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Worksheets206 Exam 1
Total questions: 117
Worksheet time: 1hrs 7mins
The posterior pelvic cavity consists of:
rectum
vagina
colon
ileum
bladder
Bony pelvis consists of
sacrum
coccyx
2 innominate (coxal) bones
pubis
the true and false pelvis is separated by
peritoneum
oblique plane (iliopectineal line)
vertical plane (post. cul de sac)
horizontal plane (ant. cul de sac)
The false pelvis is
posterior
inferior
superior
anterior
The true pelvis is ___ to caudal portion of the parietal peritoneum
anterior
posterior
superior
inferior
The pouch of Douglas is also called the
inferior cul de sac
posterior cul de sac
anterior cul de sac
superior cul de sac
The pouch of Douglas is between the
uterus
bladder
rectum
vaginal canal
In the false pelvis the ___ and ___ form the iliopsoas muscles
coccygeus muscles
piriformis muscles
psoas major muscles
iliacus muscles
___ and ___ of the pelvic diaphragm form a hammock for pelvic organ
coccygeus muscles
3 coccygeus muscles
3 levator ani muscles
levator ani muscles
The round ligament holds the uterus ___
down
inferior
backwards
forward
The ___ is a fold of peritoneum that drapes over the uterus, ovaries, and fallopian tubes
broad ligament
round ligament
cardinal ligament
ovarian ligament
the cervix is held firmly into place by the ___ and ___
round ligament
uterosacral ligament
cardinal ligament
broad ligament
The vagina receives arterial blood flow from the ___ and ___ arteries
uterine
ovarian
vaginal
internal iliac
The uterine arteries branch from the
ovarian artery
external iliac arteries
AO
internal iliac arteries
ovarian artery branches from the
uterine artery
AO
external iliac arteries
internal iliac arteries
The cervix protrudes into the upper portion of the ___ forming 4 archlike recesses called fornices
vaginal canal
endometrium
bladder
left ovary
The uterine body sits posterior to the vesicouterine pouch and ___ to the surface of the bladder
posterior
inferior
anterior
superior
Layers of the uterus
myometrium
endometrium
perimetrium
mesovarium
The perimetrium is the ___ layer of the uterus
inner mucous
serous outer
muscular middle
The myometrium is the ___ layer of the uterus
muscular middle
serous outer
inner mucous
The endometrium is the ___ layer of uterus
serous outer
inner mucous
muscular middle
the right ovarian vein empties into the
rt renal vein
PV
IVC
rt iliac vein
the left ovarian vein empties into the
left iliac vein
left renal vein
PV
IVC
the ovaries produce __ and ___
progesterone
estrogen
HCC
FSH
The "3 line" sign is seen in the ___ phase
menstrual
secretory
proliferative
the bladder pushes the uterus and ovaries
down
up
right
left
The endometrium consists of
uterine cavity
uterine functionalis
zona basalis
zona functionalis
The "3 line" sign in the endometrium blurs in the ___ phase
proliferative
secretory
menstrual
The menstrual phase usually last ___ and correlates to the ___ ovarian phase
through day 14
follicular
1-5 days
luteal
The secretory phase of the endometrium occurs on days and corresponds to the ___ phase of the ovary
15-28
follicular
luteal
5-14
The ovarian volume for someone in menarche is
approx 5.8cm^3
approx 3cm^3
approx 8.2cm^3
approx 9.8cm^3
The ovarian volume for someone in premenarche is
approx 5.4cm^3
approx 2.0cm^3
approx 3.0cm^3
approx 5.8cm^3
The ovarian volume for someone postmenopausal is
approx 3.0cm^3
approx 7.0cm^3
approx 9.8cm^3
approx 5.8cm^3
The ovaries consists of the 2 main layers
tunica albuginea
cortex
body
zona basalis
central medulla
Measure the endometrium from
zona functalisis to uterine cavity
inner to inner
outer to outer
basil layer to uterine cavity
The proliferative endometrium measures
6-10mm
7-14mm
1-3mm
4-8mm
Right before ovulation the endometrium measures
1-5mm
6-10mm
8-16mm
7-14mm
the secretory phase of the endometrium measures
