoma

b)

endodermal sinus or yolk sac tumor

c)

teratoma

d)

choriocarcinoma

e)

embryonal carcinoma

15.

Contain both malignant and benign histologic components:

a)

dysgerminoma

b)

choriocarcinoma

c)

embryonal carcinoma

d)

yolk sac tumor

e)

teratoma

16.

May arise from pre-existing dermoid cyst, rare:

a)

teratoma

b)

dysgeminoma

c)

choriocarcinoma

d)

yolk sac tumor

e)

embryonal carcinoma

17.

Complex tumors comprising tissue components from all 3 germ layers (ectoderm, mesoderm, endoderm):

a)

embryonal carcinoma

b)

choriocarcinoma

c)

endodermal sinus or yolk sac tumor

d)

dysgerminoma

e)

teratoma

18.

Twisting of an ovary on its ligamentous pedicle is called:

a)

loss of ovary syndrome

b)

ovarian torsion

c)

hematometrocolpos

d)

teratoma

19.

Which is not a sonographic sign of ovarian torsion :

a)

enlarged, hyperechoic ovary

b)

peripherally displaced follicles

c)

free fluid in pelvis

d)

complete or partial absence of Doppler flow in parenchyma

e)

small, hypertrophic ovary

20.

Accumulation of blood in uterine cavity due to outflow obstruction:

a)

hematometrocolpos

b)

hematocolops

c)

hydrometrocoloplos

d)

hydrocolpos

21.

Grape-like mass protruding into the vaginal opening

a)

hematocolposarcoma

b)

dermoid

c)

germ cell tumor

d)

rhabdomyosarcoma

22.

Gonadal dysgenesis is associated with:

a)

Mirizzi Syndrome

b)

Agenesis of the corpus collosum

c)

dygerminoma germ cell tumors

d)

Turner Syndrome

23.

Intersex patients:

a)

Females with male appearing genitalia, 46 XX

b)

Males with female appearing appearing genitalia and no male appearing genetilia, 46 XY

c)

Ambiguous genitalia, but functional ovarian and testicular tissue, have both sperm and ova

d)

All of the above

24.

Testicular Feminization Syndrome

a)

46 XY

b)

vagina ends in a blind pouch

c)

absent or rudimentary uterus and fallpian tubes

d)

undescended testicles

e)

All of the above

25.

The appearance of any signs of secondary sexual maturation in girls younger than 7 and boys younger than 9.

a)

Precocious pseudopuberty

b)

True precocious puberty

26.

Age range is as early as 7 and up to 13 years old:

a)

True precocious puberty

b)

Precocious puberty

27.

Pick the image with the neonatal uterus:

a)
b)
c)
d)
28.

Pick the image with the premenarchal uterus

a)
b)
c)
d)
29.

Pick the image of ovarian torsion:

a)
b)
c)
d)
30.

Pick the image of hematometrocolpos

a)
b)
c)
d)