DMS 220 FINAL EXAMINATION ACTUAL EXAM COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR
most common site for endometriosis - ANSWER-Ovary
2nd most common site for endometriosis - ANSWER-Posterior cul-de-sac
endometriosis is known as a - ANSWER-Chocolate cyst
Sonographic endometriosis - ANSWER-Filled with old blood from repeated
episodes of slouching within implant, thick walled spherical mass, may be cystic,
solid or complex, 30%-50% are bilateral
Differential diagnosis of endometriosis - ANSWER-Pelvic inflammatory disease,
neoplasm, hemorrhagic corpus (luteum cyst), ectopic pregnancy
Most common cause PID - ANSWER-Sexual transmitted disease (chlamydia,
gonorrhea)
Fitzugh-Curtis syndrome - ANSWER-The result of PID progressing to peritonitis
or abscess, free fluid travels up to parabolic gutter and Morrison's Pouch
Hydrosalpinx described as - ANSWER-Sausage shape or tail shaped
3 layers of decidualized endometrium - ANSWER-Decidual Basalis, Decidual
Capsularis, Decidual Parietalis(Vera)
1
,Zona pellucida - ANSWER-Thick layer of extracellular matrix that surrounds the
egg
2 layers of the placenta - ANSWER-Inner layer amniotic sac, chorionic sac, yolk
sac is between the two layers
Morula - ANSWER-Solid cluster of undifferentiated cells formed by repeated
cleavage of the single cell that resulted from the fusion of two gametes
Definition of endometriosis - ANSWER-Growth and proliferation of endometrial
tissue outside the endometrium
Complications of endometriosis - ANSWER-Adhesions, scar formation, and
blockage of the fallopian tubes
Hydroponic growth of the endometrial glands and stroma responds to - ANSWER-
Hormonal stimulation of the ovulatory menstrual cycle
Endometrial implantations - ANSWER-Can be diffuse (scattered) or focal(66%) at
the pelvis
Other sites for endometrium locations - ANSWER-Broad ligament, uterosacral
ligament, pelvic lymph nodes, rectovaginal septum, fallopian tubes, cervix, vagina,
vulva
Rare implantation site for endometriosis - ANSWER-Previous surgery sites,
umbilicus, bladder, rectum, kidneys, extremities
2
, Malignant transformation of endometriosis most commonly - ANSWER-
Ovary(0.7%)
Fitzhugh-Curtis syndrome pain location - ANSWER-RUQ pain and tenderness,
right sides pleuritic pain
Stages of PID - ANSWER-1. Normal, 2. Endometritis, 3. Hydrosalpinx, 4.
Pyosalpinx, 5. Turbo-Ovarian abscess
Most serious complications of STD's - ANSWER-PID
Hydrosalpinx - ANSWER-Develops when fluid accumulates within a scarred
obstructed fallopian tube
Sonographic Hydrosalpinx Stage 2 - ANSWER-Located in the adnexa, anechoic
structure with good transmission, walls are thin if acute/chronic PID well defined
& thick(>5mm), it can be confused with an ovarian cyst/small cystadenoma
Blighted ovum (embryonic pregnancy) - ANSWER-Gestational sac but no yolk sac
or embryo
Embryonic pile (first trimester) - ANSWER-Pole should be visualized
TAU(transdiameter) when MSD(sac diameter) is 25mm or greater, Pole should be
visualized transnational when MSD is 16mm or greater
Lack of visualization may be indicative of - ANSWER-Blighted ovum (
anembryonic pregnancy)1
3
QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE
THIS YEAR
most common site for endometriosis - ANSWER-Ovary
2nd most common site for endometriosis - ANSWER-Posterior cul-de-sac
endometriosis is known as a - ANSWER-Chocolate cyst
Sonographic endometriosis - ANSWER-Filled with old blood from repeated
episodes of slouching within implant, thick walled spherical mass, may be cystic,
solid or complex, 30%-50% are bilateral
Differential diagnosis of endometriosis - ANSWER-Pelvic inflammatory disease,
neoplasm, hemorrhagic corpus (luteum cyst), ectopic pregnancy
Most common cause PID - ANSWER-Sexual transmitted disease (chlamydia,
gonorrhea)
Fitzugh-Curtis syndrome - ANSWER-The result of PID progressing to peritonitis
or abscess, free fluid travels up to parabolic gutter and Morrison's Pouch
Hydrosalpinx described as - ANSWER-Sausage shape or tail shaped
3 layers of decidualized endometrium - ANSWER-Decidual Basalis, Decidual
Capsularis, Decidual Parietalis(Vera)
1
,Zona pellucida - ANSWER-Thick layer of extracellular matrix that surrounds the
egg
2 layers of the placenta - ANSWER-Inner layer amniotic sac, chorionic sac, yolk
sac is between the two layers
Morula - ANSWER-Solid cluster of undifferentiated cells formed by repeated
cleavage of the single cell that resulted from the fusion of two gametes
Definition of endometriosis - ANSWER-Growth and proliferation of endometrial
tissue outside the endometrium
Complications of endometriosis - ANSWER-Adhesions, scar formation, and
blockage of the fallopian tubes
Hydroponic growth of the endometrial glands and stroma responds to - ANSWER-
Hormonal stimulation of the ovulatory menstrual cycle
Endometrial implantations - ANSWER-Can be diffuse (scattered) or focal(66%) at
the pelvis
Other sites for endometrium locations - ANSWER-Broad ligament, uterosacral
ligament, pelvic lymph nodes, rectovaginal septum, fallopian tubes, cervix, vagina,
vulva
Rare implantation site for endometriosis - ANSWER-Previous surgery sites,
umbilicus, bladder, rectum, kidneys, extremities
2
, Malignant transformation of endometriosis most commonly - ANSWER-
Ovary(0.7%)
Fitzhugh-Curtis syndrome pain location - ANSWER-RUQ pain and tenderness,
right sides pleuritic pain
Stages of PID - ANSWER-1. Normal, 2. Endometritis, 3. Hydrosalpinx, 4.
Pyosalpinx, 5. Turbo-Ovarian abscess
Most serious complications of STD's - ANSWER-PID
Hydrosalpinx - ANSWER-Develops when fluid accumulates within a scarred
obstructed fallopian tube
Sonographic Hydrosalpinx Stage 2 - ANSWER-Located in the adnexa, anechoic
structure with good transmission, walls are thin if acute/chronic PID well defined
& thick(>5mm), it can be confused with an ovarian cyst/small cystadenoma
Blighted ovum (embryonic pregnancy) - ANSWER-Gestational sac but no yolk sac
or embryo
Embryonic pile (first trimester) - ANSWER-Pole should be visualized
TAU(transdiameter) when MSD(sac diameter) is 25mm or greater, Pole should be
visualized transnational when MSD is 16mm or greater
Lack of visualization may be indicative of - ANSWER-Blighted ovum (
anembryonic pregnancy)1
3
