Abdomen Exams Pt. 2

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Author:
dorkfork
ID:
289903
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Abdomen Exams Pt. 2
Updated:
2014-11-23 17:48:52
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GI Spleen Adrenal Breast Prostate Scrotum Thyroid
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Description:
GI spleen adrenal breast prostate scrotum thyroid abd wall
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  1. This patient presents with elevation of serum cortisol. Based on this image of the right adrenal gland, this most likely represents:
    Functional adenoma
  2. A sonographic examination of the spleen in a 70 year old patient demonstrates multiple, small, hyperechoic foci. This most likely represents:
    Granulomas

  3. This 17 year old presents with right lower quadrant pain, fever, and an elevated WBC count. Based on this image, this most likely represents:
    Appendicitis

  4. This 5 year old presents with a palpable right upper quadrant mass. The sonographic pattern of this mass is most typical for:
    Neuroblastoma
  5. This patient presents with fever, chills and elevated WBC count. Based on this image, this most likely represents:
    Abscess
  6. Sonographic evaluation of the spleen demonstrates a wedge-shaped hypoechoic lesion. This is the typical sonographic pattern of:
    Acute infarct
  7. Sonography can demonstrate all of the following findings related to bowel obstruction except:
    Document all diverticula

  8. Based on the sonographic characterisitics of this splenic mass, this most likely represents:
    Hemangioma
  9. Which of the following is the most common anomaly of the spleen?
    Accessory spleen
  10. All of the following are characteristics of Cushing's syndrome except:
    Decreased aldosterone secretion
  11. Mammography on a 38 year old patient demonstrates a mass. Sonographic evaluation demonstrates a homogeneous mass with smooth borders and a hypoechoic sonographic pattern. This most likely represents:
    Fibroadenoma

  12. This 78 tear old male presents with moderate elevation of serum PSA. Based on this sagittal image, this most likely represents:
    Cancer
  13. Which of the following structures are located posterior to the prostate gland?
    Rectum
  14. The best transducer/method for the evaluation of the anterior abdominal wall is:
    5.0 MHz extended field of view
  15. A lateral longitudinal image of the prostate gland will primarily demonstrate which area of the prostate?
    Peripheral zone
  16. The majority of prostate malignancies originate in the:
    Peripheral zone

  17. This 37 year old presents with a palpable mass in the outer quadrant of the right breast. Based on this sonographic pattern, this most likely represents:
    Fibroadenoma
  18. A patient presents with calf pain and swelling at the posterior aspect of the knee joint. He has a history of rheumatoid arthritis. Sonographic evaluation demonstrates an anechoic mass demonstrating acoustic enhancement adjacent to the popliteal artery. This most likely represents:
    Baker's cyst
  19. The most common malignant breast tumor in the United States is:
    Infiltrating ductal carcinoma

  20. This 67 year old presents with an irregular mass on mammography. Based on these sonographic features, this most likely represents:
    Malignancy
  21. Name the mammographic signs suspicious of malignancy:
    • New masses or architectural distortion
    • Spiculated lesions
    • Ill defined margins
    • Microlobulated margin
    • Clustered, fine-linear-branching, new-clusteres calcifications
    • Nipple retraction or inversion
    • Enlarged nodes
    • Asymmetric breask tissue, ducts, or veins

  22. This 58 year old presents with a questionable area on mammography. Based on this image, this most likely represents:
    Malignancy
  23. What is the anatomic relationship of the seminal vesicles in relation to the prostate gland?
    Posterior and superior
  24. The muscle group forming the anterior abdominal wall contain all of the following EXCEPT:
    Quadratus lumborum

  25. This patient came through the ER post auto accident and presents with a large bruise in the abdomen from the steering wheel. Based on this transverse image of the abdomen, this most likely represents:
    Rectus sheath hematoma
  26. BPH originates in the:
    Transition zone
  27. A PSA value above _____ micrograms/L in males over 50 increases the clinical suspicion of malignancy.
    8
  28. To verify that a palpable mass is contained within the anterior abdominal wall, the sonographer must demonstrate the:
    Peritoneum
  29. The typical location of a Baker's cyst is:
    Posteriomedial aspect of joint capsule

