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OB/GYN Chapters 6-10

Total questions: 60

Worksheet time: 30mins

Name
Class
Date
1.

A tumor of the ovary that contains epithelial or stromal elements and resembles endometrial tissue.

a)

dysgerminoma

b)

epithelial ovarian cancer

c)

endometrioid tumor

d)

clear cell adenocarcinoma

2.

Meigs syndrome defined as:

a)

Finding of pleural effusion, uterine mass, and an ovarian mass

b)

Finding of ascites, uterine mass, and pleural effusion

c)

Finding of pleural effusion, an ovarian mass, and ascites

d)

Finding of pleural effusion, ascites, and a bladder mass

3.

A large cystic ovarian mass with thick-walled septations is:

a)

yolk cell tumor

b)

serous carcinoma

c)

mucinous cystadenocarcinoma

d)

teratoma

4.

Dysgerminomas and Teratomas have similar characteristics to include:

a)

both can be seen in adolescence

b)

both mass cause an elevation in CA 125 and LDH

c)

both are usually bilateral

d)

Both A & C

e)

Both A & B

5.

The upper limit of a normal ovarian volume in a postmenopausal woman is:

a)

2.5 to 3.7 cm3

b)

1.4 to 4.6 cm3

c)

2.0 to 3.0 cm3

d)

None of the above

6.

Ovarian masses, whether malignant or benign can result in:

a)

increased abdominal girth

b)

torsion of the ovary

c)

pelvic pain

d)

All of the above

e)

None of the above

7.

Which term describes the surgical removal of adhesions or scar tissue?

a)

Hysteroplasty

b)

Adhesiolysis

c)

Lysis

d)

Hysteroscope

8.

Which of the following is pseudomyxoma peritonei?

a)

Mucinous material accumulation within the peritoneal cavity

b)

Hemorrhage

c)

Meigs syndrome

d)

Ascites

9.

Risk factors for endometrial cancer include

a)

obesity, nulliparity, late menopause, and the use of unopposed estrogen

b)

breast cancer, obesity, using oral contraceptives, and family history

c)

tamoxifen therapy, early menopause, late menarche, race

d)

None of the above

10.

Clinical symptoms of cervical carcinoma include

a)

vaginal discharge, postcoital bleeding, upper back pain

b)

bladder irritability, low back pain, and vaginal discharge

c)

postcoital bleeding, irregular periods, and flank pain

d)

pain during ovulation (Mittelschmerz pain), breakthrough bleeding, and back pain

11.

Sonographic signs of fallopian tube carcinoma include

a)

ascites and hydrosalpinx

b)

ill-defined solid or cystic sausage-shaped adnexal mass

c)

complex ovarian masses

d)

endometrial mass that extends into the fallopian tubes

12.

The optimal angle of incidence to obtain a spectral tracing of an ovarian artery is 0 degrees

a)

True

b)

False

13.

Select the normal flow velocity in the nongravid uterine artery.

a)

<5 mm/sec

b)

5 to 10 cm/sec

c)

<5 and >10 cm/sec

d)

>10 mm/sec

14.

Tamoxifen therapy for breast cancer raises the risk of

a)

leiomyosarcoma development

b)

endometrial polyps

c)

hyperplasia

d)

endometrial hypoplasia

15.

The extensive chorionic villi invasion is characteristic of a(n) _______.

a)

placental-site trophoblastic tumor

b)

epitheloid trophoblastic tumor

c)

invasive mole

d)

choriocarcinoma

16.

What days does the early proliferative phase occur?

a)

1 to 5

b)

5 to 9

c)

10 to 14

d)

15 to 28

17.

What phase of vascular flow does the red arrow indicate?

a)

Arteriovenous malformation

b)

systole

c)

diastole

d)

monphasic venous flow

18.

What is the maximum flow velocity displayed on this image?

a)

±15.4 cm/sec

b)

Cannot tell

c)

15.4 mm/sec

d)

< 15.4 cm/sec

19.

Where does the uterine artery anastomoses with the ovarian artery?

a)

radial arteries

b)

arcuate arteries

c)

at the uterine cornua

d)

at the iliac artery

20.

Which of the following increases a woman's risk for developing ovarian cancer?

a)

Family history of cervical carcinoma

b)

15-year history of postmenopausal estrogen therapy

c)

Multiparity

d)

Early menopause

21.
a)

myometrium

b)

uterus

c)

menstrual lining

d)

endometrium

22.

Finger or fringe-like projections at the end of the fallopian tubes

a)

cervix

b)

areola

c)

follicle stimulating hormone

d)

fimbriae

23.

Union of sperm and ovum:

a)

ovulation

b)

menarche

c)

oocyte

d)

fertilization

24.

Sac enclosing each egg cell within the ovary:

a)

ova

b)

ovarian follicle

c)

myometrium

d)

endometrium

25.

metr/o means

a)

muscle

b)

muscle tumor

c)

uterus

d)

uterine ligament

26.

Benign tumors of the uterus are called:

a)

fimbriae

b)

fibroids

c)

leiomyomas

d)

leiomyomata

27.

Salpingitis, oophoritis, endometritis, endocervicitis are all in the pelvic region and can be inflamed and infected in:

a)

STI

b)

STD

c)

PID

d)

BUN

28.

LMP stands for ?

a)

Last maternal pregnancy

b)

Late maternal pregnancy

c)

Late menstrual period

d)

Last menstrual period

29.

TAH-BSO stands for

a)

Thai Food

b)

A hysterectomy with unilateral ovary and tube removal

c)

A vaginal hysterectomy with both ovaries and both tubes removed

d)

An abdominal hysterectomy with both falopian tubes and both ovaries removed.

30.

