Ob/Gyn 10 (Ultrasound Ob/Gyn Exam Sample Questions)

Ob/Gyn

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Question 1
What would be most likely represented by a well defined, mostly cystic structure with internal echoes and posterior enhancement? In early stages if can be confused with a hemorrhagic cyst.
A
Tubo-Ovarian Abcess (TOA)
B
Functioning cyst
C
Endometrioma
D
Theca Lutein Cysts
Question 2
Name the specific location that endometriosis is found.
A
Endometrium
B
Endometriomas can be found in almost any area of the body.
C
Ovaries
D
Uterus
Question 2 Explanation: 
Endometriosis is a condition in which bits of the tissue similar to the lining of the uterus (endometrium) grow in other parts of the body.
Question 3
Fluid filled bowel, dilated distal ureter, omental cyst, ovarian cyst, Tubo-Ovarian Abcess (TOA) can all be a differential diagnosis of what?
A
Hydrosalpinx
B
Ectopic Pregnancy
C
Endometriosis
D
Leiomiomas
Question 3 Explanation: 
A true diagnosis of hydrosalpinx is defined as tubular mass with the waist sign or a tubular mass with small round projections.
Question 4
Pelvic Inflammatory Disease (PID), endometriosis and post operative adhesions can all cause what?
A
Leiomiomas
B
Hydrosalpinx
C
Tubo-Ovarian Abcess (TOA)
D
Ectopic Pregnancy
Question 5
Pelvic Inflammatory Disease (PID), endometriosis and post operative adhesions can all cause what?
A
Ectopic Pregnancy
B
Hydrosalpinx
C
Tubo-Ovarian Abcess (TOA)
D
Leiomiomas
Question 6
What percentage of Teratomas are malignant?
A
30%
B
12%
C
25%
D
<3%
Question 6 Explanation: 
Approximately 30% are malignant, especially if found in the pre-adolescent female.
Question 7
Which type of scan is more accurate for the measurement of the endometrium?
A
Transabdominal with Harmonics
B
Hysterosalpingogram
C
Transvaginal
D
Transabdominal
Question 7 Explanation: 
Hysterosalpingogram is to evaluate the Fallopian Tubes. Hysterosonogram would be a great method to evaluate the endometrial lining.
Question 8
The decidua parietalis (that lines the uterine cavity) and decidua capsularis (lines the gestational sac) are seen as two concentric rings surrounding an anechoic gestational sac. What do these represent?
A
Early placenta
B
Amnion/Chorion
C
Blighted ovum
D
Double Decidual Sac Sign
Question 8 Explanation: 
The decidual reaction or double sac sign are seen on an early pregnancy. Where the two adhere (the decidua basalis) is the site of future placental formation.
Question 9
Which stromal tumor is the most common hormone-active estrogenic tumor of the ovary but rarely found? (1-3%)
A
Thecoma
B
Granulosa Cell Tumor
C
Fibroma
D
Arrhenoblastoma
Question 9 Explanation: 
Thecoma and Fibroma are the most common stromal tumors but they are not hormone active. Arrhenoblastoma is hormone active but even more rare (0.5%).
Question 10
What syndrome describes the effect of the uterine wall sticking together due to the lack of endometrium.
A
Patau's Syndrome
B
Endometrial Hypoplasia
C
Endometriosis
D
Atherman's Syndrome
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