4-8mm
12-17mm
7-14mm
6-10mm
Post menopausal patients who are not on hormone replacement therapy endometrium thickness measures < than
8mm
6mm
5mm
7mm
Postmenopausal patients who are on hormone replacement therapy endometrium normally measure up to ___ thick
8mm
5mm
10mm
6mm
Fertilization usually occurs in the ___ portion of the fallopian tube
isthmus
infundibulum
interstital
ampulla
The fimbriae activate and grab the ___
estrogen
egg
HCG
corpus luteum
The ovaries receive a dual blood supply from the ___ and ___ arteries
vaginal
ovarian
internal iliac
uterine
(a) is the portion of the cervix that protrudes into the uterus
The ___ connects the internal os to the uterus
isthmus
broad ligament
external os
round ligament
The uterus in premenarchal pts is __ long
3.5-5.5cm
6-8cm
1-3cm
4-6cm
The uterus in menarchal is __ long
6-12cm
6-8cm
8-11cm
1-7cm
The uterus in postmenopausal pts is ___ long
1-3cm
7-9cm
6-10cm
3.5-5.5cm
uterus and ovaries ___ in size with age
decrease
increase
After ovulation the ovary enters ___
follicular
proliferative
luteal
secretory
Anterior pituitary glad releases
LH
estrogen
FSH
progesterone
The (a) is where the fallopian tube enters the uterus
The ___ is the posterior fold of the broad ligament that encloses ovaries
mesosalpinx
round ligament
mesovarium
cornula
The ___ is the upper fold of the broad ligament that encloses the fallopian tubes
mesovarium
mesosalpinx
round ligament
cornula
a surge of ___ helps with ovulation
estrogen
LH
FSH
progesterone
The ___ is shed during menstruation
zona basalis
endometrium
zona functionalis
forneces
What is the correct uterine flow of blood?
uterine artery, radial, arcuate, spiral and straight
arcuate, uterine artery, radial, spiral and straight
radial, uterine artery, arcuate, straight and spiral
uterine artery, arcuate, radial, spiral and straight
have the transducer handle down to see the
fundus
cervix
Have the transducer handle up to see the
fundus
cervix
The outer layer of the endometrium is called the
zona functionalis
uterine cavity
basil layer
serosa
The space of Retizus is ___ to the bladder
posterior
inferior
superior
anterior
In TA TRV shine the beam ___ to see the vaginal canal
anterior
superior
inferior
posterior
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
4 2 1 3
1 2 3 4
2 4 1 3
4 2 3 1
The nabothian cyst are the most common ___ cyst
ovarian
uterine
adnexa
endometrium
The endometrium is more resistive to blood flow in the ___ phases
luteal
follicular
proliferative
menstrual
The most common congenital abnormality of female genital tract is (a)
Obstruction of the uterus and/or vagina may result in accumulation fluid is called
hydrometrocolpos
hematometrocolpos
pyometrocolpos
Obstruction of the uterus and/or vagina may result in accumulation of blood is called
hydrometrocolpos
hematometrocolpos
pyometrocolpos
Obstruction of the uterus and/or vagina may result in accumulation of pus is called
hydrometrocolpos
hematometrocolpos
pyometrocolpos
Vaginal tumors are usually ___ and ___
vaginal adenocarcinoma
rhabdomyosarcoma
hemangioma
leiomyoma
Seen in hysterectomy pts after surgery; stitch cuff to ligament after uterus and cervix is removed
(a)
The pouch of Douglas (rectouterine recess) is between the __ and __
vag canal
rectum
bladder
uterus
Cervix, the cylindrical portion of the uterus that enters vagina measures ___ in length
2-4cm
2-4mm
1-3mm
1-3cm
(a) may be pedunculated, projecting out of cervix, or broad based
leiomyomas are also called
fibroids
polyps
myoma tumors
Myomas are fibroids that are ___ dependent
FSH
HCG
estrogen
progesterone
Narrowing or blocking of cervix
vaginal stenosis
cervical stenosis
cervical carcinoma
Most common type of cervical cancer
squamous cell carcinoma
ovarian carcinoma
myometrium carcinoma
endometrium carcinoma
