OB/GYN ARDMS Exam Questions and Answers 2025-2026, Exams of Nursing

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OB/GYN ARDMS X-zone Registry Guide Test 2025- 2026

OB/GYN ARDMS X-zone Registry Guide Test 2025-2026 The muscularis layer of the uterus appears sonographically as A) Hypoechoic compared to peritoncum B) Indistinguishable from other layers C) Diffusely heterogencous & variable depending on the menstrual phase TD) A thick layer that is homogeneous & somewhat echogenic in intermediate layer — The sonographic appearance of the endometrium in secretory phase may be dese ast A) Irregular & heterogeneous, possibly with fluid-tissuc level B) Showing distinct basal & mucosal layers, measuring G-&8mm AP C) Hypocchoic and no greater than 2mm TD) Echogenic & measuring up to 18mm — CORRECT ANSWER Administration of sequential estrogen & progesterone lo postmenopausal patient results in what sonographic features of endometrium: A) Continuous growth of endo throughout administration of hormones B) Very thin echogenic stripe C) Similar to cyclic, pre menopausal endo with varying measurements up to 8mm 1D) Cystic changes to endo and subendo tissue — CORRECT ANSWER -C Which is not found in the true pelvis: A) Common iliac arteries B) Reetosigmoid colon C) Obterator inlernus muscle TD) Vesicoutcrine pouch E) Cardinal ligament — CORRECT ANSWER —A The cervix opens into the upper vagina at the: A) Posterior fornix B) Internal os C) External os TD) Anterior fornix — CORRECT ANSWER -C The fallopian tubes enter uterus at the region of the: A) Ampullary tube B) Cornua C) Fimbria D) Isthmus ~ GGRRRCTNSIER -" Sonographic endometrial changes associated with tamoxifen include all of the following except: A) Endometrial cancer B) Endometrial hyperplasia C) Endometrial cysts C) Myomcetrial perforation D) Endometriosis E) Severe cramping & bleeding after placement — CORRECT ANSWER -?D Ligaments associated with ovary include all execpt: A) Round B) Ovarian C) Infundibulopelvic TD) Mesovarian — CORRECT ANSWER -A The upper portion of the vagina attaches cireumferentially to the . forming a blind pouch called vaginal fornices: A) External os B) Endocervical canal C) Myometrium ») Cervix — GGRERGRENSIER-D The endometrial layer that sloughs during menses is the: A) basal layer B) Zona functionalis C) Endometrium TD) Sceretory tissue — CORRECT ANSWER -B EV sonography is useful in infertility patient for all indications except: A) Evaluate for possible ovarian hyperstimulation B) Guide oocyte retrieval C) Monitor follicular growth D) Determine cause of infertility E) Evaluate pre-existing maternal anatomic abnormalities — CORRECT ANSWER —P Causes of infertility in the female patient include all of the following except: A) Congenital uterine anomalies B) Chronic endometriosis C) PCOS D) HX of PID E) Clomid administration — CORRECT ANSWER —F What hormone causes the corpus luteum cyst to persist beyond 14 days: A) Progesterone B) hCG C) LA 1D) FSH 5) Estrogen ~ GGRRECTENGIER-5 Which of the following ligaments is not related to the uterus: A) Round B) Mesovarian C) Cardinal A) dysfunctional uterine bleeding B) endometrial hyperplasia & cancer C) ovarian cystadenomas & cystadenocarcinomas TD) Osteroporosis & cardiovascular disease — CORRECT ANSWER -F The portion of the fallopian tube that transverses the uterine cornu is the: A) infundibulum B) ampullary tube C) interstitial tube D) isthnic tube ~ EORECCTNSTTR Sonographic features of hematometra include all except: A) distended uterine cavity containing low-level echoes & acoustic enhancement B) Possible associated hydronephrosis w/severcly distended uterus C) pain/fullness in pelvis in patient w/amenorrhea TD) enlarged uterus w/possible internal echoes — CORRECT ANSWER | What hormone scercted by pituitary gland stimulates ovarian follicular growth: A) FSH B) hCG C) Estrogen TD) Progesterone ©) LH — SORRECUIAISSIER|-s Identification of a uterine malformation should prompt the sonographer to evaluate what other anatomy: A) vascular supply lo ulerus & ovaries B) fallopian tubes & ovarics C) urinary system D) GT tract — CORRECHIANSIER] The maximum histologic measurement of the endometrium immediately following menses is: A) Imm B) up to 5mm C) 3-4 mm The part of the uterus that widens superiorly, above the insertion of the fallopian tubes is called the: A) Infundibulum B) Cornua C) Fundus D) Corpus ~ SGRREGTANGITER -c The doppler waveform sampled from the perimeter of a dominant follicle will typically have what characteristics; A) high velocity & minimal flow during diastole B) high velocity & low resistance A) isthmus B) internal os C) cornua TD) transitional ligament — CORRECT ANSWER -A Normal postmenopausal utcrus measures: A 3cm long w/cervix approx. 