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abdomen boards > abdomen boards > Flashcards

abdomen boards Flashcards

1
Q

all of the following are associated with echinococcal cysts except

a. cyst within a cyst presentation
b. Casoni skin test
c. anaphalactic shock
d. water lilly sign

A

c

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2
Q

which fetal circulation pathway connects the left portal vein to the ivc

A

ductus venosus

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3
Q

the ligamentum venosum is all of the following except

a. a remnant of the umbilical vein
b. a remnant of the ductus venosus
c. a remenat of the fetal circulatin which shunts blood fro the left portal vein to the ivc bypassing the liver
d. divides caudate lobe from left lobe of liver

A

a

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4
Q

the caudate lobe is located on the

A

d. posterosuperior surface of the liver

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5
Q

the ligamentum teres

a. resides in the left intersegmental fissure
b. is a remnant of umbilical vein
c. recannalizes in severe cirrhosis
d. is an echogenic spot on transverse liver images
e. all

A

all of the above

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6
Q

cystic lesions within the liver include all except

a. congenital cysts
b. polycycstic liver disesase
c. carolis disease
d. hemangiomas

A

d. hemangiomas

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7
Q

which is in decreasing order of echogenicity

A

renal sinus panc liver renal parenchyma

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8
Q

which part of the liver is least affected by Budd Chiari

a. right anterior
b. right posterior
c. left medial
d. left lateral
e. caudate

A

e

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9
Q

all of the following mass lesions are benign except

A

hepatoma

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10
Q

a parasitic disease of the liver causing portal hypertension and occlusion of the portal veins

A

schistosomiasis

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11
Q

if on sonographic exam one finds a patient with intrahepatic dilated ducts and a small gb this may indicate that the level of obstruction is

A

b. above the cystic duct

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12
Q

dilation of the intrahepatic biliary tree without dilatation of the extrahepatic duct includes all of the following except

a. Klatskin tumor
b. enlarged portal lymph nodes
c. cholangiocarcinoma
d. Pancreatic carcinoma

A

d

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13
Q

a 48 yo female presents postcholecystectomy with right upper quad pain and elevated serum bilirubin and bilirubin in her urine. it is true that

A

she probably has a stone, tumor, or stricture obsturcting the bile duct

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14
Q

increased levels of alkaline phosphatase are expected with

a. biliary obstruction
b. children
c. hepatocellular disease
d. pregnancy
e. all

A

e. all

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15
Q

a Phrygian cap is

a. an enlarged gallbladder
b. a fold at the gallbladder fundus
c. a fold in the gallbladder neck
d. a diverticula at the gallbladder neck

A

b. fold at the gallbladder fundus

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16
Q

the causes of a large gallbladder include all of the following except

a. adenomyomatosis
b. cystic duct obstruction
c. pancreatic carcinoma
d. diabetes mellitus
e. a fasting patients
f. common duct obstruction

A

a

17
Q

which of the following is associated with Caroli disease

a. dilated intrahepatic bile ducts
b. dilated extrahepatic bile ducts
c. Courvoisier gallbladder
d. diffuse thickening of the common duct

A

a

18
Q

Thickening of the gallbladder wall is a common feature in

a. hypoalbuminemia
b. cholecystitis
c. adenomyomatosis
d. carcinoma of the gallbladder
e. all

A

e

19
Q

Gallbladder wall thickening may be due to all of the following except

a. ascites
b. hypoproteinemia
c. right sided congestive cardiac failure
d. fatty liver
e. acute cholecystitis

A

d. fatty liver

20
Q

Courvoisiers sign is associated with all of the following except

a. pancreatic carcinoma
b. dilated gb
c. Hepatocellular carcinoma
d. biiary duct dilatation
e. painless jaundice

A

c.

21
Q

throughout its course the splenic vein is located on the

A

posterior surface of the pancreatic body and tail

22
Q

the most common primary neoplasm of the pancrease is adenocarcinoma. this:

a. is usually found in the head of the pancreas
b. is accompanied by weight loss and painless jaundice
c. is accompanied by a dilated gb
d. causes dilatation of the cbd
e. all

A

e. all

23
Q

the portion of the pancreas that lies posterior to the superior mesenteric artery and vein is the

A

uncinate process

24
Q

the pancreas is located

A

retroperitoneum

25
Q

occasionally a pseudocyst may have internal echoes and be confused with an abscess. to distinguish the two one should look for

A

c. gas

26
Q

chronic pancreatitis may be associated with which of the following sonographic patterns

a. increased echogenicity
b. decrease in pancreas size
c. calcs
d. dilated panc duct
e. all

A

e

27
Q

Islet cell tumors of the panc are most likely to be located

A

rarely in the head, frequently in the body or tail

28
Q

the gastroduodenal artery

a. is the first branch of the common hepatic artery
b. proceeds caudally along the anterolateral margin of the pancreatic head
c. is seen in the transverse views directly anterior to the cbd
d. is the point wher the common hepatic artery becomes the hepatic artery proper
e. all

A

e all

29
Q

the cbd is joined with the panc duct before entering the

A

second portion of the duodenum

30
Q

which of the following is correct

a. the lesser sac is located anterior and superior to the panc

A

a

31
Q

which of the following will displace the superior mesenteric artery anteriorly

a. cbd stone
b. panc head mass
c. left renal vein thromb
d. rectus shealth hematoma

A

c.

32
Q

what is the correct path of a rbc returning to the heart

A

splenic vein, portal vein, right portal vein, emissary veins, IVC, right atrium

33
Q

which of the following are associated with splenomegaly

a. polycythemia vera
b. lymphoma
c. portal vein thrombosis
d. shistosomiasis
e. all

A

e. all

abdomen boards (1 decks)

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