Thyroid/GI Tract

Question 1

A 45 year-old male presents for a right upper quadrant ultrasound with history of generalized abdominal pain. In surveying the pancreas, you notice that the layers of the wall of transverse colon appear normal in pattern and echogenicity, but are markedly thickened. Which of the following might give this appearance:

Answer 1

Ulcerative colitis

Question 2

An 86 year-old female presents for a gallbladder ultrasound for diarrhea and post-prandial pain. In surveying the common bile duct, you are suspicious that the duodenal wall may be thickened. What is the normal thickness of the duodenal wall?

Answer 2

< 5mm

Question 3

A 17 year-old female presents for sonographic evaluation of the abdomen after a negative gynecologic sonogram. The patient complains of worsening right-sided pain for 3 days and vague, flu-like symptoms. Which condition is this most suspicious for?

Answer 3

appendicitis

Question 4

Which of the following is most likely to directly obstruct the blood supply to the appendix in acute appendicitis?

Answer 4

appendiceal swelling

Question 5

Toxic goiter is characterized by an impairment in the function of the thyroid gland.

Answer 5

false

Question 6

A patient presents for sonographic evaluation of the neck with hypercalcemia. Which of the following is the most likely finding?

Answer 6

Parathyroid adenoma

Question 7

A patient presents for sonographic evaluation of the neck with a palpable lump. Imaging reveals a solitary thyroid nodule with ipsilateral lymphadenopathy. What is this most suspicious for?

Answer 7

malignancy

Question 8

What type of thyroid pathology is associated with a viral infection?

Answer 8

De Quervain’s thyroiditis

Question 9

What type of thyroid pathology demonstrates normal or decreased vascularity?

Answer 9

DeQuervain’s thyroiditis

Question 10

A solid appearing mass is noted in the neck lateral to the thyroid. Abscess is not suspected, as the clinical history does not support it. What is the most likely etiology?

Answer 10

Branchial cleft cyst

Question 11

A 35 year-old female presents for thyroid sonogram with painless enlargement of her neck. Ultrasound reveals a diffusely enlarged gland. Upon further work-up, the patient is diagnosed with the most common type of thyroiditis:

Answer 11

Hashimoto’s