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206 Exam 1

Total questions: 117

Worksheet time: 1hrs 7mins

Name
Class
Date
1.

The posterior pelvic cavity consists of:

a)

rectum

b)

vagina

c)

colon

d)

ileum

e)

bladder

2.

Bony pelvis consists of

a)

sacrum

b)

coccyx

c)

2 innominate (coxal) bones

d)

pubis

3.

the true and false pelvis is separated by

a)

peritoneum

b)

oblique plane (iliopectineal line)

c)

vertical plane (post. cul de sac)

d)

horizontal plane (ant. cul de sac)

4.

The false pelvis is

a)

posterior

b)

inferior

c)

superior

d)

anterior

5.

The true pelvis is ___ to caudal portion of the parietal peritoneum

a)

anterior

b)

posterior

c)

superior

d)

inferior

6.

The pouch of Douglas is also called the

a)

inferior cul de sac

b)

posterior cul de sac

c)

anterior cul de sac

d)

superior cul de sac

7.

The pouch of Douglas is between the

a)

uterus

b)

bladder

c)

rectum

d)

vaginal canal

8.

In the false pelvis the ___ and ___ form the iliopsoas muscles

a)

coccygeus muscles

b)

piriformis muscles

c)

psoas major muscles

d)

iliacus muscles

9.

___ and ___ of the pelvic diaphragm form a hammock for pelvic organ

a)

coccygeus muscles

b)

3 coccygeus muscles

c)

3 levator ani muscles

d)

levator ani muscles

10.

The round ligament holds the uterus ___

a)

down

b)

inferior

c)

backwards

d)

forward

11.

The ___ is a fold of peritoneum that drapes over the uterus, ovaries, and fallopian tubes

a)

broad ligament

b)

round ligament

c)

cardinal ligament

d)

ovarian ligament

12.

the cervix is held firmly into place by the ___ and ___

a)

round ligament

b)

uterosacral ligament

c)

cardinal ligament

d)

broad ligament

13.

The vagina receives arterial blood flow from the ___ and ___ arteries

a)

uterine

b)

ovarian

c)

vaginal

d)

internal iliac

14.

The uterine arteries branch from the

a)

ovarian artery

b)

external iliac arteries

c)

AO

d)

internal iliac arteries

15.

ovarian artery branches from the

a)

uterine artery

b)

AO

c)

external iliac arteries

d)

internal iliac arteries

16.

The cervix protrudes into the upper portion of the ___ forming 4 archlike recesses called fornices

a)

vaginal canal

b)

endometrium

c)

bladder

d)

left ovary

17.

The uterine body sits posterior to the vesicouterine pouch and ___ to the surface of the bladder

a)

posterior

b)

inferior

c)

anterior

d)

superior

18.

Layers of the uterus

a)

myometrium

b)

endometrium

c)

perimetrium

d)

mesovarium

19.

The perimetrium is the ___ layer of the uterus

a)

inner mucous

b)

serous outer

c)

muscular middle

20.

The myometrium is the ___ layer of the uterus

a)

muscular middle

b)

serous outer

c)

inner mucous

21.

The endometrium is the ___ layer of uterus

a)

serous outer

b)

inner mucous

c)

muscular middle

22.

the right ovarian vein empties into the

a)

rt renal vein

b)

PV

c)

IVC

d)

rt iliac vein

23.

the left ovarian vein empties into the

a)

left iliac vein

b)

left renal vein

c)

PV

d)

IVC

24.

the ovaries produce __ and ___

a)

progesterone

b)

estrogen

c)

HCC

d)

FSH

25.

The "3 line" sign is seen in the ___ phase

a)

menstrual

b)

secretory

c)

proliferative

26.

the bladder pushes the uterus and ovaries

a)

down

b)

up

c)

right

d)

left

27.

The endometrium consists of

a)

uterine cavity

b)

uterine functionalis

c)

zona basalis

d)

zona functionalis

28.

The "3 line" sign in the endometrium blurs in the ___ phase

a)

proliferative

b)

secretory

c)

menstrual

29.

