Hagen Chapter 41 Flashcards

1
Q
Only \_\_\_\_\_% of women with postmenopausal bleeding have endometrial carcinoma.
Select one:
a. 10 
b. 25
c. 50
d. 75
A

a. 10

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2
Q
A 3-day postpartum woman complains of intense pelvic pain. Sonographically, the uterus appears hypoechoic with an irregular endometrium. This condition most likely represents which one of the following?
Select one:
a. Adenomyosis
b. Degenerating submucosal leiomyoma
c. Endometritis 
d. Endometrial hyperplasia
A

c. endometritis

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3
Q
Which one of the following is the most common site for a leiomyoma to occur?
Select one:
a. Submucosal
b. Subserosal
c. Pedunculated
d. Intramural
A

d. intramural

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4
Q
Which one of the following is most likely the result of an acquired condition with obstruction of the cervical canal?
Select one:
a. Leiomyoma
b. Cervical carcinoma
c. Cervical stenosis 
d. Adenomyosis
A

c. cervical stenosis

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5
Q
On ultrasound, the characteristic appearance of a degenerating leiomyoma is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
Select one:
a. Homogeneous
b. Heterogeneous 
c. Isoechoic
d. Anechoic
A

b. heterogeneous

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6
Q

Hydrometra appears sonographically as a(n) _______________________.
Select one:
a. Sonolucent tubular structure in the adnexa
b. Echogenic thickening of the endometrium
c. Sonolucent fluid collection in the uterine canal
d. Sonolucent fluid collection in the uterus, cervix, and vagina

A

c. Sonolucent fluid collection in the uterine canal

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7
Q

Uterine arteriovenous malformation (AVM):
Select one:
a. Involves the endometrium.
b. Can be managed with dilation and curettage (D&C).
c. Involves the myometrium.
d. Is always acquired.

A

c. Involves the myometrium.

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8
Q
The size and shape of the normal uterus are related to all of the following except:
Select one:
a. Family history 
b. Age
c. Hormonal status
d. Parity
A

a. family history

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9
Q
In postmenopausal patients, an endometrial thickness of less than \_\_\_\_\_ millimeters (mm) reliably excludes an endometrial abnormality.
Select one:
a. 4
b. 5 
c. 8
d. 10
A

b. 5

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10
Q
The most common cause of uterine calcification is which one of the following?
Select one:
a. Adenomyosis
b. Endometritis
c. Arcuate artery calcification
d. Myomas
A

d. myomas

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11
Q
In which of the following structures might a Gartner's duct cyst be found?
Select one:
a. Fallopian tube
b. Ovary
c. Cervix
d. Vagina
A

d. vagina

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12
Q
In a patient after an hysterectomy, the normal vaginal cuff should not exceed \_\_\_\_\_ centimeters (cm).
Select one:
a. 1
b. 2
c. 3
d. 4
A

b. 2

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13
Q

Which one of the following statements about adenomyosis is false?
Select one:
a. Elevated progesterone levels may promote the growth of myometrial islands of endometrium.
b. Adenomyosis can be managed with hormone therapy.
c. Adenomyosis may cause abnormal uterine bleeding.
d. Adenomyosis may cause pelvic pain during menstruation.

A

a. Elevated progesterone levels may promote the growth of myometrial islands of endometrium.

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14
Q
Which one of the following conditions is described as a hyperplastic protrusion of the epithelium of the cervix that may be broad based or pedunculated?
Select one:
a. Cervical stenosis
b. Pyometrium
c. Cervical polyps 
d. Cervical obstruction
A

c. Cervical polyps

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15
Q
Irregular, acyclic bleeding is defined as which one of the following?
Select one:
a. Menorrhagia
b. Metrorrhea 
c. Dysmenorrhea
d. Amenorrhea
A

b. Metrorrhea

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16
Q
Which one of the following locations of a fibroid will most likely cause heavy irregular uterine bleeding?
Select one:
a. Subserosal
b. Submucosal 
c. Intramural
d. Pedunculated
A

b. submucosal

17
Q
Complications in delivery may occur with pregnancy if a fibroid is located in or near which one of the following structures?
Select one:
a. Near the fundus
b. Pedunculated off the fundus
c. Near the cervix 
d. Near the ovary
A

c. near the cervix

18
Q

A 28-year-old woman reports left lower quadrant pain. Her last menstrual period was 2 weeks earlier. Sonographically, the uterine body displays a highly echogenic structure in the endometrial cavity. This appearance most likely represents which one of the following conditions?
Select one:
a. Endometritis
b. Calcified submucosal fibroid
c. Intrauterine contraceptive device (IUD)
d. Calcified arcuate arteries

A

c. Intrauterine contraceptive device (IUD)

19
Q
A small percentage of leiomyomas is located in which one of the following structures?
Select one:
a. Body
b. Fundus
c. Myometrium
d. Cervix
A

d. cervix

20
Q

Which one of the following sonographic characteristics is the most common finding in endometrial carcinoma?
Select one:
a. Abnormal thinning of the endometrial cavity, usually with irregular bleeding in postmenopausal women
b. Abnormal thickening of the endometrial cavity, usually with irregular bleeding in perimenopausal and postmenopausal women
c. Irregular bleeding
d. Heavy bleeding with a thickening of the myometrium

A

b. Abnormal thickening of the endometrial cavity, usually with irregular bleeding in perimenopausal and postmenopausal women

21
Q
The clinical signs of a 32-year-old woman with an enlarged uterus on physical examination and a history of cyclic profuse and prolonged bleeding with increasing pain most likely represent which one of the following?
Select one:
a. Early pregnancy
b. Leiomyoma
c. Ruptured nabothian cyst
d. Ruptured follicular cyst
A

b. leiomyoma

22
Q
The endometrium should be measured from \_\_\_\_\_\_\_\_\_\_ layer to \_\_\_\_\_\_\_\_\_\_ layer.
Select one:
a. Hypoechoic; hypoechoic
b. Hyperechoic; hyperechoic
c. Hyperechoic; hypoechoic
d. Hypoechoic; hyperechoic
A

b. Hyperechoic; hyperechoic

23
Q
A benign invasion of endometrial tissue into the myometrium is known as which one of the following conditions?
Select one:
a. Endometriosis
b. Pelvic inflammatory disease (PID)
c. Adenomyosis
d. Endomyosarcoma
A

c. Adenomyosis

24
Q
Patients on tamoxifen therapy have an increased risk of which one of the following reactions?
Select one:
a. Endometrial hyperplasia
b. Endometrial polyp
c. Endometrial carcinoma
d. All of the above reactions
A

d. all of the above reactions

25
Q
Endometrial hyperplasia develops from which one of the following?
Select one:
a. Unopposed estrogen stimulation 
b. Unopposed progesterone stimulation
c. Follicular-stimulating hormone
d. Endometrial polyp
A

a. Unopposed estrogen stimulation