Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

ARDMS > ARRT abdomen 4 > Flashcards

ARRT abdomen 4 Flashcards

1
Q

most common sources of metastasis in the liver are:

A

lung, colon, breast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

most common place for metastasis

A

liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

clinical symptoms of metastasis

A

possible abnormal LFTs
pain
jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

sonographic appearance of metastasis

A

multiple masses with variable appearance
ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

hypoechoic metastatic masses in the liver are usually from:

A

breast
lung
lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hyperechoic metastatic masses in the liver are usually from:

A

colorectal cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sonographic target appearing masses in the liver are usually from:

A

lung
colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

pediatric version of HCC

A

hepatoblastoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hepatoblastoma has an elevated:

A

AFP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Patients with ______ are at an increased risk for developing hepatoblastoma.

A

Beckwidth-Weidemann syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most common reason for liver transplant

A

hepatitis C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In a liver transplant the donor ____ is connected to recipient ____

A

portal vein
hepatic artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Portal vein flow in a transplanted liver

A

hepatopetal
minimally phasic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hepatic artery flow in transplanted liver

A

hepatopetal
low resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hepatic vein flow in transplanted liver

A

hepatofugal
pulsatile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

signs of rejection of transplanted liver

A

abnormal doppler patterns
elevated resistance in hepatic artery
thrombosed or hepatofugal flow in portal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Most common vascular complication of a liver transplant

A

hepatic artery thrombosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

hypoechoic wedge shaped regions throughout the liver

A

infarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Infarction may be caused by ____ or _____

A

embolism
thrombosed artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Core biopsy gauge range for liver

A

14-20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

In order to have liver biopsy a patient must have normal labs, these include:

A

PT
PTT
INR
platelets
no abnormal clotting factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the best scanning technique for ultrasound guided needle biopsy

A

perpendicular incidence or 90 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The gallbladder and biliary system is ____peritoneal

A

intra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the function of the gallbladder

