Journal club MCQ February v2020

Learning Objectives: Learning curve for detection of pelvic parts of ureters by transvaginal sonography (TVS): feasibility study

Upon completion of this activity, the participant will be better able to:

Describe the nature and prevalence of urinary tract endometriosis.

Explain how “time needed for identification of the pelvic parts of the ureters” is calculated.

Argue including the identification of the ureters as part of TVS workup of patients with pelvic pain

Question Title

* 1. What is the prevalence of urinary tract endometriosis (UTE):

a. 1-5.5% of general population.

b. 1-5.5% of women with endometriosis.

c. 4.4%-21% of women with retrocervical endometriosis .

Question Title

* 2. The time needed for the identification of the pelvic part of the ureter is:

a. The time from the visualization of the bladder trigon until the visualization of the ureter crossing the uterine artery

b. The time for the visualization of the ureter along the lateral pelvic wall

c. The time from the visualization of the urinary bladder and urethra in midsagittal section until the visualization of the ureter crossing the uterine artery

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* 3. The number of investigations needed to be capable of identifying the right and left ureters:

a. Ranged between 27-48.

b. Ranged between 48-60

c. Was constant among trainees, and was 35.

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* 4. Identification and treatment of UTE is important:

a. Because it can be the source for acute pelvic pain.

b. Because it may lead to hydronephrosis and parenchymal damage.

c. Because it is part of basic gynecological training.

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* 5. A trainee “failed” the examination:

a. If the ureters were identified by the expert and were not identified by the trainee.

b. If the identification of both ureters took longer than 150s.

c. If the identification of each ureter took longer than 150s.