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DMST ABD 3 > Quiz 4 Socrative > Flashcards

Quiz 4 Socrative Flashcards

1
Q

A patient presents with flank pain and fever. A hypoechoic diffusely enlarged left kidney with loss of corticomedullary junction is noted on ultrasound. What is the most likely diagnosis?

  1. Leukaemia
  2. Lymhoma
  3. Pyonephrosis
  4. Pyelonephritis
A

Pyelonephritis

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2
Q

A 48 year old female complains of right upper quadrant pain for 7 days post cholecystectomy. Lab work reveals an evaluated white blood cell count. Based on the information and image provided, what is the most likely diagnosis?

  1. Biloma
  2. Abscess
  3. Hematoma
  4. Hydatid cyst
A

Abscess

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3
Q

Which of the following lab tests is elevated with pancreatitis?

  1. Lipase
  2. Insulin
  3. Glucose
  4. Cholecystokinin
A

Lipase

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4
Q

When writing a technical impression for a case of acute appendicitis, which of the following pieces of information would be of greatest importance to communicate to the radiologist?

  1. Length of appendix
  2. AP thickness of the appendix
  3. Presence of nausea and vomiting
  4. Number of days that the patient has felt pain
A

AP thickness of the appendix

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5
Q

A ultrasound of a critically I’ll patient reveals a thick walled gallbladder and a small amount of pericholecystic fluid. No stones are present, and the patient does not demonstrate a positive murphy’s sign. What is the most likely diagnosis

  1. Acute cholecystitis
  2. Chronic cholecystitis
  3. Acalculous cholecystitis
  4. Gangrenous cholecystitis
A

Acalculous cholecystits

No stones present

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6
Q

A 60 year old male presents with a history of chronic alcohol abuse and epigastric pain. His lab work shows elevated lipase and normal amylase. What would be the expected sonographic appearance of his pancreas?

  1. Atrophic and hypoechic
  2. Enlarged and hypoechic
  3. Calcifications and dilated pancreatic duct
  4. Hyperechoic and enlarged with poorly defined boarders
A

Calcifications and dilated pancreatic duct

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7
Q

A 28 year old with a history of IV drug use presents with a fever and RUQ tenderness. Ultrasound examination reveals a hypoechoic liver with prominent portal vein walls. The gallbladder wall measure 4mm. What is the most likely diagnosis?

  1. Acute hepatitis
  2. Chronic hepatitis
  3. Schistosomiasis
  4. Pneumocystis Carini
A

Acute hepatitis

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8
Q

A male patient with diabetes presents to the department with RUQ pain and a positive Murphy’s sign. Ultrasound reveals a thickened wall gallbladder with hyperechoic foci demonstrating dirty shadowing posteriorly. What is the most likely diagnosis?

  1. Adenomyomatosis
  2. Gallbladder perforation
  3. Gangrenous cholecystitis
  4. Emphysematous cholecystitis
A

Emphysematous cholecystitis

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9
Q

A 19 year old male presents with a sudden onset of severe epigastric pain following a weekend of binge drinking. Lab work reveals elevated amylase. What conditions should be suspected?

  1. Acute hepatitis
  2. Chronic hepatitis
  3. Acute pancreatitis
  4. Chronic pancreatitis
A

Acute pancreatitis

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10
Q

A 26 year old female presents with RLQ pain and Leukocytosis based on the history and image provided, what is the most likely diagnosis?

  1. Diverticulitis
  2. Appendicitis
  3. Ulcerative colitis
  4. Mesenteric adenitis
A

Appendicitis

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11
Q

1 45 year old HIV positive patient presents with pneumocystis carni infection of the liver. What is the expected sonographic appearence?

  1. Small cysts
  2. A nodular liver
  3. Multiple target lesions
  4. Multiple non-shadowing echogenic foci
A

Multiple non-shadowing echogenic foci

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12
Q

A 4 year old girl from Sudan presents with high fever and pain in the right hypochondrium. She suffers from low growth rate and malnutrition. The associated image represents the appearance of the CBD. What is the most likely diagnosis

  1. Hydatid disease
  2. Schistosomiasis
  3. Biliary ascariasis
  4. Pneumocystis carini
A

Biliary ascariasis

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13
Q

What is the most common appearence of candidiasis in the liver?

  1. Uniformly hypoechoic
  2. Uniformly hyperechoic
  3. Bull’s eye appearance
  4. Wheel within a wheel appearance
A

Uniformly hypoechoic

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14
Q

Which of the following is a non-infectious cause of peritonitis?

  1. Virus
  2. Fungi
  3. Bacteria
  4. Foreign body
A

Foreign body

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15
Q

Perforation typically occurs in what region of the gallbladder

  1. Neck
  2. Body
  3. Fundus
A

Fundus

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16
Q

There is an association between primary sclerosing cholangitis and what other inflammatory condition?

  1. Cholecystitis
  2. Crohn’s disease
  3. Ulcerative colitis
  4. Pseudomembranous colitis
A

Ulcerative colitis

17
Q

What zone of the prostate is typically affected by BPH?

  1. Central
  2. Transition
  3. Peripheral
  4. Verumontanum
A

Transition

18
Q

Which of the following would not be a differential for a fungal ball in the collecting system?

  1. Stone
  2. Polyp
  3. Tumour
  4. Blood clot
A

Stone

19
Q

Which of the following terms is used to describe a twisting of the bowel that results in obstruction

  1. Hernia
  2. Volulus
  3. Intussusception
  4. Diverticulosis
A

Volvulus

20
Q

Which of the following is not part of the classical presentation of infection?

  1. Pain
  2. Fever
  3. Leukopenia
  4. Leukocytosis?
A

Leukopenia

DMST ABD 3 (11 decks)

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