2/3 of total length B) 8x3em C) less than premenopausal uterus, depending on age and parity TD) same as premenopausal ulerus — CORRECT ANSWER | Cc Indications for pediatric gynecologic sonography include all except: A) assess possible hematomcetrocolpos in young females with pain & ammenorrhca B) R/O complications of ovarian cysts or ncoplasms C) R/O congenital uterine anomalies D) evaluation of ulerus & adnexa in patients w/precocious puberty E) determine possible effects of tamifoxen exposure — CORRECT ANSWER | E Decreasing progesterone has what effect on endometrium: A) results in menses B) causes endometrial alrophy C) stimulates the mucosal cells to proliferate TD) causes basal layer to regenerate — CORRECT ANSWER | A Normal ovarian volume in postmenopausal female is: A) 1.3mm B) 3.2cm C) 1.3cm D) 3.1om — SGRRCTINSITER - The luteal phase of the ovary occurs: A) after menses, during growth of dominant follicle B) only if ovum is fertilized after ovulation C) after ovulation until onset of menses 1) just prior to ovulation — CORRECT ANSWER —C Additional images of the kidneys & ureters may be indicated in all except: A) uterus didelphys is suspected B) identificalion of subsepplale ulerus C) presence of uterine fibroids TD) 1 or both ovaries are not visualized transabdominally — CORRECT ANSWER —D Causes of postmenopausal bleeding include all of the following except: A) endometrial atrophy B) endometrial carcinoma C) estrogen producing tumors of the ovary T)) theca lutein cysts — CORRECT ANSWER —D Peritoneal covering of the utcrus is known by all except: A) perimetrium B) serosa C) mucosa ~ SRRECTISISSITR -c Which of the following muscles are not found in the true pelvis: A) piriformis B) obterator internus C) rectus abdominis D) iliacus ~ GGRRECRANSIER| -c Normal uterine measurements in nulliparous female are: A) 8x3em B) 9x4em C) 8x5em D) 7x4em ~ GGRRAGTENSITERI- Doppler analysis of blood flow to the ovarics in the periovulatory & luteal phases commonly demonstrates: A) minimal arterial & venous flow to both ovarics B) high resistive index value C) low resistance in the ovary with dominant follicle — CORRECT ANSWER —C In TRY view, a rounded hypocchoic structure is seen superior and lateral to the bladder; it clongates in sag plane. This is most likely: A) piriformis muslee B) iliac crest C) iliopsoas muscle T)) dilated loop of bowel — CORRECT ANSWER —C oral contraceplives may be administered as TX for all except: A) PID B) endometriosis C) PCO discase TD) dysfunctional uterine bleeding — CORRECT ANSWER — A Typical sonographic appearance in women on birth control is: A) hyperstimulated ovaries B) non-visualization of ovarian follicles C) suppressed endometrial growth throughout menstrual cycle TD) dysfunctional uterine bleeding — CORRECT ANSWER — Cc Fertilization typically occurs in whal portion of the fallopian lube: A) only in isthmus B) interstitial tube C) ampullary tube D) fimbria ~ SORRECTAISS IR] —c TD) fluid in uterus & vagina — CORRECT ANSWER —A The maximum dimension of a normal ovarian cyst is considered to be: A) 2cm B) lem C) 3cm D) 4om — SGRRACTINSITER -c 2 forms of endometriosis are: A) noninvasive & invasive B) diffuse & localized C) diffuse TD) scattered & invasive — CORRECT ANSWER -B attored Chronic PID often appears sonographically as: A) dilated anechoic tubular structure in the adnexa B) asymptomatic C) complex adnexal mass w/internal septations & hyperemic doppler flow TD) low level echoes in a round adnexal mass — CORRECT ANSWER —A CA125 may be elevated in certain benign gyn conditions. These include all except: A) endometriosis B) germ ecll tumor C) Serous cystadcnocarcinomas D) myomas — SGRRECHPNISITER-c Typical doppler waveforms of an ovarian malignancy exhibit which of the following: A) low velocity. high resislance B) low resistance, high velocity C) minimal flow throughout cardiac cycle TD) peripheral flow only — CORRECT ANSWER —2 An ovarian cyst may hemorrhage into ils lumen for all of the following reasons except: A) it spontaneously ruptures B) it may torse C) BC of hCG administration TD) be of its large size — CORRECT ANSWER | Cc Clinical signs of endometriosis include all of the following except: A) leukocyslosis B) dysmenorrhea & dysuria C) infertility TD) chronie pain ©) dysparunia ~ SGRRCTANSWR - Ovarian malignancy may also be metastatic in nature. The most common primary malignancies that cause ovarian meta s include all of the following execpt: A) GI tract A female patient who has been exposed to DES in utero may have all of the following genitourinary abnormalities except: A) T-shaped uterus B) unicornuate uterus C) unilateral ovarian agenisis T)) unilateral renal agenisi ©) pelvic kidney ~ SGRRIECTRAISSITRY -c Women who are considered at risk for ovarian cancer include all of the following except: A) women who haye taken oral birth control B) women w/HX of unsuccessful pregnancies C) women w/strong family TTX of ovarian cancer 1D) women aged 50-59 — CORRECT ANSWER | A In order to best diagnose endometrial abnormalities, at what phase of the menstrual cycle should sonography be performed: A) secretory phase B) during menses C) immediately following cessation of menses D) proliferative phasc — GGREBGRENSIERI-c which statement about ovarian cancer is not true: A) protocols for screening for ovarian cancer include risk assessment & CA125 testing B) the overall 5 yr survival rate for ovarian cancer is less than 5% C) 60-70% of women have state 3 or 4 ovarian cancer at the time of diagnosis TD) ovarian cancer is the 4th leading cause death in women — CORRECT ANSWER —B Solid ovarian masses include all of the following except: A) granulosa tumors B) dysgerminomas C) TCC TD) Mbramas I) serous cysladenomas — CORRECT ANSWER -E What type of Iciomyoma will cause distortion of the outer uterine contour: A) pedunculated B) intramural C) subserosal TD) submucosal — CORRECT ANSWER -€ A variation of a scrous surface epithelial stromal tumor which has a solid component is: A) cysladenolibroma B) fibroma C) granulosa tumor TD) cystic teratoma — CORRECT ANSWER —A