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ABDOMEN2 FINAL QUESTIONS AND
ANSWERS FREQUENTLY TESTED
...
Hyper echoic mass
b
...
Cystic mass
d
...
Obstruction of the pancreatic duct by biliary calculi
b
...
Alcohol abuse
d
...
Posterior to the tail
b
...
Superior to the body
d
...
Abdominal aorta
b
...
Superior mesenteric artery
d
...
Pouch of douglas
b
...
Iliac fossa
d
...
Whipple cells
b
...
Delta cells
d
...
Alpha protein
b
...
Serum amylase
d
...
Insulin
b
...
Glycogen
d
...
Pus
b
...
Phlegmon
d
...
Thrombosis in the splenic vein
b
...
Thrombosis of the main portal vein
d
...
Smoking
b
...
Chronic pancreatitis
d
...
Head
b
...
Body
d
...
superior mesenteric artery
b
...
Left renal vein
d
...
Which part of the pancreas is least commonly
visualized by ultrasound?
Select one:
a
...
Neck
c
...
Tail - CORRECT ANSWER -Tail

A cortical bulge on the lateral side of the left kidney is:
Select one:
a
...
Gerota's fascia
c
...
Dromedary hump - CORRECT ANSWER -Dromedary hump

An 80 year old has an ultrasound for a follow up from a CT scan
...
What is the above ultrasound most consistent
with?
Select one:
a
...
Hydroureter
c
...
Extrarenal pelvis - CORRECT ANSWER -parapelvic cyst

Clinical findings of nephrocalcinosis include all the following except:
Select one:
a
...
UTI's
c
...
Hyperparathyroidism - CORRECT ANSWER -Hypothyroidism

On ultrasound a 5 month old was seen with bilateral, enlarged kidneys and
loss of corticomedullary differentiation
...
ADPKD
b
...
Medullary Sponge
d
...
Fatal when bilateral
b
...
Two distinct collecting systems
d
...
Intraperitoneal
b
...
Exophytic
d
...
Dysuria
b
...
Hematuria
d
...
Aorta
b
...
Adrenal gland
d
...
Ureterovesicular junction
b
...
Cortex
d
...
10
...
0 mm long
b
...
0 to 13
...
7
...
0 cm long
d
...
0 - 12
...
0 - 12
...
3mm
b
...
6mm
d
...
Gerota's fascia
b
...
Glisson capsule

d
...
Bowman's capsule
b
...
Nephron
d
...
Junctional parenchymal defect
b
...
Horseshoe kidney
d
...
Bladder diverticulum
b
...
Urachal cyst
d
...
Glomerulonephritis
b
...
Wilms' tumor
d
...
Hypoechoic mass outside the renal pelvis
b
...
Anechoic filled renal pelvis
d
...

Select one:
True
False - CORRECT ANSWER -True

Oncocytomas often contain a central scar
...
If you see "twinkle
sign", this is an indication of urolithiasis?
Select one:
True
False - CORRECT ANSWER -True

A 16 y
...
male presents to the ER with Epstein-Barr Syndrome
...
9 cm
b
...
12 cm
d
...
Splenule
b
...
Hematoma
d
...
An ultrasound is
ordered
...
Lipoma

b
...
Hemangioma
d
...
Granuloma
b
...
Splenule
d
...
Sickle cell anemia
b
...
Portal hypertension
d
...
What
is the most likely diagnosis?
Select one:
a
...
Choledocholithiasis
c
...
Hemangioma - CORRECT ANSWER -Granulomatosis disease

The normal adult spleen measures approximately:
Select one:
a
...
6 - 8 cm long
c
...
8 - 10 cm long - CORRECT ANSWER -10 - 12 cm long

The splenic artery is a branch of which of the following:
Select one:
a
...
Abdominal aorta
c
...
Portal vein - CORRECT ANSWER -Celiac axis

The splenic vein courses medially and joins the superior mesenteric vein to
then join with the:
Select one:
a
...
Gastric vein
c
...
IVC - CORRECT ANSWER -Portal vein