The menstrual phase usually last ___ and correlates to the ___ ovarian phase

a)

through day 14

b)

follicular

c)

1-5 days

d)

luteal

30.

The secretory phase of the endometrium occurs on days and corresponds to the ___ phase of the ovary

a)

15-28

b)

follicular

c)

luteal

d)

5-14

31.

The ovarian volume for someone in menarche is

a)

approx 5.8cm^3

b)

approx 3cm^3

c)

approx 8.2cm^3

d)

approx 9.8cm^3

32.

The ovarian volume for someone in premenarche is

a)

approx 5.4cm^3

b)

approx 2.0cm^3

c)

approx 3.0cm^3

d)

approx 5.8cm^3

33.

The ovarian volume for someone postmenopausal is

a)

approx 3.0cm^3

b)

approx 7.0cm^3

c)

approx 9.8cm^3

d)

approx 5.8cm^3

34.

The ovaries consists of the 2 main layers

a)

tunica albuginea

b)

cortex

c)

body

d)

zona basalis

e)

central medulla

35.

Measure the endometrium from

a)

zona functalisis to uterine cavity

b)

inner to inner

c)

outer to outer

d)

basil layer to uterine cavity

36.

The proliferative endometrium measures

a)

6-10mm

b)

7-14mm

c)

1-3mm

d)

4-8mm

37.

Right before ovulation the endometrium measures

a)

1-5mm

b)

6-10mm

c)

8-16mm

d)

7-14mm

38.

the secretory phase of the endometrium measures

a)

4-8mm

b)

12-17mm

c)

7-14mm

d)

6-10mm

39.

Post menopausal patients who are not on hormone replacement therapy endometrium thickness measures < than

a)

8mm

b)

6mm

c)

5mm

d)

7mm

40.

Postmenopausal patients who are on hormone replacement therapy endometrium normally measure up to ___ thick

a)

8mm

b)

5mm

c)

10mm

d)

6mm

41.

Fertilization usually occurs in the ___ portion of the fallopian tube

a)

isthmus

b)

infundibulum

c)

interstital

d)

ampulla

42.

The fimbriae activate and grab the ___

a)

estrogen

b)

egg

c)

HCG

d)

corpus luteum

43.

The ovaries receive a dual blood supply from the ___ and ___ arteries

a)

vaginal

b)

ovarian

c)

internal iliac

d)

uterine

44.

(a)   is the portion of the cervix that protrudes into the uterus

45.

The ___ connects the internal os to the uterus

a)

isthmus

b)

broad ligament

c)

external os

d)

round ligament

46.

The uterus in premenarchal pts is __ long

a)

3.5-5.5cm

b)

6-8cm

c)

1-3cm

d)

4-6cm

47.

The uterus in menarchal is __ long

a)

6-12cm

b)

6-8cm

c)

8-11cm

d)

1-7cm

48.

The uterus in postmenopausal pts is ___ long

a)

1-3cm

b)

7-9cm

c)

6-10cm

d)

3.5-5.5cm

49.

uterus and ovaries ___ in size with age

a)

decrease

b)

increase

50.

After ovulation the ovary enters ___

a)

follicular

b)

proliferative

c)

luteal

d)

secretory

51.

Anterior pituitary glad releases

a)

LH

b)

estrogen

c)

FSH

d)

progesterone

52.

The (a)   is where the fallopian tube enters the uterus

53.

The ___ is the posterior fold of the broad ligament that encloses ovaries

a)

mesosalpinx

b)

round ligament

c)

mesovarium

d)

cornula

54.

The ___ is the upper fold of the broad ligament that encloses the fallopian tubes

a)

mesovarium

b)

mesosalpinx

c)

round ligament

d)

cornula

55.

a surge of ___ helps with ovulation

a)

estrogen

b)

LH

c)

FSH

d)

progesterone

56.

The ___ is shed during menstruation

a)

zona basalis

b)

endometrium

c)

zona functionalis

d)

forneces

57.

