ARDMS OB/GYN Registry actual Exam 2026/2027 | Complete
Practice Questions, Correct Answers & Detailed Rationales
DOMAIN 1: GYNECOLOGY — PELVIC ANATOMY & PHYSIOLOGY
1.
Which uterine position describes the fundus angled anteriorly relative to the
cervix?
A. Retroverted
B. Anteverted
C. Retroflexed
D. Axial
Correct Answer: B. Anteverted
Rationale: An anteverted uterus is tilted anteriorly relative to the cervix.
2.
Which uterine position describes the uterine body bent posteriorly relative to the
cervix?
A. Anteflexed
B. Anteverted
C. Retroflexed
D. Midposition
Correct Answer: C. Retroflexed
Rationale: Retroflexion refers to posterior angulation of the uterine body relative
to the cervix.
3.
The normal adult uterus is primarily composed of which muscular layer?
A. Endometrium
B. Myometrium
,C. Perimetrium
D. Parametrium
Correct Answer: B. Myometrium
Rationale: The myometrium is the thick muscular middle layer of the uterus.
4.
Which endometrial phase is characterized by proliferative glandular and stromal
growth under estrogen stimulation?
A. Menstrual phase
B. Secretory phase
C. Proliferative phase
D. Decidual phase
Correct Answer: C. Proliferative phase
Rationale: Estrogen stimulates endometrial proliferation during the proliferative
phase.
5.
Which ovarian structure normally produces progesterone after ovulation?
A. Dominant follicle
B. Corpus luteum
C. Theca externa
D. Ovarian stroma
Correct Answer: B. Corpus luteum
Rationale: The corpus luteum produces progesterone during the luteal phase.
6.
A normal dominant follicle immediately before ovulation is most likely to appear
as:
A. A solid hyperechoic mass
B. A complex cyst with thick septations
,C. A simple anechoic structure
D. A calcified lesion
Correct Answer: C. A simple anechoic structure
Rationale: A mature follicle is typically a thin-walled, anechoic cystic structure.
7.
Which ovarian structure commonly demonstrates a vascular “ring of fire”
appearance during Doppler examination?
A. Corpus luteum
B. Dermoid
C. Endometrioma
D. Fibroma
Correct Answer: A. Corpus luteum
Rationale: Prominent peripheral vascularity is commonly seen around a corpus
luteum.
8.
Which structure connects the ovary to the uterus?
A. Round ligament
B. Ovarian ligament
C. Broad ligament
D. Suspensory ligament only
Correct Answer: B. Ovarian ligament
Rationale: The ovarian ligament connects the ovary to the uterus.
9.
The fallopian tube normally extends from the uterus toward the:
A. Cervix
B. Ovary
C. Vagina
D. Bladder
, Correct Answer: B. Ovary
Rationale: The fallopian tube extends laterally from the uterine cavity toward the
ovary.
10.
Which portion of the fallopian tube is typically the widest?
A. Interstitial portion
B. Isthmus
C. Ampulla
D. Intramural portion
Correct Answer: C. Ampulla
Rationale: The ampulla is the widest segment and is the most common location of
tubal ectopic pregnancy.
11.
Which sonographic finding is most consistent with a normal postmenopausal
ovary?
A. Large dominant follicle
B. Enlarged ovary with multiple follicles
C. Small ovary with reduced follicular activity
D. Thick-walled cystic ovary
Correct Answer: C. Small ovary with reduced follicular activity
Rationale: Ovaries generally decrease in size and follicular activity after
menopause.
12.
The posterior cul-de-sac is also called the:
A. Vesicouterine pouch
B. Rectouterine pouch
C. Paravesical space
D. Broad ligament space
Practice Questions, Correct Answers & Detailed Rationales
DOMAIN 1: GYNECOLOGY — PELVIC ANATOMY & PHYSIOLOGY
1.
Which uterine position describes the fundus angled anteriorly relative to the
cervix?
A. Retroverted
B. Anteverted
C. Retroflexed
D. Axial
Correct Answer: B. Anteverted
Rationale: An anteverted uterus is tilted anteriorly relative to the cervix.
2.
Which uterine position describes the uterine body bent posteriorly relative to the
cervix?
A. Anteflexed
B. Anteverted
C. Retroflexed
D. Midposition
Correct Answer: C. Retroflexed
Rationale: Retroflexion refers to posterior angulation of the uterine body relative
to the cervix.
3.
The normal adult uterus is primarily composed of which muscular layer?
A. Endometrium
B. Myometrium
,C. Perimetrium
D. Parametrium
Correct Answer: B. Myometrium
Rationale: The myometrium is the thick muscular middle layer of the uterus.
4.
Which endometrial phase is characterized by proliferative glandular and stromal
growth under estrogen stimulation?
A. Menstrual phase
B. Secretory phase
C. Proliferative phase
D. Decidual phase
Correct Answer: C. Proliferative phase
Rationale: Estrogen stimulates endometrial proliferation during the proliferative
phase.
5.
Which ovarian structure normally produces progesterone after ovulation?
A. Dominant follicle
B. Corpus luteum
C. Theca externa
D. Ovarian stroma
Correct Answer: B. Corpus luteum
Rationale: The corpus luteum produces progesterone during the luteal phase.
6.
A normal dominant follicle immediately before ovulation is most likely to appear
as:
A. A solid hyperechoic mass
B. A complex cyst with thick septations
,C. A simple anechoic structure
D. A calcified lesion
Correct Answer: C. A simple anechoic structure
Rationale: A mature follicle is typically a thin-walled, anechoic cystic structure.
7.
Which ovarian structure commonly demonstrates a vascular “ring of fire”
appearance during Doppler examination?
A. Corpus luteum
B. Dermoid
C. Endometrioma
D. Fibroma
Correct Answer: A. Corpus luteum
Rationale: Prominent peripheral vascularity is commonly seen around a corpus
luteum.
8.
Which structure connects the ovary to the uterus?
A. Round ligament
B. Ovarian ligament
C. Broad ligament
D. Suspensory ligament only
Correct Answer: B. Ovarian ligament
Rationale: The ovarian ligament connects the ovary to the uterus.
9.
The fallopian tube normally extends from the uterus toward the:
A. Cervix
B. Ovary
C. Vagina
D. Bladder
, Correct Answer: B. Ovary
Rationale: The fallopian tube extends laterally from the uterine cavity toward the
ovary.
10.
Which portion of the fallopian tube is typically the widest?
A. Interstitial portion
B. Isthmus
C. Ampulla
D. Intramural portion
Correct Answer: C. Ampulla
Rationale: The ampulla is the widest segment and is the most common location of
tubal ectopic pregnancy.
11.
Which sonographic finding is most consistent with a normal postmenopausal
ovary?
A. Large dominant follicle
B. Enlarged ovary with multiple follicles
C. Small ovary with reduced follicular activity
D. Thick-walled cystic ovary
Correct Answer: C. Small ovary with reduced follicular activity
Rationale: Ovaries generally decrease in size and follicular activity after
menopause.
12.
The posterior cul-de-sac is also called the:
A. Vesicouterine pouch
B. Rectouterine pouch
C. Paravesical space
D. Broad ligament space
