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The Sonograhic Detection Of Uterine Anomalies


1. The prevalence of muellerian anomalies in women with normal fertility is between 1% and ______%:

a. 2

b. 3

c. 4

d. 6

2. Obstetrical complications associated with uterine anomalies include all of the following, except:

a. Breech presentation

b. Preterm labor

c. Macrosomia

d. Cervical incompetence

3. A unicornuate uterus is due to:

a. Failure of fusion

b. Agenesis

c. Failure of resorption

4. A fundal cleft of ________ cm distinguishes between a septated and a bicornuate uterus:

a. > 0.5

b. >1.0

c. >1.5

d. >2.0

e. >2.5



5. Hysteroscopic resection is the treatment of choice for both a septated and a bicornuate uterus.

a. True

b. False


6. The following statements about a septated uterus are true, except:

a. a. A septum consists of various amounts of muscle and fibrous tissue

b. The endometrial mucosa covering a septum does not respond appropriately to estrogen therapy

c. The distribution of vessels within a septum are similar to the vessel distribution in the rest of the uterus

d. The muscle fibers in the septum may cause irregular contractions

 

7.  All of the following statements about an arcuate shaped uterus are correct, except:

a. It may be a normal variant

b. It has been associated with poor obstetric outcomes

c. It has been associated with normal obstetrical outcomes

d. The depth of the indentation that differentiates an arcuate from a partially septated uterus is 2.0 cm

 

8. The following statements about the 3D ultrasound evaluation of uterine anomalies are correct, except:

a. The coronal plane is the most valuable to detect uterine anomalies

b. It permits an accurate assessment of the size and shape of the endometrial cavity

c. The sensitivity of 3D ultrasound in detecting a septated uterus is 70%

d. The examination is best performed during the secretory phase of the menstrual cycle

9. The following statements about 3D ultrasound are correct, except:

a. The left upper and right lower box of the multiplanar display are at 70? to each other

b. The multiplanar display shows the plane of acquisition in the left upper box

c. The right side of the patient is on the right side of the image

d. A disadvantage of the freehand acquisition of a 3D image is that accurate measurements cannot be made on the image


10. The following statements about diagnosing uterine anomalies are correct, except:

a. In order to accurately measure a septum with 3D ultrasound, a true coronal plane through the fundus and cervix must be obtained

b. MRI is the "gold standard" for categorizing uterine anomalies

c. A 3D ultrasound image in the coronal plane can be used to measure the depth of a partial septum

d. Hysterosalpingograms and 3D ultrasound have the same accuracy in diagnosing uterine anomalies

 


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