Final review abdomen q3 Flashcards

1
Q

The normal sonographic appearance of the splenic parenchyma is what

A

homogeneous, hyperechoic to the liver

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2
Q

In the early stages of sickle cell anemia, the spleen generally appears _____ with congestion of the red pulp

A

enlarged

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3
Q
All of the following are functions of the spleen except:
A) Destruction of white pulp
B) Destruction of RBC
C) Production of plasma cells
D) Production of lymphocytes
A

Destruction of red blood cells

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4
Q

Lymph nodes emerge from the splenic hilum and course along the

A

splenic artery

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5
Q

Splenic infarction is most commonly the result of

A

cardiac embolic

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6
Q

When accessory spleens are present, they are most commonly located

A

near the hilum of the spleen

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7
Q

Which of the following causes a splenic rupture?
A) Infarction
B) Hemangioma

A

Hemangioma

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8
Q

Primary tumors that metastisize to the spleen originate from

A

stomach, ovaries, kidneys

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9
Q

The best position to evaluate the spleen is

A

right decubidus

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10
Q

Most common clinical presentation for splenic harmatoma

A

asymptomatic

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11
Q

A spleen that has migrated from its original location

A

wandering spleen

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12
Q

in the adult splenomegaly is diagnosed when the spleen measures

A

over 12-13cm

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13
Q

A chronic disease of unknown cause that involves all bone marrow elements is

A

polycythemia vera

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14
Q

The spleen is a ______ organ

A

intraperitoneal

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15
Q

The spleen is variable in size and considered to be these..

A

tetrahedral, triangular, orange segment

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16
Q

Contains Malpighian corpuscles, which are small nodular masses of lymphoid tissue

A

white pulp

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17
Q

Indicates percentage of RBC per volume of blood

A

hematocrit

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18
Q

A rapidly fatal disease that effects female infants

A

Neimann-Pick disease

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19
Q

Most common causes of granulomas

A

Histoplasmosis and tuberculosis

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20
Q

clinical findings of a splenic abscess

A

fever, LUQ tenderness, splenomegaly, left shoulder tenderness

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21
Q

Spleen is most commonly injured as a result of

A

blunt abdominal trauma

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22
Q

The only parasite that forms splenic cysts

A

echinoccocus

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23
Q

The most common benign tumor of spleen

A

hemangioma

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24
Q

hyperechoic, wedged-shaped lesion within spleen

A

splenic infarction

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25
You are performing an abdominal ultrasound on a patient with histoplasmosis. What findings should you expect?
multiple bright echogenic granulomatous lesions
26
25 year old female w RLQ pain and nausea. RUQ appears normal. A small mass is noted in the area of the splenic hilum. This mass is isoechoic with the spleen. whats the mass
accessory spleen
27
48 year old male with a history of severe, acute, LUQ pain w/o trauma. You visualize a hyperechoic wedge-shaped lesion on the spleen.
splenic infarction
28
most common cause of splenomegaly is
portal hypertension
29
evaluation of spleen indicates a 1cm, rounded, echogenic mass that does not produce shadowing.
hemangioma
30
the majority of the pancreas lies within
retroperitoneum
31
the head of the pancreas is ______ to the caudate lobe
inferior
32
the head of the pancreas lies ____ to the duodenum
medial
33
The ______ passes through a groove posterior to the pancreatic head
CBD
34
Primary pancreatic duct
duct of wirsung
35
older man with history of alcoholism is diagnosed with acute pancreatitis. His hematocrit and hypotension levels are decreased. Your differential diagnosis should include
hemorrhagic pancreatitis
36
a patient with painless jaundice, weight loss, and decreased appetite should be evaluated for
adenocarcinoma of pancreas
37
a serum level of twice ____ usually indicates acute pancreatitis
amylase
38
microscopic collection of cells within the tissue of the pancreas
islet of Langerhans
39
If the celiac axis is well visualized, the sonographer should move the transducer in the _____ direction to visualize the pancreas
inferior
40
the splenic artery is considered to be along the ____ border of the pancreas
superior
41
most common cause of acute pancreatitis is the US
biliary tract disease/ gallstones
42
what vessel runs posterior to the neck of the pancreas and anterior to the uncinate process?
SMV
43
The persistance of the dorsal and ventral pancreas with the head encircling the duodenum is called
annular pancreas
44
most common form of malignancy in the pancreas
adenocarcinoma
45
the whipple procedure is performed on patients with
pancreatic carcinoma
46
the most common location of adenocarcinoma of the pancreas is
head of pancreas
47
lab value more specific for acute pancreatitis
lipase
48
most common islet cell tumor
insulinoma
49
lab value that elevates first in acute pancreatitis
amylase
50
courvoisiers gallbladder is found in the presence of
adenocarcinoma in the pancreas head
51
acutely inflammed pancreas is
hypoechoic
52
most common cause of a hyperechoic pancreas is children
cystic fibrosis
53
stomach parts
body, fundus, pylorus
54
small intestine
duodenum, jejunum, ileum
55
gives the large intestine its segmented appearance
haustra
56
allows stomach to stretch and smooth out
rugae
57
hormone released by the stomach mucosa and stimulates the gastric glands to secrete
gastrin
58
where is the appendix located
McBurney's point
59
seen on a sagital scan to the left of the midline, target shaped, anterior to the aorta and posterior to the left lobe of the liver
gastroesophageal junction
60
duplication cysts are usually found at the
greater curvature of the stomach
61
gastric bezoar made of vegetable matter
phyto-bezoar
62
which imaging modality is best used for imaging gastric bezoars
radiography
63
outgrowth of tissue from gastric wall
gastric polyp
64
most common tumor of the stomach
leiomyoma
65
50% of malignant gastric tumors occur in the
pylorus
66
small bowel obstruction is associated with the dilation of bowel loops _____ to the obstruction
proximal
67
a mechanical small bowel obstruction may occur from
food bolus, hernia, volvulus
68
most common cause of acute abdominal pain is
acute appendicitus
69
appendix diameter exceeding _____ indicates appendicitis
6mm
70
gross enlargement of appendix from accumulation of mucous within the lumen
mucocele
71
Meckel diverticulitis most often occurs in the
sigmoid colon
72
autoimmune disorder characterized by periods of inflammation in the G.I. tract
crohns disease
73
second most common malignant tumor of the G.I. tract
leiyomyocarcinoma