DMS 206 Study Set Exam
patient history for pelvic exam - Answer LMP
gravidity and parity
hormone regime
symptoms
family history of pelvic cancers
lab test (pap or biopsy results
pelvic exam findings
previous image modality tests
two parts of a complete pelvic exam - Answer transabdominal and transvaginal
patient prep for transabdominal - Answer 32oz or water drank an hour prior to the exam
patient prep for transvaginal - Answer empty bladder
Gravidity - Answer total number of pregnancies
Parity (pregnancy) - Answer T erm
P remature
A bortion/miscarriage
L ive birth
things to examine on the uterus during a pelvic exam - Answer uterine size, shape,
orientation
endometrium
myometrium
cervix
what is a good landmark for the cervix and lower uterine segment (LUS) - Answer vagina
how to measure the uterus - Answer length (fundus to cervix)
AP depth (perpendicular to the length, largest at the fundus)
width (done in transverse, or right to left in coronal TV)
cervical diameters during pregnancy
, endo, myometrium, and cervix are evaluated how - Answer thickness, echogenicity,
contour changes, and masses
typical size for the uterus - Answer length: 6-8cm
width/AP: 3-5cm
adult uterine volume that is nulliparous (no pregnancies) - Answer 30-40 ml
adult uterine volume that has had pregnancies - Answer 60-80 ml
postmenopausal uterine volume - Answer 14-17ml
ovaries identified anterior to __________ - Answer internal iliac vessels
what to document for the ovaries - Answer size, shape, contour, and echogenicity
position in relation to the uterus
ovarian size (length and AP in sag, width in trans or coronal in TV)
* always do an ovarian volume *
normal ovarian volume - Answer 9.8/10
L x W x H x 0.523
what to examine in the cul de sac in a pelvic exam - Answer evaluate for presence of free
fluid or mass
if a mass is evaluated in a cul de sac : - Answer document the size, position, shape,
sonographic pattern relationship to ovaries and uterus
if any mass is found in any scan what should you do - Answer state location (uterine or
extrauterine)
size
external contour
internal consistency
what should you see at midline in a transabdominal pelvic exam - Answer distended
urinary bladder, uterus(may be slightly to the right or left of midline), endometrium,
cervix, vagina
which part of the bladder do you always want to scan through/use as a window? -
Answer the largest part
what's an easier way to find the ovaries in transverse - Answer come really low and
shine the beam up through the largest part of the bladder
patient history for pelvic exam - Answer LMP
gravidity and parity
hormone regime
symptoms
family history of pelvic cancers
lab test (pap or biopsy results
pelvic exam findings
previous image modality tests
two parts of a complete pelvic exam - Answer transabdominal and transvaginal
patient prep for transabdominal - Answer 32oz or water drank an hour prior to the exam
patient prep for transvaginal - Answer empty bladder
Gravidity - Answer total number of pregnancies
Parity (pregnancy) - Answer T erm
P remature
A bortion/miscarriage
L ive birth
things to examine on the uterus during a pelvic exam - Answer uterine size, shape,
orientation
endometrium
myometrium
cervix
what is a good landmark for the cervix and lower uterine segment (LUS) - Answer vagina
how to measure the uterus - Answer length (fundus to cervix)
AP depth (perpendicular to the length, largest at the fundus)
width (done in transverse, or right to left in coronal TV)
cervical diameters during pregnancy
, endo, myometrium, and cervix are evaluated how - Answer thickness, echogenicity,
contour changes, and masses
typical size for the uterus - Answer length: 6-8cm
width/AP: 3-5cm
adult uterine volume that is nulliparous (no pregnancies) - Answer 30-40 ml
adult uterine volume that has had pregnancies - Answer 60-80 ml
postmenopausal uterine volume - Answer 14-17ml
ovaries identified anterior to __________ - Answer internal iliac vessels
what to document for the ovaries - Answer size, shape, contour, and echogenicity
position in relation to the uterus
ovarian size (length and AP in sag, width in trans or coronal in TV)
* always do an ovarian volume *
normal ovarian volume - Answer 9.8/10
L x W x H x 0.523
what to examine in the cul de sac in a pelvic exam - Answer evaluate for presence of free
fluid or mass
if a mass is evaluated in a cul de sac : - Answer document the size, position, shape,
sonographic pattern relationship to ovaries and uterus
if any mass is found in any scan what should you do - Answer state location (uterine or
extrauterine)
size
external contour
internal consistency
what should you see at midline in a transabdominal pelvic exam - Answer distended
urinary bladder, uterus(may be slightly to the right or left of midline), endometrium,
cervix, vagina
which part of the bladder do you always want to scan through/use as a window? -
Answer the largest part
what's an easier way to find the ovaries in transverse - Answer come really low and
shine the beam up through the largest part of the bladder
