Chapter 45 -

Question 1

1. An infection that involves the fallopian tube and the ovary is called which one of the following conditions? a. Pelvic inflammatory disease b. Tubo-ovarian abscess (TOA) c. Pyosalpinx d. Salpingitis

Answer 1

B

Question 2

2. Risk factors in pelvic inflammatory disease (PID) include all of the following except: a. Early sexual contact b. Single sexual partner c. Sexually transmitted disease d. Intrauterine contraceptive device

Answer 2

B

Question 3

3. Which one of the following statements about PID is false? a. PID is almost always a bilateral collection of pus and fluid. b. Patients may experience pelvic pain and have a history of infertility. c. PID includes vaginal discharge with bleeding d. PID confers a decreased risk of ectopic pregnancy

Answer 3

d. PID confers a decreased risk of ectopic pregnancy

Question 4

4. Which one of the following statements about the fallopian tube is false? a. The normal lumen is not usually visualized. b. Detection is easier if fluid or pus is in the tube. c. The tube is best seen transabdominally d. Ascites is helpful to outline the tube.

Answer 4

C

Question 5

5. Which one of the following is an infection in the fallopian tube? a. Parametritis b. Oophoritis c. Pyosalpinx d. Salpingitis

Answer 5

D

Question 6

Early in the disease, the clinical presentation of both PID and endometriosis may mimic which one of the following? a. Para-ovarian cyst b. Subserosal fibroid c. Functional bowel disease d. Adenomyosis

Answer 6

C

Question 7

7. PID is an inclusive term that refers to all of the following pelvie infections except: a. Oophoritis b. Endometriosis c. Parametritis d. Myometritis

Answer 7

B

Question 8

8. Which one of the following is the most common cause of PID? a. Intrauterine devices b. Sexually transmitted diseases c. Postsurgical complications d. Endometritis

Answer 8

B

Question 9

9. Fusion of the inflamed dilated tube and ovary is called which one of the following? a. A tuboovarian abscess b. Pyosalpinx c. Pelvic inflammatory disease d. Tubo-ovarian complex

Answer 9

D

Question 10

10. Which one of the following is an infection within the uterine serosa and broad ligaments? a. PID b. parametritis c. myometeritis d. peri-ovarian inflammation

Answer 10

B

Question 11

11. Clinical symptoms of PID may include which one of the following? a. Fever b. Dull pelvic aching c. No symptoms d. Fever and dull pelvic aching

Answer 11

D

Question 12

12. The differential considerations of a solid-appearing adnexal mass include all of the following except: a. Endometrioma b. Hemorrhagic cyst c. Hydrosalpinx d. Pedunculated uterine fibroid

Answer 12

C

Question 13

13. The differential considerations of PID may include all of the following except: a. Dermoid b. Endometriosis c. Serous cystadenoma d. Ovarian neoplasm

Answer 13

C

Question 14

14. Sonographic findings of PID include all of the following except: a. Endometritis b. Endometriosis c. Peri-ovarian inflammation d. Salpingitis

Answer 14

B

Question 15

15. Enlarged ovaries with multiple cysts and indistinct margins describe which one of the following conditions? a. Peri-ovarian inflammation b. Tubo-ovarian complex c. Para-ovarian inflammation d. Oophoritis

Answer 15

A

Question 16

16. Sexually transmitted PID is spread via which one of the following? a. Bloodstream b. Mucosa c. Serosa d. Fallopian tubes

Answer 16

B

Question 17

17. A complex (tubular) adnexal mass most likely represents which on of the following?
    a. salpingitis
    b. Hydrosalpinx
    c. Oophoritis
    d. Pyosalpinx

Answer 17

D

Question 18

18. Perihepatic inflammation ascending from a pelvic infection is called ____syndrome a. Stein-Leventhal b. Fritz-Hugh-Curtis c. Turner d. de Quervain

Answer 18

B

Question 19

9. An asymptomatic 32-year-old woman is diagnosed with a left adnexal mass on transvaginal images demonstrate an anechoic tubular structure in the left lower physical examination. A history of PID has been reported. Transabdominal and quadrant. This finding most likely represents which one of the following? a. Iliac vessels b. Hydrosalpinx c. Theca-lutein cysts d. Ectopic pregnancy

Answer 19

B

Question 20

20. A 24-year-old woman h as a fever, vaginal discharge, and intense pelvic pain Transabdominal and transvaginal images demonstrate a complex mu ltiloculated irregular mass in the pouch of Douglas. This clinical presentation mos t likely represents which one of the following? a. Ovarian torsion b. A tuboovarian abscess c. Degenerating pedunculated fibroid d. Endometrioma

Answer 20

B

Question 21

21. A 25-year-old woman complains of painful menstrual cycles and infertility Transabdominal and transvaginal images demonstrate a hypoechoic well-defined adnexal mass. Normal ovaries are seen bilaterally. This sonographic appearance most likely represents which one of the following? a. A tubo-ovarian abscess b. Para-ovarian cyst c. Endometrioma d . Hemorrhagic corpus luteum cyst

Answer 21

C

Question 22

22. Which one of the following statements about diffuse endometriosis is false? a. It is the most common form of endometriosis. b. Endometriosis is easily diagnosed by sonography. c. Endometriosis leads to the disorganization of pelvic anatomy d. Its appearance is similar to PID.

Answer 22

B

Question 23

23. Inflamm ation of the serous membrane lining the abdominal cavity and covering the viscera is which one of the following? a. Periangitis b. Omentitis c. Peritonitis d. Retroperitonitis

Answer 23

C

Question 24

24. A pelvic abscess is will likely appear as which one of the following? a. Complex cul-de-sac mass that distorts the pelvic anatomy b. Hypoechoic adnexal mass with a separate normal ovary c. Complex ovarian mass with anechoic cul-de-sac fluid d. Hypoechoic cul-de-sac mass

Answer 24

A

Question 25

25. Which one of the following statements about interventional pelvic sonography is true? a. Is not a valuable diagnostic tool. b. Lacks a safe biopsy route. c. Decreases patient care. d. Decreases patient cost.

Answer 25

D