Abdomen Exams Pt. 1

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dorkfork
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289838
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Abdomen Exams Pt. 1
Updated:
2014-11-23 17:49:17
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Urinary Sytem Doppler GI Adrenals Spleen
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Urinary system and pancreas
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  1. This 78 year old male presents with microscopic hematuria and a filling defect within the renal pelvis on an IVP examination. Based on this image, this most likely represents:
    Transitional cell carcinoma

  2. The line in this longitudinal image of medial aspect of the right kidney is indicating which of the following?
    Junctional defect

  3. The arrow in this longitudinal image of the left kidney is most likely indicating:
    Renal pyramid

  4. This patient presents with a history of renal trauma a month ago. Based on this power Doppler image, this most likely represents:
    Infarct

  5. Based on this image of the urinary bladder, the sonographer should next evaluate for:
    Duplicated collecting system

  6. Based on this image, the sonographer should next evaluate for:
    Complete duplicated collecting system

  7. Based on this image obtained in a 67 year old male, the sonographer should next evaluate:
    Renal vein and IVC

  8. The vessels indicated are:
    • A: Interlobular
    • B: Interlobar

  9. This 58 year old male presents with signs of pedal edema. Based on this image of the IVC, the sonographer should next evaluate:
    Kidneys for RCC

  10. This 80 year old presents with elevation of serum BUN and creatinine. Both kidneys display a similar sonographic pattern and a renal length of 8.0 cm. Based on these findings, this most likely represents:
    Chronic renal failure

  11. The structures labled areA:
    • A: Quadratus lumborum
    • B: Psoas

  12. This 80 year old male presents with gross hematuria. Based on this longitudinal image, this most likely reperesents:
    Malignancy

  13. This is an incidental finding in a 23 year old sonography student. This most likely represents:
    Angiomyolipoma

  14. This 63 year old male presents with microscopic hematuria. Scan B was obtained six months after Scan A. Based on the sonographic characteristics, this most likely represents:
    Renal cell carcinoma

  15. The arrow in this transverse image of the right kidney is indicating:
    Gerota's fascia

  16. This 67 year old male presents with microscopic hematuria. Based on these images, this most likely represents:
    Renal cell carcinoma

  17. This 60 year old presents with elevated serum BUN creatine levels. Based on these images, the most likely cause for the abnormal findings in the right kidney is:
    Renal artery stenosis

  18. The vessel encoded red on this longitudinal image is most likely the:
    Right renal artery

  19. The arteries labled are:
    • A: Segmental
    • B: Interlobar
    • C: Interlobular
  20. The peak systolic velocity associated with a hemodynamically significant renal artery stenosis is _____ cm/sec.
    200

  21. Based on this image, the most likely conclusion is:
    Hepatopedal flow
  22. Hepatofugal flow in the portal vein is associated with:
    Portal hypertension
  23. Describes the normal flow pattern of the hepatic veins?
    Triphasic
  24. Which two vessels are connected with the TIPS shunt?
    Portal vein and hepatic vein
  25. Gray scale sonographic evaluation of the liver in a patient with a history of sickle cell anemia demonstrates an enlarged caudate lobe. The right and left lobes are normal in size. The hepatic veins are difficult to identify. The sonographer should next:
    Perform color Doppler evaluation of the hepatic veins and IVC

  26. This 58 year old female has a history of ovarian carcinoma. She now presents with increased abdominal girth. Based on this image of the right upper quadrant, this most likely represents:
    Peritoneal metastasis
  27. The potential peritoneal space located posterior to the stomach and anterior to the tail of the pancreas is:
    Lesser sac
  28. The normal upper level for the Resistive Index in the native kidney is:
    0.8

  29. Based on these images of the right and left kidneys, this most likely represents:
    Renal artery stenosis
  30. The referring physician suspects recannalized paraumbilical vein. What is the most useful anatomic landmark to locate this structure?
    Ligamentum Teres

  31. This patient has a five year history of portal hypertension. Based on this longitudinal image of the porta hepatis, this most likely represents:
    Cavernous transformation

  32. This renal transplant patient presents with oliguria. Based on this image, this most likely represents:
    renal artery stenosis
  33. The peak systolic velocity associated with a hemodymanically significant SMA stenosis is greater than ______ cm/sec.
    200

  34. This patient presents from the ER with groin pain that increases in severity when he sits or stands. Based on this transverse image, the arrows most likely indicate:

