URR 36 Flashcards
When pancreatic enzymes leak into the peritoneal space, a ___ forms.
a. cystadenoma
b. biloma
c. phlegmon
d. pseudocyst
d
Splenic torsion is most commonly associated with:
a. Gaucher disease
b. accessory spleen
c. ectopic spleen
d. asplenia
c
Weakened gastrosplenic and splenorenal ligaments can lead to:
a. situs inversus
b. polysplenia
c. wandering spleen
d. asplenia
c
Glandular atrophy, dilated main duct, and intraductal calculi are hallmark signs of:
a. chronic cholecystitis
b. chronic renal failure
c. cholangitis
d. chronic pancreatitis
d
A 56 year old male presents with epigastric pain, nausea, and a chronic history of alcoholism. Lab values demonstrate increased levels of amylase and lipase. Hematocrit levels are below normal values. The US exam demonstrates a hypoechoic, enlarged pancreas with periglandular fluid. Which of the following best describes the findings?
a. phlegmon
b. hemorrhagic pancreatitis
c. acute pancreatitis
d. chronic pancreatitis
b
The most likely primary malignancy to metastasize to the spleen is ___. The most common malignancies that do metastasize to the spleen are ___.
a. lung cancer; breast and parathyroid adenocarcinoma
b. melanoma; lung and breast cancer
c. breast cancer; melanoma and hepatocellular carcinoma
d. renal cell carcinoma; breast and thyroid carcinoma
b
__ refers to a rare genetic disorder characterized by visceral cysts, renal and pancreatic cysts, benign masses, and the potential for malignant transformation in multiple organ systems.
a. Osler-Weber-Rendu syndrome
b. Edwards syndrome
c. Von Hippel Lindau Syndrome
d. polycystic disease
c
When inflammation from pancreatitis extends into the tissues surrounding the pancreas, this is called:
a. cystadenoma
b. phlegmon
c. pseudocyst
d. biloma
b
Splenic atrophy in adults is often associated with:
a. splenitis
b. tuberculosis
c. sickle cell anemia
d. typhoid fever
c
A pseudocyst has no ___, which helps to differentiate it from a true pancreatic cyst.
a. pancreatic enzymes within it
b. epithelial lining
c. posterior shadowing
d. posterior enhancement
b
Splenosis is a complication of:
a. splenic infection
b. sickle cell anemia
c. splenic trauma
d. portal HTN
c
Which of the following statements regarding insulinomas is true?
a. they commonly occur in the head of the pancreas
b. patients are usually hypoglycemic
c. most patients require an insulin pump to counteract the effects of the tumor on the serum glucose levels
d. commonly associated with a peptic ulcer
b
Which of the following describes the sonographic appearance of acute pancreatic allograft rejection?
a. small atrophied gland with numerous cysts within the parenchyma
b. small atrophied gland with numerous calcifications within the parenchyma
c. high resistance flow in the transplant arteries with numerous calcifications within the parenchyma
d. high resistance flow in transplant arteries and heterogeneous appearance of the gland
d
It may be difficult to differentiate a ___ from a splenic disease process at the hilum.
a. pancreatic pseudocyst
b. duodenal tumor
c. liver mass in the caudate lobe
d. right renal cyst in the upper pole
a
Renal cell carcinoma, insulinoma, and pancreas cystadenoma are associated with what syndrome?
a. Beckwith-Wiedemann Syndrome
b. Gaucher disease
c. Multiple endocrine neoplasia syndrome
d. Von Hippel Lindau syndrome
d
Pseudoaneurysm formation, biliary obstruction and phlegmon are complications typically seen with:
a. non-alcoholic steatosis
b. insulinomas
c. pancreatitis
d. alcoholic cirrhosis
c
A patient with a known history of Zollinger-Ellison syndrome presents with symptoms that include indigestion and esophageal reflux. Lab testing indicates elevated levels of gastrin. These findings are most suggestive of:
a. gastrinoma formation in the pancreas
b. pancreatic pseudocyst
c. appendicitis
d. Crohn disease
a
A disorder that affects the pancreas by causing it to excrete a thick mucus-like substance that inhibits the exocrine function is called:
a. tuberculosis
b. insulinoma
c. cystic fibrosis
d. pancreatitis
c
When a pancreas transplant has enteric drainage:
a. it is common for the stomach to be dilated with pancreatic juices
b. the urinary bladder should be evaluated for abnormalities
c. the allograft will be located in the chest
d. bowel should be evaluated for obstruction
d
What are the two most common infections that cause granuloma formation in the spleen?
a. colitis and cholecystitis
b. tuberous sclerosis and mononucleosis
c. tuberculosis and histoplasmosis
d. mononucleosis and syphilis
c
Chronic infection in soft tissue organs typically leads to:
a. the development of cavernous transformation
b. there is a small bowel obstruction at the duodenum resulting in fecalith formation around the head of the pancreas
c. the formation of calcifications
d. the development of systemic hypertension
c
A patient presents with congenital absence of the spleen, this condition is called:
a. splenomegaly
b. asplenia
c. hamartoma
d. accessory spleen
b
A pseudocyst most commonly forms in which retroperitoneal space?
a. perinephric space
b. posterior pararenal space
c. omental bursa
d. anterior pararenal space
d
What is the Asher sign suggestive of?
a. pancreatic malignancy
b. splenomegaly
c. tumoral invasion of the splenic vein
d. acute pancreatitis
b