1. Factors that may prohibit a sonohysterogram include all of the following except:

a. Extreme obesity

b. Retroverted uterus

c. Impaired flexibility of the hips

d. Cervical stenosis

2. During sonohysterography the transvaginal transducer can be used to manipulate the uterus in an attempt to reduce the egress of fluid:

a. True

b. False

3. All of the following statements about endometrial polyps are true, except:
 

a. Endometrial polyps are associated with endocervical polyps

b. Up to 23.8% of women with menometrorrhagia have polyps

c. The risk of malignant transformation of an endometrial polyp is 5%

4. All of the following statements about endometrial polyps are true, except:

a. Smaller polyps may slough with heavy menstrual bleeding

b. Menopause is associated with an increased risk of malignancy in polyps

c. Color Doppler is not a useful adjunct in the detection of endometrial polyps

d. The prevalence of endometrial polyps in asymptomatic women is around 1%




5. All of the following statements about endometrial polyps are true, except:

a. Polyps > 1.5 cm are associated with an increased risk of malignancy

b. Transvaginal sonography is as sensitive as sonohysterography in the detection of endometrial polyps

c. A secretory endometrium will obscure endometrial polyps

d. A sharp interface between the endometrium and myometrium suggests that a polyp may be present in the endometrial cavity

6. All of the following statements about tamoxifen therapy are true, except:

a. Women on tamoxifen have an endometrial thickness> 4 mm

b. The is an increased prevalence of endometrial carcinoma in women on tamoxifen

c. The intramyometrial cysts associated with tamoxifen cannot be easily distinguished from endometrial pathology without sonohysterography

d. Sonohysterography is less effective than office hysteroscopy in detecting endometrial pathology in postmenopausal women on tamoxifen

7.   Each of the following statements about leiomyomas are correct, except:

a. Sonohysterography is better than hysteroscopy in detecting submucous leiomyomas

b. Tamoxifen therapy may result in rapid growth of uterine leiomyomas

c. Submucous leiomyomas that extend < 50% into the myometrium can be resected transcervically

d. It is difficult for transvaginal sonography to determine if a centrally located leiomyoma is submucosal or intracavitary

8. Which of the following statements about endometrial hyperplasia is false:

   1. Hyperplasia may be present in endometrial linings < 5 mm
   2. Sonohysterography is as accurate as hysteroscopy in the detection of endometrial hyperplasia
   3. Sonohysterography cannot differentiate localized hyperplasia from a polyp

a. Hyperplasia may be present in endometrial linings < 5 mm

b. Sonohysterography is as accurate as hysteroscopy in the detection of endometrial hyperplasia

c. Sonohysterography can differentiate localized hyperplasia from a polyp

9. All of the following statements with respect to endometrial carcinoma are correct, except:

a. Saline sonohysterography will spill endometrial cancer cells into the peritoneal cavity in 50% of cases

b. In the presence of carcinoma the endometrial cavity does not distend well during saline infusion

c. Power Doppler reveals several vessels within an endometrial carcinoma

d. On saline sonohysterography an endometrial carcinoma may present as a diffuse mass or an irregular thickening of the endometrial lining

10. All of the following statements regarding saline sonohysterography are correct, except:

a. The 3D coronal plane is the most useful for displaying the location of a lesion in the endometrial cavity

b. A balloon tipped catheter must be used to assess tubal patency

c. Color Doppler can be used to assist the evaluation of tubal patency during saline sonohysterography

d. Unilateral tubal occlusion can be quickly diagnosed with saline sonohysterography