Deck 45: Pathology of the Adnexa

Question 1

Sexually transmitted PID is spread via which one of the following?

A) Bloodstream
B) Mucosa
C) Serosa
D) Fallopian tubes

Answer 1

B

Question 2

The differential considerations of PID may include all of the following except:

A) dermoid.
B) endometriosis.
C) serous cystadenoma.
D) ovarian neoplasm.

Answer 2

C

Question 3

The differential considerations of a solid-appearing adnexal mass include all of the following except:

A) endometrioma.
B) hemorrhagic cyst.
C) hydrosalpinx.
D) pedunculated uterine fibroid.

Answer 3

C

Question 4

Fusion of the inflamed dilated tube and ovary is called which one of the following?

A) A tubo-ovarian abscess
B) Pyosalpinx
C) Pelvic inflammatory disease
D) Tubo-ovarian complex

Question 5

Risk factors in pelvic inflammatory disease (PID) include all of the following except:

A) early sexual contact.
B) single sexual partner.
C) sexually transmitted disease.
D) intrauterine contraceptive device.

Question 6

An asymptomatic 32-year-old woman is diagnosed with a left adnexal mass on physical examination. A history of PID has been reported. Transabdominal and transvaginal images demonstrate an anechoic tubular structure in the left lower quadrant. This finding most likely represents which one of the following?

A) Iliac vessels
B) Hydrosalpinx
C) Theca-lutein cysts
D) Ectopic pregnancy

Question 7

Early in the disease, the clinical presentation of both PID and endometriosis may mimic which one of the following?

A) Para-ovarian cyst
B) Subserosal fibroid
C) Functional bowel disease
D) Adenomyosis

Question 8

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?

A) Ovarian torsion
B) A tubo-ovarian abscess
C) Degenerating pedunculated fibroid
D) Endometrioma

Question 9

Sonographic findings of PID include all of the following except:

A) endometritis.
B) endometriosis.
C) peri-ovarian inflammation.
D) salpingitis.

Question 10

Which one of the following statements about the fallopian tube is false?

A) The normal lumen is not usually visualized.
B) Detection is easier if fluid or pus is in the tube.
C) The tube is best seen transabdominally.
D) Ascites is helpful to outline the tube.

Question 11

Which one of the following statements about PID is false?

A) PID is almost always a bilateral collection of pus and fluid.
B) Patients may experience pelvic pain and have a history of infertility.
C) PID includes vaginal discharge with bleeding.
D) PID confers a decreased risk of ectopic pregnancy.

Question 12

Clinical symptoms of PID may include which one of the following?

A) Fever
B) Dull pelvic aching
C) No symptoms
D) Fever and dull pelvic aching

Question 13

A complex adnexal mass most likely represents which one of the following?

A) Salpingitis
B) Hydrosalpinx
C) Oophoritis
D) Pyosalpinx

Question 14

Which one of the following is an infection in the fallopian tube?

A) Parametritis
B) Oophoritis
C) Hydrosalpinx
D) Salpingitis

Question 15

Enlarged ovaries with multiple cysts and indistinct margins describes which of the following conditions?

A) Peri-ovarian inflammation
B) Tubo-ovarian complex
C) Para-ovarian inflammation
D) Oophoritis

Question 16

PID is an inclusive term that refers to all of the following pelvic infections except:

A) oophoritis.
B) endometriosis.
C) parametritis.
D) myometritis.

Question 17

Perihepatic inflammation ascending from a pelvic infection is called ____________ syndrome.

A) Stein-Leventhal
B) Fritz-Hugh-Curtis
C) Turner's
D) de Quervain's

Question 18

An infection that involves the fallopian tube and the ovary is called which one of the following conditions?

A) Pelvic inflammatory disease
B) Tubo-ovarian abscess (TOA)
C) Pyosalpinx
D) Salpingitis

Question 19

Which one of the following is an infection within the uterine serosa and broad ligaments?

A) PID
B) Parametritis
C) Myometritis
D) Peri-ovarian inflammation

Question 20

Which one of the following is the most common cause of PID?

A) Intrauterine devices
B) Sexually transmitted diseases
C) Postsurgical complications
D) Endometritis

Question 21

Which one of the following statements about interventional pelvic sonography is true?

A) Is not a valuable diagnostic tool
B) Lacks a safe biopsy route
C) Decreases patient care
D) Decreases patient cost

Question 22

Which one of the following statements about diffuse endometriosis is false?

A) It is the most common form of endometriosis.
B) Endometriosis is easily diagnosed by sonography.
C) Endometriosis leads to the disorganization of pelvic anatomy.
D) Its appearance is similar to PID.

Question 23

Inflammation of the serous membrane lining the abdominal cavity and covering the viscera is which one of the following?

A) Periangitis
B) Omentitis
C) Peritonitis
D) Retroperitonitis

Question 24

A pelvic abscess will likely appear as which one of the following?

A) Complex cul-de-sac mass that distorts the pelvic anatomy
B) Hypoechoic adnexal mass with a separate normal ovary
C) Complex ovarian mass with anechoic cul-de-sac fluid
D) Hypoechoic cul-de-sac mass

Question 25

A 25-year-old woman complains of painful menstrual cycles and infertility. Transabdominal and transvaginal images demonstrate a hypoechoic well-defined adnexal mass. Normal ovaries are seen bilaterally. This sonographic appearance most likely represents which one of the following?

A) A tubo-ovarian abscess
B) Para-ovarian cyst
C) Endometrioma
D) Hemorrhagic corpus luteum cyst