  30. Based on this longitudinal image, the fluid collection is located:
    Subpulmonic
  31. The referring physician has ordered a renal biopsy to stage chronic renal failure. The best patient position for this procedure is:
    Prone
  32. The hyperechoic, linear structures that divide the breast tissue into lobes are called:
    Cooper's ligaments

  33. This 50 year old presents with right calf pain for the past two days. Based on this image, this most likely represents:
    Baker's cyst
  34. What is the typical sonographic pattern of an axillary lymph node?
    Small, oval-shaped mass with a hypoechoic rim and hyperechoic hilar pattern
  35. Sonographic evaluation of the breast reveals a solid lesion in the radial plane. A length measurement is obtained in this plane. The next step that the sonographer should perform is:
    Use the antiradial plane for additional measurements

  36. The pattern indicated by the curved arrows is most frequently associated with:
    BPH

  37. The arrow in this image indicates:
    Copper's ligament

  38. The structure labeled "3" is:
    Common carotid artery

  39. The structure located between the two white lines is the:
    Tunica albuginea

  40. The structure indicated by the line is:
    Body of epididymis

  41. Based on the sonographic characteristics of this thyroid mass, this most likely represents:
  42. Parathyroid hormone controls serum _______ levels.
    Calcium
  43. A clinical symptom associated with parathyroid pathology is:
    Hypercalcemia
  44. The parathyroid glands are typically located at the ____ border of the thyroid.
    Posterolateral

  45. The vessel labeled are:
    • 1: Cresmatics
    • 2: Centripetal vein
    • 3: Centripetal artery
  46. A normal anatomic structure in the neck that typically produces the sonographic "bull's eye" sign is:
    Esophagus

  47. This 42 year old patient presents with scrotal swelling. He denies any current pain, but states that he had scrotal pain several months ago. Based on the sonographic patterns demonstrated on this image, this most likely represents:
    Chronic inflammatory changes

  48. This patient presents with scrotal swelling and states that he was struck in the groin by a baseball several weeks ago, but the pain diminished after several days. This most likely represents:
    Hematocele
  49. A 27 year old patient presents with right scrotal pain and fever for the past three days. Sonographic examination demonstrates an enlarged epidiymal head with increased vascularity on color Doppler. This most likely represents:
    Epididymitis

  50. The arrow is indicating the:
    Mediastinum testis
  51. A 23 year old patient presents with a painless scrotal mass. The patient has no history of trauma. Sonographic examination demonstrates a 2 cm hypoechoic intratesticular mass. This most likely represents:
    Malignancy
  52. A 10 year old boy presents with severe right scrotal pain. Color Doppler demonstrates decreased vascularity in the right testicle. This most likely represents:
    Torsion
  53. The type of thyroiditis associated with immune system deficiency is:
    Hashimotos
  54. A sonographic characteristic associated with thyroid malignancy is:
    Microcalcifications
  55. The most common condition that causes hyperthyroidisim is:
    Grave's disease

  56. This patient presents with "neck swelling" and serum tests document that she is hypothyroid. Based on this image, this most likely represents"
    Goiter
  57. A hydrocele may be associated with:
    • Trauma
    • Epidymitis
    • Torsion
    • Malignancy
  58. Sonographic examination of the left scrotum demonstrates numerous tubular structures located posterior and superior to the left testicle. These structures increase in size when the patient performs the Valsalva maneuver. This most likely represents:
    Varicocele

  59. This patient presents with a soft scrotal mass. Based on this image, this most likely represents:
    Spermatocele
  60. The type of testicular malignancy that may produce a positive Beta hCG test is:
    Choriocarcinoma
  61. The anatomic area where the spermatic cord attaches to the testicle is called:
    Mediastinum testis

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