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WorksheetsAbdomen Midterm Review (Keiser DMS)
Total questions: 141
Worksheet time: 1hrs 13mins
The fibroelastic covering of the liver is known as _____.
Morrison's Pouch
Glisson's Capsule
Murphy's Capsule
Hartmann's Pouch
The Ligamentum Teres separates the left lobe into ______ segments.
anterior and posterior
medial and lateral
superior and inferior
anterior and superior
_______ separates the caudate lobe from the left lobe of the liver.
Ligamentum venosum
Ligamentum teres
Main Lobar fissure
round ligament
Reidel's lobe is a(n) _____ projection of the liver
superior
inferior
anterior
medial
The directional flow of the portal vein is ____, hepatic artery is ____, and hepatic veins are ____.
hepatofugal, hepatofugal, hepatopetal
hepatopetal, hepatofugal, hepatopetal
hepatopetal, hepatopetal, hepatofugal
hepatofugal, hepatopetal, hepatofugal
The portal vein should measure _____ in a normal patient.
<12mm
<13mm
<14mm
<11mm
The GDA is a branch of the _____.
splenic artery
celiac axis
left gastric artery
hepatic artery
____ is increased in cases of liver malignancies.
direct bilirubin
indirect bilirubin
alkaline phosphate
Alpha-fetoprotein
The number one cause of fatty infiltration of the liver in the US is _____.
ETOH abuse
obesity
diabetes
pregnancy
The most likely place to see focal sparing is _____.
dome of liver
left lobe of liver
porta hepatis
caudate lobe
The most common type of Glycogen Storage Disease is ____.
Pompe's
Von Gierke's
Wilson's
Neimann Pick's
You are scanning a pt whos liver is enlarge, with a decrease in echogenicity, and ^ PV echogenicity. What is diagnosis?
acute hepatitis
chronic hepatitis
cirrhosis
fatty liver
Which of the following is not a characteristic of cirrhosis?
Increased echogenicity
decreased size
Decreased echogenicity
lobular border/parenchyma
____ may recanalize during severe cases of portal hypertension.
Ligamentum venosum
MLF
Ligamentum Teres
Round ligament
_____ is increased in areas where sheep and cattle herding are prevalent.
Echinococcal Cyst
Hydatid Cyst
Schistosomiasis
Both Echinococcal and Hydatid
The "water lily" sign is associated with _____.
Schistosomiasis
Echinococcal cyst
Hemangioma
FNH
The most common origin for a pyogenic abscess is from _____.
listeria
e. coli
parasite
hepatitis
The most common parasitic infection in humans is ______.
Echinococcal cyst
Schistosomiasis
Pyogenic Abscess
Hemangioma
The most common cancer in AIDS patients is ____.
Kaposi's sarcoma
Lymphoma
Hepatoma
Metastatic liver disease
The sonographic term "wheels within wheels" is associated with ______.
Hepatic Candidiasis
Lymphoma
Hepatoma
FNH
A patient presents to the ER with RUQ pain, ^ WBC, and jaundice. The patient likely has _____.
Schistosomiasis
Echinococcal cyst
Hemangioma
Pyogenic abscess
The most common benign liver neoplasm is ____.
Echinococcal cyst
Cavernous hemangioma
FNH
LCA
A Doppler "spokes-wheel" pattern is associated with:
Hemangioma
LCA
FNH
Lipoma
What two neoplasms are associated with oral contraceptive use?
Hemangioma & LCA
LCA & FNH
FNH & Cystadenoma
FNH & Hemangioma
Which of the following tumors may display prop. speed artifact
LCA
FNH
Lipoma
Gaucher's disease
_____ is associated with irregular copper accumulation.
Neimann Pick's
Wilson's Disease
FNH
LCA
What is the most common primary liver cancer?
HCC
LCA
Metastatic Liver Cancer
Hemangiosarcoma
Most common vascular tumor in infants is:
HCC
Benign Infantile Hemangioendothelioma
Mesenchymal Hamartoma
Hepatoblastoma
The most common pediatric liver cancer is:
Hepatoblastoma
Metastatic liver disease
Benign Infantile Hemangioendothelioma
Mesenchymal Hamartoma
The most common liver neoplasm is:
Hemangioma
Hepatoma
Metastatic Liver disease
FNH
A patient presents to the ER with RUQ pain, ^ AFP, jaundice, and weight loss. What is likely your sonographic finding?
Hepatoma
Metastatic Liver Cancer
Hemangioma
Hemangiosarcoma
The following liver cancer is associated w/exposure to arsenic and polyvinyl chloride:
Hepatoma
Hemangiosarcoma
Metastatic Liver Cancer
HCC
A male infant is seen for palpable abdominal mass. You see a "lace-like" structure in the liver. What is your diagnosis?
