URR ABD EXAM Flashcards
Hematuria is defined as
A. the presence of urea in blood
B. The presence of white blood cells in urine
C. the presence of red blood cells in urine
D. the presence of red blood cells in blood
C
What type of hepatic abscess causes a fever and leukopenia
A. amebic
B. pyogenic
C. echinococcal
D. fungal
D
Which of the following statements regarding insulinomas is true
A. patients are usually hypoglycemic
B. most patients require an insulin pump to counteract the effects of the tumor on the serum glucose levels
C. Commonly associated with a peptic ulcer
D. They commonly occur in the head of the pancreas
A
Which of the following sonographic characteristics is an expected finding in a patient with acute renal vein thrombosis
A. increased diastolic flow in the renal arteries
B. enlarged kidney with mottled echogenicity
C. high velocity, continuous venous flow within the kidney
D. prominent corticomedullary definition
B
While scanning the urinary bladder using color doppler, the left urinary jet is detected but is partially obstructed by a thin membrane that balloons into the bladder lumen. What is the finding displayed
A. uretreocele
B. PUV
C. urethrocele
D. UPJ obstruction
A
Which of the following statements is true regarding rectus sheath hematomas
A. linea alba stops the blood from spreading into the pelvis
B. arcuate line stops the blood from extending across the midline
C. an acute hematoma will appear hypreechoic compared to surrounding tissues
D. coumadin therapy is a common cause for hematoma formation
D
A 3cm hypoechoic mass is identified in the right testicle. The radiologist requests that you perform an abdominal US. What are you looking for
A. periaortic lymphadenopathy
B. other manifestations of MENS syndrome
C. associated crohn disease
D. renal vein tumor invasion
A
Which of the following is NOT a medication that can be used to treat patients with hypothyroidism
A. iron supplements
B. iodine supplements
C. levothyroxine
D. coumadin
D
A 65 year old female presents for a neck ultrasound with a script that states hypophosphatemia and hypercalcemia. What do you expect to find on the exam
A. atrophied thyroid gland
B. papillary thyroid cancer
C. medullary thyroid cancer
D. enlarged parathyroid glands
D
What type of aneurysm is most commonly associated with autosomal dominant polycystic kidneys disease
A. pseudoaneurysm
B. fusiform
C. saccular
D. berry
D
Which of the following biliary abnormalities would be an acute complication caused by a bacterial infection of the gallbladder
A. strawberry gb
B. emphysematous cholecystitis
C. adenomyomatosis
D. porcelain gb
B
A 35 yr old male patient presents for a RUQ ultrasound due to pain, increased alkaline phosphatase and conjugated bilirubin. You identify dilated intrahepatic ducts in both lobes of the liver, while the CBD and gallbladder appear within normal limits. Which of the following describes the cause for these findings
A. biliary atresia
B. stone in the common hepatic duct
C. stone on the left hepatic duct
D. stone in the right hepatic duct
B
An average sized patient presents with a fever, acute RLQ pain and vomiting. The ER physician wants to rule out appendicitis in this patient. Which transducer would best be suited for the exam
A. 3MHz curvilinear
B. 5MHz linear
C. 5MHz curvilinear
D. 12MHz linear
B
Which of the following structures can be used as an acoustic window when evaluating the pediatric mediastinum
A. thymus
B. thyroid
C. diaphragm
D. lung pleura
A
Which of the following is normally identified in the urine
A. minimal amount of red blood cells
B. creatinine
C. protein
D. glucose
B
Which of the following renal disorders is usually detected in utero due to oligohydramnios
A. multicystic dysplastic kidney disease
B. horseshoe kidney
C. duplicated collecting system
D. ARPKD
D
A portal vein diameter that is greater than or equal _____ indicated portal HTN
A. 8mm
B. 10mm
C. 13mm
D. 15mm
C
While scanning the LUQ you identify multiple dilated vessels at the hilum of the spleen. Which of the following describes the best way to identify a cause for the finding
A. check the splenic artery for stenosis
B. evaluate the porta hepatis for choledocholithiasis
C. evaluate the liver vasculature for signs of HTN
D. check the aorta for an aneurysm
C
The normal thyroid gland is considered normal in size if the
A. width measurement is <3cm
B. volume is <30mL
C. AP measurement is <2cm
D. length measurement is <4cm
C
Which of the following would be used to describe the normal sonographic appearance of the spleen
A. prominent internal vascularity
B. mottled appearance
C. heterogeneous echotexture
D. lobulated borders
A
The left CCA is a branch of which artery
A. left subclavian artery
B. left vertebral artery
C. aortic arch
D. left innominate artery
C
Sjogren syndrome is an immune system disorder that commonly affects
A. the salivary glands
B. thyroid
C. bile ducts
D. adrenal glands
A
The _____ separates the caudate lobe from the left lobe of the liver
A. ligamentum venosum
B. main lobar fissure
C. falciform ligament
D. ligamentum teres
A
All of the following are reasons for a patient to be NPO prior to an abdominal ultrasound, except
A. decrease gas in GI tract
B. decrease blood sugar for better pancreas visualization
C. allow gallbladder to fill with bile for better visualization
