The patient you are scanning has eaten breakfast prior to your study. What is the
appearance of the gallbladder in the postprandial state?
a. dilatation of a thin-walled gallbladder
b. contraction of the gallbladder with diffuse wall thickening
c. nonvisibility of the gallbladder due to complete contraction
d. contraction of the gallbladder with asymmetric wall thickening
e. minimal contraction of the gallbladder with a sludge filled lumen - correct answer b.
contraction of the gallbladder with diffuse wall thickening
What is the relationship of the superior mesenteric artery to the pancreas?
a. posterior to the tail
b. posterior to the neck
c. superior to the body
d. cephalad to the head
e. lateral to the tail - correct answer b. posterior to the neck
Which of the following is NOT true regarding thyroid nodules?
a. the overwhelming majority of thyroid nodules are benign
b. thyroid nodules are very common
c. a solitary thyroid nodule is usually malignant
d. nodules with significant cystic component are usually benign
,e. nodules may be hyperechoic or hypoechoic to the thyroid - correct answer c. a
solitary thyroid nodule is usually malignant
You are scanning a patient with suspected liver cirrhosis. All of the following are
sonographic features of cirrhosis EXCEPT:
a.surface nodularity
b. shrunken caudate lobe
c. altered echo texture
d. ascites
e. regenerative nodules - correct answer b. shrunken caudate lobe
( with cirrhosis the caudate is usually enlarged compared to the right due to sparing)
A patient has been referred to your ultrasound lab with a history of acute pyelonephritis.
What is the most common sonographic appearance of this condition?
a. normal appearance
b. irregular renal surface contour
c. mottles appearance of both kidneys
d. focal hypoechoic masses throughout the kidney
e. gas within the renal parenchyma - correct answer a. normal appearance
You have been asked to perform an ultrasound evaluation of a child with multicystic
dysplastic kidney (MCDK). Which of the following is NOT a sign of this condition?
a. multiple variably sized cysts
, b. nonmedial lovation of the largest cyst
c. dilated ureter
d. no identifiable renal sinus
e. brightly echogenic tissue interfaces between cysts - correct answer c. dilated ureter
You are scanning a patient with a history of fever, abnormal liver function tests, and
RUQ tenderness. The liver is enlarged with decreased echogenicity, the GB 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. cirrhosis
c. budd-chiari syndrome
d. hepatitis
e. normal liver - correct answer d. hepatitis
The arrow labeled D is pointing to what lobe of the liver?
a. medial segment of left lobe
b. lateral segment left lobe
c. posterior segment right lobe
d. anterior segment right lobe
e. caudate lobe - correct answer e. caudate lobe
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