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ABD Finals > spleen > Flashcards

spleen Flashcards

1
Q

ligament between the spleen and kidney that helps support the greater curvature of the stomach

A

splenorenal ligament

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2
Q

ligament between the spleen and the splenic flexure of the colon

A

phrenicocolic ligament

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3
Q

spleen that has migrated from its normal space in the LUQ

A

wandering spleen

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4
Q

chronic condition of unknown origin involving bone marrow elements: charaterized by an increase in red blood cells and hemoglobin concentration

A

polycythemia vera

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5
Q

spleen is part of what system

A

reticuloendothelia

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6
Q

patients with a right side heart failure and elevated systemic venous pressure may develope

A

marked dilation of the intrahepatic veins

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7
Q

the normal sonographic texture of the spleen is

A

Homogenous with fine internal echoes equal or more echogenic than those of the liver

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8
Q

the spleen is

A

the center for hematopoietic activity

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9
Q

all of the following are functions of the spleen EXCEPT

A

metabolism for carbs and fats

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10
Q

when accessory spleens are present, they usually are located

A

near the splenic hilum

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11
Q

the major focal defects in the spleen may be caused by all of the following EXCEPT

A

an accessory spleen

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12
Q

the most common benign neoplasm’s in the spleen include all of the following EXCEPT

A

hemangiosarcoma’s

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13
Q

primary tumors that may metastasize to the spleen include all of the following EXCEPT

A

brain

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14
Q

with splenomegaly the left kidney may be displaced

A

inferior

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15
Q

other areas that should be examined when ruling out a splenic rupture include all of the following EXCEPT

A

pericardium

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16
Q

what sonographic signs are present in the spleen of a patient with histoplasmosis

A

calcification in the spleen

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17
Q

the major function of the adult spleen

A

to fight infectoin

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18
Q

in the adult, splenomegaly is diagnosed when the length of the spleen exceeds

A

13 cm

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19
Q

a _________hematoma of the spleen, the spleen capsule remains intact

A

subcapsular

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20
Q

which lobe of the liver is a lesser sac structure

A

caudate lobe

21
Q

inflammatory or malignant ascites present with all of the following characteristics EXCEPT

A

anechoic patterns around the bowel and smooth borders

22
Q

differential diagnoses of a lesser-sac abcess should include all of the follwing EXCEPT

A

pancreatic carcinoma

23
Q

which of the following statements is false

A. subphrenic abcess collections may be easily differentiated from ascites

B. perinephric abcess is usually the result of a perforated renal abcess that leaks purulent material into the tissues adjacent to the kidney

C. a renal carbuncle is an abcess that forms inside the renal praenchyma

D. the poresence of a right subhepatic abcess generally implies previous contamination of the right subhepatic space

A

A. subphrenic abcess collections may be easily differentiated from ascites

24
Q

what hangs over the intestines like an apron

A

the greater omentum

25
Q

a cystic mass between the umbilicus and the bladder is termed a

A

urachal cyst

26
Q

an extrahepatic loculated collection of bile that may develop due to trauman or spontaneous rupture of the billiary tree

A

biloma

27
Q

space anterior to the right kidney and posterior to the inferior border of the liver where ascites may accumulate or an abcess my develop

A

morrisons pouch

28
Q

most dependent areas in the flanks of the abdomen and pelvis where fluid collections may accumulate

A

gutters

29
Q

a urinoma is most likely to develop in which of the following regions

A

perinephric space

30
Q

a smooth membrane that lines the entire abdominal cavity and is reflected over the contained organs is the

A

peritoneum

31
Q

a spread of infection from it initial site to teh blood stream defines

A

sepsis

32
Q

a lymphocele may be defined as

A

lymph-filled spaces without a distinct epitheial lining

33
Q

the general peritoneal cavity is known as the ______sac of the peritoneum

A

greater

34
Q

a caivty formed by necrosis within solid tissue or a circumscribed collection of purulent material is a

A

abcess

35
Q

a complex cyst that results from the parasitic infestation of the spleen by a tapeworm is the

A

echinococcus cyst

36
Q

a 25 yr old female presents to the US dept for a complete abdominal. She complains of RLQ pain and nausea. The RUQ abdomen appears normal. A small mass is noted in teh area of the splenic hilum. What does this mass most likely represent?

A

accessory spleen

37
Q

a 48 yr old male with history of severe sudden onset LUQ pain with trauma presents to the US dept for an ultrasound of the spleen. You visualize a wedge-shaped, hypoechoic area within the spleen. This most likely represents a

A

splenic infarct

38
Q

a 35 yr old male presents to the US dept for an abdominal ultrasound with a history of abd pain and histoplasmosis. what are you more likely to identify within the spleen

A

calcifications with in the spleen

39
Q

typically a hematoma appears:

A. hyperechoic

B. hypoechoic

C. complex

D. all of any depending on its age

A

D. all or any depending on its age

40
Q

inflammatoin of the peritoneum is termed

A

peritonitis

41
Q

below the diaphragm

A

subphrenic

42
Q

ascites is defined as accumulation of the fluid in the

A

peritoneal cavity

43
Q

the visceral peritoneum refers to the surface that is in contact with the

A

abdominal organs

44
Q

when longitudinal scans of the spleen are performed with a subcostal approach the patient is asked to take in a deep breath. This technique displaces the spleen

A

inferiorly

45
Q

all of the following are clinical findings of a splenic trauma EXCEPT

A

lower extremity edema

46
Q

the primary malignant tumor of the spleen is a

A

angiosarcoma

47
Q

what is the most common cause of splenomegaly

A

portal hypertension

48
Q

massive splenomegaly can lead to spontaneous rupture of the spleen

A

true

ABD Finals (5 decks)

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