Penny Book - Obstetrics & Gynecology Final
Exam Questions with Answers
The "S" in the STAR criteria stands for?
a. simple
b. sound
c. smooth walls
d. stations - Correct Answer c. smooth walls
Which of the following is defined as pain during intercourse?
a. dysuria
b. dysmenorrhea
c. dyspareunia
d. hirsutism - Correct Answer c. dyspareunia
Which of the following is defined as excessive hair growth in women in areas where hair
growth is normally negligible?
a. dyspareunia
b. hirsutism
c. magi’s syndrome
d. polycystic ovary syndrome - Correct Answer b. hirsutism
Which of the following lab tests may be used as a tumor marker for an ovarian
dysgerminoma?
a. lactate dehydrogenase
b. alpha-fetoprotein
c. cancer antigen 125
d. tamoxifen - Correct Answer a. lactate dehydrogenase
All of the following are associated with acute pelvic pain except:
a. PID
b. ruptured ovarian hemorrhagic cyst
c. perforated IUD
d. asherman syndrome - Correct Answer d. asherman syndrome
Which of the following is best defined as intermenstrual bleeding?
a. dysmenorrhea
b. menorrhagia
c. menometrorrhagia
d. metrorrhagia - Correct Answer d. metrorrhagia
,Having the same echogenicity means:
a. anechoic
b. isochoric
c. echogenic
d. hypo echoic - Correct Answer b. isochoric
Which of the following would typically not be associated with amenorrhea?
a. asherman syndrome
b. PCOS
c. pregnancy
d. adenomyosis - Correct Answer d. adenomyosis
Which of the following is best defined as difficult or painful menstruation?
a. dysmenorrhea
b. dyspareunia
c. dysuria
d. menorrhagia - Correct Answer a. dysmenorrhea
What term relates to the number of pregnancies a patient has had?
a. Para
b. menarche
c. menorrhagia
d. gravida - Correct Answer d. gravida
Which of the following definitions best describes the term adnexa?
a. the area posterior to the uterus, between the uterus and rectum
b. the area located posterior to the broad ligaments and adjacent to the uterus
c. the area anterior to the uterus, between the uterus and bladder
d. the area lateral to the iliac crest and posterior to the pubic symphysis - Correct
Answer b. the area located posterior to the broad ligaments and adjacent to the uterus
All of the following statements are true of endovaginal imaging except:
a. endovaginal imaging requires a full bladder
b. endovaginal imaging leads to reduced waiting time for the patient and quicker
medical management
c. endovaginal imaging offered improved resolution of the endometrium, uterus, and
ovaries, especially in the obese patient
d. endovaginal imaging is contraindicated for pediatric patients, and for those with an
intact hymen - Correct Answer a. endovaginal imaging requires a full bladder
What lab value would be most useful to evaluate in a patient with suspected internal
hemorrhage?
a. WBC
b. lactate dehydrogenase
c. amylase
d. hematocrit - Correct Answer d. hematocrit
,What abnormality results from the ovary twisting on its mesenteric connection?
a. PID
b. Fitz-Hugh-Curtis Syndrome
c. ovarian torsion
d. ovarian hyperstimulation syndrome - Correct Answer c. ovarian torsion
Which of the following most often leads to an elevation of CA-125?
a. ovarian carcinoma
b. Fitz-Hugh-Curtis Syndrome
c. ovarian torsion
d. ovarian hyperstimulation syndrome - Correct Answer a. ovarian carcinoma
When does the Centers for Disease Control recommend that alcohol-based handrub not
be used by the sonographer?
a. after performing a sonogram
b. before performing a sonogram
c. when your hands are visibly soiled
d. between patients - Correct Answer c. when your hands are visibly soiled
The best way to communicate with a patient who speaks a language other than your
own is to:
a. use sign language
b. use proper body cues
c. use an online search engine
d. use a trained medical interpreter - Correct Answer d. use a trained medical
interpreter
What artifact would be seen posterior to a tooth within a cystic teratoma?
a. ring-down
b. reverberation
c. through transmission
d. shadowing - Correct Answer d. shadowing
Which of the following is best described as an artifact that is produced by a strong
reflector and results in a copy of the anatomy being placed deeper than the correct
location?
