Abnormal Uterus: Part II with Complete
Solutions
What is the most common cause of abnormal uterine bleeding in a nonpregnant woman?
- Endometrial cancer
✔✔ Uterine fibroids
- Ovarian cysts
- Cervical polyps
How can adenomyosis typically appear on a gynecologic ultrasound?
- As a well-defined, solid mass
✔✔ As a thickened, heterogeneous myometrial region
- As fluid-filled cysts in the endometrium
- As a small, hyperechoic structure
What is the primary feature of a submucosal fibroid on ultrasound?
✔✔ A hypoechoic mass protruding into the endometrial cavity
- A fluid-filled cyst within the myometrium
1
, - A hyperechoic nodule on the cervix
- A thickened, irregular endometrial lining
Which ultrasound finding is commonly associated with endometrial hyperplasia?
- Thinning of the endometrium
✔✔ Thickened endometrial lining with or without cystic changes
- Hyperechoic foci in the myometrium
- Fluid in the fallopian tubes
What distinguishes a polyp from a fibroid on gynecologic ultrasound?
- Fibroids are typically smaller than polyps.
✔✔ Polyps usually have a single feeding vessel, while fibroids are more vascular and solid.
- Polyps are always malignant, while fibroids are benign.
- Fibroids are always located within the endometrial cavity, while polyps are not.
Which of the following best describes the ultrasound appearance of a uterine fibroid?
✔✔ A hypoechoic mass within the myometrium
- A cystic structure with septations
2