Question 1

Depending on the menstrual cycle, the inner lining of the uterine cavity that appears echogenic to hypoechoic on ultrasound is which one of the following structures?

Accepted Answer

A)   Myometrium
B)   Perineum
C)   Endouterine
D)   EndometriumE) B) and D)
F) All of the above

Question 2

The middle layer of the uterus is which one of the following?

Accepted Answer

A)   Serosa
B)   Endometrium
C)   Body
D)   MyometriumE) A) and B)
F) B) and C)

Question 3

On the sagittal image with endovaginal sonography, the cervix of an anteverted uterus is seen in the _____________ of the screen, whereas the fundus of the anteverted uterus is found in the _____________ of the screen.

Accepted Answer

A)   upper portion; lower portion
B)   right side; lower portion
C)   left side; right side
D)   right side; left sideE) A) and B)
F) A) and C) D

Question 4

Which one of the following techniques uses a catheter inserted into the endometrial cavity with the insertion of saline or contrast media to fill the endometrial cavity to demonstrate abnormalities within the cavity or uterine tube?

Accepted Answer

A)   Transvaginal
B)   Perineal
C)   Sonohysterography
D)   TransendometrographyE) A) and B)
F) A) and C)

Question 5

Which one of the following techniques is the best way to measure the cervical-fundal dimension of the uterus?

Accepted Answer

A)   Transvaginal
B)   Translabial
C)   Transabdominal
D)   EndorectalE) B) and D)
F) B) and C)

Question 6

The thickness of the endometrium should be measured in which one of the following planes?

Accepted Answer

A)   Transverse
B)   Longitudinal
C)   Coronal
D)   ObliqueE) A) and D)
F) B) and C)

Question 7

Symmetrical bilateral pelvic masses are likely to be which one of the following?

Accepted Answer

A)   Ovarian cysts
B)   Uterine fibroids
C)   Pelvic muscles
D)   Iliac vesselsE) B) and C)
F) All of the above

Question 8

On transabdominal imaging of the female pelvis, the distended urinary bladder:

Accepted Answer

A)   is an acoustic window to view the pelvic anatomy.
B)   serves as a "cystic" reference.
C)   displaces the bowel into the false pelvis.
D)   All of the above are correct.E) A) and B)
F) B) and C)

Question 9

After the transducer has been soaked in a glutaraldehyde-type solution, which one of the following is an important step to ensure safe handling?

Accepted Answer

A)   Check the cord for damage.
B)   Wear gloves when handling the transducer.
C)   Immediately place the transducer into a protective container.
D)   Thoroughly rinse the transducer with water.E) A) and B)
F) A) and C)

Question 10

Flexion refers to the axis of the uterine body relative to the ___________.

Accepted Answer

A)   fundus
B)   cervix
C)   vagina
D)   cornuaE) All of the above
F) None of the above

Question 11

Limitations of translabial scanning may be overcome by which one of the following?

Accepted Answer

A)   Emptying the patient's bladder
B)   Elevating the patient's head
C)   Elevating the patient's hips
D)   Assuming the left lateral decubitus positionE) None of the above
F) C) and D)

Question 12

To image the fundus of the uterus with transvaginal sonography, the transducer should be angled so that the handle is positioned as described in which one of the following?

Accepted Answer

A)   Closer to the bed
B)   Farther from the bed
C)   Lateral to the patient
D)   Perpendicular to the patientE) B) and C)
F) A) and B)

Question 13

The transvaginal transducer should be soaked in disinfectant between uses for a minimum of _______________.

Accepted Answer

A)   3 to 5 minutes
B)   10 to 20 minutes
C)   30 to 60 minutes
D)   1 to 2 hoursE) A) and B)
F) B) and C)

Question 14

The Doppler measurement that uses peak systole minus peak diastole divided by the mean over one cardiac cycle is the ________________ index.

Accepted Answer

A)   pulsatility
B)   resistive
C)   mean systolic
D)   mean diastolicE) A) and C)
F) A) and D)

Question 15

In transvaginal scanning, the scanning plane that is 90 degrees from the sagittal plane is the ______________ plane.

Accepted Answer

A)   transverse
B)   parasagittal
C)   axial
D)   coronalE) A) and D)
F) A) and C)

Question 16

Arcuate artery calcifications may be observed in patients who are _______________.

