Abdomen 20 (Ultrasound Abdomen Exam Sample Questions)

Abdomen (AB)

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Question 1
This unique vein carries oxygenated blood to the liver.
A
Portal Vein
B
Splenic Vein
C
Hepatic Artery
D
Hepatic Vein
Question 2
Using Ultrasound Harmonics what change do we see in the wavelength?
A
It is quartered.
B
It is halved.
C
It is quadrupled.
D
It is doubled.
Question 2 Explanation: 
Remember your physics. Velocity = Frequency x Wavelength. Frequency and wavelength have an inverse relationship. If one goes up the other goes down.
Question 3
A pus filled mass.
A
Pyosalpinx
B
Chocolate cyst
C
Pyogenic Abscess
D
Hematoma
Question 4
Can be visualized between the gallbladder and the right portal vein
A
Crus of the Diaphragm
B
Main lobar fissure
C
Ligamentum Venosum
D
Round Ligament
Question 5
Originating from the celiac trunk with a course towards the liver this vessel has a low-resistant waveform (constant flow during all cardiac cycles).
A
Gastroduodenal Artery
B
Portal Artery
C
Hepatic Artery
D
Right Renal Artery
Question 6
"The sonographic appearance of the following mass is well-defined, hyperechoic, homogeneous, no internal color flow, usually less the 3 cm and will have posterior acoustic enhancement."
A
Cavernous hemangioma
B
Hepatoma
C
Lipoma
D
Focal Nodular Hyperplasia
Question 7
What structure would cause the IVC to be pushed anteriorly?
A
Lymph Nodes
B
Small Bowel
C
Spine
D
Renal Artery
Question 7 Explanation: 
A lymph node will displace the IVC whereas the renal artery will be displaced posteriorly.
Question 8
Focal Fatty Sparing is usually seen where?
A
Periportal Region
B
Surface of liver
C
Surrounding Hepatic Veins
D
Quadrate Lobe
Question 9
Sonographically Echinococcus cysts (Hydatid disease) will have what characteristics?
A
Numerous cysts seen close together.
B
Cystic structure with no visible capsule.
C
Cystic structure with a double wall.
D
Homogenous/echogenic internal echos
Question 9 Explanation: 
Daughter cysts can be associated, these are separate endocysts seen within the larger cyst.
Question 10
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
Fatty liver
B
Hepatitis
C
Normal liver
D
Cirrhosis
Question 11
In relation to the pancreas the echogenicity of the liver should be what?
A
Hyperechoic
B
Isoechoic
C
Hypoechoic
D
Anechoic
Question 12
Focal fatty infiltration, focal fatty sparing, enlarged caudate lobe and an increase in liver echogenicity are all indicators of what?
A
Cirrhosis
B
Fatty Liver Disease (FLD)
C
Focal Nodular Hyperplasia
D
Hepatitis
Question 13
A cavernous hemangioma will most likely be found in?
A
Pediatric female
B
Adult female
C
Pediatric male
D
Adult male
Question 13 Explanation: 
Likelihood increases with pregnancy or presence of estrogen.
Question 14
The pathology seen in this image is uncommon, especially in countries without endemic hydatid disease. What is the finding?Splenic cyst
A
Splenule
B
Simple Cyst
C
Hydatid Cyst
D
Abcess
Question 14 Explanation: 
Non-Parasitic Cysts of the spleen have generally been categorised as either true epidermoid cysts or false pseudocysts based on the presence of absence of an epithelial lining. Epidermoid cysts are widely held to be congenital, 80% appearing in patients aged under 20, while pseudocysts are thought to be post-traumatic.
Question 15
What pathology can displace the IVC anteriorly?
A
Right Adrenal Mass
B
Lymphadenopathy
C
Liver Mass
D
Aortic Aneurism
Question 15 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 16
Hepatitis is literally described as what?
A
Inflammation of the liver
B
Hepatomegaly
C
Hepato/Splenomegaly
D
Intra-hepatic ductal dilatation
Question 17
To decompress portal veins due to portal hypertension, these are used.
A
AV Fistula
B
Blood Thinners
C
Diuretics
D
Portosystemic Shunts
Question 17 Explanation: 
Usually a Transjugular Intrahepatic Portosystemic Shunt (TIPS) Procedure
Question 18
Small, non-shadowing foci and extensive replacement of normal hepatic tissue by echogenic areas representing dense calcifications is a typical sonographic finding of what pathology.
A
Pneumocystis carinii pneumonia
B
Lymphoma
C
Schistosomiasis
D
Kaposi's sarcoma
Question 19
Fluid seen here is known as what?Ascites
A
Ascites
B
Hydrops
C
Albumin
D
Hydrocele
Question 20
What vessel enters the liver at the Porta Hepatis?
A
Main Hepatic Vein
B
Portal vein
C
Splenic Vein
D
Common Bile Duct
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