Review Questions

Which lab value is the most sensitive indicator of HCC? A. conjugated bilirubin B. lactic dehydrogenase C. ALT D. AST

ALT

The ligamentum teres: A. resides in the left intersegmental fissure B. is a remnant of the umbilical vein C. Recannalizes in serve cirrhosis D. Is an echogenic sport on TRV liver images E. All of the above

All of the above

All of the following are associated with echinococcal cysts except: A. cyst within a cyst presentation B. Casoni skin test C. Anaphalactic shock E. Water lily sign

Anphalactic shock

A Phrygian cap is: A. an enlarged gallbladder B. fold at the GB fundus C. fold in the GB neck D. diverticula at GB neck

B. fold at the Gb fundus

Choledocholithiasis may result in: A. in increase in indirect bilirubin B. an increase in direct bilirubin and a slight increase in indirect bilirubin C. bilirubin is not elevated in this D. an increase in creatinine

B. increase in direct bilirubin and a slight increase in indirect bilirubin

Which is in decreasing order of echogenicity? A: Pancreas > renal sinus > liver >renal parenchyma B: Renal sinus > pancreas > liver > renal parenchyma C: Renal sinus > renal parenchyma > pancreas > liver D: Pancreas > renal sinus > renal parenchyma > liver

B. renal sinus, pancreas, liver, renal parenchyma

Bilateral echogenic kidneys in newborns most likely represent? A: multicystic dysplastic kidneys B: Wilm's turmor C: autosomal recessive polycystic kidney disease D: autosomal dominant polycystic kidney disease

C. autosomal recessive PKD

Which of the following will displace the SMA anteriorly: A. common bile duct stone B. pancreatic head mass C. left renal vein thrombosis D. rectus sheath hematoma

C. left renal vein thrombosis

Which of the following represents the most commonly reported cause of a palpable abdominal mass in a newborn? A.neuroblastoma B. hydronephrosis C. multicystic dysplastic kidney D. wilms tumor E. heptablastoma

C. multicystic dysplastic kidney

Throughout its course, the splenic vein is located on the: A: anterior surface of the pancreatic body and tail B: anterior surface of the uncinate process C: posterior surface of the pancreatic body and tail D: superior surface of the pancreatic body and tail

C. posterior surface of the pancreatic body and tail

All of the following mass lesions are benign except: A. hematoma B. hamartoma C. hepatic adenoma D. hepatoma E. hemangioma

D. hepatoma cancer of the liver cells

Islet cell tumors of the pancreas are most likely to located: A. in the head, never in the body or tail B. frequently in the head, rarely in the body or tail C. never in the head, frequently in the body or tail D. rarely in the head, frequently in the body or tail.

D. rarely in the head, frequently in the body or tail

What is the correct path of a red blood cell returning to the heart? A. splenic vein, hepatic vein, sinusoids, portal vein, IVC, right atrium B. SMV, portal vein, hepatic vein, sinusoids, IVC, right atrium C. IMV, portal vein, sinusoids, hepatic veins, IVC, right atrium D. splenic vein, portal vein, right portal vein, emissary veins, IVC, right atrium

D. splenic vein, portal vein, right portal vein, emissary veins, IVC, right atrium

Chronic pancreatitis may be associated with which of the following sonographic patterns: A. increased echogenicity B. decrease in pancreas size C. calcifications D. dilated pancreatic duct E. all of the above

E. all of the above

The GDA: A. is the first branch of the common hepatic artery B. proceeds caudally along the anterolateral margin of the pancreatic head C. is seen in the TRV views directly anterior to the CBD D. it the point where the common hepatic artery becomes the hepatic artery proper E. all of the above

E. all of the above

Courvoisier's sign is associated with all the following except: A. pancreatic carcinoma B. dilated gallbladder C. HCC D. biliary duct dilation E. painless jaundice

HCC law that the presence of enlarged GB is accompanied with painless jaundice and is likely caused by stones

All of the following increase with HCC except: A. AST B. SGOT C. SGPT D. PSA E. ALT

PSA

A hypernephroma is a solid renal mass. It is known as all of the following except: A. von grawitz tumor B. RCC C. adenocarcinoma of the kidney D. TCC

