Test 3: Vascular System, Pancreas, and GI tract
13. The maximum outer diameter of normal appendix can be measured up to___mm?
6
3. Which of the following statement about gastric carcinoma is false?
90% of malignant tumors of the stomach are lymphomas
Budd-Chiari syndrome demonstrates thrombosis of the: A) hepatic veins B) hepatic arteries C) portal veins D) inferior vena cava (IVC)
A)
The gastroduodenal artery is a branch of the: A) common hepatic artery B) left gastric artery C) splenic artery D) superior mesenteric artery
A)
The inferior mesenteric artery distributes blood to the: A) left transverse colon, descending colon, sigmoid, and rectum B) ascending colon, sigmoid, and rectum C) descending colon D) ascending colon and rectum
A)
Which one of the following vascular structures courses between the aorta and SMA? A) left renal vein B) celiac trunk C) gastroduodenal artery D) left renal artery
A)
In patients with lower trunk and leg edema and a dilated IVC, a(n) _____ should be suspected. A) rupture B) atrioventricular fistula C) retroperitoneal tumor D) infection
B)
The distribution of the superior mesenteric artery is to the: A) distal half of colon and the liver B) proximal half of colon and the small intestines C) small intestine and the proximal half of colon D) large intestine and the distal half of colon
B)
The duodenum and parts of the stomach are supplied by the: A) hepatic artery B) gastroduodenal artery C) splenic artery D) superior mesenteric artery
B)
The most common tumor to fill the IVC is: A) islet cell carcinoma B) renal cell carcinoma C) venous angioma D) nephroma
B)
The portal veins carry blood from the _____ to the liver. A) hepatic artery B) intestinal tract C) splenic artery D) peripheral venous system
B)
The right renal artery passes ______ to the inferior vena cava (IVC). A) anterior B) posterior C) lateral D) medial
B)
What vessels passes anterior to the third part of the duodenum and posterior to the neck of the pancreas? A) superior mesenteric artery B) superior mesenteric vein C) inferior mesenteric vein D) splenic vein
B)
Which one of the following statements is incorrect? A) the portal vein enters the lesser omentum B) the portal vein is formed anterior to the pancreas C) the portal vein drains blood out of the gastrointestinal tract D) the portal veins an anastomosis with the esophageal veins, rectal venous plexus, and superficial abdominal veins.
B)
23. Symptoms of appendiceal mucoceles may include all of the following EXCEPT?
Bloating
The arterial supply to the gallbladder is via the: A) hepatic artery B) superior mesenteric artery C) cystic artery D) gastroduodenal artery
C)
The vessel that arises from the anterior aortic wall and takes a parallel course to the aorta is the: A) hepatic artery B) renal artery C) superior mesenteric artery D) inferior mesenteric artery
C)
Which vascular structure is used as a landmark in locating the celiac trunk? A) common bile duct B) common hepatic artery C) superior mesenteric artery D) gastroduodenal artery
C)
8. Sonographic findings of Crohn disease may include all the following EXCEPT?
Calcification
20. The entrance of the esophagus into the stomach is through __ orifice?
Cardiac
14. A diverticulum is most common in __ ?
Colon
Renal arteries branch from the lateral wall of the aorta: A) at the level of L4 B) superior to the SMA C) superior to the hepatic arteries D) inferior to the SMA
D)
The IVC courses anteriorly to enter the: A) right ventricle B) left atrium C) right coronary sinus D) right atrium
D)
The clinical signs of leg edema, low back pelvic pain, gastrointestinal complaints, and renal liver problems may represent: A) abdominal rupture B) superior mesenteric thrombus C) retroperitoneal tumor D) IVC thrombosis
D)
The most common cause of abdominal aneurysms is: A) cystic medial necrosis B) syphilis C) atheroma D) arteriosclerosis
D)
The normal diameter of the aorta is less than ____ millimeters (mm). A) 2 B) 4 C) 10 D) 23
D)
The portal venous system receives blood from all of the following except the: A) gallbladder B) pancreas C) spleen D) kidneys
D)
Which one of the following statements is false for a patient with renal vein thrombosis? A) direct visualization of thrombi in the renal vein and IVC is possible B) loss of normal renal structure occurs C) renal size increases in the acute phase D) doppler flow increases
D)
Which one of the following vascular structures relates to the medial and posterior borders or to the pancreatic body and tail? A) splenic artery B) hepatic artery C) superior mesenteric artery D) splenic vein
D)
Which one of the following veins begins at the hilum of the spleen and is joined by the short gastric and left gastroepiploic vein? A) pancreatic B) portal C) superior mesenteric D) splenic
D)
Which one of the following vessels passes anterior to the uncinate process of the pancreas? A) hepatic artery B) portal vein C) left renal vein D) superior mesenteric artery
D)
