Ultrasound
Online CME Courses

Sonographic Assessment Of The Adnexa Quiz

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1. The transabdominal approach is contraindicated or limited with patients who are:

too thin

unable to fill their urinary bladders

obese

diagnosed with a posterior pelvic mass

2. The sonographer should answer all the following questions prior to completing the sonographic evaluation of the uterus except:

is a mass present?

is the mass the same as the clinician feels on examination?

how long has the mass been in the pelvis?

is this mass the cause of the patient's pain?


3. The ovary produces two hormones, the estrogen is secreted by the ____________, while the progesterone is secreted by the _____________.

follicles, corpus luteum

secretory, proliferative

follicles, corpusle

corpus luteum, nabothian


4. The dominant Graafian follicle usually reaches a size of _______mm by mid-cycle.

5-8

8-11

11-15

18-20


5. Which statement is false regarding the function of the ovary:

under the influence of luteinizing hormone and follicle-stimulating hormone the function is to mature oocytes until ovulation

the ovary synthesizes androgens

androgens are converted to testosterone

if fertilization occurs, corpus luteum produces progesterone to sustain pregnancy


6. The majority of ovarian masses are:

simple cysts

leiomyomas

dermoids

pelvic inflammatory disease


7. Common cystic ovarian masses may include all except:

follicular cyst

cystic teratoma

endometrioma

corpus luteum cyst


8. The primary criteria for a malignant ovarian mass includes all except:

diameter greater than 4 cm

associated with the acronym CHEETAH

thick wall or septum greater than 3 mm

presence of ascites or enlarged nodes


9. Which statement is not true:

The more sonographically complex the tumor, the more likely it is to be malignant

An ovary with a volume twice that of the opposite side should be considered abnormal

Doppler should be used when a mass is found to differentiate the mass from a vascular structure

An ovary with a volume one-half that of the opposite side should be considered abnormal


10. Patients with normal menstrual cycles are best scanned in the __________ days of the cycle:

first 10 days

first 15 days

last 10 days

last 15 days


11. Which statement is false regarding follicular cysts of the ovary:

A follicular cyst occurs when a mature follicle fails to ovulate or involute

The cystic mass will regress spontaneously

If the cyst remains for 3 cycles it is likely not functional

If a cyst less than 8cm persists in the premenopausal patient, it is likely simple


12. Characteristics of polycystic ovarian disease include all the following except:

fertility

oligomenorrhea

hirsutism

endocrinologic disorder


13. A cystic mass found in the broad ligament is most likely a :

theca lutein cyst

polycystic ovary

paraovarian cyst

follicular cyst


14. The most common sites for endometriosis to be found includes all except:

external surface of the uterus

the peritoneum

ovaries

kidneys


15. Sonographic findings for malignant tumors include the following characteristics except:

thick septations

thin septations

abnormal tumor vascularity

low resistive index


16. External factors that may support the presence of malignancy include all except:

extention to adjacent organs

peritoneal implants

pleural effusion

hepatic metastases


17. The tumor that is seen in childbearing women on ultrasound with fat-fluid levels or calcification most likely represents a:

mucinous cystadenoma

serious cystadenoma

dermoid tumor

dysgerminoma


18. Which statement is false regarding ectopic pregnancy?

free fluid may be seen in Morison's pouch

a small amount of echogenic free fluid always means a ruptured ectopic pregnancy

extrauterine gestational sacs often demonstrate a thickened echogenic ring separate from the ovary

an hCG greater than 1800 MIU should demonstrate a sac on ultrasound

19. The most common clinical findings in a patient with ovarian carcinoma include all except:

abdominal pain and bloating

ascites

constipation

weight loss


20. Which statement is false regarding torsion of the ovary:

Torsion is caused by partial or complete rotation of the ovarian pedicle on its axis

A palpable mass is felt in over half the patients

The left ovary is three times more likely to torse than the right

An enlarged edematous ovary is found on ultrasound with absence of blood flow in complete torsion