Anatomy Flashcards

1
Q

Common bile duct
Portal vein
Hepatic artery

A

Portal triad

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2
Q

Which of the following structures is located within the retroperitoneal space?

A. Ileum
B. Abdominal aorta
C. Inferior vena cava
D. All of the above
E. B and C only

A

E. B and C only

B. Abdominal aorta
C. Inferior vena cava

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3
Q

Imaging the right kidney __________.

A. requires using the right lung as a sonographic window
B. typically involves using the liver as a sonographic window
C. is more difficult than imaging the left kidney due to a smaller acoustic window
D. All of the above
E. None of the above

A

B. typically involves using the liver as a sonographic window

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4
Q

Imaging the left kidney _________.

A. is typically easier than imaging the right kidney
B. involves using the spleen as an acoustic imaging window
C. requires imaging along the anterior midclavicular line
D. All of the above
E. None of the above

A

B. involves using the spleen as an acoustic imaging window

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5
Q

This bladder view was obtained by orienting the probe in a transverse plane with the probe indicator pointing towards the anatomic-right side of the patient.

A. True
B. False

A

False. This is in the sagittal plane.

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6
Q

What sonographic characteristics helps distinguish the IVC from the aorta?

A

Liver above and below IVC
IVC drains into RA
Hepatic vein drains into IVC
Liver above, spine below aorta
IVC lies to the right of the aorta

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7
Q

In this image, flow of the femoral artery is going ________ the probe and flow of the deep femoral vein is going ________ from the probe.

A

Towards, away
BART-BLUE AWAY RED TOWARDS

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8
Q

Which of the following statements accurately characterizes the liver?

A. The liver serves as a useful acoustic imaging window for underlying structures.
B. The liver is encapsulated in Gerota’s fascia.
C. A majority of the liver is enclosed within the peritoneum.
D. All of the above
E. A and C only

A

E. The liver serves as a very useful sonographic acoustic window for imaging upper abdominal and retroperitoneal anatomy, due to its high fluid content and homogenous nature. The liver is encased within Glisson’s capsule, a thick layer of fibrous connective tissue that contains nerves, blood vessels, and lymphatics. The liver is an intraperitoneal organ, with the exception of a bare area along its posterior surface.

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9
Q

Which of the following statements best characterizes the sonographic appearance of normal liver parenchyma?

A. It has a homogeneous, mid-grey, and moderately echogenic echotexture.
B. It appears hyperechoic relative to the renal cortex.
C. It appears hypoechoic relative to the spleen.
D. All of the above
E. None of the above

A

D. Normal liver parenchyma has a homogenous, mid-grey, moderately echogenic appearance. It should have a smooth surface and contour with no lumps or indentations. Liver parenchyma should be hyperechoic relative to the renal cortex and hypoechoic relative to the spleen

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10
Q

The main lobar fissure can be identified with ultrasound as a thin, hyperechoic line that connects which two anatomic structures?

A. Hepatic vein and hepatic artery
B. Portal vein and hepatic vein
C. Hepatic artery and gallbladder neck
D. Portal vein and gallbladder neck
E. None of the above

A

D. The main lobar fissure can be seen as a thin, hyperechoic line connecting the long-axis neck of the gallbladder with the right portal vein. The main lobar fissure separates the anatomic-right and anatomic-left lobes of the liver and is also used to identify the gallbladder neck.

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11
Q

Which of the following statements regarding lung sonography is correct?
A. Ribs are highly echogenic and reflect sound waves.
B. Gas-filled lungs scatter sound waves and limit sonographic visualization of lung tissue.
C. The pleura is uniformly seen as two distinct echogenic lines, reflecting the visceral and parietal layers.
D. All of the above
E. A and B only

A

E. A and B only

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12
Q

Which of the following will result in the absence of lung sliding during lung sonography?
A. Cessation of breathing (no respirations)
B. Significant gas accumulation between the visceral and parietal pleurae
C. Tight adherence of the visceral and parietal pleurae
D. All of the above
E. A and C only

A

D. All of the above

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13
Q

Which view of the heart is pictured?

A

Subcostal or Subxiphoid

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14
Q

Where is fluid located in this picture? 

A

Pouch of Douglas 

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15
Q

What structure runs through the pancreas?

A

Splenic vein

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16
Q

What is the best location to evaluate the IVC.?

A

2 cm caudad to to where the hepatic vein enters the IVC