Bonus Questions - Part 1

Question 1

Which structure is used as a US landmark in locating the GB fossa?

Answer 1

Main lobar fissure

Question 2

What condition is the most common cause of acute pancreatitis?

Answer 2

Biliary disease

Question 3

Which is a US finding of an echinococcal cyst?

Answer 3

Septated cystic mass

Question 4

A predisposing risk factor associated with the development of cholangiocarcinoma may include a history of…

Answer 4

Ulcerative colitis

Question 5

A synovial cyst located in the medial popliteal fossa describes a…

Answer 5

Baker cyst

Question 6

Normal diameter of the main portal vein should not exceed…

Answer 6

1. 3cm

- 13mm

Question 7

Normal caliber of the SMV should not exceed…

Answer 7

1. 0cm

- 10mm

Question 8

The integrity of which structure is evaluated with the Thompson test?

Answer 8

Achilles tendon

Question 9

A patient presents with a history of abdominal pain and lower extremity edema. An US is requested to rule out Budd-Chiari syndrome. The sonographer should thoroughly evaluate which organ?

Answer 9

The liver

Question 10

A small hyper echoic pancreas is identified on US. This is most suspicious for which abnormality?

Answer 10

Chronic pancreatitis

Question 11

Which structures divide the left lobe into two segments? (2)

Answer 11

1. Left hepatic vein

2. Ligamentum of Teres

Question 12

Cholecystokinin is stimulated after food reaches the…

Answer 12

Duodenum

Question 13

What are 3 situations where the GB wall thickening is a US finding?

Answer 13

1. Benign ascites
2. Non-fasting patients
3. Congestive heart failure

Question 14

The pyloric canal is considered abnormal when the length exceeds…

Answer 14

17mm

- 1.7cm

Question 15

A patient presents with a history of severe
back pain, weight loss, and painless jaundice. An abnormality in which organ is most likely to correlate with these symptoms?

Answer 15

Pancreas

Question 16

Renal artery stenosis is suggested after the renal artery to aortic ratio exceeds…

Answer 16

3.5

Question 17

The popliteal artery is considered dilated after the diameter exceeds…

Answer 17

1. 0cm

- 10mm

Question 18

Which condition is associated with Mirizzi syndrome?

Answer 18

Impacted stone in the cystic duct

Question 19

A spaghetti-like echogenic tubular structure within a bile duct is a US finding associated with…

Answer 19

Ascariasis

Question 20

Carcinoma in which structure can directly extend into the GB?

Answer 20

Stomach

Question 21

A patient presents with a history of intermittent fever, nausea, and elevated alkaline phosphatase. He admits to traveling to the Middle East recently. A complex, solitary mass is identified in the right lobe of the liver. This mass is most suspicious
for a(n)...

Answer 21

Amebic abscess

Question 22

Enlargement of the GB caused by an obstruction of the CBD by a distal external neoplasm is termed…

Answer 22

Courvoisier sign

Question 23

Which term is more commonly used to describe an enlarged or dilated vein?

Answer 23

Varix

Question 24

Which condition most commonly causes the formation of a hepatic abscess?

Answer 24

Ascending cholangitis

Question 25

Which structure is located in the anterolateral portion of the pancreatic head?

Answer 25

GDA

Question 26

Thrombosis involving the hepatic veins describes which condition?

Answer 26

Budd-Chiari syndrome

Question 27

A patient presents with a palpable neck mass. A US demonstrates an echogenic mass in the superior lobe of the right thyroid gland. A prominent hypo echoic ring surrounds this nodule. This mass is most suspicious for which neoplasm?

Answer 27

Adenoma

Question 28

A patient presents with a history of RUQ pain, nausea, and vomiting. An US of the RUQ demonstrates a calculus lodged in the cystic duct. This finding is a predisposing factor for developing...

Answer 28

Acute cholecystitis

Question 29

Which organ is responsible for manufacturing heparin?

Answer 29

The liver

Question 30

Which structure may be mistaken for an extrarenal pelvis?

Answer 30

Renal vein

Question 31

The length of a normal adult spleen should not exceed...

Answer 31

13cm

Question 32

Which type of aneurysm is most commonly associated with a bacterial infection?

Answer 32

Mycotic aneurysm

Question 33

A round anechoic mass is identified next to the renal pelvis. This is most suspicious for what type of cyst?

Answer 33

Parapelvic cyst

Question 34

A questionable mass is identified in the anterior portion of the right lobe of the liver. Which structures border this region? (2)

Answer 34

1. Right hepatic | 2. MPV's

Question 35

A mass displacing the renal calyces is documented on a recent intravenous pyelogram. An US over this area demonstrates a smooth circular anechoic renal mass. This mass is most suspicious for a(n)...

Answer 35

Simple cyst