Spleen Review Flashcards
The most common location of an accessory spleen is near the:
- Left renal hilum
- Left adrenal gland
- Splenic hilum
- Lesser curvature of the stomach
- Splenic hilum
Gain settings should be placed to demonstrate the normal spleen as:
- Isoechoic to the normal pancreas
- Hyperechoic to the normal liver
- Hypoechoic to the normal renal cortex
- Isoechoic to the normal liver
- Isoechoic to the normal liver
The spleen is predominately located in which of the following quadrants?
- Left lumbar
- Epigastrium
- Hypogastrium
- Left hypochondrium
- Epigastrium
The most common neoplasm of the spleen is a
- Cyst
- Accessory spleen
- Cystadenoma
- Cavernous hemangioma
Cavernous hemangioma
The most common Hematocrit is defined as the percentage of a:
- Platelets in the red blood cell
- Oxygen in the red blood cell
- Red blood cells in the blood
- Platelet in the blood
- Red blood cells in the blood
The most common clinical finding associated with a hemangiosarcoma is:
- Anemia
- Weight loss
- Leukopenia
- Abdominal pain
Anemia
Metastasis to the spleen most commonly originates from which of the following malignancies?
- Hepatoma
- Melanoma
- Nephrolastoma
- Adrenocortical carcinoma
- Melanoma
Multiple splenic infections is a predisposing factor for which of the following conditions?
- Infarction
- Candidiasis
- Arterial calcification
- Cavernous hemangioma
- Candidiasis
In patients with a history of polycythermia Vera, the spleen will mostly demonstrate:
- Atrophy
- Enlargement
- Calcifications
- Multiple cysts
- Enlargement
The sonogram of the left upper quadrant is most consistent with which of the following conditions.
- Lymphoma
- Splenomegaly
- Splenic rupture
- Splenic infarction
- Splenomegaly
Based on this sonographic finding the sonographer should also evaluate for which of the following pathologies?
- Pancreatitis
- Portal hypertension
- Lymphadenopathy
- Abdominal aortic aneurysm
- Portal hypertension
Hemangiosarcoma involving the spleen frequently metastasizes to which of the following organs?
- Liver
- Colon
- Lung
- Kidney
- Liver
The sonogram is most likely demonstrating
- Pancreatic mass
- Enlarged lymph node
- Accessory spleen
- Adrenal adenoma
- Accessory spleen
What abnormality is documented in this u/s?
- Splenic cyst
- Hematoma
- Fluid- filled stomach
- Cystic lymphangioma
- Splenic cyst
Which of the following splenic abnormalities is most commonly lined to infective endocarditis?
- Hematoma
- Abscess
- Infarction
- Hematoma
- Abscess
The location of the spleen is best described as:
a. anterior to the stomach
b. posterior to the left kidney
c. lateral to the stomach
d. medial to the left adrenal gland
C. Lateral to the stomach
Patients with a history of portal hypertension have an increased risk of developing a splenic:
a. cyst
b. infarction
c. hamartoma
d. artery aneurysm
d. Artery aneurysm
A congenital anomaly of the spleen associated with gastrointestinal, cardiovascular, genitourinary, and biliary anomalies is most consistent with:
a. asplenia syndrome
b. a wandering spleen
c. polysplenia syndrome
d. an accessory spleen
C. Polyspenia syndrome
The splenic artery is a branch of which of the following vascular structures?
a. abdominal aorta
b. celiac axis
c. gastric artery
d. superior mesenteric artery
B. Celiac axis
A clinical finding associated with splenic infarction may include:
a. hypertension
b. leukocytosis
c. no symptoms
d. epigastric pain
C. no symptoms
The hyperechoic foci identified in the splenic parenchyma are most suspicious for:
A. candidiasis
B. pneumobilia
C. Splenic calcifications
D. Multiple small hemangiomas
C. Splenic calcifications
These sonographic findings are most likely considered:
a. life threatening
b. incidental findings
c. postsurgical changes
d. hypervascular lesions
B. incidental findings
A female patient presents to the ultrasound department complaining of vague left upper quadrant pain. She admits to “wrestling” with her brother a week earlier. Based on this clinical history, the sonographic findings are most suspicious for which of the following conditions?
a. hematoma
b. polycystic disease
c. loculated abscess
d. pseudocyst
A. Hematoma
The mass identified by the arrow most likely represents a(n):
a. abscess
b. lipoma
c. cavernous hemangioma
d. primary malignant tumor
C. Cavernous hemangioma
An afebrile patient with a history of leukemia presents to the ultrasound department complaining of left upper quadrant pain. This sonogram of the spleen most likely documents:
a. candidiasis
b. primary malignant tumors
c. multiple splenic abscesses
d. metastatic disease
B. Primary malignant tumors
Which of the following structures carries carbon dioxide back to the lungs?