A

store and concentrate bile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
____ transport bile
ducts
26
Cholecystokinin does what?
makes gallbladder contract releasing bile into system
27
Where does cholecystokinin come from?
duodenum
28
Intrahepatic biliary radicles (part of portal triads) drain into:
right and left hepatic ducts
29
Right and left hepatic ducts drain into:
common hepatic duct
30
Common hepatic duct connects to _____ as it becomes extrahepatic
cystic duct
31
The cystic duct contains:
spiral valves of Heister
32
allow bile to flow into gallbladder but not leak out until gallbladder is contracted
spiral valves of Heister
33
From the cystic duct, connects to ____
common bile duct
34
The common bile duct joins the _____ at the Ampulla of Vater
main pancreatic duct
35
The common bile duct joins the main pancreatic duct at the:
Ampulla of Vater
36
controls the flow of enzymes into the duodenum
Sphincter of Oddi
37
The Sphincter of Oddi controls the flow of enzymes into the:
duodenum
38
3 parts of gallbladder
neck, body, fundus
39
most dependent part of the gallbladder is
fundus
40
The ____ connects neck of gallbladder to the rest of the biliary tree
cystic duct
41
Vascular supply to the gallbladder
cystic artery
42
The cystic artery is a branch of the:
right hepatic artery
43
wall layers of gallbladder inner to outer
mucosa, fibromuscular, serosa
44
Most common variant of the gallbladder
phrygian cap
45
fold of fundus over body in gallbladder
phrygian cap
46
outpouching of neck of gallbladder
Hartmann pouch
47
fold at neck of gallbladder
junctional fold
48
Normal gallbladder wall thickness
up to 3mm
49
Normal gallbladder width in transverse plane
up to 4 cm
50
Normal CBD measurement
up to 6mm at porta hepatis
51
If a patient has a cholecystectomy the normal measurement of the CBD can be up to:
10 mm
52
The ____ may be seen posterior to the CBD
cystic duct
53
While dilated ducts or gallbladder are observed, evaluate ____ to locate obstruction
distal
54
Infection in the gallbladder is most commonly caused by:
obstruction
55
projection of tissue from gallbladder wall
polyps
56
Most common gallbladder polyps
cholesterol
57
Polyps are related to ____, _____, and ____
cholesterolosis or hyperplastic cholecystosis strawberry gallbladder diffuse wall polyps
58
Sonographic appearance of gallbladder polyp
echogenic non-mobile mass projecting from inner lumen
59
muscular layer of gallbladder forms pockets called Rokitanksy- Aschoff sinuses
Adenomyomatosis
60
Sonographic appearance of adenomyomatosis
focal or diffuse wall thickening with comet tail artifact
61
calcification the gallbladder wall
porcelain gallbladder
62
hyperechoic gallbladder with shadowing
porcelain gallbladder
63
gallbladder sludge is also known as
viscid bile
64
Gallbladder sludge is caused by:
biliary stasis (bile not flowing)
65
low-level dependent echoes within gallbladder with a fluid level line
gallbladder sludge
66
thicker sludge forming sludge balls, will be mobile
tumefactive sludge
67
gallbladder full of tumefactive sludge, gallbladder appears isoechoic to liver texture
hepatization of gallbladder
68
biliary stones or gallstones within gallbladder
cholelithiasis
69
6 F's most common for cholelithiasis
fat female fertile flatulent fair forty
70
Most common location of stones in gallbladder
fundus
71
Obstructing symptoms of gallstones
RUQ pain biliary colic nausea and vomiting radiating pain to shoulders
72
Sonographic appearance of cholelithiasis
hyperechoic with posterior shadowing, WES sign,
73
WES sign
wall echo shadow
74
gallstones in bile ducts
choledocholithiasis
75
Obstructive labs include:
ALP bilirubin
76
Most common cause of biliary obstruction and obstructive jaundice
choledocholithiasis
77
Stones within ducts are most commonly found where?
distal CBD, near Ampulla of Vater
78
The ____ are most likely to dilate first in choledocholithiasis
extrahepatic ducts
79
Symptoms of Pirrizzi syndrome
jaundice, pain, fever, stone lodged in cystic duct, compression of CBD
80
parallel tube or channel seen on sonographic image with choledocholithiases
shotgun sign
81
Double duct sign
dilated CBD and pancreatic duct
82
>4cm gallbladder
hydropic gallbladder
83
The cause of biliary obstruction will ALWAYS be seen ____ to the dilatation
distal
84
enlarged gallbladder due to pancreatic head mass with painless jaundice
courvoisier gallbladder
85
Key symptoms of infection
fever leuko pain
86
most common cause of acute cholecystitis:
obstructive gallstone in cystic duct
87
clinical signs of acute cholecystitis
+ Murphy's sign fever leuko elevated ALP, bilirubin nausea/vomiting
88
Sonographic appearance of acute cholecystitis
thickened gallbladder wall, pericholecystic fluid stones sludge
89
bulging of wall, craters, sloughed membrances, wall of gallbladder starts eroding, high risk for perforation
gangrenous cholecystitis/perforation
90
Gangrenous cholecystitis may lead to _____
peritonitis
91
pus filling and distending galbladder
suppurative cholecystitis
92
air or gas bubbles produced by bacteria in the wall of the gallbladder
emphysematous cholecystitis
93
emphysema =
air
94
Increased risk for emphysematous cholecystitis
diabetics immunocompromised
95
Emphysematous cholecystitis is associated with what sonographic sign
champagne sign
96
No stone within gallbladder, RUQ pain, fever, leuko, no obstructive labs
acalculus cholecystitis
97
Who is most likely seen with acalculous cholecystitis
children hospitalized immunocompromised patients
98
Sonographic appearance of acalculus cholecystitis
thickened wall, pericholecystic fluid, no sludge or stone
99
stone in the bile ducts
acute cholangitis
100
Acute cholangitis is most commonly caused by:
obstructed stone

ARDMS (57 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions