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Abdominal > Quiz 1 Recap Questions > Flashcards

Quiz 1 Recap Questions Flashcards

1
Q

5 incidentalomas

A
  • granulomas
  • cavernous hemangioma
  • FNH
  • adenoma
  • simple cyst
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2
Q

what is the most common benign tumor?

A

cavernous hemangioma

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3
Q

what are 2 tumors occurring with hormonal influence?

A
  • FNH

- adenoma

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4
Q

Broken diaphragm sign is associated with which benign tumor

A

fatty tumor

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5
Q

List 4 complications of viral hepatitis

A
  • portal hypertension
  • cirrhosis
  • HCC
  • liver failure
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6
Q

starry night sign is associated with what?

A

acute viral hepatitis

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7
Q

List 2 complications of chronic hepatitis seen on US

A
  • hepatomegaly

- GB wall thickening

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8
Q

List 2 most common causes of bacterial disease via the biliary tract

A
  • cholangitis

- cholecystitis

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9
Q

The most common complication of bacterial disease associated with fever and leukocytosis

A

abscess

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10
Q

What sonographic sign could differentiate between a hematoma and an abscess

A

GAS

Echogenic foci with ring down artifact or posterior reverberation artifact

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11
Q

What fungal disease is most commonly associated with patients who are immunosuppressed?

A

candidiasis

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12
Q

A parasitic disease prevalent in sheep and cattle raising countries

A

hydatid disease

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13
Q

The most common parasitic infection in humans-

A

Schistosomiasis

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14
Q

What is the distinguishing feature on US for schsitosomiasis?

A

widened and echogenic portal tracts

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15
Q 
A 30  year old female patient 
presents for abdominal US to R/O
kidney stones.
She is not on medication.
Her pain is in the left flank region.
This singular  avascular liver lesion is 
most likely
A

hemangioma

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16
Q

About Hemangiomas

A 
Most common benign lesion
Asymptomatic
No increase in LFT’s
Incidentaloma
Congenital
More common in females
Hypovascular on Doppler
Well defined borders
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17
Q 
A 25 year old patient undergoes an
abdominal US to R/O polycystic
kidney disease.An incidental lesion
was seen on liver scan and with
color Doppler,demonstrated a 
spoke wheel type pattern. HX-OC use
This most likely represents
A

FNH

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18
Q

About FNH

A

Spoke wheel pattern on Doppler
Usually isoechoic
Incidentalomas
May bulge at liver border

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19
Q 
A 29 year old woman presents for
abdominal US with RUQ pain
She has been on OC for the past 2 years
This lesion was hypervascular .
The liver was palpable.
This most likely represents
A

adenoma

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20
Q

About adenomas

A 
May become malignant
Surgical resection is advised
Bleeding within lesion may cause pain
Risk of rupture during pregnancy
No inc.LFTS
incidentaloma
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21
Q 
A 50 year old man returned home
 after visiting an underdeveloped country and fell ill shortly after. C/O abdominal pain and diarrhea
Leukocytosis and increased  LFT’s 
were found on blood test     
This liver lesion is most likely
A

hydatid disease

22
Q

About hydatid disease

A 
AKA-echinococcal disease 
Parasitic tape worm infestation
Forms slow growing daughter cysts
Embryos get trapped in the liver
Resection is recommended and F/U with US
23
Q

A 40 year Italian man fell ill while visiting
Canada.He presented to emergency with
the following symptoms:Fever,abdominal pain,
nausea and vomiting. Jaundice was apparent
as well as leukocytosis .This US represents

A

hepatitis

24
Q

Chronic hepatitis

A
  • Not always apparent ultrasound varying appearances

- can lead to cirrhosis,portal hypertension and HCC

25
Q

acute hepatitis

A
  • On US-starry sky or starry night appearance

- Bright periportal walls-hypoechoic parenchyma

26
Q

how can hep A be transmitted?

A

fecal-oral route

27
Q

how can hep B, C be transmitted?

A

parenterally

28
Q 
Pt had a recent cholecystectomy
following a bout of
cholecystitis.He presented
with fever,malaise , anorexia and
RUQ pain.Leukocytosis was
apparent on blood tests.
This is an image of
A

abscess

29
Q

About hepatic abscess

A

-A bacterial infection
-“gas” may be apparent –definitive diagnosis
Echogenic foci with artifact
-Jaundice is a sign
-Most common form is via the biliary tract(cholangitis,cholecystitis

30
Q 
50 year old male presents to his DR.’S 
office C/O a distended abdomen :S/S:
hepatomegaly and jaundice.He denies
alcohol abuse.  Blood tests reveal increased
LFT’s .This image is indicative of
A

cirrhosis

31
Q

About cirrhosis

A
  • Alcohol abuse accounts for most cases.Hep C secondly
  • Portal hypertension,ascites,splenomegaly and varices are complications
  • May result in endstage liver disease
  • Nodular border
  • HCC is an outcome for some of these patients
32
Q 
A 40 year old woman who recently
was DX with lung cancer was
sent for abdominal US for staging
purposes after increased LFT’s were
noted on blood screening.Long term smoking as history
This scan most likely represents
A

metastases

33
Q

About metastases

A
  • If the primary cancer is known,liver lesions are considered to be mets
  • Diffuse disease can change the contour of the liver capsule
  • When staging a patient with a known primary,spend more time on the liver
  • Colon,breast and lung primaries are the most commonly seen patients for staging-often they go straight to CT instead
34
Q

Immunosuppressed patient

A

candidiasis

35
Q

bright periportal walls

A

hepatitis

36
Q

dilated portal tracts

A

schistosomiasis

37
Q

2nd most commonly seen benign lesion

A

FNH

38
Q

Reversible metabolic disease

A

steatosis

39
Q

Broken diaphragm sign

A

fatty tumor

40
Q

Aurora sign

A

Lung parenchymal disease

41
Q

collection of blood following trauma

A

hematoma

42
Q

Gas producing bacteria in a collection

A

abscess

43
Q

Focal mass on cirrhotic liver

A

HCC

44
Q

Most common parasitic disease

A

schistosomiasis

45
Q

Most common benign liver mass

A

hemangioma

46
Q

Periportal hypoechoic area on fatty liver

A

focal sparing

47
Q

Brightly echogenic enlarged liver

A

diffuse fatty infiltration

48
Q

Anatomic variant seen in women

A

reidels lobe

49
Q

Nodular liver with irregular contour

A

cirrhosis

50
Q

Anechoic,smooth walls,posterior enhancement

A

simple cysts

51
Q

Daughter cysts

A

hydatid diease

Abdominal (11 decks)

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