a. platelet
b. lymphocyte
c. hematocrit
d. hemoglobin
d. Hemoglobin
A hemangiosarcoma located in the spleen on ultrasound would appear as a(n):
a. anechoic or hypoechoic mass
b. hyperechoic or complex mass
c. hypoechoic or complex mass
d. isoechoic or hyperechoic mass
B. Hyperechoic or complex mass
Which of the following is an indication for an ultrasound of the spleen?
a. fatigue
b. hypotension
c. weight gain
d. elevated serum amylase
A. Fatigue
Which of the following splenic pathologies is associated with granulomatosis?
A. cysts
B. calcifications
C. cavernous hemangioma
D. cavernous lymphangioma
B. Calcifications
A patient presents with a history of portal hypertension. The spleen is expected to demonstrate:
a. atrophy
b. enlargement
c. intraparenchymal calcifications
d. reversal of flow in the splenic vein
B. Splenomegaly
Leukocytosis is defined as a white blood cell count:
a. below 4000
b. below 11,000
c. above 12,000
d. above 20,000
D. Above 20,000
A hematoma located below the splenic capsule most commonly appears on ultrasound as a:
a. lateral anechoic mass
b. hypoechoic parenchymal mass
c. crescent-shaped fluid collection inferior to the diaphragm
d. loculated mass anterior to the left kidney
c. Crescent- shaped fluid collection inferior to the diaphragm
Which of the following pathologies is associated with a “wheel within a wheel” appearance on ultrasound?
a. candidiasis
b. infarction
c. hemangiosarcoma
d. cystic lymphangiomatosis
A. Candidiasis
Splenic infarction is most commonly associated with an embolism originating from which of the following structures?
a. heart
b. liver
c. spleen
d. pancreas
A. Heart
Which of the following conditions is most likely to demonstrate an elevated hematocrit?
a. infection
b. leukemia
c. hemorrhage
d. overhydration
A. Infection
Which of the following splenic regions is identified by arrow A?
a. superior portion
b. inferior portion
c. splenic hilum
d. anterior portion
Superior portion
Which of the following splenic regions is identified by arrow B?
a. superior portion
b. inferior portion
c. splenic hilum
d. anterior portion
C. Splenic hilum
Which of the following splenic regions is identified by arrow C?
a. superior portion
b. inferior portion
c. splenic hilum
d. posterior portion
B. Inferior portion
Which of the following scanning planes is most likely demonstrated in this sonogram?
a. anterior
b. subcostal
c. transverse
d. coronal
D. Coronal
Which of the following findings is most likely demonstrated in this sonogram of the left upper quadrant?
a. ascites
b. phlegmon
c. pleural effusion
d. hemoperitoneum
A. Ascites
A patient arrives at the emergency department following a motor vehicle accident. An abdominal ultrasound is most likely ordered to evaluate for which of the following conditions?
a. pancreatitis
b. biliary obstruction
c. urinary obstruction
d. hemoperitoneum
D. Hemoperitoneum
In which of the following conditions is the spleen enlarged as a child and atrophic as an adult?
a. lymphoma
b. sickle cell anemia
c. leukemia
d. polycythemia vera
B. Sickle cell anemia
The splenic vein joins the superior mesenteric vein to form the:
a. coronary vein
b. hepatic vein
c. portal vein
d. gastric vein
C. Portal vein
Leukopenia is defined as a white blood cell count:
a. below 4000
b. below 11,000
c. above 12,000
d. above 20,000
A. Below 4000
Which of the following structures is recycled into iron by the spleen?
a. erythrocytes
b. platelets
c. leukocytes
d. hemoglobin
D. Hemoglobin
Which of the following conditions is most likely associated with a decrease in leukocytes?
a. anemia
b. lymphoma
c. leukemia
d. malignancy
C. Leukaemia
Normal hemoglobin levels should not exceed:
a. 5 g/dL
b. 10 g/dL
c. 20 g/dL
d. 50 g/dL
C. 20 g/dl
In a 40-year-old patient, splenomegaly is suggested after the length of the spleen exceeds:
a. 7 cm
b. 11 cm
c. 13 cm
d. 18 cm
C. 13 cm
Which of the following benign neoplasms is composed of lymphoid tissue?
a. lipoma
b. adenoma
c. hamartoma
d. cavernous hemangioma
B. Adenoma
A patient with an accessory spleen will most likely present with which of the following symptoms?
a. dyspepsia
b. no symptoms
c. left upper quadrant pain
d. palpable abdominal mass
B. No symptoms
