DMS- Gynecology Sonography 1 Midterm Review and Final
Review Questions With Complete Solutions
A 16-year-old patients with complaints of a sudden onset of
right lower pain, nausea, and vomiting. Her clinician palpated a
large mass on the right side without rebound tenderness. The
sonographic examination revealed a large ovary with dilated
vessels and fluid in the posterior cul-de-sac. A color doppler
study revealed lack of flow in the right ovary. What is the most
likely cause for this finding? Correct Answers Ovarian torsion
A 26-year-old patient presents to the department with
complaints of urinary pain without a bladder infection and
painful periods. She has chronic pain that varies in intensity
during her cycle. The transverse endovaginal image
demonstrates bilateral complex masses. Select the most likely
differential for these findings. Correct Answers Endometriomas
A 35-year-old woman presents with an acute onset of pain with
bloating and a palpable mass. During the sonographic
examination a uniocular mass with low-level debris and thin
walls images. What is the most likely differential for these
findings? Correct Answers Serous cystadenoma
A 37-year-old patient presents with complaints of a sudden
onset of left lower pain, nausea, and vomiting. Her clinician
palpated a large mass on the left side. The sonographic
examination revealed a large hypoechoic ovary. What should the
sonographer take to aid in diagnosis? Correct Answers Check
for flow with doppler
,A 40-year-old woman presents with complaints of an enlarged,
tender uterus with abnormal bleeding. She has a pregnancy
history of G4P3A1. After viewing the image, what is the most
likely differential for the patient symptoms and sonographic
findings? Correct Answers Adenomyosis
A patient with a recent renal transplant complains of pressure
and urinary frequency. Sonographic imaging demonstrates a
septated, well defined mass lateral to the bladder. What is the
most likely cause for this finding? Correct Answers
Lymphocele
A pregnancy in one uterus with a decidual reaction in a 2nd
uterus describes which congenital malformation? Correct
Answers Didelphic uterus
A rapid increase in a uterine mass in a 30-year-old woman raises
suspicion for: Correct Answers Gestational trophoblastic
disease
A set routine for performance of an examination is called a
___________? Correct Answers Protocol
An 18-year-old presents to the department with complaints of
intermittent left lower quadrant pain. Though she has not missed
any periods, her clinician ran a pregnancy test which came up
positive. the sonographic examination revealed a solid mass
with calcification's and multiple small cysts in the left side apart
from the uterus. What is the most likely cause for these findings.
Correct Answers Immature teratoma
, An 8-year-old presents to the department with a history of early
onset puberty, increasing abdominal girth, breast tenderness, and
right sided pain. During the sonographic examination, a
unilateral multioculated, 8-centimeter mass with low-level
internal echo images. What is the most likely differential for
these findings? Correct Answers Granulosa cell tumor
Choose the definition for blood-filled ovarian cyst resulting
from endometrial implants. Correct Answers Endometrioma
Choose the differential for sonographic findings of hydrosalpinx
in a 50-year-old female patient. Correct Answers Fallopian tube
carcinoma
Choose the FIGO stage for cancer limited to one ovary, capsule
intact and free of tumor, no ascites, and negative peritoneal
cytology. Correct Answers IA
Choose the hormone responsible for female sexual
characteristics. Correct Answers Estrogen
Choose the least common malignant ovarian cancer. Correct
Answers Androblastoma
Choose the phase that overlaps the menstrual phase. Correct
Answers Proliferative phase
Choose the primary sex hormone produced by ovarian follicles.
Correct Answers Estradiol
Review Questions With Complete Solutions
A 16-year-old patients with complaints of a sudden onset of
right lower pain, nausea, and vomiting. Her clinician palpated a
large mass on the right side without rebound tenderness. The
sonographic examination revealed a large ovary with dilated
vessels and fluid in the posterior cul-de-sac. A color doppler
study revealed lack of flow in the right ovary. What is the most
likely cause for this finding? Correct Answers Ovarian torsion
A 26-year-old patient presents to the department with
complaints of urinary pain without a bladder infection and
painful periods. She has chronic pain that varies in intensity
during her cycle. The transverse endovaginal image
demonstrates bilateral complex masses. Select the most likely
differential for these findings. Correct Answers Endometriomas
A 35-year-old woman presents with an acute onset of pain with
bloating and a palpable mass. During the sonographic
examination a uniocular mass with low-level debris and thin
walls images. What is the most likely differential for these
findings? Correct Answers Serous cystadenoma
A 37-year-old patient presents with complaints of a sudden
onset of left lower pain, nausea, and vomiting. Her clinician
palpated a large mass on the left side. The sonographic
examination revealed a large hypoechoic ovary. What should the
sonographer take to aid in diagnosis? Correct Answers Check
for flow with doppler
,A 40-year-old woman presents with complaints of an enlarged,
tender uterus with abnormal bleeding. She has a pregnancy
history of G4P3A1. After viewing the image, what is the most
likely differential for the patient symptoms and sonographic
findings? Correct Answers Adenomyosis
A patient with a recent renal transplant complains of pressure
and urinary frequency. Sonographic imaging demonstrates a
septated, well defined mass lateral to the bladder. What is the
most likely cause for this finding? Correct Answers
Lymphocele
A pregnancy in one uterus with a decidual reaction in a 2nd
uterus describes which congenital malformation? Correct
Answers Didelphic uterus
A rapid increase in a uterine mass in a 30-year-old woman raises
suspicion for: Correct Answers Gestational trophoblastic
disease
A set routine for performance of an examination is called a
___________? Correct Answers Protocol
An 18-year-old presents to the department with complaints of
intermittent left lower quadrant pain. Though she has not missed
any periods, her clinician ran a pregnancy test which came up
positive. the sonographic examination revealed a solid mass
with calcification's and multiple small cysts in the left side apart
from the uterus. What is the most likely cause for these findings.
Correct Answers Immature teratoma
, An 8-year-old presents to the department with a history of early
onset puberty, increasing abdominal girth, breast tenderness, and
right sided pain. During the sonographic examination, a
unilateral multioculated, 8-centimeter mass with low-level
internal echo images. What is the most likely differential for
these findings? Correct Answers Granulosa cell tumor
Choose the definition for blood-filled ovarian cyst resulting
from endometrial implants. Correct Answers Endometrioma
Choose the differential for sonographic findings of hydrosalpinx
in a 50-year-old female patient. Correct Answers Fallopian tube
carcinoma
Choose the FIGO stage for cancer limited to one ovary, capsule
intact and free of tumor, no ascites, and negative peritoneal
cytology. Correct Answers IA
Choose the hormone responsible for female sexual
characteristics. Correct Answers Estrogen
Choose the least common malignant ovarian cancer. Correct
Answers Androblastoma
Choose the phase that overlaps the menstrual phase. Correct
Answers Proliferative phase
Choose the primary sex hormone produced by ovarian follicles.
Correct Answers Estradiol
