Abdomen 10 (Ultrasound Abdomen Exam Sample Questions)

Abdomen (AB)

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Question 1
Of 5 options used to decompress the liver this is where a splenectomy is performed.  The hepatic end of the splenic vein is joined to the side of the left renal vein.
A
Portcaval (end-to-end)
B
Portocaval (side-to-side)
C
Proximal Splenorenal Shunt
D
Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Question 2
This liver demonstrates what normal variant?Reidel's Lobe Ultrasound
A
Duplicated Collecting System
B
Hemachromatosis
C
Reidel's Lobe
D
Hepatomegaly
Question 3
Following a trauma this complex hydrocele is known as?Complex hydrocele ultrasound
A
Hematocele
B
Pyocele
C
Vericocele
D
Hydrocele
Question 3 Explanation: 
Following trauma the echogenicity of the fluid will most likely be caused by blood as opposed to pus which would take longer to form.
Question 4
Relating to the thyroid if the lab value for T3 and T4 is decreased the value for TSH will be?
A
No change
B
These lab values are independent of each other.
C
Decreased
D
Increased
Question 4 Explanation: 
TSH is inversely related to T3 and T4.
Question 5
In this image the arrow points to one characteristic of what pathology?Gallbladder edema
A
Sludge
B
Cholecystectomy
C
Cholecystitis
D
Appendicitis
Question 5 Explanation: 
Acute cholecystitis is the fourth most common cause of hospital admissions for patients presenting with an acute abdomen, and it is the prime diagnostic concern when a thick-walled gallbladder is found at imaging. This feature, however, is not pathognomonic, and additional imaging signs should be present to support the diagnosis of acute calculous cholecystitis, such as an obstructing gallstone, hydropic dilatation of the gallbladder, a positive sonographic “Murphy's” sign (i.e., pain elicited by pressure over the sonographically located gallbladder), pericholecystic fat inflammation or fluid, and hyperemia of the gallbladder wall at power Doppler imaging.
Question 6
The normal Doppler velocity pattern of the inferior vena cava is?
A
Resistive
B
Cyclical
C
Triphasic
D
Biphasic
Question 7
Name the pathology seen here. *Hint: Color flow shows classic Twinkle artifactUrethral stone seen at the prostate, ultrasound
A
Foley Catheter
B
Ureteral Stone
C
Urethral Stone
D
Kidney Stone
Question 8
In this image what structure is labelled "T"?Neck Anatomy Transverse
A
Trachea
B
Thyroglossal Cyst
C
Thyroid
D
Thalimus
Question 9
In this image along with a thickened Gallbladder wall, what other pathology is suggestive of cholecystitis?Gallbladder edema
A
Positive Murphy's sign
B
Obstructing gallstone
C
Hyperemic gallbladder wall
D
Hydropic gallbladder
E
Sludge
Question 9 Explanation: 
Acute cholecystitis is the fourth most common cause of hospital admissions for patients presenting with an acute abdomen, and it is the prime diagnostic concern when a thick-walled gallbladder is found at imaging. This feature, however, is not pathognomonic, and additional imaging signs should be present to support the diagnosis of acute calculous cholecystitis, such as an obstructing gallstone, hydropic dilatation of the gallbladder, a positive sonographic “Murphy's” sign (i.e., pain elicited by pressure over the sonographically located gallbladder), pericholecystic fat inflammation or fluid, and hyperemia of the gallbladder wall at power Doppler imaging.
Question 10
What pathology can displace the IVC anteriorly?
A
Aortic Aneurism
B
Lymphadenopathy
C
Right Adrenal Mass
D
Liver Mass
Question 10 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
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