a. reverberation
b. mirror image
c. acoustic shadowing
d. comet tail - Correct Answer b. mirror image
Which of the following statements is not true concerning transabdominal pelvic
imaging?
a. TA imaging of the pelvis provides a global view of the entire pelvis
b. TA imaging lacks the detail of endovaginal imaging
, c. obese patients and patients with a retroverted or retroflexed uterus present a unique
challenge to the TA technique
d. TA imaging is contraindicated for pediatric patients - Correct Answer d. TA imaging
is contraindicated for pediatric patients
Malignant ovarian tumors may leak mucinous material, and this condition is known as:
a. dandy-walker syndrome
b. pseduomyxoma peritonei
c. asherman syndrome
d. Fitz-Hugh-Curtis Syndrome - Correct Answer b. pseduomyxoma peritonei
All of the following are proper techniques for providing patient care for patients during a
pelvic sonogram except:
a. all transducers and their cords should be cleaned before performing a pelvic
sonogram
b. endovaginal transducers should be cleaned with a high-level disinfectant
c. a probe cover should be placed on the transducer for transabdominal imaging to
prevent the spread of infection
d. sterile jelly should be used as a lubricant for endovaginal imaging - Correct Answer
c. a probe cover should be placed on the transducer for transabdominal imaging to
prevent the spread of infection
The breast cancer drug that inhibits the effects of estrogen in the breast is:
a. CA-125
b. methotrexate
c. RA-916
d. tamoxifen - Correct Answer d. tamoxifen
Which of the following statements would be considered an acceptable disadvantage of
endovaginal imaging?
a. endovaginal imaging has a limited field of view
b. the resolution of endovaginal imaging is reduced compared to transabdominal
imaging
c. endovaginal imaging is more time consuming than transabdominal imaging
d. endovaginal imaging can be performed only by female sonographers - Correct
Answer a. endovaginal imaging has a limited field of view
What artifact could be noted emanating from air or gas within the endometrium in a
patient with endometritis?
a. ring-down
b. mirror image
c. posterior enhancement
d. dirty transmission - Correct Answer a. ring-down
What doppler artifact occurs when the doppler sampling rate is not high enough to
display the doppler shift frequency?
Exam Questions with Answers
The "S" in the STAR criteria stands for?
a. simple
b. sound
c. smooth walls
d. stations - Correct Answer c. smooth walls
Which of the following is defined as pain during intercourse?
a. dysuria
b. dysmenorrhea
c. dyspareunia
d. hirsutism - Correct Answer c. dyspareunia
Which of the following is defined as excessive hair growth in women in areas where hair
growth is normally negligible?
a. dyspareunia
b. hirsutism
c. magi’s syndrome
d. polycystic ovary syndrome - Correct Answer b. hirsutism
Which of the following lab tests may be used as a tumor marker for an ovarian
dysgerminoma?
a. lactate dehydrogenase
b. alpha-fetoprotein
c. cancer antigen 125
d. tamoxifen - Correct Answer a. lactate dehydrogenase
All of the following are associated with acute pelvic pain except:
a. PID
b. ruptured ovarian hemorrhagic cyst
c. perforated IUD
d. asherman syndrome - Correct Answer d. asherman syndrome
Which of the following is best defined as intermenstrual bleeding?
a. dysmenorrhea
b. menorrhagia
c. menometrorrhagia
d. metrorrhagia - Correct Answer d. metrorrhagia
,Having the same echogenicity means:
a. anechoic
b. isochoric
c. echogenic
d. hypo echoic - Correct Answer b. isochoric
Which of the following would typically not be associated with amenorrhea?
a. asherman syndrome
b. PCOS
c. pregnancy
d. adenomyosis - Correct Answer d. adenomyosis
Which of the following is best defined as difficult or painful menstruation?
a. dysmenorrhea
b. dyspareunia
c. dysuria
d. menorrhagia - Correct Answer a. dysmenorrhea
What term relates to the number of pregnancies a patient has had?
a. Para
b. menarche
c. menorrhagia
d. gravida - Correct Answer d. gravida
Which of the following definitions best describes the term adnexa?