Which of the following is an indication for a spleen ultrasound?
Select one:

a
...
RUQ mass
c
...
Fatigue - CORRECT ANSWER -Fatigue

All the following are associated with Conn syndrome except:
Select one:
a
...
hypertension
c
...
thinning arms & legs - CORRECT ANSWER -thinning arms & legs

An enlarged irregular lymph node demonstrating a round, plump
appearance is most consistent with an underlying:
Select one:
a
...
hemorrhage
c
...
obstruction - CORRECT ANSWER -malignancy

The adrenal glands are surrounded by a connective tissue capsule called:
Select one:
a
...
Adrenalocortical fascia
c
...
Glisson fascia - CORRECT ANSWER -Gerota fascia

The IVC is considered enlarged after the diameter exceeds:
Select one:
a
...
0 cm
b
...
5 cm
c
...
0 cm
d
...
7 cm - CORRECT ANSWER -2
...
Hepatoblastoma
b
...
Neuroblastoma
d
...
cortisol
b
...
estrogen
d
...
liver
b
...
ovaries
d
...
Conn syndrome
b
...
Adrogenism
d
...
Addison disease
b
...
Conn syndrome
d
...
increase
b
...
become stable
d
...
3mm
b
...
5mm
c
...
3cm - CORRECT ANSWER -3 cm

The abdominal aorta lies posterior to the:
Select one:
a
...
Liver
c
...
Heart - CORRECT ANSWER -Liver

The most common shape of an AAA is:
Select one:
a
...
Fusiform
c
...
Spherical - CORRECT ANSWER -Fusiform

The renal arteries originate on the aorta from the _________ wall
...
Anterior
b
...
Lateral
d
...
SMA
b
...
Gastric artery
d
...
Tunica intima
b
...
Tunica elastin
d
...
High resistance

b
...
The right renal artery
b
...

Select one:
True
False - CORRECT ANSWER -False
A nonencapsulated collection of necrotic and edematous peripancreatic
tissues is termed:
Select one:
a
...
Ascites
c
...
Pseudo cyst - CORRECT ANSWER -Phlegmon

One clinical sign of an insulinoma is the presence of:
Select one:
a
...
Elevated alpha-fetoprotein
c
...
Zollinger-Ellison syndrome - CORRECT ANSWER -Hypoglycemia

The accessory pancreatic duct which is sometimes visible sonographically is
known as:
Select one:
a
...
Cystic duct
c
...
Duct of Vater - CORRECT ANSWER -Duct of Santorini

The arterial blood supply to the head of the pancreas is via the:
Select one:
a
...
Splenic artery
c
...
Hepatic artery - CORRECT ANSWER -Gastroduodenal artery

The most common echogenicity of an acutely inflamed pancreas is:
Select one:
a
...
Hyper echoic
c
...
Calcified - CORRECT ANSWER -Hypoechoic

The most common form of malignancy of the pancreas is:

Select one:
a
...
Islet cell tumor
c
...
Adenocarcinoma - CORRECT ANSWER -Adenocarcinoma

The most common location of adenocarcinoma of the pancreas is within
the:
Select one:
a
...
Neck of the pancreas
c
...
Tail of the pancreas - CORRECT ANSWER -Head of the pancreas

The most common location of focal pancreatitis is within the:
Select one:
a
...
Neck of the pancreas
c
...
Tail of the pancreas - CORRECT ANSWER -Head of the pancreas

The pancreas is an:
Select one:
a
...
Retroperitoneal organ - CORRECT ANSWER -Retroperitoneal organ

The portion of the bowel that encompasses the head of the pancreas is the:
Select one:
a
...
Jejunum
c
...
Cecum - CORRECT ANSWER -Duodenum

The Whipple procedure is performed on patients who have:
Select one:
a
...
Acute pancreatitis
c
...
Pancreatic transplants - CORRECT ANSWER -Pancreatic carcinoma
The aorta delivers oxygen rich blood to organs in the body
...

Select one:
True
False - CORRECT ANSWER -True



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