Abdomen Test 2--Liver Flashcards

Question 1

Q

A 70-year old woman is seen for malaise and wasting. The clinician orders an abdominal ultrasound because of the patient’s history of colon cancer and elevated liver function tests. The sonographer notes multiple hyperechoic lesions within the liver and hepatomegaly. This is suggestive of:

A. Hepatocellular disease

B. Angiosarcoma

C. Metastatic disease

D. Hemangioma

Answer

A

Metastatic Disease

Question 2

Q

Shortly after birth, the ductus venosus collapses and becomes the:

A. Main lobar fissure

B. Falciform ligament

C. Ligamentum teres

D. Ligamentum venosum

Answer

A

Ligamentum venosum

Question 3

Q

Clinical findings of fatty infiltrate of the liver include:

A. Elevated liver function tests

B. Fatigue

C. Fever

D. Weight loss

Answer

A

Elevated liver function tests

Question 4

Q

Joe, a sheep farmer, arrives at the hospital with right upper quadrant pain, fever, and elevated white blood cell count. He states the 3 months ago he was kicked in the ribs. An irregular mass with low-level echoes is found on the ultrasound. What is the differential diagnosis?

A. Echinococcal cyst

B. Hepatic abscess

C. Hematoma

D. Amebic abscess

Answer

A

Echinococcal cyst

Question 5

Q

Ascites is the accumulation of fluid in which cavity?

A. Peritoneal cavity

B. Subphrenic space

C. Perirenal space

D. Morrison’s pouch

Answer

A

Peritoneal space

Question 6

Q

A 58 year old woman with epigastric pain with eating is seen for an abdominal ultrasound to rule out gallstones. The sonographer identifies normal-appearing gallbladder, liver, pancreas, and spleen. The sonographer also documents a dilation of the aorta, which measures 6 cm at its greatest diameter. This would be consistent with which of the following? (image is attached)

A. Aortic rupture

B. Atherosclerotic disease

C. Aortic dissection

D. Aortic aneurysm

Answer

A

Aortic aneurysm

Question 7

Q

Which hepatic mass is closely associated with oral contraceptive use?

A. Adenoma

B. Hypernephroma

C. Hamartoma

D. Hemangioma

Question 8

Q

The main lobar fissure conatins the:

A. Main portal vein

B. Right portal vein

C. Right hepatic vein

D. Middle hepatic vein

Answer

A

Middle hepatic vein

Question 9

Q

A 50 year old African American immigrant worker with RUQ pain and weight loss is seen for ultrasound. The patient states that he worked in the fields growing and harvesting a variety of grains for 30 years. Laboratory results an elevated sreum alpha-fetoprotein level. Ultrasound examination shows a 4 cm heterogeneous lesion in the liver and a small amount of ascites. This would suggest which of the following?

A. Metastasis

B. Angiosarcoma

C. Hepatocellular carcinoma

D. Cystadenocarcinoma

Answer

A

Hepatocellular carcinoma

Question 10

Q

A 45-year old man with a history of hepatitis is seen for ultrasound examintation of the abdomen. The sonographer idnetifies a 6 cm complex mass in the liver. This would be suspicious for which of the following tumors?

A. Metastasis

B. Hepatocellular carcinoma

C. Cystadenoma

D. Hemangioma

Answer

A

Hepatocellular carcinoma

Question 11

Q

This 56 year old female presents to the ultrasound department with elevated liver enzymes and a history of lung cancer. How would you best describe the attached image?

A. Normal liver

B. Multiple hypoechoic masses throughout slightly hyperechoic liver

C. Multiple hyperechoic masses throughout slightly hypoechoic liver

D. Fatty liver with focal sparing

Answer

A

Multiple hypoechoic masses throughout slightly hyperechoic liver

Question 12

Q

Clinical findings for hepatitis include all of the following except:

A. Chills

B. Fever

C. Pericholecystic fluid

D. Jaundice

Answer

A

Pericholecystic fluid

Question 13

Q

This benign liver tumor is located near the free edge of the liver, is solitary, well circumscribed, and is a nonencapsulated multinodular mass:

