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gyn - pediatric gyn

Total questions: 66

Worksheet time: 36mins

Name
Class
Date
1.

cranial portions of the paramesonephric ducts form?

a)

Fallopian tubes

b)

urogenital sinus

c)

ureterovaginal canal

d)

ovaries

2.

the caudal portion of the paramesonehric ducts form?

a)

fallopian tubes

b)

ureterovaginal canal

c)

urogenital sinus

d)

ovaries

3.

what does the ureterovaginal canal develop into?

a)

uterus and proximal vagina

b)

uterus and ovaries

c)

proximal vagina and ovaries

d)

ureters and proximal vagina

4.

ureterovaginal canal makes contact with the urogenital sinus; the urogenital sinus becomes what?

a)

lower portion of the vagina and bladder

b)

upper portion of the vagina and bladder

c)

lower portion of vagina and cervix

d)

cervix and fundus

5.

what extends from the urogenital sinus to create the vaginal plate?

a)

sinovaginal bulbs

b)

ureterovaginal canal

c)

hymen

d)

fornix

6.

what week is genitalia distinguishable?

a)

8

b)

9

c)

10

d)

20

7.

by what week is the external genitalia fully developed?

a)

12

b)

10

c)

8

d)

21

8.

the urethra and vagina open into _______

a)

urogenital sinus

b)

ureterovaginal canal

c)

vestibule of vagina

d)

urogenital fold

9.

what does the urogenital sinus become?

a)

vagina

b)

uterus

c)

vestibule of the vagina

d)

urogenital folds

10.

what do the urogenital folds become?

a)

labia minora

b)

labia majora

c)

ovaries

d)

vestibule of the vagina

11.

what does labioscrotal swelling become ?

a)

labia minora

b)

labia majora

c)

urogenital folds

d)

rectum

12.

what does the phallus become?

a)

vagina

b)

labia minora

c)

labia majora

d)

clitoris

13.

what is the normal sonographic findings of the pediatric bladder?

a)

smooth, thin walls

b)

smooth, thick walls

c)

ridged, thin walls

d)

ridged, thick walls

14.

measurements of the pediatric bladder when distended?

a)

<3mm

b)

<5mm

c)

<6mm

d)

>4mm

15.

when the pediatric bladder is empty/ partially full, it appears thicker and measures ?

a)

no <3mm

b)

no >5mm

c)

no >7mm

d)

no <8mm

16.

T/F: post void scans utilize the demonstration of change in bladder size to differentiate cystic structures in the pelvis and emptying evaluation

a)

true

b)

false

17.

in newborn females, the prominent uterus with echogenic endometrial lining is influences by?

(a)  

18.

in newborn females, the uterus is pear shaped and measures what in length?

a)

3.5cm

b)

5cm

c)

6cm

d)

2cm

19.

what is the fundal to cervix ratio in newborn females?

a)

2:1

b)

1:2

c)

3:1

d)

1:3

20.

after birth, the uterus decreases in size due to decrease in hormone levels and assumes what shape?

a)

teardrop

b)

pear shape

c)

apple shape

d)

frozen orange shape

21.

what is the fundal cervix ratio after birth? (teardrop shape)

a)

2:1

b)

1:2

c)

3:1

d)

1:3

22.

at 2-3 months old the uterus regresses into prepubertal size and configuration and measures what in length?

a)

2.5-3cm

b)

3-4cm

c)

4-5cm

d)

2.5-3ft

23.

at 2-3 months old what is the fundal cervix ratio?

a)

1:1

b)

1:2

c)

2:1

d)

1:3

24.

at what age does the uterus begin to increase in size?

a)

7yrs old

b)

8yrs old

c)

11yrs old

d)

20yrs old

25.

what does the uterus measure in length post-puberty?

a)

5-7cm

b)

2.5-3cm

c)

3-4.5cm

d)

6-9cm

26.

what is the fundal cervix ratio in post puberty?

a)

1:2

b)

1:1

c)

3:1

d)

1:3

27.

the uterus gets its blood supply from the ______ arteries (branches off the internal iliac arteries)

a)

external iliac

b)

uterine

c)

ovarian

d)

vaginal

28.

when is the pediatric vagina best visualized sonographically?

a)

sagittal, bladder distended

b)

sagittal, bladder empty

c)

transverse, bladder distended

d)

transverse, bladder empty

29.

T/F: the pediatric vagina's mucous walls appear echogenic with central echogenic structure within the tubular structure

a)

true

b)

false

30.

T/F: the pediatric ovaries can be visualized with minimal issues

a)

true

b)

false

31.

where can neonatal ovaries be found?

a)

by the pancreas

b)

anywhere between lower pole of kidneys and true pelvis

c)

anywhere between upper pole of kidneys and true pelvis

d)

behind the cervix

32.

a mean ovarian volume of 0.75-0.86 cm^3 can be identified at what age?

a)

0-5yrs

b)

0-10yrs

c)

2-7yrs

d)

0-12yrs

33.

what is the mean ovarian volume during menstrual age?

a)

9.8 cm^3

b)

7cm^3

c)

8.9cm^3

d)

5cm^3

34.