What is the correct uterine flow of blood?

a)

uterine artery, radial, arcuate, spiral and straight

b)

arcuate, uterine artery, radial, spiral and straight

c)

radial, uterine artery, arcuate, straight and spiral

d)

uterine artery, arcuate, radial, spiral and straight

58.

have the transducer handle down to see the

a)

fundus

b)

cervix

59.

Have the transducer handle up to see the

a)

fundus

b)

cervix

60.

The outer layer of the endometrium is called the

a)

zona functionalis

b)

uterine cavity

c)

basil layer

d)

serosa

61.

The space of Retizus is ___ to the bladder

a)

posterior

b)

inferior

c)

superior

d)

anterior

62.

In TA TRV shine the beam ___ to see the vaginal canal

a)

anterior

b)

superior

c)

inferior

d)

posterior

63.

In TA TRV starting most inferior and going up in what order do you see 1.UT body 2.Cervix 3.UT fundus 4.Vag canal

a)

4 2 1 3

b)

1 2 3 4

c)

2 4 1 3

d)

4 2 3 1

64.

The nabothian cyst are the most common ___ cyst

a)

ovarian

b)

uterine

c)

adnexa

d)

endometrium

65.

The endometrium is more resistive to blood flow in the ___ phases

a)

luteal

b)

follicular

c)

proliferative

d)

menstrual

66.

The most common congenital abnormality of female genital tract is (a)  

67.

Obstruction of the uterus and/or vagina may result in accumulation fluid is called

a)

hydrometrocolpos

b)

hematometrocolpos

c)

pyometrocolpos

68.

Obstruction of the uterus and/or vagina may result in accumulation of blood is called

a)

hydrometrocolpos

b)

hematometrocolpos

c)

pyometrocolpos

69.

Obstruction of the uterus and/or vagina may result in accumulation of pus is called

a)

hydrometrocolpos

b)

hematometrocolpos

c)

pyometrocolpos

70.

Vaginal tumors are usually ___ and ___

a)

vaginal adenocarcinoma

b)

rhabdomyosarcoma

c)

hemangioma

d)

leiomyoma

71.

Seen in hysterectomy pts after surgery; stitch cuff to ligament after uterus and cervix is removed

(a)  

72.

The pouch of Douglas (rectouterine recess) is between the __ and __

a)

vag canal

b)

rectum

c)

bladder

d)

uterus

73.

Cervix, the cylindrical portion of the uterus that enters vagina measures ___ in length

a)

2-4cm

b)

2-4mm

c)

1-3mm

d)

1-3cm

74.

(a)   may be pedunculated, projecting out of cervix, or broad based

75.

leiomyomas are also called

a)

fibroids

b)

polyps

c)

myoma tumors

76.

Myomas are fibroids that are ___ dependent

a)

FSH

b)

HCG

c)

estrogen

d)

progesterone

77.

Narrowing or blocking of cervix

a)

vaginal stenosis

b)

cervical stenosis

c)

cervical carcinoma

78.

Most common type of cervical cancer

a)

squamous cell carcinoma

b)

ovarian carcinoma

c)

myometrium carcinoma

d)

endometrium carcinoma

79.

If a mass appears in the cervix make sure to also check the ___

a)

posterior cul de sac

b)

bladder

c)

left ovary

d)

right ovary

80.

cancer needs a large (a)  

81.

a bicornuate uterus is ___ shaped

a)

ovoid

b)

square

c)

triangular

d)

heart

82.

If something is wrong with the uterus make sure to also check

a)

liver

b)

kidneys

c)

AO

d)

spleen

83.

A duplication of the uterus with a common cervix

a)

bicornuate uterus

b)

uterus didelphis

c)

biuterine

84.

Complete duplication of the uterus, cervix, and vagina

a)

uterus didelphis

b)

bicornuate uterus

85.

Leiomyomas are

a)

benign

b)

malignant

86.

Most common gynecologic tumors

(a)  

87.

Leiomyomas are classified as:

a)

subserosal

b)

submucosal

c)

intrmural

d)

intramucosal

88.

Leiomyomas can increase in size during pregnancy

a)

false

b)

true

89.

In ___ pts a rapid increase in myoma size is suspicious for neoplasm

a)

premenopausal

b)

postmenopausal

c)

menstruating

90.

