Hagen Chapter 44 Flashcards

1
Q
On a baseline pelvic ultrasound, an ovarian cyst greater than\_\_\_\_\_ mm could interfere with ovarian stimulation.
Select one:
a. 5
b. 8
c. 10
d. 15
A

d. 15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
A dominant follicle grows at a rate of \_\_\_\_\_ to \_\_\_\_\_ millimeters per day (mm/day).
Select one:
a. 0.5; 1
b. 1; 1.5
c. 1; 2
d. 1; 3
A

d. 1;3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
The fallopian tubes are evaluated by a sonographic and saline examination to determine which one of the following characteristics?
Select one:
a. Size
b. Patency 
c. Length
d. Duplication
A

b. Patency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
During in vitro fertilization, the optimal placement of the embryos is considered to be within 2 cm of the apex of which one of the following structures?
Select one:
a. Cervix
b. Uterine body
c. Uterine fundus
d. Cornua
A

c. Uterine fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
When evaluating the patient who is infertile, in addition to assessing structural anatomy, the sonographer should evaluate the:
Select one:
a. Endometrium
b. Presence of corpus luteal cysts
c. Presence of follicular cysts
d. Vagina
A

a. Endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
Producing more luteinizing hormone (LH) than follicular stimulating hormone (FSH) results in which one of the following conditions?
Select one:
a. Meige syndrome
b. Luteal phase deficiency
c. Polycystic ovarian syndrome
d. Ovarian hyperstimulation syndrome
A

c. Polycystic ovarian syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
Lack of progesterone production is known as which one of the following?
Select one:
a. Secondary infertility
b. Luteal phase deficiency
c. Polycystic ovarian syndrome
d. Ovarian hyperstimulation syndrome
A

b. Luteal phase deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
Patients who undergo assisted reproduction procedures have an increased risk factor for a(n) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ pregnancy.
Select one:
a. Molar
b. Heterotopic
c. Anembryonic
d. Monoamniotic and monochorionic
A

b. Heterotopic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
The triple-line sign is associated with which one of the following structures?
Select one:
a. Cervix
b. Vagina
c. Endometrium 
d. Uterus
A

c. Endometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
Patients with polycystic ovarian syndrome may have the clinical triad of all the following characteristics except:
Select one:
a. Oligomenorrhea
b. Hirsutism
c. Bulimia
d. Obesity
A

c. Bulimia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
Which one of the following syndromes demonstrates enlarged ovaries with multiple cysts, abdominal ascites, and pleural effusion?
Select one:
a. Polycystic ovarian
b. Fritz-Hugh-Curtis
c. Ovarian hyperstimulation 
d. Stein-Leventhal
A

c. Ovarian hyperstimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
A hyperechoic linear strand of tissue extending from one wall of the uterine cavity to the other describes which one of the following?
Select one:
a. Adenomyosis
b. Decidua basalis
c. Uterine synechiae 
d. Normal proliferative phase
A

c. Uterine synechiae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
Which one of the following hormones and follicle size determine the approximate time of ovulation?
Select one:
a. Follicular stimulating hormone
b. Progesterone
c. Human chorionic gonadotropin
d. Estradiol
A

d. Estradiol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
The uterine anomaly most frequently associated with a high incidence of infertility is a \_\_\_\_\_\_\_\_\_\_\_ uterus.
Select one:
a. Septate 
b. Bicornuate
c. Didelphys
d. T-shaped
A

a. Septate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which one of the following statements about infertility is false?
Select one:
a. Infertility is the inability to conceive within 12 months with regular coitus.
b. Infertility affects one in three couples in the United States.
c. Infertility in 40% of patients is attributable to men.
d. Infertility in 20% of patients is attributable to either the man or the woman or is unexplained.

A

b. Infertility affects one in three couples in the United States.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
In the luteal phase, the endometrial lining may be thinner than expected from an inadequate level of which of the following?
Select one:
a. Estrogen
b. Progesterone
c. Luteinizing hormone
d. Follicular-stimulating hormone
A

b. Progesterone

17
Q

The T-shaped uterus is a congenital anomaly caused by which one of the following?
Select one:
a. In utero exposure to diethylstilbestrol (DES)
b. Partial fusion of the müllerian ducts
c. Incomplete fusion of the müllerian ducts
d. Exposure to radiation

A

a. In utero exposure to diethylstilbestrol (DES)

18
Q
A normal endometrial response associated with overstimulation is an increasing thickness between 2 to 3 mm and \_\_\_\_\_\_\_\_\_\_ mm.
Select one:
a. 7 to 10
b. 10 to 20
c. 12 to 14 
d. 20 to 25
A

c. 12 to 14

19
Q
Multiple gestations occur in approximately \_\_\_\_\_% of in vitro fertilization (IVF) pregnancies.
Select one:
a. 15
b. 30 
c. 50
d. 75
A

b. 30

20
Q
Endometrial thickness of at least \_\_\_\_\_\_ mm is necessary for achieving pregnancy.
Select one:
a. 4
b. 6 
c. 8
d. 10
A

b. 6

21
Q
After ovulation, progesterone is secreted by which one of the following?
Select one:
a. Graafian follicle
b. Follicular cyst
c. Corpus luteum 
d. Hyperstimulation
A

c. Corpus luteum

22
Q
Which one of the following is used as a substitute for luteinizing hormone (LH) to trigger ovulation?
Select one:
a. Clomid
b. Estradiol
c. Progesterone
d. Human chorionic gonadotropin (hCG)
A

d. Human chorionic gonadotropin (hCG)

23
Q
Ovarian induction therapy requires documentation of all follicles greater than \_\_\_\_\_ mm in both longitudinal and transverse planes.
Select one:
a. 5
b. 10 
c. 15
d. 17
A

b. 10

24
Q
Complications associated with assisted reproductive technologies include all of the following except:
Select one:
a. Hyperstimulation
b. Multiple gestations
c. Cervical stenosis
d. Ectopic pregnancy
A

c. Cervical stenosis

25
Q
Which one of the following tends to have a narrow base attachment to the endometrium with a vascular pedicle feeding it?
Select one:
a. Endometrial polyp
b. Submucosal fibroid
c. Endometrial carcinoma
d. Synechiae
A

a. Endometrial polyp