OBGYN Ch 43 Test Review Exam questions and
answers Graded A+
1. The clinical signs of a 32-year-old woman with an enlarged uterus on physical
examination and a history of cyclic profuse and prolonged bleeding with
increasing pain most likely represent which one of the following? a. Early
pregnancy b. Leiomyoma c. Ruptured nabothian cyst d. Ruptured follicular cyst -
✅✅ANS: B Clinical signs of uterine leiomyoma include irregular bleeding,
menorrhagia, an enlarged uterus, pelvic pain, and bladder symptoms.
2. Which one of the following is the most common site for a leiomyoma to occur?
a. Submucosal b. Subserosal c. Pedunculated d. Intramural - ✅✅ANS: D An
intramural (confined to the myometrium) is the most common site of a
leiomyoma.
3. Complications in delivery may occur with pregnancy if a fibroid is located in or
near which one of the following structures? a. Near the fundus b. Pedunculated
off the fundus c. Near the cervix d. Near the ovary - ✅✅ANS: C a fibroid locates
in the lower uterine segment or cervix may interfere with a normal vaginal
delivery
4. Hydrometra appears sonographically as a(n) _____ a. Sonolucent tubular
structure in the adnexa b. Echogenic thickening of the endometrium c. Sonolucent
fluid collection in the uterine canal d. Sonolucent fluid collection in the uterus,
cervix, and vagina - ✅✅ANS: C Fluid accumulation in the uterus is termed
hydrometra
5. A benign invasion of endometrial tissue into the myometrium is known as
which one of the following conditions? a. Endometriosis b. Pelvic inflammatory
, disease (PID) c. Adenomyosis d. Endomyosarcoma - ✅✅ANS: C Adenomyosis is
a benign disease, commonly diffuse, with global infiltration of the endometrium
6. Which one of the following conditions is described as a hyperplastic protrusion
of the epithelium of the cervix that may be broad based or pedunculated? a.
Cervical stenosis b. Pyometrium c. Cervical polyps d. Cervical obstruction -
✅✅ANS: C a cervical polyp is a benign condition arising from the hyper plastic
protrusion of the epithelium of the cervix
7. Which one of the following sonographic characteristics is the most common
finding in endometrial carcinoma? a. Abnormal thinning of the endometrial
cavity, usually with irregular bleeding in postmenopausal women b. Abnormal
thickening of the endometrial cavity, usually with irregular bleeding in
perimenopausal and postmenopausal women c. Irregular bleeding d. Heavy
bleeding with a thickening of the myometrium - ✅✅ANS: B In endometrial
carcinoma, the most common sonographic finding is an abnormally thickened
endometrium. The most common clinical symptom is irregular uterine bleeding.
8. A small percentage of leiomyomas is located in which one of the following
structures? a. Body b. Fundus c. Myometrium d. Cervix - ✅✅ANS: D A small
percentage of leiomyomas is located in the cervix.
9. Which one of the following is most likely the result of an acquired condition
with obstruction of the cervical canal? a. Leiomyoma b. Cervical c. Cervical
stenosis
d. Adenomyosis - ✅✅ANS: C an acquired condition with obstruction of the
cervical canal is most likely a result of cervical stenosis at the internal or external
os. This condition may be a result of radiation therapy, previous come biopsy,
postmenopausal cervical atrophy, chronic infection, or cervical carcinoma
answers Graded A+
1. The clinical signs of a 32-year-old woman with an enlarged uterus on physical
examination and a history of cyclic profuse and prolonged bleeding with
increasing pain most likely represent which one of the following? a. Early
pregnancy b. Leiomyoma c. Ruptured nabothian cyst d. Ruptured follicular cyst -
✅✅ANS: B Clinical signs of uterine leiomyoma include irregular bleeding,
menorrhagia, an enlarged uterus, pelvic pain, and bladder symptoms.
2. Which one of the following is the most common site for a leiomyoma to occur?
a. Submucosal b. Subserosal c. Pedunculated d. Intramural - ✅✅ANS: D An
intramural (confined to the myometrium) is the most common site of a
leiomyoma.
3. Complications in delivery may occur with pregnancy if a fibroid is located in or
near which one of the following structures? a. Near the fundus b. Pedunculated
off the fundus c. Near the cervix d. Near the ovary - ✅✅ANS: C a fibroid locates
in the lower uterine segment or cervix may interfere with a normal vaginal
delivery
4. Hydrometra appears sonographically as a(n) _____ a. Sonolucent tubular
structure in the adnexa b. Echogenic thickening of the endometrium c. Sonolucent
fluid collection in the uterine canal d. Sonolucent fluid collection in the uterus,
cervix, and vagina - ✅✅ANS: C Fluid accumulation in the uterus is termed
hydrometra
5. A benign invasion of endometrial tissue into the myometrium is known as
which one of the following conditions? a. Endometriosis b. Pelvic inflammatory
, disease (PID) c. Adenomyosis d. Endomyosarcoma - ✅✅ANS: C Adenomyosis is
a benign disease, commonly diffuse, with global infiltration of the endometrium
6. Which one of the following conditions is described as a hyperplastic protrusion
of the epithelium of the cervix that may be broad based or pedunculated? a.
Cervical stenosis b. Pyometrium c. Cervical polyps d. Cervical obstruction -
✅✅ANS: C a cervical polyp is a benign condition arising from the hyper plastic
protrusion of the epithelium of the cervix
7. Which one of the following sonographic characteristics is the most common
finding in endometrial carcinoma? a. Abnormal thinning of the endometrial
cavity, usually with irregular bleeding in postmenopausal women b. Abnormal
thickening of the endometrial cavity, usually with irregular bleeding in
perimenopausal and postmenopausal women c. Irregular bleeding d. Heavy
bleeding with a thickening of the myometrium - ✅✅ANS: B In endometrial
carcinoma, the most common sonographic finding is an abnormally thickened
endometrium. The most common clinical symptom is irregular uterine bleeding.
8. A small percentage of leiomyomas is located in which one of the following
structures? a. Body b. Fundus c. Myometrium d. Cervix - ✅✅ANS: D A small
percentage of leiomyomas is located in the cervix.
9. Which one of the following is most likely the result of an acquired condition
with obstruction of the cervical canal? a. Leiomyoma b. Cervical c. Cervical
stenosis
d. Adenomyosis - ✅✅ANS: C an acquired condition with obstruction of the
cervical canal is most likely a result of cervical stenosis at the internal or external
os. This condition may be a result of radiation therapy, previous come biopsy,
postmenopausal cervical atrophy, chronic infection, or cervical carcinoma