TCC

The ligamentum venosum is all of the following except: A. a remnant of the umbilical vein B. remnant of the ductus venosus C. remnant of the fetal circulation which shunts blood from the left portal vein to the IVC by bypassing the liver D. divides the caudate lobe from the left lobe of the liver

a remnant of the umbilical vein

If on sonographic exam, one finds a patient with intrahepatic dilated ducts and a small gallbladder, this may indicate that the level of obstruction is: A: at the proximal CBD B: above the cystic duct C: below the cystic duct D: at the Ampulla of vater E: a the head of the pancreas

above the cystic duct

Which lab value is associated with prostate carcinoma? A. Alkaline phosphatase B. PCK C. acid phosphatase D. BUN

acid phosphatase

Alkaline phosphatase increased without elevation of ALT may be seen in all the following except? A. mirizzi syndrome B. pancreatic carcinoma C. acute hepatitis D. choledocholithiasis

acute hepatitis

The most common cause of acute renal failure is: A. renal vein thrombosis B. renal artery thrombosis C. acute tubular necrosis D. acute glomerulonephritis

acute tubular necrosis

The causes of a large gallbladder include all the following except: A. adenomyomatosis B. cystic duct obstruction C. pancreatic carcinoma D. DB E. a fasting patient F. common duct obstruction

adenomyomatosis

What is the most common newborn abdominal mass associated with a decrease in hematocrit? A. wilm's tumor B. adrenal neuroblastoma C. hetpatoblastoma D. ARPKD E. adrenal hemorrhage

adrenal hemorrhage

All of the following lab values may be elevated in renal failure except: A. protein B. creatinine C. Alkaline phosphatase D. BUN

alkaline phosphatase

Increased levels of alkaline phosphatase are expected with: A. biliary obstruction B. children C. HCC D. pregnancy E. all of the above

all of the above

The most common primary neoplasm of the pancreas is adenocarcinoma. This: A. is usually found in the head of the pancreas B. is accompanied by weight loss and painless jaundice C. accompanied by dilated GB D. causes dilatation of the common bile duct E. all of the above

all of the above

Thickening of the gallbladder wall is a common feature in: A. hypoalbuninemima B. cholecystitis C. adenomyomatosis D. carcinoma of the gallbladder E. All of the above

all of the above

Which of the following are associated with splenomegaly: A. polycythemia vera B. lymphoma C. portal vein thrombosis D. schistosomiasis E. all of the above

all of the above

Which of the following lab values is elevated with liver METS? A. alkaline phosphatase B. BUN C. PSA D. alpha fetoprotein

alpha fetoprotein

Anechoic masses that occur around a renal transplant include all of the following except: A: urinoma B: lymphocele C: hematoma D: corpus luteal cyst E: baker's cyst

bakers cyst

Which part of the liver is least affected by Budd Chiari? A. right anterior B. right posterior C. left medial D. left lateral E. Caudate

caudate

Which of the following is associated with Caroli diease: A. dilated intrahepatic bile ducts B. dilated extrahepatic bile ducts C. courvoiseir GB D. diffuse thickening of the common duct

dilated intrahepatic bile ducts

Which lab value is specific for obstructive jaundice? A. direct bilirubin B. SGOT C. SGPT D. indirect bilirubin

direct bilirubin

Which fetal circulation pathway connects the left portal vein to the IVC? A. ductus arteriosus B. ligamentum teres C. umbilical vein D. ductus venosus E. ligamentum venosum

ductus venosus

Gallbladder wall thickening may be due to all of the following except: A. ascites B. hypoproteinemia C. right sides congestive cardiac failure D. fatty liver E. acute cholecystitis

fatty liver

Occasionally, a pseudocyst may have internal echoes and be confused with an abscess. To distinguish the two, one should look for: A:calcification B: fluid in the lesser sac C: gas D: septations

gas

Cystic lesions within the liver include all except: A: Congenital cysts B: Polycistic liver disease C: Caroli's disease D: Hemangiomas

hemangiomas

Which organ is most likely to be affected in APKD? A. ovary B. pancreas C. spleen D. adrenal gland E. liver