T/F: the sonographic appearance of neonatal ovaries is heterogenous secondary to tiny cysts

a)

true

b)

false

35.

at >1 yr old the sonographic appearance of the ovaries is what?

a)

homogenous with small follicles

b)

homogenous with large follicles

c)

heterogeneous with tiny cysts

d)

homogenous with tiny cysts

36.

from where do the ovaries obtain their blood supply? (originates from aorta)

a)

ovarian artery

b)

ovarian vein

c)

uterine artery

d)

vaginal artery

37.

select all that apply: when are congenital anomalies usually diagnosed?

a)

at puberty

b)

at menopause

c)

when patient is trying to conceive

d)

pre-puberty

38.

select all that apply: examples of malarian abnormalities, failure of fusion

a)

bicoruate uterus

b)

didalphys uterus

c)

bicolis uterus

d)

unicornuate uterus

e)

subseptate uterus

39.

select all that apply: malarian abnormalities, arrested development

a)

agenesis

b)

unicornuate uterus

c)

unicolis uterus

d)

hypoplasia

e)

didalphys uterus

40.

select all that apply: Mullerian abnormalities, failure of absorption

a)

septate

b)

subseptate

c)

agenesis

d)

hypoplasia

41.

if congenital anomalies are present what other organ should be evaluated?

a)

kidneys

b)

liver

c)

pancreas

d)

spleen

42.

what is the mullerian abnormality of the heart shaped uterus ?

a)

arcuate uterus

b)

bicornuate uterus

c)

unicornuate uterus

d)

didalphys uterus

43.

what is the most common true hermaphroditism karyotype?

a)

46XX

b)

46XY/46XX mosaicism

c)

23XY/23XX mosaicism

d)

23XX

44.

what is the karyotype of pseudo hermaphrodites? (genetically female)

a)

46XX

b)

46XX/46XY mosaicism

c)

23XX/23XY mosaicism

d)

64XX

45.

what is the term for no production of the gonads?

(a)  

46.

T/F: true hermaphrodites have both ovarian and testicular tissues

a)

true

b)

false

47.

what is most commonly caused by congenital virilizing adrenal hyperplasia ?

a)

true hermaphroditism

b)

pseudohermaphroditism

48.

select all that apply: the increased production of androgens influencing testosterone causes masculinized external genitalia meaning?

a)

enlarged clitoris

b)

abnormalities of urogenital sinus

c)

partial fusion of labia majora

d)

small scrotal tissues externally

49.

select all that apply: androgens crossing placenta when mom is on hormone therapy involving androgenic substances include

a)

PCOS

b)

drug intake

c)

ovarian tumors

d)

uterine tumors

50.

what involves early development of secondary sex characteristics

a)

true precocious puberty

b)

pseudoprecocious puberty

51.

what involves the early activation of the hypothalamus cycle?

a)

true precocious puberty

b)

pseudo precocious puberty

52.

what involved the maturation of the secondary sex characteristics but not the gonads? (no activation of hypothalamus cycle)

a)

true precocious puberty

b)

pseudoprecocious puberty

53.

excessive exogenous synthesis of gonadal steroids is the most common cause of what?

a)

true precocious puberty

b)

pseudo precocious puberty

54.

T/F: ovarian tumores stim form granulosa cells

a)

true

b)

false

55.

what is the early enlargement of breast tissues called?

a)

premature thelarche

b)

premature menarche

c)

true precocious puberty

d)

pseudo precocious puberty

56.

what is the normal size of pediatric ovarian cysts?

a)

<9mm

b)

<20mm

c)

>9mm

d)

>20mm

57.

what is the abnormal size of pediatric ovarian cysts?

a)

<9mm

b)

>20mm

c)

<20mm

d)

>9mm

58.

T/F: maternal/ congenital hypothyroidism stems from nonspecific pituitary glycoprotein release

a)

true

b)

false

59.

what results from partial or complete rotation of the ovary compromising both arterial and venous blood supply

a)

ovarian tumors

b)

ovarian torsion

c)

ovarian ligament

d)

upside down ovaries

60.

what is most commonly cause by enlarged ovarian cysts or the presence of tumors?

a)

ovarian torsion

b)

cystic fibrosis

c)

ovarian cysts

d)

ovarian ligaments

61.

time is important in detecting ovarian torsions because _____ can occur.

a)

ovarian necrosis

b)

cystic fibrosis

c)

ovarian cysts

62.

with ovarian torsion free fluid is most commonly found where?

a)

Morrisons pouch

b)

cul de sac

c)

uterus

d)

vagina

63.

with ovarian teratomas, what is most common (60%) in adolescent females under 20 yrs of age?

a)

germ cell tumors

b)

ovarian tumors

c)

ovarian torsions

d)

uterine tumors

64.

T/F: germ cell tumors range from mature teratomas to malignant varieties.

a)

true

b)

false

65.

select all that apply: ovarian neoplasms can be what?

a)

solid

b)

cystic

c)

complex

d)

simple

66.

dysgerminoma, embryonal carcinomas, endodermal sinus, immature teratomas, and choriocarcinomas are examples of what?

a)

malignant neoplasms

b)

benign teratomas

c)

ovarian torsion

d)

ovarian cysts

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