DMS 400 OB/GYN (WK 2) QUESTIONS WITH
COMPLETE SOLUTIONS
A 24-year-old woman has a fever, vaginal discharge, and intense
pelvic pain. Transabdominal and transvaginal images
demonstrate a complex multiloculated irregular mass in the
pouch of Douglas. This clinical presentation most likely
represents which one of the following?
Select one:
Ovarian torsion
Endometrioma
Degenerating pedunculated fibroid
A tuboovarian abscess Correct Answers A tuboovarian abscess
A 28-year-old woman presents to the emergency department
with increasing abdominal and pelvic pain. The patient states
that she has been treated twice within the last year for PID, but
she has not felt like this during the previous episodes. She thinks
she may have a pelvic infection again, but she is also having
pain in her right upper quadrant that is more severe when she
coughs or moves. What is the likely diagnosis?
a.Kidney stones
b.Gallbladder disease
c.Hepatitis
d.Fitz-Hugh-Curtis syndrome Correct Answers d.Fitz-Hugh-
Curtis syndrome
A 42-year-old woman with a history of breast cancer undergoes
a pelvic sonogram, which demonstrates cystic changes within
the endometrium. Which of the following is the most likely
cause of the endometrial appearance?
, a.Intramural fibroid
b.Tamoxifen changes
c.Adenomyosis
d.Submucosal fibroid Correct Answers b.Tamoxifen changes
A 48-year-old woman undergoes a pelvic sonogram because of
AUB. The uterus has a homogeneous echotexture, and the
endometrial thickness is 1.7 cm. Sonohysterography reveals
diffuse endometrial thickening with no intraluminal masses.
What is the most likely diagnosis?
a.Adenomyosis
b.Endometrial hyperplasia
c.Submucosal fibroid
d.Endometrial polyp Correct Answers b.Endometrial
hyperplasia
A 59-year-old woman with new-onset postmenopausal spotting
is seen. A pelvic sonogram is ordered, and the sonographer notes
no masses in the myometrium or adnexal region. From this
ultrasound image, what is the most likely diagnosis?
a.Endometrial polyp
b.Endometrial carcinoma
c.Endometrial Atrophy
d.Endometrial Hyperplasia Correct Answers c.Endometrial
Atrophy
A 75-year-old female patient presents for ultrasound
examination with a history of vaginal bleeding and pelvic pain
for one week. Upon examination, the sonographer visualizes a
uterus that measures 8.5 x 4.5 x 4.2 cm. The endometrium
measures 10 mm in thickness. This is suggestive of?
COMPLETE SOLUTIONS
A 24-year-old woman has a fever, vaginal discharge, and intense
pelvic pain. Transabdominal and transvaginal images
demonstrate a complex multiloculated irregular mass in the
pouch of Douglas. This clinical presentation most likely
represents which one of the following?
Select one:
Ovarian torsion
Endometrioma
Degenerating pedunculated fibroid
A tuboovarian abscess Correct Answers A tuboovarian abscess
A 28-year-old woman presents to the emergency department
with increasing abdominal and pelvic pain. The patient states
that she has been treated twice within the last year for PID, but
she has not felt like this during the previous episodes. She thinks
she may have a pelvic infection again, but she is also having
pain in her right upper quadrant that is more severe when she
coughs or moves. What is the likely diagnosis?
a.Kidney stones
b.Gallbladder disease
c.Hepatitis
d.Fitz-Hugh-Curtis syndrome Correct Answers d.Fitz-Hugh-
Curtis syndrome
A 42-year-old woman with a history of breast cancer undergoes
a pelvic sonogram, which demonstrates cystic changes within
the endometrium. Which of the following is the most likely
cause of the endometrial appearance?
, a.Intramural fibroid
b.Tamoxifen changes
c.Adenomyosis
d.Submucosal fibroid Correct Answers b.Tamoxifen changes
A 48-year-old woman undergoes a pelvic sonogram because of
AUB. The uterus has a homogeneous echotexture, and the
endometrial thickness is 1.7 cm. Sonohysterography reveals
diffuse endometrial thickening with no intraluminal masses.
What is the most likely diagnosis?
a.Adenomyosis
b.Endometrial hyperplasia
c.Submucosal fibroid
d.Endometrial polyp Correct Answers b.Endometrial
hyperplasia
A 59-year-old woman with new-onset postmenopausal spotting
is seen. A pelvic sonogram is ordered, and the sonographer notes
no masses in the myometrium or adnexal region. From this
ultrasound image, what is the most likely diagnosis?
a.Endometrial polyp
b.Endometrial carcinoma
c.Endometrial Atrophy
d.Endometrial Hyperplasia Correct Answers c.Endometrial
Atrophy
A 75-year-old female patient presents for ultrasound
examination with a history of vaginal bleeding and pelvic pain
for one week. Upon examination, the sonographer visualizes a
uterus that measures 8.5 x 4.5 x 4.2 cm. The endometrium
measures 10 mm in thickness. This is suggestive of?