9. The keyboard sign is seen in the __ ?
Duodenum
11. Which of the following is embryological mistake?
Duplication cysts
25. Pseudokidney sign may be seen in __?
Gastric carcinoma
21. The greater curvature of the stomach is supported by all of the following ligaments except?
Gastrohepatic Ligament
17. The colon is divided into segments called ___?
Haustra
24. Gastrointestinal leiomyosarcoma most commonly occur in the___?
Ileum
18. The celiac axis, superior mesenteric artery, and __ artery supply both the small and large intestines?
Inferior mesenteric
16. The most common tumor of gastrointestinal tract in children under 10 years is____?
Lymphoma
10. The appendix is located on the abdominal wall under the __ point?
McBurney's
22. The progression of Acute appendicitis to Frank perforation is more rapid in?
Preschool Children
12. Metastatic disease to stomach may be secondary to all the following except?
The prostate
15. Which statement about Crohn's disease is false?
The reaction involves only the mesothelium of the bowel wall
Progression of acute appendicitis to perforation is more rapid in a. preschool children b. elementary school children c. adults d. senior citizens
a
The most common tumor of the gastrointestinal tract in children under 10 is a. lymphoma b. polp c. leiomyoma d. fecalith
a
Which one of the following statements about gastric carcinoma is false a. gastric carcinoma is the 4th leading cause of death b. of the malignant tumors of the stomach 90% are carcinomas c. one half of these malignant tumors occur in the pylorus d. one fourth of the malignant tumors occur in the body and fundus
a
which one of the following division of the duodenum courses to the level of the gallbladder neck a. first part b. second part c. third part d. fourth part
a
which one of the following is an embryologic mistake a. duplication cyst b. gastric bezoar c. polyp d. leiomyoma
a
Small bowel obstruction is associated with a. dilation of the bowel loops distal to the site of obstruction b. dilation of the bowl loops proximal to the site of the obstruction c. collapsed bowel loops proximal to the site of the obstruction d. polypoid masses throughout the obstruction
b
The "keyboard" sign is seen in the a. colon b. duodenum c. appendix d. stomach
b
The celiac axis, SMA, and__ artery supply both the small and large intestines a. lumbar b. inferior mesenteric c. splenic d. renal
b
The greater curvature of the stomach is supported by all of the following ligaments except the a. greater omentum b. gastrohepatic ligament c. gastrophrenic ligament d. gastrosplenic ligament
b
which one of the following statements about Crohns disease is false a. Crohn disease is regional enteritis b. the reaction involves only the mesothelium of the bowel wall c. clinical symptoms include diarrhea, fever, RUQ pain d. Crohn disease affects the terminal ileum or the colon or both
b
A diverticulum is most common in the a. stomach b. small intestine c. colon d. ileum
c
Acute appendicitis may be seen on a transverse sonogram as a ___ mass a. hypoechoic b. hyperechoic c. target- shaped d. anechoic
c
Gastrointestinal leiomyosarcoma most commonly occur in the a. duodenum b. jejunum c. ileum d. ascending colon
c
Metastatic disease to the stomach may be secondary to all of the following except a. breast b. lung c. prostate d. melanoma
c
The __ is found anterior to the pancreatic body and is sometimes confused with the pancreatic duct a. fundus b. body c. gastric antrum d. pyloric canal
c
The colon is divided into segments called.. a. villi b. valvulae conniventes c. haustra d. rugae
c
all of the following are sonographic characteristics of lymphoma of the stomach except a. relatively large and hypoechoic appearance b. significant thickening of the gastric walls c. relatively large and highly echogenic apperance d. spoke-wheel pattern
c
symptoms of appendiceal mucoceles may include all of the following except a. symptomatic b. urinary symptoms c. bloating d. sepsis
c
Pseudo-kidney sign may be seen in a. chronic appendicitis b. meckel diverticulum c. gastric bezoar d. gastric carcinoma
d
The appendix is located on the abdominal wall under the a. iliac crest b. mubarneys point c. McBurneys sign d. McBurneys point
d
The entrance of the esophagus into the stomach is through the __________ orifice a. esophageal b. diaphragmatic c. thoracic d. cardiac
d
The maximum outer diameter of the normal appendix can measure up to __ mm a. 2 b. 4 c. 5 d. 6
d
Which one of the following structures is often visualized on a signal ultrasound as a "bulls eye" or target pattern anterior to the aorta and posterior to the left lobe of the liver a. pancreatic duct b. common bile duct c. ligamentum teres d. gastroesophageal junction
d
most of the digestion and absorption of food takes place in the a. large intestine b. duodenum c. stomach d. small intestine
d
sonographic finding of Crohn disease may include all of the following except a. symmetrically swollen bowl pattern b. uniformly increased wall thickness c. matted-loop pattern d. calcification
d
5. Small bowel obstruction is associated with __ proximal to the site of obstruction?
dilation of the bowel loop
7. The __ is found anterior to the pancreatic body and is sometimes confused with pancreatic duct?
gastric antrum
2. Which one of the following structures is often visualized on a sagittal ultrasound as a bull's-eye our target pattern anterior to the aorta and posterior to the left lobe of the liver?
gastroesophageal junction
4. All of the following are sonographic features of lymphoma of the stomach except?
relatively large and highly echogenic appearance
1. Most of the digestion and absorption of the food takes place in the ____?
small intestine
6. Acute appendicitis may be seen on transverse ultrasound as a ____ mass?
target-shaped or "bulls eye"
19. Which of the following divisions of the duodenum courses to the level of the gallbladder neck?
The first part