Mesenchymal Hamartoma
Hepatoblastoma
Hepatoma
Hemangioendothelioma
A T.I.P.S Shunt is a connection between the ___ and ____.
LPV & RHV
LPV & LHV
RPV & RHV
LPV & RHV
_____ suspends the liver from the diaphragm.
Ligamentum venosum
Falciform Ligament
MLF
Ligamentum Teres
The RPV separates the liver into ____ & ____ segments.
left and right
medial and lateral
anterior and posterior
superior and inferior
The liver is intraperitoneal.
True
False
All of the following are findings of Portal HTN except:
PV of 12 mm
Ascites
Hepatofugal PV flow
recanalized umbilical vein
After a recent MVA, a pt is seen in the ER for pain, ^LFTs, & ^WBC. The following image is taken. Your diagnosis is?
Budd-Chiari Syndrom
PV thrombosis
Umbilical vein recanalization
Metastatic Liver disease
Diagnosis of hepatomegaly is given when the liver measures ____ in craniocaudal.
>14 cm
>15 cm
> 16 cm
>17 cm
The liver stores all of the following except:
Fats
Iron & Copper
Calcitonin
Carbohydrates
Which of the following should a sonographer do following a liver biopsy?
Identify the patient using two identifiers
Have the patient sign the consent form
Take the specimen to the Radiologist
Ensure that the specimen is properly labeled
Transducer selection with a frequency of ______ is best for most adults.
2MHz-5MHz
3MHz-5MHz
2.5-5MHz
3-6MHz
The ____ and ____ merge together at the ampulla of Vater at the section portion of the duodenum
CHD & CBD
Duct of wirsung & duct of santorini
CBD & duct of wirsung
CHD & Duct of santorini
The ____ lies in the posterior lateral portion of the pancreas head
CBD
GDA
CHA
PSC
The maximum diameter of the aorta should be no more than ____ and the IVC ____
3cm, 4cm
4cm, 3cm
3cm, 2.5cm
2.5cm, 3cm
The aorta originates from the:
right atrium
right ventricle
left atrium
left ventricle
The first branch off of the aortic arch is:
celiac axis
innominate artery
brachiocephalic artery
both innominate and brachiocephalic artery
The aorta is intraperitoneal
True
False
The abdominal aorta should measure no more than:
2 cms
2.5 cms
3 cms
3.5 cms
The branch of the celiac axis that is not typically visualized is the:
CHA
SA
LGA
RGA
The SMA comes off of the _____ aspect of the aorta.
anterior
posterior
left
right
Which of the following is not typically visualized sonographically?
CA
SMA
Renal arteries
IMA
The _____ artery supplies the lesser curvature of the stomach.
LGA
RGA
MCA
IMA
______ forms the superior border of the pancreas.
HA
SA
LGA
SMA
_____ can be seen superior to the left cruise of the diaphragm.
SMA
right cruise of the diaphragm
GEJ
right renal artery
What structure courses posterior to the IVC?
RRA
LRA
RRV
LRV
The number one cause of an abdominal aortic aneurysm is:
atherosclerosis
arteriosclerosis
cholesterol-lipid-calciumdeposits
all of the above
Atherosclerosis affects the _____ layer(s):
intima
media
adventitia
both intima and media
An AAA is defined as the width being increased ______ times of normal size.
1.25
1.5
1.75
2
The most proximal portion of the common iliac arteries should not measure more than ____.
0.5 cm
1 cm
1.5 cm
2 cm
The proximal aorta should measure ____ or less.
2 cm
2.5 cm
3 cm
3.25 cm
An aneurysm caused by infection is termed:
mycotic
ectatic aorta
true aneurysm
dissecting
The most common type of aneurysm is a :
saccular
fusiform
dissecting
pseudoaneurysm
The most common location for a AAA is:
ascending aorta
sub renal
supra renal
common iliac arteries
Which is not a risk factor for an AAA?
greater than 75yrs old
hypotension
family history
hypercholesterolemia
A diffuse enlargement of the aorta is termed:
saccular
fusiform
ectatic
mycotic
A location that has increased incidence of aneurysm especially in pancreatitis patients
SA
CA
LGA
GDA
____ is often seen posterior to the sagittal IVC
RRA
LRA
LRV
LRA
Left gonadal vein empties into ________
IVC
LRV
RRV
LRA
The right crus can be mistaken for the _____.
RRV
LRA
LRV
RRA
Right-sided heart failure may result in dilated ______.
