CMI 353 EXAM 1 QUESTIONS AND ANSWERS
Commonly referred as fibroids, are common benign neoplasms of the uterus - CORRECT
ANSWER✅✅What is a Leiomyoma?
Anechoic, thin walls, simple cysts have a thing called posterior wall enhancement - CORRECT
ANSWER✅✅What are characteristics to identify simple cyst?
No distal shadowing, they have thin-edge shadows - CORRECT ANSWER✅✅Does simple cyst produce
distal shadowing (do they have shadows)?
- Submucosal (within the endometrium)
- Intramural (within the myometrium)
- Subserosal (serosal surface of the uterus)
- Submucosal and subserosal are pedunculated on a stalk - CORRECT ANSWER✅✅What are the types of
fibroids?
Shaggy, irregular endometrium with gas increasing over time - CORRECT ANSWER✅✅What does
endometritis look like on ultrasound?
- Known as the Pouch of Douglas, it is a potential space and pelvic abscesses and hematomas can occur
in this
- Some free fluid is normal, especially in young females
- It is located between the vagina and rectum - CORRECT ANSWER✅✅What is the posterior cul-de-sac?
- Is where the ovary lies in and on the lateral pelvic wall
- Also known as Waldeyer fossa
- The ovary is attached anteriorly to the posterior surface of the broad ligament by the mesovarium -
CORRECT ANSWER✅✅What is ovarian fossa?
- The right ovarian vein drains into the inferior vena cava
, - The left ovarian vein drains into the left renal vein - CORRECT ANSWER✅✅What does the right and
left ovarian vein drain into?
- Patient should have an empty bladder
- Transducer is prepped with condom prior to insertion
- Can help examine obese patients
- Better evaluation of retroflexed or retroverted uterus
- Better detail and characterization of pelvic masses
- Improved assessment of endometrium
- Higher frequency transducer but field of view is less than trasnabdominal - CORRECT
ANSWER✅✅Characteristics of Transvaginal pelvic ultrasound
- Procedure must be done with a full bladder (helps to visualize the uterus easier)
- 5-3.5 MHz curvilinear transducer
- Image the uterus in 2 planes, the ovaries in 2 planes, and the adnexa in 1 plane - CORRECT
ANSWER✅✅Characteristics of Transabdominal pelvic ultrasound
- Procedure that assesses the endometrium and submucosal fibroids
- Involves the instillation of sterile saline solution or sterile gel into the vaginal cavity - CORRECT
ANSWER✅✅Characteristics of Sonohystogram
2.5-5 cm - CORRECT ANSWER✅✅What is the average size of a premenopausal ovary?
2-3 cm - CORRECT ANSWER✅✅What is the average size of a postmenopausal ovary?
- Nabothian (Inclusion) cysts
- Cervical Polyps - CORRECT ANSWER✅✅What simple cysts occur in the cervix?
- Gartner Duct cysts - CORRECT ANSWER✅✅What simple cysts occur in the vagina?
Commonly referred as fibroids, are common benign neoplasms of the uterus - CORRECT
ANSWER✅✅What is a Leiomyoma?
Anechoic, thin walls, simple cysts have a thing called posterior wall enhancement - CORRECT
ANSWER✅✅What are characteristics to identify simple cyst?
No distal shadowing, they have thin-edge shadows - CORRECT ANSWER✅✅Does simple cyst produce
distal shadowing (do they have shadows)?
- Submucosal (within the endometrium)
- Intramural (within the myometrium)
- Subserosal (serosal surface of the uterus)
- Submucosal and subserosal are pedunculated on a stalk - CORRECT ANSWER✅✅What are the types of
fibroids?
Shaggy, irregular endometrium with gas increasing over time - CORRECT ANSWER✅✅What does
endometritis look like on ultrasound?
- Known as the Pouch of Douglas, it is a potential space and pelvic abscesses and hematomas can occur
in this
- Some free fluid is normal, especially in young females
- It is located between the vagina and rectum - CORRECT ANSWER✅✅What is the posterior cul-de-sac?
- Is where the ovary lies in and on the lateral pelvic wall
- Also known as Waldeyer fossa
- The ovary is attached anteriorly to the posterior surface of the broad ligament by the mesovarium -
CORRECT ANSWER✅✅What is ovarian fossa?
- The right ovarian vein drains into the inferior vena cava
, - The left ovarian vein drains into the left renal vein - CORRECT ANSWER✅✅What does the right and
left ovarian vein drain into?
- Patient should have an empty bladder
- Transducer is prepped with condom prior to insertion
- Can help examine obese patients
- Better evaluation of retroflexed or retroverted uterus
- Better detail and characterization of pelvic masses
- Improved assessment of endometrium
- Higher frequency transducer but field of view is less than trasnabdominal - CORRECT
ANSWER✅✅Characteristics of Transvaginal pelvic ultrasound
- Procedure must be done with a full bladder (helps to visualize the uterus easier)
- 5-3.5 MHz curvilinear transducer
- Image the uterus in 2 planes, the ovaries in 2 planes, and the adnexa in 1 plane - CORRECT
ANSWER✅✅Characteristics of Transabdominal pelvic ultrasound
- Procedure that assesses the endometrium and submucosal fibroids
- Involves the instillation of sterile saline solution or sterile gel into the vaginal cavity - CORRECT
ANSWER✅✅Characteristics of Sonohystogram
2.5-5 cm - CORRECT ANSWER✅✅What is the average size of a premenopausal ovary?
2-3 cm - CORRECT ANSWER✅✅What is the average size of a postmenopausal ovary?
- Nabothian (Inclusion) cysts
- Cervical Polyps - CORRECT ANSWER✅✅What simple cysts occur in the cervix?
- Gartner Duct cysts - CORRECT ANSWER✅✅What simple cysts occur in the vagina?