D. decrease peristalsis in GI tract
B
Loculated ascites with echogenic debris and matted bowel loops are most suggestive of
A. budd chiari syndrome
B. congestive heart failure
C. peritoneal metastasis
D. portal hypertension
C
Which of the following describes how to differentiate adenomyomatosis of the gallbladder from cholesterolosis of the gallbladder
A. adenomyomatosis is usually a diffuse process and cholesterolosis is a focal process
B. adenomyomatosis is usually focal process and cholesterolosis is a diffuse process
C. the polyps in adenomyomatosis do not exhibit the comet tail artifact by polyps with cholesterolosis do demonstrate the artifact
D. the polyps in cholesterolosis do not exhibit the comet tail artifact but polyps with adenomyomatosis do demonstrate the artifact
D
Where is the doppler cursor placed in the aorta to obtain the velocity used in the renal aortic ratio
A. at the level of the renal artery origins
B. at the location of the highest recorded velocity
C. cm above the aortic bifurcation
D. just below the diaphragm
A
A patient presents with new onset of jaundice 2 weeks after a liver transplant. This clinical finding is most suggestive of what complication
A. hepatic vein stenosis
B. portal vein stenosis
C. biliary stricture
D. hepatic artery stenosis
C
All of the following are clinical signs of congenital hip dysplasia, except
A. asymmetric skin folds of the hip and thigh
B. palpable clunking sound on physical exam
C. barlow sign
D. allis sign
C
Increased thyroid volume is associated with
A. chronic hepatitis
B. thyroxine treatment
C. chronic renal failure
D. radioactive iodine treatment
C
The splenic vein is located
A. posterior to the SMA
B. posterior to the portal vein
C. anterior to the pancreas
D. anterior to SMA
D
What lab test is used to evaluate the exocrine function of a pancreas transplant
A. glucose levels
B. amylase levels
C. GFR
D. hematocrit levels
B
A patient presents with congenital absence of the spleen, this condition is called
A. hamartoma
B. splenomegaly
C. asplenia
D. accessory spleen
C
A 75 yr old female presents with RUQ pain. She was diagnosed with cirrhosis 4 years ago. Lab values demonstrate increased levels of AFP, ALP, AST and ALT. The US exam demonstrates a heterogeneous liver texture that is decresaed in size. The left lobe contains a new round hypoechoic mass with increased vascularity. These findings are most suggestive of
A. focal nodular hyperplasia
B. hepatocellular carcinoma
C. hydatid cyst
D. metastatic lesion
B
A 4 yr old presents for a renal ultrasound with a suspected mass on the lateral aspect of the left kidney seen on a KUB x ray. The ultrasound reveals a focal outward thickening of the normal renal cortex near the mid pole of the kidney. Which of the following best describes the finding
A. duplicated collecting system
B. column of bertin
C. wilms tumor
D. dromedary hump
D
The ______ region is defined by the orifices of the two ureters and the urethral outlet
A. dome
B. trigone
C. fundus
D. base
B
You are performing a renal doppler exam. What is the best patient position to visualize the full length of the left renal artery
A. supine, ipsilateral arm above head
B. supine, contralateral arm above head
C. LLD
D. RLD
D
The _______ zone is the largest zone in the prostate
A. central
B. paraprostatic
C. transitional
D. peripheral
D
If the entire image is too bright, what console adjustments should you make first
A. adjust the near field TGC
B. decrease the overall gain
C. adjust the far field TGC
D. decrease the output power
D
A patient arrives with an order that reads R/O fliud in Morison pouch. Where do you need to scan to answer this question
A. all 4 quadrants
B. between the liver and right kidney
C. porta hepatis and GB fossa
D. splenic hilum
B
Which of the following can lead to a false positive diagnosis of stones in the biliary system
A. decreased color doppler gain
B. improperly decreased TGC settings
C. rejection setting too high
D. shadowing from surgical clip in porta hepatis
D
A patient presents for an abdominal ultrasound for pain. The chart holds a recent x ray report that states there is a possible porcelain gb present. How will this abnormality appear on the ultrasound exam
A. the gb wall will demonstrate varied levels of linear calcification
B. the gb will be hydropic with a thickened wall and an increased risk of rupture
C. there is a single large stone present with a thickened gb wall
D. the gb will be completely packed full of small stones
A
Serpiginous vessels are identified on the examinations of patients with
A. situs inversus and organ agenesis
B. renal artery and mesenteric artery stenosis
C. portal HTN or testicular varicoceles
D. renal or liver transplants
C
The diameter of the ______ will be relatively unaffected by hepatic congestion
A. left hepatic vein
B. right hepatic vein
C. main portal vein
D. hepatic artery
D
A 55 yr old male patient presents with a script that states pelvic ultrasound; post biopsy, gleason score of 8. What should you expect to find on the exam
A. lymphadenopathy and metastasis related to prostate cancer
B. inguinal hernia caused by recent bladder wall biopsy
C. bladder puncture caused by recent biopsy of the seminal vesicle
D. lymphadenopathy and metastasis related to TC bladder cancer
A