LPV
RPV
hepatic veins
MPV
The male body is organized so that blood flow on that side of the scrotum is greater, so varicoceles happen more often in the ______ testicle
Left
Right
The gastroduodenal artery is a branch of the (a)
A dilated IVC, hepatic veins, and lower extremity edema is a sign of (a) .
Parts of the stomach, the duodenum, and the head of the pancreas are supplied by the:
splenic artery
superior mesenteric artery
gastroduodenal artery
hepatic artery
An aortic aneurysm has a large increase risk of rupture when it reaches ______ cms.
7
5
6
4
IVC blood filters are typically placed just superior to the renal veins as treatment of thrombus.
True
False
The inferior mesenteric artery distributes blood to the:
descending colon only
ascending colon, rectum
right transverse colon, ascending colon, sigmoid, rectum
left transverse colon, descending colon, sigmoid, rectum
The most common tumor to fill the IVC is:
Renal Cell Carcinoma
Wilm’s tumor
Transitional Cell Carcinoma
All of the above
The portal veins carry blood from the ____________ to the liver.
portal splenic confluence
Intestines
SMA
RRA
The most common site for a dissecting aneurysm to occur is in the:
Descending aorta
Aortic arch
Ascending aorta
Abdominal aorta
The sonographic sign associated with lymphadenopathy is known as:
Double bubble sign
Dumbell sign
Mickey Mouse sign
Sandwich sign
To be considered a true aneurysm, the aortic diameter must measure:
7 cm
2 cm
3 cm
5 cm
The clinical signs of leg edema, lower back pain, pelvic pain, gastrointestinal complaints, and renal and liver problems may represent (a)
An aneurysm that spreads to the entire aorta is known as _________.
mycotic
saccular
ectatic
fusiform
What vessel passes anterior to the third part of the duodenum and posterior to the neck of the pancreas?
splenic vein
superior mesenteric vein
superior mesenteric artery
inferior mesenteric artery
The arterial supply to the gallbladder is via the gastroduodenal artery.
True
False
The IVC courses anteriorly to enter the:
left atrium
right ventricle
right coronary sinus
right atrium
Which of the following vessels arise from the anterior aortic wall and takes a parallel course to the aorta?
splenic artery
superior mesenteric artery
hepatic artery
renal artery
An aneurysm caused by an infection is known as
ectatic
mycotic
saccular
fusiform
A pseudoaneurysm is caused by weakened walls in an artery.
True
False
Collagen in the aorta walls increases as it descends inferiorly.
True
False
A dilated IVC, hepatic veins, and lower extremity edema is a sign of ______.
right-sided heart failure
abdominal aortic rupture
superior mesenteric thrombus
IVC thrombosis
The right gonadal vein drains into the ______, and the left gonadal vein drains into the _____.
IVC, left renal vein
right renal vein, IVC
IVC
right renal vein, left renal vein
Tumor invasion of the IVC mostly occur with tumors of the right kidney.
True
False
A 50-year-old male patient is seen in the ER for abdominal pain, hypotension, and central back pain. What is the likely diagnosis?
(a)
When a dissecting aneurysm occurs, the ______________ layer is seperated from the aortic wall.
Media
Collagen
Intima
Adventitia
A pseudoaneurysm is:
a result of a vessel wall where blood accumulates outside and is retained in a pocket
a widening of the aorta, but not really a true aneurysm
a widening at the level of the distal iliac bifurcation
any aneurysm that does not exhibit blood clot
_______ lies anterior to uncinate process.
IMV
SMV
IMA
SMA
Which of the following is not a branch of the celiac axis
LGA
SA
RGA
CHA
The most common gallbladder disease is:
cholecystitis
cholelithiasis
gallbladder sludge
choledochal cyst
Which is not an "f" of cholelithiasis?
female
fifty
fair
obesity
Which is not a sonographic feature of cholelithiasis?
echogenic
mobile
enhancement
shadow
Which of the following is not a form of acute cholecystitis?
calculous
acalculous
empyema
gangranous
The most common form of acute cholecystitis?
acalculous cholecystitis
calculous cholecystitis
gangrenous cholecystitis
emphysematous cholecystitis
Edema surrounding the gallbladder infiltrating into the liver is known as:
double barrel sign
Mickey Mouse sign
WES
Halo sign
Acalculous cholecystitis is typically due to:
Trauma
Compression of the cystic duct
IV nutrition
Inadequate blood supply
A 47-year-old diabetic male was seen in the ER after a sudden onset of RUQ pain. What's the likely diagnosis?