  35. This patient has a history of cirrhosis.  Based on this image from the mid-abdomen, this most likely represents:
    Recannalized paraunbilical vein

  36. This patient is post-op from cardiac catheterization via the common femoral artery. Based on these images, this most likely represents:
    Pseudoaneurysm
  37. The most dependent portion of the right subhepatic space is:
    Morrison’s Pouch
  38. The connection between the greater and lesser sacs is:
    Foramen of Winslow
  39. A fluid collection is located superior to the diaphragm. This is within the ____ space.
    Subpulmonic
  40. Color Doppler evaluation of the liver demonstrates that the direction of flow in the portal vein is the same compared to the hepatic artery. This indicates:
    Normal flow direction in portal vein

  41. This patient presents with unexplained weight loss.  Based on this image, this most likely represents:
    Metastasis
  42. Which of the following is the most significant clinical complication of portal hypertension?
    Variceal hemorrhage
  43. The primary malignancy of the peritoneum is:
    Mesothelioma
  44. Which of the following is most frequently associated with invasion of the portal vein?
    Hepatocellular carcinoma
  45. In patients with a history of atherosclerosis, the area for renal artery stenosis is:
  46. Sonographic examination of the liver demonstrates narrowing of the hepatic veins with abnormal high velocities on color and spectral Doppler. These findings are most often associated with which of the following conditions?
    Cirrhosis

  47. This 78 year old male presents with a history of hypertension. Based on this transverse image of the aorta, this most likely represents:
    Dissecting aneyurism
  48. A sonographic evaluation of the liver demonstrates a mass with anterior displacement of the perirenal fat. This pattern is associated with _____ pathology.
    Retroperitoneal
  49. An abnormal connection between an organ, vessel or bowel is called:
    Fistula
  50. A newborn presents with a decreased hematocrit and palpable right upper quadrant mass. This most likely represents:
    Adrenal hemorrhage
  51. Transverse imaging of the spleen demonstrates that the anterior border extends 4.0 cm beyond the anterior aspect of the abdominal aorta. This is termed ______ sign.
    Asher’s
  52. A 50 year old male has a history of long term alcohol abuse. Sonographic examination of the liver demonstrates the “portal masking” sign and a distended main portal vein. The sonographer should evaluate the spleen for signs of:
    Splenomegaly
  53. A patient presents with fever, elevated white count and right lower quadrant pain. Sonographic evaluation demonstrates a tubular, noncompressible RLQ mass surrounded by a complex mass. This most likely represents:
    Appendiceal abscess
  54. The GI tract complication related to a moderate/severe case of acute pancreatitis is:
    Paralytic ileus
  55. All of the following are sonographic criteria diagnostic of acute appendicitis except:
    Compressible mass
  56. Which of the following primaries has the highest incidence of adrenal metastasis?
    Bronchogenic carcinoma
  57. All of the following are true statements regarding hypertrophic pyloric stenosis except:
    Occurs with equal frequency in males and females

  58. This patient presents with elevation of serum epinephrine levels. Based on this image of the right adrenal gland, this most likely represents:
    Pheochromocytoma
  59. The maximum normal outer diameter of the appendix is ___ mm.
    6
  60. The maximum wall thickness of the normal appendix is ___ mm.
    2
  61. A patient presents with sudden onset of hypertension, tachycardia and blurred vision. Serum epinephrine levels are elevated. Sonography demonstrates a discrete mass in the left adrenal gland. This most likely represents:
    Pheochromocytoma
  62. The best transducer for the evaluation of the appendix in the pediatric patient is ___ MHz.
    5.0MHz

  63. A two year old presents with a palpable abdominal mass. Sonographic evaluation demonstrates a bilateral complex mass containing calcifications. There is significant inferior displacement of both kidneys. This most likely represents:
    Neuroblastoma
  64. This 3 month old male presents with a history of projectile vomiting. Based on this image, this most likely represents:
    Pyloric stenosis

  65. This patient has a history of cirrhosis. Based on this image of the splenic hilum, this most likely represents:
    Portal hypertension

  66. This patient has a history of bacterial endocarditis. Based on this image, this most likely represents:
    Infarct
  67. Sonographic evaluation of the spleen demonstrates a small, round mass at the splenic hilum that is homogeneous and isoechoic to the splenic parenchyma. This most likely represents:
    Accessory spleen
  68. Which of the following is the most common cause of splenomegaly in the United States?
    Portal hypertension

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