(a)   are the most common cause of uterine calcifications

91.

Uterine leiomyosarcoma is a rare cancerous solid tumor that arises from the ___ or ___

a)

endometrium

b)

fallopian tubes

c)

serous

d)

myometrium

92.

A form of endometriosis that extents into the myometrium

a)

cervical carcinoma

b)

adenomyosis

c)

myometriosis

d)

leiomyosarcoma

93.

Adenomyosis is

a)

benign

b)

malignant

94.

Most common presentations of extensive adenomyosis

a)

thinning of posterior myometrium

b)

diffuse uterine enlargement

c)

diffuse uterine deflation

d)

thickening of posterior myometrium

95.

___ is sometimes described as swiss cheese or honeycomb pattern

a)

fibroids

b)

endometriosis

c)

adenomyosis

d)

leiomyomas

96.

consists of vascular plexus of arteries and veins without intervening capillary network

a)

adenomyosis

b)

follicles

c)

leiomyomas

d)

arteriovenous malformations

97.

Arteriovenous malformations have

a)

low resistance arterial flow

b)

high resistance arterial flow

c)

high velocity venous flow

d)

low velocity venous flow

98.

___ is an overgrowth of endometrium that is rare in premenopausal pts, follows prolonged estrogenic stimulation, and may be a precursor to endometrial cancer, and shows as abnormal thickening of the endometrium

a)

adenomyosis

b)

endometriosis

c)

myometriosis

d)

endometrial hyperplasia

99.

2 most common hormonal regimens in menopausal women

a)

sequential estrogen and progesterone

b)

unopposed estrogen

c)

continuous/ combined estrogen and progesterone

d)

no hormones

100.

Estrogen

a)

decreases risk of breast cancer

b)

decreases chances of endo hyperplasia/ cancer

c)

increases chances of endo hyperplasia/ cancer

d)

increases risk of breast cancer

101.

progesterone

a)

decreases risk of breast cancer

b)

increases chances of endo hyperplasia/ cancer

c)

decreases chances of endo hyperplasia/ cancer

d)

increases risk of breast cancer

102.

Histologically, ___ are overgrowths of endometrial tissue covered by epithelium

a)

polyps

b)

fibroids

c)

leiomyomas

d)

myomas

103.

Interrupted muscosa sign best seen in ___ phase

a)

proliferative

b)

menstrating

c)

secretory

104.

Sonohysterography is best done when the endo is

a)

thinnest

b)

thickest

105.

An infection within the endo of the uterus

a)

endometrial hyperplasia

b)

endometritis

c)

endometriosis

d)

adenomyomas

106.

pelvic inflammatory disease is usually caused by a

(a)  

107.

With endometritis there may be ___ seen

a)

enlarged ovaries with multiple cysts

b)

shriveled ovaries

c)

pus in the cul de sac as echogenic particles or debris

d)

dilation of the tubes

108.

With endometritis, as infection worsens, periovarian adhesions may form and fuse the ___ and ___ called the tubo-ovarian complex

a)

endometrium

b)

inflamed tube

c)

ovary

d)

myometrium

109.

Intrauterine synechiae is ___ and is best seen during the ___ phase when endo is more hyperechoic

a)

proliferative

b)

secretory

c)

scar tissue

d)

cysts

110.

(a)   is the most common gynecologic malignancy in north America and may also be called uterine cancer

111.

Most common clinical presentation of endometrial carcinoma is

a)

RLQ pain

b)

uterine bleeding

c)

palpable mass

d)

ovarian cyst

112.

A postmenopausal pt with thickened endo, abnormal bleeding, with a RI greater than 0.5 is probably

a)

benign

b)

malignant

113.

A postmenopausal pt with thickened endo, abnormal bleeding, with a RI less than 0.4 is probably

a)

malignant

b)

benign

114.

IUDs are placed close to the

a)

fundus

b)

body

c)

cervix

d)

vag canal

115.

endo measurement during menstration

(a)  

116.

endo measurement during proliferative

(a)  

117.

endo measurement during secretory

(a)