Calculous cholecystitis
Acalculous cholecystitis
Gangrenous Cholecystitis
Emphysematous cholecystitis
What is the term used for when the gallbladder becomes filled with sludge and matches liver parenchyma.
isoezation
hepatization
tumefactive
choleization
You notice a polypoid mass in the gallbladder of your patient. When rolled, it appears the mass is mobile. What is dx?
Sludge
Cholelithiasis
Tumefactive sludge
Gallbladder carcinoma
Which is not a composition of cholelithiasis?
cholesterol
bilirubin
calcium
cholecystokinin
A gallbladder wall is considered thickened when measured over ____.
2 mm
3 mm
4 mm
5 mm
Liquification and necrosis of the gallbladder is termed:
Emphysematous
Gallbladder rupture
Gangrenous
Empyema
You have a patient with RUQ pain and ^WBC. While scanning the GB, you notice low-level echoes filling the lumen. Dx?
Empyema
Gallbladder carcinoma
Emphysematous
Sludge
Which of the following would dilate in a patient with a Klatskin tumor?
Extrahepatic ducts only
Intrahepatic ducts only
Both extra and intrahepatic ducts
No dilation with this tumor
Mirizzi's syndrome causes compression of the ___ duct by a stone logged in the ___.
CD, CHD
CD, CBD
CHD, CD
CHD, CBD
Which of the following is NOT a finding with cholangiocarcinoma?
Patency of duct
Ductal dilation
Focal ductal stricture
Soft tissue mass within the duct
A choledochal cyst is a true cyst.
True
False
A choledochal cyst is a cystic dilation of the ______.
CHD
CD
RHD & LHD
CBD
A CBD in a post-cholecystectomy patient is considered normal if it measures _____ or less.
1 cm
5 mm
10 mm
Both 1 cm and 10 mm
The most common primary location for metastatic cancer to the gallbladder is from:
colon
prostate
melanoma
pancreas
Metastatic cancer to the gallbladder is rarely accompanied by liver Mets.
True
False
The most common gallbladder carcinoma is?
adenocarcinoma
cholangiocarcinoma
Mucinous cell
Squamous Cell
A painless enlargement of the gallbladder is known as:
Hydrops
Courvoisier's sign
Mirrizzi's sign
Bouvert's sign
Courvoisier's gallbladder is typically caused by:
A stone logged in the CD
A pancreatic head mass
Klatskin's tumor
Mirrizzi's syndrome
When the walls of the gallbladder become completely calcified, it is known as:
Porcelain gallbladder
Courvoisier's gallbladder
WES sign
Hydropic gallbladder
You are scanning a patient with RUQ pain & notice their GB appears distended, & the wall is thin. Your diagnosis is:
Courvoisier's gallbladder
Hydropic gallbladder
Mirrizzi's gallbladder
Adenomyometosis
Enlarged RAS containing diverticula is termed:
Cholesterolosis
Adenomyomatosis
Polyp
Adenoma
The sonographic artifact you would visualize with adenomyomatosis is
Reverberation artifact
Ringdown artifact
Comet-tail artifact
Both reverberation and comet-tail artifact
Another name for cholesterolosis is:
WES sign
Strawberry gallbladder
Rokitansky-Aschoff
Couvoisier's gallbladder
Cholesterolosis in the gallbladder is directly linked to elevated cholesterol in the blood.
True
False
An adenoma of the gallbladder has concern for malignancy potential if it measures more than ____.
5 mm
1 cm
2 cm
1.5 cm
Gallbladder carcinoma is associated with all of the following except:
Gallstones
Chronic cholecystitis
Acute cholecystitis
Porcelain gallbladder
You are performing a RUQ on a child & notice multiple "bead-like" cystic masses near porta-hepatitis. The diagnosis is:
Caroli's disease
Mirrizi's disease
Bouvet's disease
Klatskin's tumor
A Klatskin tumor is located where?
CBD bifurcation
CHD bifurcation
Cystic Duct
Ampulla of Vater
Bouvet's syndrome is obstruction of the:
CBD
CD
Bowel
Both CD and CHD
Choledochalithiasis typically becomes impacted at:
The duct of wirsung
CD
Ampulla of Vater
CBD
Inflammation of the bile duct is known as:
Cholecytitis
Cholangitis
Cholelitiasis
Choledochallithiasis
You're scanning a PT with recent gastric surgery. You see an echogenic linear structure in the ducts. This is likely?
Cholangitis
Emphysematous cholecystitis
Pneumobilia
Empyema
All of the findings are consistent with pneumobilia except:
Echogenic linear structure in ductal systm
Dirty shadowing
Posterior enhancement
Reverberation
