Final Flashcards
1. A congenital obstruction found in utero & in infants is called a(n) : A. Ureteropelvic junction B. Ureterocele C. Bladder diverticulum D. Posterior Uretheral valves
A
2. Parepelvic cysts are located in the - A. Renal hilum B. Renal cortex C. Lower pole D. Pararenal space
A
3. Most common solid renal mass is found in the childhood is - A. Renal cell carcinoma B. Angiomyolipoma C. Wilms tumor D. Von-hippel lindau tumor
C
4. The sonographic appearance of tuberous sclerosis may be difficult to deifferentiate from : A> Medullary sponge kidney B> Nephrocalcinosis C> Hydropnephrosis D> Adult polycistsic kidney disease
D
5. In cases of neprocalcinosis calium deposits are usually located In the - A. Cortex B. Renal sinus C. Medulla D. Renal hilum
C
6. Fusion of the lower pole of the kidneys is called : A. Cross-renal ectopia B. Pelvic kidney C. Supernumerary kidney D. Horshoe kidney
D
7. The most echigenic portion of the kidney is (are) the : A. Cortex B. Sinus C. Medullary Pyramids D. Parenchyma
B
8. A cyst like enlargemtns of the distal end of the utreter is called : A. Uretrocele B. Diverticulum C. Urachyl cyst D. Cytitis
Uretrocele
- Which of the following describes the sonographic appearance of. Chronic pyelnephroitis
A. Echogenix cortex
B. Hypoechic enlarged kidney
C. Inability to distuingish the cortex from medullary regions
D. Echogenic foci in the medullary regions
C
A cortical bulge in lateral border of kidney is called a(n) : B A. Junctional parenchymal defect B. Dromedary hump C. Extrarenal pelvic D. Column of bertin
B
A dilated renal pelvis without ureteral dilation is observed in patients with A. hydronephrosis B. Posterior ureteral valve obstruction c. Ureteropelvic junction obstruction D. ureterocele
C
Which one of the following clinical findings is most likely the reason for a renal artery duplex exam? A. hypertension B. Oliguria C. hematuria D. sever flank pain
a
A post transplant perinephric fluid collection can exhibit all of the following except a A. ureterocele B. Hematoma C. urinoma D. lympocele
A
A renal sonogram is performed. The finding of hypoechoic areas adjacent to the renal sinus is most consistent with A. bifid renal pelvis b. renal pyramid C. column of bertin D. junctional parenchymal defect
B.
A baseline renal transplant sonographic exam is performed within \_\_\_\_\_ hours after surgery. A. 4 to 8 B. 12 to 18 C. 24 to 36 D. 48 to 72
D
A common finding in people over 50 years of age is A. renal calculi B. renal cysts C. multi cystic disease D. hypernephroma
B
Dilation of the renal pelvis with a thinning of the renal cortex is characteristic of which one of the following? A. duplex collection system B. column of bertin C. hydronephrosis D. extra renal pelvis
C
Renal vein thrombosis may be visualized in patients with A. pyelnephritis B. renal calculi C. renal cell carcinoma D. angiomyolipoma
C. renal cell carcinoma
Ureteral jets ae not visulaized in patients with A. renal cell carcinoma B. Obstruction C. Duplex collecting system D. acute focal bacterial nephritis
B
The process of disposing metabolic waste is called A. Urea B. Excretion C. deamination D. urination
B
Which one of the following is present in urine whenever extensive damage of destruction of the functioning erythrocytes occurs? A) protein B) creatinine C) hemoglobin D) albumin
C
The kidneys are located in the: A) peritoneal cavity B) retroperitoneal cavity C) perirenal cavity D) perirenal space
B
The left kidney is in contact with the: A) spleen, pancreas, and gallbladder B) spleen, gallbladder, and duodenum C) pancreas, colon, and porta hepatis D) spleen, pancreas, colon, and jejunum
D
The right kidney is in contact with the: A) spleen, colon, and adrenal gland B) liver, colon, and adrenal gland C) liver, pancreas, and gallbladder D) liver, gallbladder, and splenic flexure
B
Outside the renal capsule is the: A) perinephric fat B) paranephric space C) renal fascia D) renal medulla
A
A triangular-shaped lesion on the peripheral border of the kidney most likely represents a(n): A) renal tumor B) artifact from rib C) IVC compression D) junctional parenchymal defect
D
The left renal vein courses: A) posterior to the IVC B) anterior to the IVC C) anterior to the aorta D) anterior to the superior mesenteric artery
C
The right Renal artery passes \_\_\_\_\_\_ to the IVC A. anterior B. Posterior C. lateral D. medial
B
Renal sonography is not helpful in evaluating : A. obstructive uropathy B. cyst formation C. renal function D. angiomyolipoma
C
A potential space in located between the liver edge and right kidney is A. Morisons pouch B. Douglas pouch C. Cul-de-sac D. Winhauer space
A
Renal cell carcinoma commonly invaded the. IVC via the : A. renal vein B. renal artery C. portal vein D. splenic vein
A
Pyonephrosis refers to the presence of A. blood in dilated collecting system B. pus in a dilated collecting system C., urine in a dilated collecting system D, a perinephric access
B
An extremely large echogenic renal sinus that appears to engulf the entire renal parenchymal outline suggest: A. hydronephrosis B. lipomatosis C. hypernephroma D. nephrocalcinosis
B
Dilation of the renal pelvis may be caused by all of the following except: A. oliguria B. reflux C. pregnancy D. distended urinary bladder
A
A begnin vascular fatty tumor of the kidney is called A. Angiomyolipoma B. hypernephroma C. neuroblastoma D. kymphoma
A
All of the following statements about the kidneys are true except:
A) the kidneys are intraperitoneal in location
B) the average adult kidneys measure approximately 9 to 12 cm in length
C) the kidneys may move with respiration
D) the anteriorposterior thickness of the normal adult kidneys is approximately 4 to 5 cm
A.