Accepted Answer

A)   pregnant
B)   perimenopausal
C)   postmenopausal
D)   premenopausalE) All of the above
F) A) and D) C

Question 17

Menarche may be defined as which one of the following?

Accepted Answer

A)   The state after reaching puberty during which menses occur every 21 to 28 days
B)   When menses have ceased permanently
C)   Time before the onset of menses
D)   MidcycleE) None of the above
F) C) and D) A

Question 18

The difference between the peak systole and the peak diastole is the __________.

Accepted Answer

A)   LS ratio
B)   S/D ratio
C)   D/S ratio
D)   CI ratioE) A) and D)
F) C) and D)

Question 19

The thin outer layer of the uterus is separated from the immediate layer by which one of the following?

Accepted Answer

A)   Peripheral arteries
B)   Uterine arteries
C)   Arcuate vessels
D)   Radial arteriesE) C) and D)
F) A) and B)

Question 20

The Doppler measurement that takes the highest systolic peak minus the highest diastolic peak divided by the highest systolic peak is which one of the following?

Accepted Answer

A)   Pulsatility index
B)   Mean Doppler gradient
C)   Pourcelot resistive index
D)   Mean systolic measurementE) All of the above
F) None of the above

Exam 42: Sonographic and Doppler Evaluation of the Female Pelvis

Depending on the menstrual cycle, the inner lining of the uterine cavity that appears echogenic to hypoechoic on ultrasound is which one of the following structures?

Correct AnswerverifiedShow Answer

The middle layer of the uterus is which one of the following?

Correct AnswerverifiedShow Answer

On the sagittal image with endovaginal sonography, the cervix of an anteverted uterus is seen in the _____________ of the screen, whereas the fundus of the anteverted uterus is found in the _____________ of the screen.

Correct AnswerverifiedD

Which one of the following techniques uses a catheter inserted into the endometrial cavity with the insertion of saline or contrast media to fill the endometrial cavity to demonstrate abnormalities within the cavity or uterine tube?

Correct AnswerverifiedShow Answer

Which one of the following techniques is the best way to measure the cervical-fundal dimension of the uterus?

Correct AnswerverifiedShow Answer

The thickness of the endometrium should be measured in which one of the following planes?

Correct AnswerverifiedShow Answer

Symmetrical bilateral pelvic masses are likely to be which one of the following?

Correct AnswerverifiedShow Answer

On transabdominal imaging of the female pelvis, the distended urinary bladder:

Correct AnswerverifiedShow Answer

After the transducer has been soaked in a glutaraldehyde-type solution, which one of the following is an important step to ensure safe handling?

Correct AnswerverifiedShow Answer

Flexion refers to the axis of the uterine body relative to the ___________.

Correct AnswerverifiedShow Answer

Limitations of translabial scanning may be overcome by which one of the following?

Correct AnswerverifiedShow Answer

To image the fundus of the uterus with transvaginal sonography, the transducer should be angled so that the handle is positioned as described in which one of the following?

Correct AnswerverifiedShow Answer

The transvaginal transducer should be soaked in disinfectant between uses for a minimum of _______________.

Correct AnswerverifiedShow Answer

The Doppler measurement that uses peak systole minus peak diastole divided by the mean over one cardiac cycle is the ________________ index.

Correct AnswerverifiedShow Answer

In transvaginal scanning, the scanning plane that is 90 degrees from the sagittal plane is the ______________ plane.

Correct AnswerverifiedShow Answer

Arcuate artery calcifications may be observed in patients who are _______________.

Correct AnswerverifiedC

Menarche may be defined as which one of the following?

Correct AnswerverifiedA

The difference between the peak systole and the peak diastole is the __________.

Correct AnswerverifiedShow Answer

The thin outer layer of the uterus is separated from the immediate layer by which one of the following?

Correct AnswerverifiedShow Answer

The Doppler measurement that takes the highest systolic peak minus the highest diastolic peak divided by the highest systolic peak is which one of the following?

Correct AnswerverifiedShow Answer

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On the sagittal image with endovaginal sonography, the cervix of an anteverted uterus is seen in the _ of the screen, whereas the fundus of the anteverted uterus is found in the _ of the screen.

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D

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C

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A

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