Chapter 10 : Gastrointestinal Tract - REVIEW QUESTIONS

Rebound tenderness is associated with: a. Appendicitis b. Intussusception c. Diverticulitis d. Gastric carcinoma

a. Appendicitis

An autoimmune disease characterized by periods of inflammation of the gastrointestinal tract describes: a. Crohn disease b. Intussusception c. Pyloric stenosis d. Meckel diverticulitis

a. Crohn disease

The situation when bowel protrudes into the groin is referred to as a: a. Inguinal hernia b. Linea alba hernia c. Umbilical hernia d. Spigelian hernia

a. Inguinal hernia

The most common cause of intestinal obstruction in children less than 2 years of age is: a. Intussusception b. Midgut malrotation c. Pyloric stenosis d. Acute appendicitis

a. Intussusception

Clinical findings of a patient with Crohn disease include all of following except: a. Palpable abdominal mass b. Rectal bleeding c. Abdominal pain d. Weight loss

a. Palpable abdominal mass

All of the following are sonographic criteria in the diagnosis of pyloric stenosis except: a. Wall of the pylorus measures less than 8 mm b. Length of the pylorus measures more than 17 mm c. Doughnut appearance in transverse d. Cervix appearance in longitudinal

a. Wall of the pylorus measures less than 8 mm

All of the following are true normal intestinal findings with sonography except: a. Normal bowel does not compress b. Normal bowel should have observable peristalsis c. Intestinal wall should measure less than 5 mm d. Normal bowel has little to no color Doppler signals

a. Normal bowel does not compress

For better sonographic visualization of the pyloric sphincter, the infant is often placed in what position? a. Right lateral decubitus b. Left lateral decubitus c. Prone d. Upright

a. Right lateral decubitus

Which of the following is not a layer of gut identified with sonography? a. Visceral b. Serosa c. Submucosa d. Mucosa

a. Visceral

All of the following are sonographic findings of acute appendicitis except: a. Appendicolith b. Compressible, blind-ended tube c. Periappendiceal fluid collection d. Hyperemic flow

b. Compressible, blind-ended tube

All of the following are common clinical findings in infants that present with intussusception except: a. Vomiting b. First-born male infant c. Red currant jelly stool d. Leukocytosis

b. First-born male infant

The most common location of the vermiform appendix is in the area of the: a. Jejunum b. Descending colon c. Cecum d. Sigmoid colon

c. Cecum

Which of the following is not a sonographic finding consistent with Crohn disease? a. Bowel wall thickening b. Noncompressible bowel that has a target appearance c. Increased peristalsis d. Hyperemic wall

c. Increased peristalsis

Red current jelly stools are associated with what abnormality? a. Diverticulosis b. Appendicitis c. Intussusception d. Pyloric stenosis

c. Intussusception

Traditionally, treatment for intussusception is by means of: a. Surgery b. External manipulation c. Compression sonography d. Contrast enema

d. Contrast enema

The sonographic finding of fluid-filled, distended loops of bowel is consistent with: a. Meckel diverticulum b. Diverticulitis c. Gastroesophageal reflux disease d. Intestinal obstruction

d. Intestinal obstruction

Other abnormalities that can present much like pyloric stenosis include all of the following except: a. Midgut malrotation b. Pylorospasm c. Gastroesophageal reflux disease d. Intussusception

d. Intussusception

What are the diagnostic criteria for pyloric stenosis? a. 17 mm in thickness and 2 mm in length b. 17 mm in thickness and 3 mm in length c. 3 mm in thickness and 10 mm in length d. 3 mm in thickness and 17 mm in length

d. 3 mm in thickness and 17 mm in length

All of the following are common clinical findings in infants that present with pyloric stenosis except: a. Weight loss b. Dehydration c. Olive sign d. First-born female

d. First-born female

Hypertrophic pyloric stenosis is most often found in infants between: a. 1 and 10 days of age b. 2 and 8 weeks of age c. 10 and 24 weeks of age d. 2 and 4 years of age

b. 2 and 8 weeks of age

Gastric cancer is most often in the form of: a. Cystadenocarcinoma b. Adenocarcinoma c. Rhabdomyocarcinoma d. Angiosarcoma

b. Adenocarcinoma

What gastrointestinal abnormality is sonographically diagnosed as an abnormal relationship between the superior mesenteric artery and superior mesenteric vein? a. Pyloric stenosis b. Intussusception c. Crohn disease d. Midgut malrotation

d. Midgut malrotation

The situation when bowel protrudes into a weakened area in the lower one fourth of the rectus muscle is referred to as a: a. Inguinal hernia b. Linea alba hernia c. Umbilical hernia d. Spigelian hernia

d. Spigelian hernia

Which of the following best describes the location of the area of pain and rebound tenderness with acute appendicitis? a. Left lateral to the umbilicus and medial to the left iliac crest b. Halfway between the anterior superior iliac spine and the umbilicus c. Midway between the umbilicus and symphysis pubis d. Medial to the superior iliac spine

b. Halfway between the anterior superior iliac spine and the umbilicus

Which of the following is not associated with a rectus sheath hematoma? a. Palpable abdominal mass b. Increased hematocrit c. Child birth d. Sneezing

b. Increased hematocrit

The area of pain and rebound tenderness with acute appendicitis is most likely at: a. Meckel point b. McBurney point c. Murphy point d. Olive point

b. McBurney point

The olive sign is best described as: a. The palpitation of the inflamed appendix with rebound tenderness b. An area of pain halfway between the anterior superior iliac spine and the umbilicus c. An enlarged palpable pyloric sphincter d. The sonographic appearance of pyloric stenosis

c. An enlarged palpable pyloric sphincter

Clinical findings of acute appendicitis include all of the following except: a. Leukocytosis b. Right lower quadrant pain c. Constipation d. Rebound tenderness

c. Constipation

The telescoping of one segment of bowel into another is referred to as: a. Volvulus b. Crohn disease c. Intussusception d. Pyloric stenosis

c. Intussusception

Pediatric patients could suffer from bowel obstructions that are caused by a buildup of ingested hair. The mass associated with this type of obstruction is termed a: a. Phytobezoar b. Lactobezoar c. Trichobezoar d. Permabezoar

c. Trichobezoar