Chapter 6 quiz (spleen)_
12. 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
14. Which of the following is a benign lesion that is a congenital malformation of the lymphatic system : a . Lymphangioma b . Hemangioma c . Angiosarcoma d Myeloma
A
15. The spleen is a / an : a Intraperitoneal organ b . Retroperitoneal organ
A
18. 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
23. What is the splenic process of cleaning red blood cells of unwanted material : a . Pitting b . Plucking c . Culling d . Coring
A
24. 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
30. 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 fol lowing blunt trauma
A
36. In a patient with suspected lymphoma , the presence of Reed - Sternberg cells indicates : a . Hodgkin lymphoma b . Non - Hodgkin lymphoma c . Metastatic liver disease d . Splenic infarction
A
37. 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
4. A 48 - 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 infarct b . Splenic hematoma c . Splenic hemangioma d . Splenic metastasis
A
6. What is the most common sonographic appearance of a splenic hemangioma ? a . Echogenic b . Hypoechoic c . Anechoic d . Complex
A
7. The process of making red blood cells is termed : a . Érythropoiesis b . Leukopoiesis c . Histopoiesis d . Anemia
A
10. The most common cause of splenomegaly is : a . Hepatitis b . Portal hypertension c . Lymphoma d . Trauma
B
16. 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
17. Which of the following children would least likely suffer from sickle cell anemia ? a . African - American b . Caucasian c . Middle Eastern d . Mediterranean
B
26. Which of the following is a congenital anomaly in which the spleen is divided into two portions by a band of tissue ? a . Splenic infarct b . Splenic cleft c . Splenosis d . Splenic impertecta
B
3. A rare malignant tumor of the spleen that consists of blood vessels is a / an : a. Lymphoma b . Angiosarcoma c . Hemangioma d . Granuloma
B
31. The spleen removes irregular cells from the bloodstream through a process called : a . Pitting b . Culling c . Crimping d . Amassing
B
33. What systemic disease results in the development of granulomas within the spleen and throughout the body ? a . Granulomatosis b . Sarcoidosis c . Sickle cell anemia d . Beckwith - Weidemann syndrome
B
39. The splenic vein joins with what structure posterior to the pancreatic neck to form the portal vein ? a . Inferior mesenteric artery b . Superior mesenteric vein c . Cephalic vein d . Main hepatic vein
B
8. Multiple , small echogenic foci scattered throughout the spleen in a patient with a history of toxoplasmosis most likely represent : a . Sarcoidosis b . Granulomas c . Lymphangiomas d . Hemangiomas
B
9. 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
11. 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
2. A 25 - year - old female patient presents to the sonography department for a complete abdominal sonogram . She complains of right lower quadrant pain and nausea . The right upper abdomen appears normal . A small mass is noted in the area of the splenic hilum . This mass appears isoechoic to the spleen . What does this most likely represent ? a . Pancreatic cystadenocarcinoma b . Splenic hemangioma c . Accessory spleen d . Neuroblastoma
C
21. 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
25. The splenic artery originates at the : a . Superior mesenteric artery b . Inferior phrenic artery c . Celiac trunk d . Gastroduodenal artery
C
28. 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 granuloma c . Splenic hematoma d . Splenic infarct
C
29. A sickle cell crisis will often lead to : a . Splenic metastasis b . Sarcoidosis c Splenomegaly d . Wandering spleen
C
32. An area within the spleen that has become necrotic because of a lack of oxygen is referred to as a : a . Splenic hemangioma b . Splenic hematoma c . Splenic infarct d . Granuloma
C
34. A complex cyst that results from the parasitic infestation of the spleen by a tapeworm is the : a . Bacterial endocarditic cyst b . Choledochal cyst c . Hydatid cyst d . Candidiasis
C
38. All of the following are true of the spleen except : a . It is the largest structure of the reticuloendo thelial 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
40. 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
1. 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
13. A 32 - year - old female patient presents to the sonography department for an abdominal produce acoustic shadowing . What is the most a 1 - cm , rounded , echogenic mass that does not sonogram . An evaluation of the spleen reveals likely diagnosis ? a . Pheochromocytoma b . Lipoma c . Splenic metastasis d . Hemangioma
D
19. 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
20. 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 thoroughly evaluating the left upper quadrant , only a fraction of splenic tissue can be identified . This describes the process of : a . Splenomicroly b . Asplenia c . Splenosis d . Autosplenectomy
D
22. All of the following can be associated with splenomegaly except : a . Trauma b . Hemolytic abnormalities c . Mononucleosis d . Pancreatitis
D
35. 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
5. A patient with a wandering spleen would have an increased risk for : a . Splenic infection b . Splenosis c . Splenic carcinoma d . Splenic torsion
D
sonography department for an abdominal 27. A 35 - year - old male patient presents to the 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 metastatic lesions d . Multiple granulomas
D