a. the area posterior to the uterus, between the uterus and rectum
b. the area located posterior to the broad ligaments and adjacent to the uterus
c. the area anterior to the uterus, between the uterus and bladder
d. the area lateral to the iliac crest and posterior to the pubic symphysis - Correct
Answer b. the area located posterior to the broad ligaments and adjacent to the uterus
All of the following statements are true of endovaginal imaging except:
a. endovaginal imaging requires a full bladder
b. endovaginal imaging leads to reduced waiting time for the patient and quicker
medical management
c. endovaginal imaging offered improved resolution of the endometrium, uterus, and
ovaries, especially in the obese patient
d. endovaginal imaging is contraindicated for pediatric patients, and for those with an
intact hymen - Correct Answer a. endovaginal imaging requires a full bladder
What lab value would be most useful to evaluate in a patient with suspected internal
hemorrhage?
a. WBC
b. lactate dehydrogenase
c. amylase
d. hematocrit - Correct Answer d. hematocrit
,What abnormality results from the ovary twisting on its mesenteric connection?
a. PID
b. Fitz-Hugh-Curtis Syndrome
c. ovarian torsion
d. ovarian hyperstimulation syndrome - Correct Answer c. ovarian torsion
Which of the following most often leads to an elevation of CA-125?
a. ovarian carcinoma
b. Fitz-Hugh-Curtis Syndrome
c. ovarian torsion
d. ovarian hyperstimulation syndrome - Correct Answer a. ovarian carcinoma
When does the Centers for Disease Control recommend that alcohol-based handrub not
be used by the sonographer?
a. after performing a sonogram
b. before performing a sonogram
c. when your hands are visibly soiled
d. between patients - Correct Answer c. when your hands are visibly soiled
The best way to communicate with a patient who speaks a language other than your
own is to:
a. use sign language
b. use proper body cues
c. use an online search engine
d. use a trained medical interpreter - Correct Answer d. use a trained medical
interpreter
What artifact would be seen posterior to a tooth within a cystic teratoma?
a. ring-down
b. reverberation
c. through transmission
d. shadowing - Correct Answer d. shadowing
Which of the following is best described as an artifact that is produced by a strong
reflector and results in a copy of the anatomy being placed deeper than the correct
location?
a. reverberation
b. mirror image
c. acoustic shadowing
d. comet tail - Correct Answer b. mirror image
Which of the following statements is not true concerning transabdominal pelvic
imaging?
a. TA imaging of the pelvis provides a global view of the entire pelvis
b. TA imaging lacks the detail of endovaginal imaging
, c. obese patients and patients with a retroverted or retroflexed uterus present a unique
challenge to the TA technique
d. TA imaging is contraindicated for pediatric patients - Correct Answer d. TA imaging
is contraindicated for pediatric patients
Malignant ovarian tumors may leak mucinous material, and this condition is known as:
a. dandy-walker syndrome
b. pseduomyxoma peritonei
c. asherman syndrome
d. Fitz-Hugh-Curtis Syndrome - Correct Answer b. pseduomyxoma peritonei
All of the following are proper techniques for providing patient care for patients during a
pelvic sonogram except:
a. all transducers and their cords should be cleaned before performing a pelvic
sonogram
b. endovaginal transducers should be cleaned with a high-level disinfectant
c. a probe cover should be placed on the transducer for transabdominal imaging to
prevent the spread of infection
d. sterile jelly should be used as a lubricant for endovaginal imaging - Correct Answer
c. a probe cover should be placed on the transducer for transabdominal imaging to
prevent the spread of infection
The breast cancer drug that inhibits the effects of estrogen in the breast is:
a. CA-125
b. methotrexate
c. RA-916
d. tamoxifen - Correct Answer d. tamoxifen
Which of the following statements would be considered an acceptable disadvantage of
endovaginal imaging?
a. endovaginal imaging has a limited field of view
b. the resolution of endovaginal imaging is reduced compared to transabdominal
imaging
c. endovaginal imaging is more time consuming than transabdominal imaging
d. endovaginal imaging can be performed only by female sonographers - Correct
Answer a. endovaginal imaging has a limited field of view
What artifact could be noted emanating from air or gas within the endometrium in a
patient with endometritis?
a. ring-down
b. mirror image
c. posterior enhancement
d. dirty transmission - Correct Answer a. ring-down
What doppler artifact occurs when the doppler sampling rate is not high enough to
display the doppler shift frequency?