liver

Elevated serum amylase may be secondary to all of the following except: A. panc duct obstruction B. acute pancreatitis C. liver disease D. obstruction of the ampulla of vater

liver disease

Dilatation of the intrahepatic billiary tree without dilatation of the extrahepatic duct includes all of the following except: A: Klatskin tumor B: enlarged portal lymph nodes C: cholangiocarcinoma D: pancreatic carcinoma

pancreatic carcinoma

Which of the following is not a cause of splenomegaly: A. lymphoma B. portal HTN C. pancreatitis D. mononucleosis E. cirrhosis

pancreatitis

Which of the following is not associated with splenic trauma: A. decreasing hematocrit B. perisplenic fluid collection C. subcapsular fluid collection D. pelvic fluid collection E. perinephric fluid collection

perinephric fluid collection

The most common cause of splenomegaly is: A. congestive heart failure B. lymphoma C. sickle cell anemia D. portal hypertension

portal hypertension

The caudate lobe is located on the: A. anteroinderior surface of the liver B. anterosuperior C. posteroinferior D. posterosuperior

posterosuperior surface of the liver

While performing an ultrasound examination, the sonographer find that both kidneys measuring 5 cm in length. They are very echogenic. All of the following are possible except: A. chronic glomerulonephritis B. chronic pyelonephritis C. bilateral renal artery disease D. renal artery thrombosis

renal artery thrombosis

The pancreas is located in the: A. lesser sac B. greater sac C. perirenal space D. peritoneum E. retroperitonum

retroperitoneum

A parasitic disease of the liver causing portal hypertension and occlusion of the portal veins is: A. hydatid cyst B. echinococcal cyst C. schistosomiasis D. hepatic candidiasis

schistosomiasis

The common bile duct is joined with the pancreatic duct before entering the: A. TRV portion of the duodenum B. first portion of the duodenum C. 3rd portion of the duodenum D. second portion of the duodenum

second portion of the duodenum

A 48-year-old female presents postcholecystectomy with right upper quadrant pain, an elevated serum bilirubin and bilirubin in her urine. It is true that: A. she probably have hepatitis B. she probably has a stone, tumor, or stricture obstructing the bile duct C. the common duct will probably be less than 5 mm in diameter D. alkaline phosphatase will be normal

she probably has a stone, tumor, or stricture obstructing the bile duct

Which of the following diseases would result in splenic atrophy: A. infectious mononucleosis B. thyroid fever C. splenitis D. sickle-cell anemia E. HIV

sickle cell anemia

A wedge-shaped lesion within the spleen is associated with: A. sickle cell disease B. lymphoma C. splenic infarct D. splenic artery aneurysm E. leukemia

splenic infarct

Which of the following is correct: A. the lesser sac is located anterior and superior to the pancreas B. the greater sac is within the retroperitoneum C. the perirenal sac is within the peritoneum D. the lesser sac contains bowel E. the lesser sac is within the retroperitonum

the greater sac is within the retroperitoneum

which statement about the kidney is false: A. the kidneys are mobile within the retroperitoneum B. the kidneys consist of an internal medulla and external cortex C. the kidneys rest on the psoas laterally and the quadratus lumborum medially D. the renal pyramids are found within the medullary region

the kidneys rest on the psoas laterally and the quadratus lumborum medially

The portion of the pancreas that lies posterior to the superior mesenteric artery and vein is the: A: Head B: uncinate process C: body D: tail

uncinate process

Ectopic ureterocele is associated with which complication? A: upper pole hydronephrosis B: stone formation C: renal cell carcinoma D: lower pole hydronephrosis E: transitional cell carcinoma

upper pole hydronephrosis

The congenital absence of the spleen is associated with: A. biliary atresia B. visceral heterotaxy C. turner's syndrome D. polysplenia

visceral heterotaxy

A 3 year old boy presents with hematuria and a palpable left flank mass. Sonographically depicts a solid renal mass. The finding would most likely represent: A. hypernephroma B. wilm's tumor C. neuroblastoma D. infantile polycystic kidney disease

wilms tumor