GI Tract Practice questions

Question 1

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

Serosa

Mucosa

Visceral

Submucosa

Answer 1

Visceral

Question 2

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 2

* wall of the pylorus measures less than 8 mm

Question 3

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

appendicolith

hyperemic flow

compressible, blind-ended tube

peripendiceal fluid collection

Answer 3

compressible, blind-ended tube

Question 4

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

rebound tenderness

leukocytosis

right lower quadrant pain

constipation

Answer 4

constipation

Question 5

Gastric cancer is most often in the form of:

angiosarcoma

adenocarcinoma

rhabdomyocarcinoma

cystadenocarcinoma

Answer 5

adenocarcinoma

Question 6

Clinical findings of retroperitoneal fibrosis include which of the following?

migraine medication use

diarrhea

hematuria

diabetes mellitus

Answer 6

migraine medication use

Question 7

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 7

* perform compression sonography over the suspicious area

Question 8

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 8

D) A and B only

Question 9

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 9

* all of the above should be attempted

Question 10

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 10

D) A and B

Question 11

A pleural effusion associated with infection, will sonographically appear:

complex

anechoic

septated

all of the above

Answer 11

all of the above

Question 12

All of the following are indicative of abnormal bowel except:

Target sign

Non-compressible bowel

Peristalsis

Pseudo-kidney

Answer 12

Peristalsis