GI Tract and Non Cardiac Chest Flashcards

Question 1

Q

Which of the following is not a layer of gut identified with sonography?

Serosa

Mucosa

Visceral

Submucosa

Question 2

Q

All of the following are sonographic criteria in the diagnosis of pyloric stenosis except:

*doughnut appearance in transverse

*wall of the pylorus measures less than 8 mm

*length of the pylorus measures more than 17 mm

*cervix appearance in longitudinal

Answer

A

* wall of the pylorus measures less than 8 mm

Question 3

Q

All of the following are sonographic findings of acute appendicitis except:

appendicolith

hyperemic flow

compressible, blind-ended tube

peripendiceal fluid collection

Answer

A

compressible, blind-ended tube

Question 4

Q

Clinical findings of acute appendicitis include all of the following except:

rebound tenderness

leukocytosis

right lower quadrant pain

constipation

Answer

A

constipation

Question 5

Q

Gastric cancer is most often in the form of:

angiosarcoma

adenocarcinoma

rhabdomyocarcinoma

cystadenocarcinoma

Answer

A

adenocarcinoma

Question 6

Q

The telescoping of one segment of bowel into another is referred to as:

Volvulus

pyloric stenosis

intussusception

Crohn disease

Answer

A

intussusception

Question 7

Q

Clinical findings of retroperitoneal fibrosis include which of the following?

migraine medication use

diarrhea

hematuria

diabetes mellitus

Answer

A

migraine medication use

Question 8

Q

Fluid located around the lungs is termed:

ascites

lung consolidation

pericardial effusion

plueral effusion

Answer

A

plueral effusion

Question 9

Q

Free air within the chest outside of the lungs is referred to as:

pneumothorax

lung consolidation

pulmonary sequestration

cystic adenomatoid malformation

Answer

A

pneumothorax

Question 10

Q

The diagnostic or theraputic procedure where fluid is removed from the plueral space is referred to as:

paracentesis

thoracentesis

pneumothorax

pericardial centresis

Answer

A

thoracentesis

Question 11

Q

Fluid located around the heart is termed:

ascites

lung consolidation

pericardial effusion

pleural effusoins

Answer

A

pericardial effusion

Question 12

Q

During abdominal sonography on a 68 year old male, you suspect an exophytic mass arising from the stomach. Which technique will be most useful in analysis of this mass?

*perform compression sonography over the suspicious area

*scan the patient in both inspiration and expiration

*scan the area while the patient performs a Valsalva maneuver

*rescan the patient following ingestion of a fatty meal

Answer

A

* perform compression sonography over the suspicious area

Question 13

Q

You are performing an ultrasound to rule out the presence of acute appendicitis. Which of the following constitiutes an abnormal findings?

A)appendix diameter greater than or equal to 6mm

B)noncompressible appendix

C)appendix diameter greater than or equal to 3mm

D) A and B only

Answer

A

D) A and B only

Question 14

Q

You are imaging the abdomen in a patient with abdominal pain and weight loss. You detect an area that is suspicious for a mass, but are considering the possiblity that the mass is a normal loop of bowel. What should you do?

*have the patient return for a comparison study

*image the area for a short duration to see if peristalsis occurs

*scan the patient in a different position

*all of the above should be attempted

Answer

A

* all of the above should be attempted

Question 15

Q

You are imaging a patient with abdominal pain and detect multiple dilated fluid-filled loops of bowel. This is suspicious for which of the following?

A) obstruction

B) ileus

C) appendicitis

D) A and B

Answer

A

D) A and B

Question 16

Q

A pleural effusion associated with infection, will sonographically appear:

complex

anechoic

septated

all of the above

Answer

A

all of the above

Question 17

Q

The tissue comprising a lung consolidation can appear sonographically isoechoic to:

rectus abdominis

the liver

IVC

aorta

Answer

A

the liver

Question 18

Q

All of the following may be discovered sonographically within the chest except:

thymomas

lymphomas

bronchial infections

pleural effusions

Answer

A

bronchial infections

Question 19

Q

Which of the following complications would be most likely to occur post thoracentesis?

pneumobilia

hemathorax

hyrothorax

pneumothorax

Answer

A

pneumothorax

Question 20

Q

A 35-year old female patient presents to the ultrasound department with a history of migraine medicine use, weight loss, nausea, and malaise. Sonographically, you visualize a 15 cm hypoechoic mass within the abdomen. Which of the following would be most likely?

intussesception

Volvulus

Retroperitoneal fibrosis

retroperitoneal lymphadenopathy

Answer

A

Retroperitoneal fibrosis

Question 21

Q

All of the following are potential causes of lung consolidation except:

hemorrhage

carcinoma

pulmonary sequestration

pneumonia

Answer

A

pulmonary sequestration

Question 22

Q

All of the following are advantages of an ultrasound of the chest except:

*Localize fluid pocket for thoracentesis

*The reflection of sound at the air tissue interface

*Evaluate for diaphragm motion

*Ability to differentiate between pleural effusion and solid pleural mass

Answer

A

* The reflection of sound at the air tissue interface

Question 23

Q

All of the following are indicative of abnormal bowel except:

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-</style><span>Pseudo-kidney </span>

<br></br></p><p class="MsoNormal"><span></span> <style>Target sign</style>

Non-compressible bowel

Peristalsis

Pseudo-kidney

Answer

A

Peristalsis

Question 24

Q

This abnormality appears as a wedge shaped echo free area along the posterior-lateral aspect of the lung:

Ascites

Pnuemothorax

Pleural effusion

Pleural fibrosis

Answer

A

Pleural effusion

Question 25

Q

A 6 month old female presents to your department with vomiting ABD pain and blood in her stool. Give the BEST diagnosis.

Intussusception

Pyloric stenosis

Normal bowel patterns

Volvulus

Answer

A

Intussusception

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GI Tract and Non Cardiac Chest Flashcards

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