If a mass appears in the cervix make sure to also check the ___
posterior cul de sac
bladder
left ovary
right ovary
cancer needs a large (a)
a bicornuate uterus is ___ shaped
ovoid
square
triangular
heart
If something is wrong with the uterus make sure to also check
liver
kidneys
AO
spleen
A duplication of the uterus with a common cervix
bicornuate uterus
uterus didelphis
biuterine
Complete duplication of the uterus, cervix, and vagina
uterus didelphis
bicornuate uterus
Leiomyomas are
benign
malignant
Most common gynecologic tumors
(a)
Leiomyomas are classified as:
subserosal
submucosal
intrmural
intramucosal
Leiomyomas can increase in size during pregnancy
false
true
In ___ pts a rapid increase in myoma size is suspicious for neoplasm
premenopausal
postmenopausal
menstruating
(a) are the most common cause of uterine calcifications
Uterine leiomyosarcoma is a rare cancerous solid tumor that arises from the ___ or ___
endometrium
fallopian tubes
serous
myometrium
A form of endometriosis that extents into the myometrium
cervical carcinoma
adenomyosis
myometriosis
leiomyosarcoma
Adenomyosis is
benign
malignant
Most common presentations of extensive adenomyosis
thinning of posterior myometrium
diffuse uterine enlargement
diffuse uterine deflation
thickening of posterior myometrium
___ is sometimes described as swiss cheese or honeycomb pattern
fibroids
endometriosis
adenomyosis
leiomyomas
consists of vascular plexus of arteries and veins without intervening capillary network
adenomyosis
follicles
leiomyomas
arteriovenous malformations
Arteriovenous malformations have
low resistance arterial flow
high resistance arterial flow
high velocity venous flow
low velocity venous flow
___ 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
adenomyosis
endometriosis
myometriosis
endometrial hyperplasia
2 most common hormonal regimens in menopausal women
sequential estrogen and progesterone
unopposed estrogen
continuous/ combined estrogen and progesterone
no hormones
Estrogen
decreases risk of breast cancer
decreases chances of endo hyperplasia/ cancer
increases chances of endo hyperplasia/ cancer
increases risk of breast cancer
progesterone
decreases risk of breast cancer
increases chances of endo hyperplasia/ cancer
decreases chances of endo hyperplasia/ cancer
increases risk of breast cancer
Histologically, ___ are overgrowths of endometrial tissue covered by epithelium
polyps
fibroids
leiomyomas
myomas
Interrupted muscosa sign best seen in ___ phase
proliferative
menstrating
secretory
Sonohysterography is best done when the endo is
thinnest
thickest
An infection within the endo of the uterus
endometrial hyperplasia
endometritis
endometriosis
adenomyomas
pelvic inflammatory disease is usually caused by a
(a)
With endometritis there may be ___ seen
enlarged ovaries with multiple cysts
shriveled ovaries
pus in the cul de sac as echogenic particles or debris
dilation of the tubes
With endometritis, as infection worsens, periovarian adhesions may form and fuse the ___ and ___ called the tubo-ovarian complex
endometrium
inflamed tube
ovary
myometrium
Intrauterine synechiae is ___ and is best seen during the ___ phase when endo is more hyperechoic
proliferative
secretory
scar tissue
cysts
(a) is the most common gynecologic malignancy in north America and may also be called uterine cancer
Most common clinical presentation of endometrial carcinoma is
RLQ pain
uterine bleeding
palpable mass
ovarian cyst
A postmenopausal pt with thickened endo, abnormal bleeding, with a RI greater than 0.5 is probably
benign
malignant
A postmenopausal pt with thickened endo, abnormal bleeding, with a RI less than 0.4 is probably
malignant
benign
IUDs are placed close to the
fundus
body
cervix
vag canal
endo measurement during menstration
(a)
endo measurement during proliferative
(a)
endo measurement during secretory
(a)
