Abdomen 20 (Ultrasound Abdomen Exam Sample Questions)

Abdomen (AB)

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Question 1
Using Ultrasound Harmonics what change do we see in the wavelength?
A
It is halved.
B
It is quartered.
C
It is doubled.
D
It is quadrupled.
Question 1 Explanation: 
Remember your physics. Velocity = Frequency x Wavelength. Frequency and wavelength have an inverse relationship. If one goes up the other goes down.
Question 2
The thickening of the wall in this image is due to what? The patient is NPO X 8 hours and has a positive Murphy's sign.Normal Contracted Gallbladder
A
Acute Cholecystitis
B
Chronic Cholecystitis
C
Normal Contraction of the Gallbladder
D
Cholelithiasis
Question 2 Explanation: 
With a patient that has been NPO for 8 hours you should find a completely distended Gallbladder. Acute cholecystitis should be suspected.
Question 3
Right, left, and caudate are the 3 lobes of the liver in what system?
A
Couinaud
B
Lobar
C
Physiological
D
Qudrate
Question 3 Explanation: 
Couinaud divides the liver into 8 segments
Question 4
What structure would cause the IVC to be pushed anteriorly?
A
Spine
B
Renal Artery
C
Lymph Nodes
D
Small Bowel
Question 4 Explanation: 
A lymph node will displace the IVC whereas the renal artery will be displaced posteriorly.
Question 5
Relating to the thyroid if the lab value for TSH is increased T3 and T4 will be?
A
These lab values are independent of each other.
B
Decreased
C
No change
D
Increased
Question 5 Explanation: 
TSH is inversely related to T3 and T4.
Question 6
Late in the disease process this scar formation from calcification is seen.
A
Echogenic focus
B
Hematoma
C
Hemangioma
D
Calcinosis
Question 7
Which of these does NOT border the caudate lobe?
A
Ligamentum Venosum
B
Portal Vein
C
Inferior Vena Cava (IVC)
D
Falciform ligament
Question 8
Patency of these vessels (Portal Vein, Hepatic Artery, IVC, Hepatic Veins, and the Common Bile Duct) is evaluated by Ultrasound after what procedure?
A
Whipple Procedure
B
Liver Biopsy
C
Cholecystecomy
D
Liver transplants
Question 9
Relating to the thyroid if the lab value for TSH is decreased T3 and T4 will be?
A
Decreased
B
No change
C
Increased
D
These lab values are independent of each other.
Question 9 Explanation: 
TSH is inversely related to T3 and T4.
Question 10
An inherited autosomal dominant disease that presents with a large number of asymptomatic hepatic cysts that usually does not affect liver function.
A
Congenital Polycystic Disease
B
Infantile Polycystic Kidney Disease
C
Hepatomegaly
D
Adult Polycystic Kidney Disease
Question 10 Explanation: 
It is often associated with polycystic renal disease.
Question 11
Which anatomical location is seen in this image?Porta Hepatis
A
Main Lobar Fissure
B
Porta Hepatis
C
Morrison's Pouch
D
Porta venosum
Question 12
Which vessels take de-oxygenated blood from the liver, into the IVC?
A
Portal Veins
B
Superior Mesenteric Vein
C
Hepatic Veins
D
Gastroduodenal Vein
Question 13
Which metabolic disorder of the liver will present with Hepatic Adenomas?
A
Glycogen storage disease
B
Fatty Liver Disease (FLD)
C
Hepatitis
D
Cirrhosis
Question 14
Hepatic Vein thrombosus causes the overall size of the Caudate lobe to increase. What is this process called?
A
Thrombocytopenia
B
Hepatomegaly
C
Budd-Chiari syndrome
D
Portal Vein Hypertension
Question 15
A patient presents with a history of fever, abnormal liver function tests, and right upper quadrant tenderness. The liver is enlarged with decreased echogenicity, the gallbladder wall is thickened and thick echogenic bands are noted surrounding the portal veins. Which of the following conditions is most likely?
A
Cirrhosis
B
Normal liver
C
Fatty liver
D
Hepatitis
Question 16
What pathology can displace the IVC anteriorly?
A
Right Adrenal Mass
B
Aortic Aneurism
C
Lymphadenopathy
D
Liver Mass
Question 16 Explanation: 
IVC displacement: A liver mass will displace the IVC posteriorly A Right Renal Artery aneurism will displace the IVC anteriorly A tortuous aorta will displace the IVC to the right A Right Renal mass will displace the IVC medially A Right Adrenal mass will displace the IVC medially/anteriorly Lymphadenopathy will displace the IVC and the SMA Anteriorly
Question 17
Which vessels have a waveform that simulates the waveform of the IVC (triphasic)?
A
Hepatic Arteries
B
Hepatic veins
C
Portal Veins
D
Splenic Vein
Question 18
Sonographically Echinococcus cysts (Hydatid disease) will have what characteristics?
A
Homogenous/echogenic internal echos
B
Numerous cysts seen close together.
C
Cystic structure with no visible capsule.
D
Cystic structure with a double wall.
Question 18 Explanation: 
Daughter cysts can be associated, these are separate endocysts seen within the larger cyst.
Question 19
Associated with hepatic adenomas this disease disorder of carbohydrate metabolism is indistinguishable from other causes of fatty infiltration.
A
Focal Fatty Sparing
B
Glycogen Storage Disease
C
Cirrhosis
D
Hepatocelullar Carcinoma
Question 20
The ________, also from fetal origins, originated from the umbilical vein. It runs from the umbilicus to the left portal vein. It is contained in the falciform ligament.
A
Ligamentum Teres (Round Ligament)
B
Couinaud ligament
C
Falciform ligament
D
Ligamentum Venosum
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