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ABDOMEN2 FINAL QUESTIONS AND
ANSWERS FREQUENTLY TESTED.
What is the most common ultrasound appearance of pancreatic adenocarcinoma? Select one: a. Hyper echoic mass b. Hypo echoic mass c. Cystic mass d. Calcified mass - CORRECT ANSWER - Hypo echoic mass What is the most common cause of acute pancreatitis? Select one: a. Obstruction of the pancreatic duct by biliary calculi b. Pancreatic divisum c. Alcohol abuse d. Trauma - CORRECT ANSWER - Obstruction of the pancreatic duct by biliary calculi What is the relationship of the superior mesenteric artery to the pancreas? Select one: a. Posterior to the tail b.Posterior to
the neck c. Superior to the body d. Lateral to the tail - CORRECT ANSWER - Posterior to the neck
Which lab values would be of greatest benefit in evaluation of a patient with acute pancreatitis? Select one: a. Alpha protein b. Serum creatinine c. Serum amylase d. Alkaline phosphatase - CORRECT ANSWER - Serum amylase Which of the following is the enzyme released by the pancreas that neutralizes stomach acid? Select one: a. Insulin b. Somatostatin c. Glycogen d. Sodium bicarbonate - CORRECT ANSWER - Sodium bicarbonate Which of the following is a peripancreatic fluid collection that results from the inflammation of the pancreas? Select one: a. Pus b. Trypsin c. Phlegmon d. Chyme - CORRECT ANSWER - Phlegmon
Which of the following would be the most likely vascular complication of acute pancreatitis?
Which vessel is located at the superior border of the pancreas? Select one:
a. superior mesenteric artery b. Celiac trunk c. Left renal vein d. Right renal vein - CORRECT ANSWER - Celiac trunk You are having difficulty imaging the entire pancreas in a patient referred for abdominal ultrasound .Which part of the pancreas is least commonly visualized by ultrasound? Select one: a. Head b. Neck c. Body d. Tail - CORRECT ANSWER - Tail A cortical bulge on the lateral side of the left kidney is: Select one: a. Junctional parenchymal defect b. Gerota's fascia c. Perinephric fat d. Dromedary hump - CORRECT ANSWER - Dromedary hump An 80 year old has an ultrasound for a follow up from a CT scan. The patient has no symptoms. What is the above ultrasound most consistent with?
b. Hydroureter c. Parapelvic cyst d. Extrarenal pelvis - CORRECT ANSWER - parapelvic cyst Clinical findings of nephrocalcinosis include all the following except: Select one: a. Hypothyroidism b. UTI's c. Urinary calculi d. Hyperparathyroidism - CORRECT ANSWER - Hypothyroidism On ultrasound a 5 month old was seen with bilateral, enlarged kidneys and loss of corticomedullary differentiation. What is the most likely diagnosis? Select one: a. ADPKD b. ARPKD c. Medullary Sponge d. Tuberous Sclerosis - CORRECT ANSWER - ARPKD Renal agenesis is: Select one: a. Fatal when bilateral b. Associated with horseshoe kidney
c. Two distinct collecting systems d. Embryonic remnant - CORRECT ANSWER - Fatal when bilateral
Select one:
a. Ureterovesicular junction b. Ureteropelvic junction c. Cortex d. Medullary pyramid - CORRECT ANSWER - Ureterovesicular junction The normal adult long kidney should measure: Select one: a. 10.0 to 14.0 mm long b. 8.0 to 13.0 cm long c. 7.0 to 12.0 cm long d. 9.0 - 12.0 cm long - CORRECT ANSWER - 9.0 - 12.0 cm long The normal bladder wall should not exceed: Select one: a. 3mm b. 5mm c. 6mm d. 7mm - CORRECT ANSWER - 6mm The protective covering of the kidney is called: Select one: a. Gerota's fascia b. Medulla
d. Mucosa - CORRECT ANSWER - Gerota's fascia What is the functional unit of kidney? Select one: a. Bowman's capsule b. Loop of Henle c. Nephron d. Glomerulus - CORRECT ANSWER - Nephron What is the most common congenital anomaly of the urinary tract? Select one: a. Junctional parenchymal defect b. Duplicated collecting system c. Horseshoe kidney d. Renal agenesis - CORRECT ANSWER - Duplicated collecting system What is this an image of? Select one: a. Bladder diverticulum b. TCC c. Urachal cyst d. Ureteral cyst - CORRECT ANSWER - Ureteral cyst
Which is the most common solid malignant pediatric abdominal mass?
False - CORRECT ANSWER - True
Renal stones less than 5mm may be difficult to see. If you see "twinkle sign", this is an indication of urolithiasis? Select one: True False - CORRECT ANSWER - True A 16 y.o. male presents to the ER with Epstein-Barr Syndrome. Splenomegaly is diagnosed after the ultrasound measures the spleen at: Select one: a. 9 cm b. 11 cm c. 12 cm d. 15 cm - CORRECT ANSWER - 15 cm A hypoechoic, wedge-shaped area of the spleen as a result of lack of oxygen is referred to as: Select one: a. Splenule b. Splenic infarct c. Hematoma d. Pitting - CORRECT ANSWER - Splenic infarct A patient arrives to the ER after a motorcycle accident. An ultrasound is ordered. What are you most likely to find?
