Chapter 11 Spleen PRACTICE QUIZ

A 25-year old female patient presents to the sonography department for a complete abdominal sonogram. She complains of ruq pain and nausea. The ruq abdominal appears normal. A small mass is noted in the area of the splenic hilum. This mass appears isoechoic the spleen. What does this most likely represent? a. pancreatic cystadenocarcinoma b. splenic hemangioma c. accessory spleen d. Neuroblastoma

c

A complex cyst that results from parasitic infection of the spleen by a tapeworm is the: a. bacterial endocarditic cyst b. choledochal cyst c. hydatid cyst d. candidiasis

c

a sickle cell crisis will often lead to: a. splenic mets b. sarcoidosis c. splenomegaly d. wandering spleen

c

a 35-year-old male patient presents to the sonography department for an abdominal sonogram with a history of abdominal pain and histoplasmosis. What are you more likely to identify within the spleen? a. multiple histomas b. multiple hemangiomas c. multiple mets lesion d. multiple granulomas

d

all of the following are functions of the spleen except: a. storage of iron b. defense against disease c. blood reservoir d. destruction of phagocytic cells

d

A rare malignant tumor of the spleen that consists of blood vessels a. lymphoma b. angiosarcoma c. hemangioma d. granuloma

b

which of the following a congenital anomaly in which the spleen is divided into two portion by a band of tissue? a. splenic infarct b. splenic cleft c. splenosis d. splenic imperfecta

b

which of the following children would least likely suffer from sickle cell anemia a. african american b. caucasian c. middle eastern d. mediterranean

b

A 78-year old male patient with a history of severe, sudden onset of left upper quadrant pain without trauma presents to the sonography department for a sonogram of the spleen.You visualize a wedge-shaped, hypoechoic area within the spleen. This most likely represents a: a. splenic infract b. splenic hematoma c. splenic hemangioma d. splenic metastasis

a

Diffuse involvement of lymphoma or leukemia of the spleen will often lead to: a. splenomegaly b. splenic atrophy c. epstein- barr infection d. splenic torsion

a

Epstein-Barr infection is best described as: a. a herpesvirus that can lead to infectious mononucleosis b. a herpesvirus that is often associated with splenic granulomatous disease c. an infection that results in sickle cell anemia in children d. an infection within a splenic hematoma following blunt trauma

a

in a patient with suspected lymphoma, the presence of reed-sternberg cells indicates: a. hodgkin lymphoma b. non-hodgkin lymphoma c. mets liver disease d. splenic infarction

a

the process of making red blood cells is termed: a. eryhropoiesis b. leukopoiesis c. histopoiesis d. anemia

a

the spleen is a/an: a. intraperitoneal organ b.retroperitoneal organ

a

the splenic vein marks the: a. posterior aspect of the pancreatic body and tail b. anterior aspect of the pancreatic body and tail c. medial surface of the pancreatic body and tail d. lateral aspect of the pancreatic body and tail

a

the type of tissue within the spleen that is responsible for its phagocytic function is the: a. red pulp b. white pulp c. culling pulp d. pitting pulp

a

what is the most common sonographic appearance of a splenic hemangioma a. echogenic b. hypoechoic c. anechoic d. complex

a

what is the splenic process of cleaning red blood cells of unwanted material: a. pitting b. plucking c. culling d. coring

a

which of the following describe the implantation of ectopic splenic tissue possibly secondary to splenic rupture? a. splenosis b. polysplenia c. asplenia d. wandering spleen

a

which of the following is a benign lesion that is a congenital malformation of the lymphatic system: a. lmyphangioma b. hemangioma c. angiosarcoma d. myeloma

a

The spleen removes irregular cells from the bloodstream through a process called: a. pitting b. culling c. crimping d. amassing

b

multiple, small echogenic foci scattered throughout the spleen in a patient with a history of toxoplasmosis most likely represents: a. sarcoidosis b. granulomas c. lymphangiomas d. hemangiomas

b

the most common caused of splenomegaly is: a. hepatitis b. portal htn c. lymphoma d. trauma

b

the splenic artery marks the: a. posterior aspect of the pancreatic body and tail b. superior aspect of the pancreatic body and tail c. medial surface of the pancreatic body and tail d. lateral aspect of the pancreatic body and tail

b

the splenic vein joins with what structure posterior to the pancreatic neck to form the portal vein? a. ima b. smv c. cephalic vein d. main hepatic vein

b

the type of tissue within the spleen that is responsible for its lymphatic function is the: a. red pulp b. white pulp c. culling segment d. pitting segment

b

what systemic disease results in the development of granuloms within the spleen and throughout the body? a. granulomatosis b. sarcoidosis c. sickle cell anemia d. beckwith- weidemann syndrome

b

a 14-year-old male patient presents to the sonography department after falling from his bicycle. An abdominal sonogram reveals a complex- appearing mass within the spleen. This most likely represents a: a. splenic hemangioma b. splenic granulmoa c. splenic hematoma d. splenic infarct

c

all of the following are true of the spleen except: a. it is the largest structure of the reticulodendothelial system b. the primary objective of the spleen is to filter the peripheral blood c. the spleen has a convex inferior margin and a concave superior border d. the spleen is considered the largest lymphatic organ

c

an area within the spleen that has become necrotic because a lack of oxygen is referred to as a: a. splenic hemangioma b. splenic hematoma c. splenic infarct d. granuloma

c

small echogenic foci scattered throughout the spleen most likely represent: a. multiple benign hemangioma b. multiple benign hematomas c. multiple benign granulomas d. malignant lymphoma

c

the splenic artery originates at the: a. sma b. inferior phrenic artery c. celiac trunk d. gastroduodenal artery

c

the splenic hamartoma may be discovered more often in individuals with a history of: a. HIV b. splenic carcinoma c. tuberous sclerosis d. meckel-gruber syndrome

c

where is the most common location of an accessory spleen: a. superior to the spleen b. medial to the diaphragm and left kidney c. splenic hilum d. anterior to the pancreatic body

c

A 15-year old male patient presents to the sonography department with a history of left sided trauma 5 years earlier. He currently has no LUQ discomfort. The sonographic findings of the spleen include a mass that contains calcification producing distinct posterior shadowing. What is the most likely diagnosis? a. splenic hemangioma b. splenic hamartoma c. splenic lymphangioma d. splenic hematoma

d

A patent with a wandering spleen would have increased risk for: a. splenic infection b. splenosis c. splenic carcinoma d. splenic torsion

d

a 26-year old patient with a long-standing history of multiple sickle cell crises and subsequent splenic infarctions presents to the sonography department for an abdominal sonogram. After throughly evaluating the left upper quadrant, only a fraction of the splenic tissue can be identified. This describes the process of: a. splenomicroly b. asplenia c. splenosis d. autosplenectomy

d

a 32-year-old female patient presents to the sonography department for an abdominal sonogram. An evaluation of the spleen reveals a 1-cm, rounded, echogenic mass that does not produce acoustic shadowing. What is the most likely diagnosis? a. phechromocytoma b. lipoma c. splenic mets d. hemangioma

d

all of the following can be associated with splenomegaly except: a. trauma b. hemolytic abnormalities c. mononucleosis d. pancreatitis

d

from the list below, what is the most likely clinical finding of a patient who has a splenic hemangioma? a. fever b. decreased hematocrit c. elevated white blood cell count d. asymptomatic

d