early 13c., "truly, plainly, outspokenly," from utter (v.) + -ly (1); meaning "to an absolute degree" is late 14c., from utter (adj.)). Cf similarly formed German äusserlich. Old English uterlic (adj.) meant "external."
utterly miserable
utopia
utopian
utopianism
utter
utterance
utterly
uttermost
U-turn
UV
uvea
uvula