Deck 44: Pathology of the Ovaries

Question 1

An ovary is generally considered abnormal if its volume is _____ the size of the contralateral ovary.

A) one half
B) twice
C) three times
D) one quarter

Answer 1

B

Question 2

The dermoid tumor is typically associated with which one of the following ultrasound signs?

A) Sandwich
B) Silhouette
C) Tip of the iceberg
D) Mickey Mouse

Answer 2

C

Question 3

A specific diagnosis of a paraovarian cyst is possible only by:

A) intervening surgically.
B) demonstrating an ipsilateral ovary separate from the cyst.
C) demonstrating thin deformable walls.
D) demonstrating a lack of peripheral blood flow.

Answer 3

B

Question 4

Which one of the following masses is a rare but benign ovarian neoplasm most often seen in postmenopausal women?

A) Fibroma
B) Thecoma
C) Granulosa
D) Dysgerminoma

Question 5

The most common adnexal mass found during early pregnancy is which one of the following cysts?

A) Corpus luteal
B) Theca-lutein
C) Follicular
D) Paraovarian

Question 6

Mucinous cystadenocarcinoma most frequently occurs in women over the age of _______ years.

A) 20
B) 30
C) 40
D) 50

Question 7

In PCOS, the ovaries have which one of the following shapes?

A) Rounded
B) Irregular
C) Elongated
D) Smooth

Question 8

A tumor that may mimic gas or feces in the pelvis is which one of the following masses?

A) Leiomyoma
B) Lipoma
C) Granulosa
D) Dermoid

Question 9

Ovarian carcinoma is classified into four stages. Stage II is limited to which one of the following?

A) Pelvis
B) One ovary
C) Broad ligament
D) Two ovaries

Question 10

A hypoechoic mass adjacent to the ovary is most likely which one of the following masses?

A) Teratoma
B) Endometrioma
C) Paraovarian cyst
D) Mucinous cystadenoma

Question 11

Which one of the following cysts occurs when a dominant follicle does not succeed in ovulating but remains active although immature?

A) Nabothian
B) Corpus luteum
C) Follicular
D) Paraovarian

Question 12

Sonographic criteria for a simple ovarian cyst include all of the following except:

A) anechoic appearance.
B) smooth walls.
C) posterior shadowing.
D) acoustic enhancement.

Question 13

A mucinous cystadenoma is all of the following except:

A) a large cystic mass with multilocular cystic spaces.
B) unilateral.
C) the most common cystic tumor.
D) thick with irregular walls and septations.

Question 14

Paraovarian cysts arise from which one of the following structures?

A) Fallopian tube
B) Round ligament
C) Peritoneum
D) Broad ligament

Question 15

Which one of the following pelvic organs is more commonly involved with metastatic disease?

A) Uterus
B) Ovaries
C) Bladder
D) Fallopian tubes

Question 16

Simple ovarian cysts in postmenopausal women are not likely malignant when measuring less than _____ centimeters (cm).

A) 3
B) 4
C) 5
D) 6

Question 17

Theca-lutein cysts are associated with high levels of which one of the following hormones?

A) Estrogen
B) Progesterone
C) Luteinizing hormone
D) Human chorionic gonadotropin (hCG)

Question 18

The most common benign tumor of the ovary is which one of the following masses?

A) Serous cystadenoma
B) Endometrioma
C) Dermoid tumor
D) Mucinous cystadenoma

Question 19

Which one of the following statements about polycystic ovarian syndrome (PCOS) is false?

A) PCOS includes amenorrhea.
B) PCOS includes early pregnancy loss.
C) PCOS occurs in the middle-to-late 30s.
D) PCOS includes hirsutism.

Question 20

The normal ovary exhibits which one of the following characteristic appearances?

A) Heterogeneous echotexture
B) Homogeneous echotexture
C) Central hypoechoic medulla
D) Both a heterogeneous echotexture and a central hypoechoic medulla

Question 21

Which one of the following endocrine disorders is associated with chronic anovulation?

A) Polycystic ovarian syndrome
B) Endometriosis
C) Ovarian hyperstimulation syndrome
D) Theca-lutein cysts

Question 22

Which one of the following statements about ovarian torsion is false?

A) Ovarian torsion is usually associated with a mass.
B) Torsion frequently involves the ovary and the fallopian tube.
C) The ovary appears enlarged.
D) The left ovary is three times more likely to develop torsion than the right.

Question 23

Functioning endometrial tissue is present outside of the uterus in which one of the following common conditions?

A) Adenomyosis
B) Endometriosis
C) Endometritis
D) Hemorrhagic cyst

Question 24

The partial or complete rotation of the ovarian pedicle on its axis is defined as which one of the following?

A) Hemorrhagic cyst
B) Endometrioma
C) Paraovarian cyst
D) Ovarian torsion