HPV

a)

Hysterectomy per vagina

b)

Human Papilloma Virus

c)

Pregnant

d)

hormone replacement therapy

31.

Multip, Multipara, Multiparous, all mean

a)

Women who have been pregnant

b)

Women who have given birth

c)

Women who have given birth more than once

d)

Women who are pregnant for the first time

32.

The female equivalent to the male vasectomy is:

a)

Hysterectomy

b)

Oopherectomy

c)

Tubal ligation

d)

cesarean section

33.

Reproductive cells (sex cells) are called ______.

a)

somatic cells

b)

zygotes

c)

gametes

d)

gonads

34.

The testes and ovaries make up the ______.

a)

gonads

b)

gametes

c)

zygotes

d)

accessory glands

35.

Which of the following organisms is known to cause cervical cancer in women?

a)

Herpes simplex virus type 2

b)

Chlamydia trachomatis

c)

Neisseria gonorrhoeae

d)

Human papilloma virus

36.

The term salpingolysis means?

a)

pain in the fallopian tubes

b)

destruction of an ovary

c)

pain in the tube

d)

destruction of the fallopian tube

37.

The term for surgical fixation of the uterus is?

a)

uteroplasty

b)

uteropexy

c)

uteropathy

d)

hysteroplasty

38.

Which of the following is the least mature form of "egg"?

a)

primary oocyte

b)

secondary oocyte

c)

ovum

d)

oogonia

39.

A membrane that partially closes the entrance to the vagina is called the______.

a)

mucosal layer

b)

hymen

c)

muscularis layer

d)

prepuce

40.

Which of the following describes the sonographic appearance of a mature teratoma?

a)

Ascites with a large multiseptate tumor

b)

Echogenic foci with fluid/solid levels

c)

Solid, hypoechoic mass with posterior enhancement

d)

Unilocular, thin-walled cyst with low-level debris

41.

A cystic teratoma is the most common benign ovarian neoplasm.

a)

True

b)

False

42.

Select the drug that increases the risk of endometrial cancer.

a)

Tamoxifen

b)

Estrogen therapy

c)

Methotrexate

d)

Oral contraceptives

43.

Postcoital bleeding is a symptom of ___________ cancer.

a)

endometrial

b)

cervical

c)

ovarian

d)

fallopian tube

44.

Identify the structure indicated by the solid arrow.

a)

dermoid

b)

Uterus

c)

bowel loop

d)

iliopsoas muscle

45.

Choose the definition for a blood-filled ovarian cyst resulting from endometrial implants.

a)

Chorioadnenoma destruens

b)

red degeneration

c)

endometrioma

d)

Placenta accrete

46.

An 8-year-old presents to the emergency department with a history of early onset of puberty, increasing abdominal girth, breast tenderness, and right-sided pain. During the sonographic examination, a unilateral, multiloculated, 8 cm mass with low-level internal echoes images. What is the most likely differential for these findings?

a)

Theca cell tumor

b)

Granulosa cell tumor

c)

Fibrothecoma

d)

Brenner tumor

47.

A rapid increase in a uterine mass in a 30-year-old woman raises suspicion for _______.

a)

cervical carcinoma

b)

gestational trophoblastic disease

c)

fallopian tube Ca

d)

leiomyosarcoma

48.

A 37-year-old patient presents with complaints of a sudden onset of left lower pain, nausea, and vomiting. Her clinician palpated a large mass on the left side. The sonographic examination revealed a large, hyperechoic ovary. What step should the sonographer take to aid in diagnosis?

a)

Move the focal zone anterior to the ovary

b)

Decrease overall gain

c)

Adjust TCG to make the ovary isoechoic

d)

Check for flow with Doppler

49.

A 35-year-old woman presents with an acute onset of pain with bloating and a palpable mass. During the sonographic examination, a unilocular mass with low-level debris and thin walls is observed. What is the most likely differential for these findings?

a)

Brenner tumor

b)

Thecoma

c)

Serous cystadenoma

d)

Gonadoblastoma

50.

Excessive hair on a woman is the definition of

a)

anovulation

b)

hirsutism

c)

Meigs syndrome

d)

hydrosalpinx

51.

Malignant tumor arising from any glandular organ is called a adenocarcinoma.

a)

True

b)

False

52.

Accumulation of mucinous material in the peritoneal cavity is the definition of:

a)

Pseudomyxoma peritonei

b)

peritonitis

c)

retroperitoneal syndrome

d)

mucinous cystadenocarcinoma

53.

The secretory phase is days 15-28 of the menstrual cycle.

a)

True

b)

False

54.

Which of the following is defined as physiologic process involving the growth of new blood cells from preexisting vessels.

a)

angiomyolipoma

b)

Angiogenesis

c)

angiogram

d)

angioplasty

55.

Endocrine disorder associated with chronic anovulation is defined as:

a)

polycystic ovarian syndrome

b)

hirsutism

c)

endometriosis

d)

hydatidiform mole

56.

Select the flow direction for this image.

a)

Away from the transducer

b)

Toward the transducer

c)

Cannot tell

d)

No flow

57.

Which of the following is a fluid-filled mass located in the cervical canal?

a)

Gartner's duct cyst

b)

Nabothian cyst

c)

Endometrial polyps

d)

Intramural leiomyoma

58.

What type of uterine malformation results in daughters of diethylstilbestrol (DES) users?

a)

Didelphis

b)

Bicornuate

c)

Arcuate

d)

T-shaped

59.

Tumor of the ovary containing epithelial or stromal elements resembling endometrial tissue is defined as a endometrioid tumor.

a)

True

b)

False

60.

A penduculated leiomyoma normally has a stalk and can extend outside of the uterus.

a)

True

b)

False