ARDMS Abdomen Ultrasound Registry Review Exam Questions And Answers (Verified And Updated)
9 views 0 purchase
Course
ARDMS Breast Registry
Institution
ARDMS Breast Registry
ARDMS Abdomen Ultrasound Registry
Review Exam Questions And Answers
(Verified And Updated)
How many segments does the Couinaud system divide the liver into? - answerEight surgical
segments
What divides the right lobe of the liver into an anterior and posterior segment? - answerRight
hepatic v...
ARDMS Abdomen Ultrasound Registry Review Exam Questions And Answers (Verified And Up dated) How many segments does the Couinaud system divide the liver into? - answer✔✔Eight surgical segments What divides the right lobe of the liver into an anterior and posterior segment? - answer✔✔Right hepatic vein What vessel separates the right and left lobe? Where does it lie (fissure)? - answer✔✔Middle hepatic vein, which lies in the main lobar fissure LLL is divided into medial and lateral segments by: - answer✔✔Left hepatic vein The caudate lobe is separated from the LLL by which ligament? - answer✔✔ligamentum venosum Main portal vein is created by the merging of which two vessels? What is this area referred to as? - answer✔✔Superior mesenteric vein and splenic vein. Known as the splenic portal confluence What is the name of the capsule surrou nding the liver? - answer✔✔Glisson capsule Normal AP measurement of the MPV? - answer✔✔13mm or less What is an enlarged (>13mm) portal vein signify? - answer✔✔Portal hypertension Normal MPV flow? - answer✔✔Hepatopetal and monophasic w/ some respiratory var iation Where do the hepatic veins drain? - answer✔✔IVC These veins are considered both interlobar and intersegmental - answer✔✔hepatic veins. They are located between the segments and the lobes normal hepatic vein flow - answer✔✔-Hepatofugal - away from li ver -pulsatile, triphasic due to right atrial pressure changes -respiratory variation Narrowing or occlusion of the hepatic veins is indicative of: - answer✔✔Budd -Chiari syndrome The liver hilum is also know as - answer✔✔The porta hepatis flow pattern of the hepatic artery should be - answer✔✔low resistance since it is feeding the liver After birth the umbilical vein becomes - answer✔✔ligamentum teres aka round ligament -runs along with the falciform ligament -will usually be seen near left portal vein in left liver Where can the main lobar fissure be seen? - answer✔✔-in sag plane -will appear to connect the neck of the GB with the RPV -also separates right and left hepatic veins hepatic steatosis - answer✔✔fatty liver Causes of fatty liver disease - answer✔✔Fatty deposits within the hepatocytes. Once it becomes cirrhosis, it is non -reversible. 1. Alcoholic fatty liver disease 2. Non -alcoholic fatty liver disease: -obesity -starvation -chemotherapy -diabetes mellitus -hyperlipidemia -pregnancy -von Gierke disease (glycogen storage dx) -total parental nutrition -cystic fibrosis steatohepatitis - answer✔✔inflammation of the liver associated with fat precursor for chronic liver dx leading to fibrosis, cirrhosis, and HCC hepatomegaly size - answer✔✔>15cm need to correlate with clinical hx don't confused Riedel's lobe as hepatomegaly Fatty liver symptoms and labs - answer✔✔Symptoms: -usually asymptomatic Labs: -Increased LFTs (especially AST and ALT) Sono appearance of fatty liver dx and focal fatty infiltration - answer✔✔-Diffusely echogenic liver -Increased attenuation of sound beam -Walls of hepatic vasculature and diaphragm will not be easily imaged due to increased attenuation -Fatty changes will be diffuse or focal Focal fatty infiltration sono app: -hyperechoic area next to the GB, near the porta hep, or part of lobe may appear echogenic Focal fatty sparing sonographic appearance - answer✔✔-entire liver is involved with diffuse fatty infiltrat ion with certain areas spared -Area of sparing can look like a solid hypoechoic mass -Hypoechoic area will be near GB, porta hep, or entire lobe may be spared -Can appear to look like pericholecystic fluid Two most common types of hepatitis: - answer✔✔A an d B A: Fecal -oral route: contaminated water or food B: Contact with body fluids, mother -to-infant transmission, blood contact (IV drugs) Most common type of hepatitis in healthcare workers - answer✔✔Hep C -Spread by blood and body fluid contact Which typ e of hepatitis is the leading indication for liver transplantation in US? - answer✔✔Hepatitis C Wilson disease Hemochromatosis Autoimmune disorders Drugs All of the above can be causes for chronic ________ of the liver - answer✔✔Hepatitis What is Wilson disease? - answer✔✔-An inherited disorder that causes too much copper to accumulate in the liver, brain and other vital organs. -Also called hepatolenticular degeneration. -Causes fatty changes & fibrosis in the liver. Leads to chronic he patitis Trademark feature: Copper ring around iris What is hemochromatosis? - answer✔✔Iron overload disease resulting in abnormal deposition of iron Can lead to fatty changes and chronic hepatitis Clinical signs and symptoms of hepatitis - answer✔✔-Nono bstructive Jaundice (related to hep on a cellular level NOT biliary obstruction) -Hepatosplenomegaly -Dark urine -F/N/V -Elevated LFTs
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sirjoel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
