Spleen Abd Wall review

Question 1

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

Answer 1

splenoral ligament

Question 2

ligament between the spleen and the splenic flexure of the colon

Answer 2

phrenicocolic ligament

Question 3

spleen that has migrated from its normal space in the LUQ

Answer 3

wandering spleen

Question 4

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

Answer 4

polycythemia vera

Question 5

spleen is part of what system

Answer 5

reticuloendothelia

Question 6

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

Answer 6

marked dilation of the intrahepatic veins

Question 7

the normal sonographic texture of the spleen is

Answer 7

isoechoic but more echogenic than the liver

Question 8

the spleen is

Answer 8

the center for hematopoietic activity

Question 9

all of the following are functions of the spleen EXCEPT

Answer 9

metabolism for carbs and fats

Question 10

when accessory spleens are present, they usually are located

Answer 10

near the splenic hilum

Question 11

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

Answer 11

an accessory spleen

Question 12

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

Answer 12

hemangiosarcoma’s

Question 13

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

Answer 13

brain

Question 14

with splenomegaly the left kidney may be displaced

Answer 14

anteriorly

Question 15

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

Answer 15

pericardium

Question 16

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

Answer 16

calcification in the spleen

Question 17

the major function of the adult spleen

Answer 17

to fight infectoin

Question 18

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

Answer 18

13 cm

Question 19

a _________hematoma of the spleen, the spleen capsule remains intact

Answer 19

subcapsular

Question 20

which lobe of the liver is a lesser sac structure

Answer 20

caudate lobe

Question 21

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

Answer 21

anechoic patterns around the bowel and smooth borders

Question 22

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

Answer 22

pancreatic carcinoma

Question 23

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

Answer 23

A. subphrenic abcess collections may be easily differentiated from ascites

Question 24

what hangs over the intestines like an apron

Answer 24

the greater omentum

Question 25

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

Answer 25

urachal cyst

Question 26

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

Answer 26

biloma

Question 27

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

Answer 27

morrisons pouch

Question 28

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

Answer 28

gutters

Question 29

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

Answer 29

perinephric space

Question 30

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

Answer 30

peritoneum

Question 31

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

Answer 31

sepsis

Question 32

a lymphocele may be defined as

Answer 32

lymph-filled spaces without a distinct epitheial lining

Question 33

the general peritoneal cavity is known as the \_\_\_\_\_\_sac of the peritoneum

Answer 33

greater

Question 34

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

Answer 34

abcess

Question 35

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

Answer 35

echinococcus cyst

Question 36

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?

Answer 36

accessory spleen

Question 37

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

Answer 37

splenic infarct

Question 38

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

Answer 38

calcifications with in the spleen

Question 39

typically a hematoma appears: A. hyperechoic B. hypoechoic C. complex D. all of any depending on its age

Answer 39

D. all or any depending on its age

Question 40

inflammatoin of the peritoneum is termed

Answer 40

peritonitis

Question 41

below the diaphragm

Answer 41

subphrenic

Question 42

ascites is defined as accumulation of the fluid in the

Answer 42

peritoneal cavity

Question 43

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

Answer 43

abdominal organs

Question 44

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

Answer 44

inferiorly

Question 45

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

Answer 45

lower extremity edema

Question 46

the primary malignant tumor of the spleen is a

Answer 46

angiosarcoma

Question 47

what is the most common cause of splenomegaly

Answer 47

portal hypertension

Question 48

massive splenomegaly can lead to spontaneous rupture of the spleen

Answer 48

true