A. Adenoma

B. Cavernous hemangioma

C. Focal nodular hyperplasia

D. Lipoma

Answer

A

Focal nodular hyperplasia

Question 14

Q

A 51 year old man undergoes an ultrasound of the RUQ. Pertinant history includes multiple previous ultrasound examinations that document a small liver that is difficult to penetrate. Liver enzymes levels (AST, ALT, GGT, PTT, & albumin) are elevated. The patient is very thin, with a slighlty protruding abdomen. The liver remains small and difficult to penetrate, with poorly documented hepatic vasculature. No specific masses are noted. Free fluid is noted within Morrison’s pouch and the right subphrenic space. The anterior border of the liver is noted to have scalloped appearance. Which of the following is the most likely diagnosis?

A. Fatty infiltrate

B. Cirrhosis

C. Chronic hepatitis

D. Acute hepatitis

Answer

A

Cirrhosis

Question 15

Q

A solitary, anechoic lesion is identifed in the right lobe of a 50 year old woman. The lesion is 2.5 cm with smooth walls and acoustic enhancement. The patient has mild epigastric pain, especially with spicy foods, and the remainder of the ultrasound examination is unremarkable. The anechoic lesion most likely represents which of the following?

A. Hematoma

B. Cholecystitis

C. Liver cyst

D. Abscess

Answer

A

Liver cyst

Question 16

Q

This image was obtained on a 72 year old woman with RUQ pain. The patient presents with elevated LFT’s and nausea and weight loss.

A. Normal liver

B. Polycystic liver disease

C. Simple liver cyst

D. Amebic abscess

Answer

A

Simple liver cyst

Question 17

Q

A 32 year old obese woman is seen for right upper quadrant ultrasound to rule out gallstones. The sonographer’s inquiry into the patient’s symptoms reveal fatty food intolerance. Ultrasound examination of the abdomen reveals cholelithiasis and a 1.5 cm echogenic lesion in the liver. The most likely diagnosis for the lesion is:

A. Hemangioma

B. Solitary metastatic lesion

C. Liver cell adenoma

D. Focal nodular hyperplasia

Answer

A

Hemangioma

Question 18

Q

Budd-Chiari syndrome demonstrates thrombosis of the:

A. Hepatic veins

B. Inferior vena cava

C. Hepatic arteries

D. Portal veins

Answer

A

Hepatic veins

Question 19

Q

The most common cause of cirrhosis is:

A. Portal hypertension

B. Alcoholism

C. Cholangitis

D. Hepatitis

Answer

A

Alcoholism

Question 20

Q

All of the following are located within the porta hepatis except:

A. Middle hepatic vein

B. Common bile duct

C. Main portal vein

D. Hepatic artery

Answer

A

Middle hepatic vein

Question 21

Q

The triad of the portal vein, common bile duct, and hepatic artery entering the liver is known as the:

A. Porta hepatis

B. Falciform ligament

C. Caudal triad

D. Ligamentum teres

Answer

A

Porta hepatis

Question 22

Q

Normal flow in the portal vein is termed:

A. Hepatofugal

B. Hepatopedal

Answer

A

Hepatopedal

Question 23

Q

Shortly after birth, the ductus venosus collapses and becomes the:

A. Hemochromatosis

B. Cirrhosis

C. Adenosis

D. Carcinosis

Answer

A

Cirrhosis

Question 24

Q

Patients who have hepatocellular carcinoma are likely to have had:

A. Hemochromatosis

B. Cirrhosis

C. Adenosis

D. Carcinosis

Answer

A

Cirrhosis

Question 25

Q

The most common benign tumor of the liver is:

A. Adenoma

B. Infantile hemangioendothelioma

C. Mesenchyma hamartoma

D. Cavernous hemangioma

Answer

A

Cavernous hemangioma

Question 26

Q

Echinococcal cysts have the highest incidence in countries in which:

A. Fishing is common

B. Poultry is abundant

C. Sheep grazing is common

D. Rock climbing is prevalent

Answer

A

Sheep grazing is common

Question 27

Q

The material that covers an organ is known as:

A. Visceral peritoneum

B. Parietal peritoneum

C. Greater omentum

D. Mesothelium

Answer

A

Visceral peritoneum

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Abdomen Test 2--Liver Flashcards

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