Hydronephrosis may be best demonstrated sonographically by which one of the following patterns?
A) distorted shape of the kidney outline
B) multiple cystic masses throughout the renal parenchyma
C) fluid-filled pelvocaliceal collecting system
D) hyperechoic pelvocaliceal collecting system
C
The most common location of renal ectopia is in the: A) pelvis B) intrathoracic C) epigastric region D) retroperitoneum
A
The normal bladder wall should be smooth and thin and measure \_\_\_\_\_\_ millimeters (mm). A) 2 to 4 B) 3 to 6 C) 5 to 7 D) 5 to 10
B
Autosomal dominnant polycystic kidney disease may be characterized by all of the following statements except
A. the disease is latent until the fourth of fifth decade of life
B. the severity of the disease varies depending on the genotype
C. the disease may be associated with cyst in the liver, pancreas, and spleen
D. the involved kidneys are small & extremely echogenci
D
Which one of the following statements about the kidneys is false?
A. the kidneys are rigidly fixed on the abdominal wall
B. the kidneys consist of an internal medullary and external cortical substance
C. the kidneys rest on the psosas and quadrates lumborum muscles
D) renal pyramids are found within the medullary region
A
Which 0ne of the following disorders does not produce a complex sonographic pattern? A. infected cyst B. hemorrhagic cyst C. hematomas D. congenital simple cyst
D
The normal bladder wall should be smooth thin and measure \_\_\_\_\_\_ A) 2 to 4 B) 3 to 6 C) 5 to 7 D) 5 to 10
`B
Which one of the following describes a bladder diverticulum?
A. cystic enlargement of the bladder orifice
B. echogenic mass of bladder wall
C., herniation of bladder wall
D. focal thickening of bladder wall
C
In the adult, a post void residual of less than ____ CC of urine is considered normal
20 cc
A central cystic region that extends beyond the medial renal border is called:
a. Hydronephrosis
b. Parapelvic cyst
c. Peripelvic cyst
d. Extrarenal pelvis
D
Which one of the following statements about the spleen is false?
A) the spleen lies inferior to the diaphragm
B) the normal adult spleen measures approximately 7 cm in width
C) the spleen is located within the retroperitoneum
D) the spleen lies in the posterior to the hypochondirum
C) the spleen is located within the retroperitoneum
Lymph nodes emerge from the splenic hilum and course along the: A) renal vein B) splenic artery C) renal artery D) splenic vein
B
Splenomegaly may result from all of the following except: A) trauma B) congestion C) subphrenic abscess D) collagen vascular disease
C
An abnormal decrease in platelets may be the result of a(n): A) infection B) bone marrow disorder C) internal hemorrhage D) allergic reaction
C
The normal sonographic appearance of the splenic parenchyma is: A) homogenous and similar to the liver B) heterogenous C) hyperechoic compared with the liver D) hypoechoic compared with the kidney
A
In the early stages of sickle cell anemia, the spleen generally appears: A) atrophied B) heterogeneous C) enlarged D) hyperechoic
C
Which one of the following statements describes the correct anatomic location of structures adjacent to the spleen?
A) the diaphragm is anterior, lateral, and inferior to the spleen
B) the fundus of the stomach and lesser sac are medial and posterior to the splenic hilum
C) the left kidney lies inferior and medial to the spleen
D) the adrenal and kidney lie superior to the spleen
C
All of the following are functions of the spleen except: A) production of plasma cells B) production of lymphocytes C) destruction of red blood cells D) destruction of white blood cells
C
Splenic infarction is most commonly the result of: A) cardiac emboli B) splenomegaly C) splenic trauma D) pneumonia
A
The spleen is variable in size and is considered to be all of the following except: A) tetrahedral B) pentagonal C) triangular D) orange segment
B
When accessory spleens are present, they are usually located:
A) at the inferior margin of the spleen
B) on the posterior aspect of the spleen
C) near the hilum of the spleen
D) near the kidney
C
The splenic vein courses along the posterior border of the: A) spleen B) kidney C) pancreas D) adrenal glan
C
The spleen has two components joined at the hilum, are the \_\_\_\_\_ and \_\_\_\_\_ components. A) anterior; posterior B) superomedial; inferolateral C) superior; inferior D) superolateral; inferomedial
D
Which one of the following may cause a splenic rupture? A) complicated cyst B) infarction C) metastatic tumor D) cavernous hemangioma
D