abdomen boards

Question 1

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

Answer 1

c

Question 2

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

Answer 2

ductus venosus

Question 3

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

Answer 3

a

Question 4

the caudate lobe is located on the

Answer 4

d. posterosuperior surface of the liver

Question 5

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

Answer 5

all of the above

Question 6

cystic lesions within the liver include all except

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

Answer 6

d. hemangiomas

Question 7

which is in decreasing order of echogenicity

Answer 7

renal sinus panc liver renal parenchyma

Question 8

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

Answer 8

e

Question 9

all of the following mass lesions are benign except

Answer 9

hepatoma

Question 10

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

Answer 10

schistosomiasis

Question 11

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

Answer 11

b. above the cystic duct

Question 12

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

Answer 12

d

Question 13

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

Answer 13

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

Question 14

increased levels of alkaline phosphatase are expected with

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

Answer 14

e. all

Question 15

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

Answer 15

b. fold at the gallbladder fundus

Question 16

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

Answer 16

a

Question 17

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

Answer 17

a

Question 18

Thickening of the gallbladder wall is a common feature in

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

Answer 18

e

Question 19

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

Answer 19

d. fatty liver

Question 20

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

Answer 20

c.

Question 21

throughout its course the splenic vein is located on the

Answer 21

posterior surface of the pancreatic body and tail

Question 22

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

Answer 22

e. all

Question 23

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

Answer 23

uncinate process

Question 24

the pancreas is located

Answer 24

retroperitoneum

Question 25

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

Answer 25

c. gas

Question 26

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

Answer 26

e

Question 27

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

Answer 27

rarely in the head, frequently in the body or tail

Question 28

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

Answer 28

e all

Question 29

the cbd is joined with the panc duct before entering the

Answer 29

second portion of the duodenum

Question 30

which of the following is correct | a. the lesser sac is located anterior and superior to the panc

Answer 30

a

Question 31

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

Answer 31

c.

Question 32

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

Answer 32

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

Question 33

which of the following are associated with splenomegaly a. polycythemia vera b. lymphoma c. portal vein thrombosis d. shistosomiasis e. all

Answer 33

e. all