Liver

Question 1

What benign liver lesion is most associated with contraceptive use?

Answer 1

Adenoma

Question 2

What are the CP and SF of hepatitis?

Answer 2

Fever, chills, marked increase AST, ALT, bilirubin - normal-appearing liver, increased portal wall echogenicity

Question 3

Most common and second most common benign liver lesion?

Answer 3

1. hemangioma 2. FNH

Question 4

Sonographic features of FNH

Answer 4

hyperechoic/isoechoic, hypoechoic central stellate scar, peripheral and central blood flow, well defined margins

Question 5

Is focal fatty sparing hypo or hyperechoic?

Answer 5

HYPOechoic

Question 6

is focal infilatration hypo or hyperechoic?

Answer 6

HYPERechoic

Question 7

Increases the risk of cirrhosis, portal HTN, and HCC

Answer 7

Hepatitis

Question 8

Fecal oral route hepatitis

Answer 8

Hep A

Question 9

contact with contaminated body fluid hepatitis

Answer 9

hep B

Question 10

What is periportal cuffing and when is it found?

Answer 10

increased echogenicity of portal triads with hepatitis - “starry sky”

Question 11

dark urine, elevated LFT, jaundice, fever, fatigue, chills are CP of what?

Answer 11

hepatitis

Question 12

tapeworm from dog feces

Answer 12

hydatid/echinococcal

Question 13

tumor marker for HCC and hepatoblastoma is?

Answer 13

AFP

Question 14

most common mets to liver

Answer 14

colon, panc, breast, lung, GB, stomach

Question 15

target or bulls-eye lesion

Answer 15

hepatic mets

Question 16

liver pathology assossicated with Beckwith-Wiedemann syndrome

Answer 16

Hepatoblastoma

Question 17

budd chiari leads to a reduction in the size of the

Answer 17

hepatic veins

Question 18

m/c symptomatic pediatric vascular liver tumor

Answer 18

hemangioendothelioma

Question 19

Fibrolamellar HCC

Answer 19

• better prognosis than HCC
• SF include calcs unlike HCC
• AFP values are NORMAL
• NO increased risk factors

Question 20

recanalized paraumbilical vein is seen with which pathology?

Answer 20

Portal hypertension

Question 21

Flow directions in the R/L portal veins with a TIPS

Answer 21

hepatoFugal

Question 22

A recanalized paraumbilical vein will have flow in which direction?

Answer 22

hepatoFugal

Question 23

a decrease in serum albumin suggests?

Answer 23

HCC

Question 24

flow in the MPV is described as

Answer 24

phasic

Question 25

caudate lobe enlargement is seen with which pathology?

Answer 25

cirrhosis

Question 26

dark urine is found with which liver disease

Answer 26

hepatitis

Question 27

True or false: Cavernous hemangiomas are hormone dependant

Answer 27

TRUE

Question 28

True or false: Hemangioma, adenoma's and FNH are all hormone dependant?

Answer 28

TRUE

Question 29

True or false: hemangiomas cause a speed error artifact

Answer 29

FALSE

Question 30

True false: Live Lipomas can cause a speed error artifact?

Answer 30

TRUE

Question 31

true or false: calcifications are a common SF of HCC

Answer 31

FALSE

Question 32

true or false: fibrolamellar carcinoma is encapsulated

Answer 32

TRUE

Question 33

characteristics of hepatoblastoma

Answer 33

- increase AFP - SF: calcs, ill defined, mixed echogenicities - CP: failure to thrice, fever, anemia, jaundice

Question 34

This is a common FUNGAL opportunistic infection in AIDs patients, CP's are difficulty breathing, ever, dry cough. SF are: diffuse, tiny non-shadowing echo foci

Answer 34

Pneumocystis carinii

Question 35

Pyogenic abscesses are fungal, parasitic or bacterial?

Answer 35

bacterial

Question 36

Candidiasis and Pneumocystis carinii are fungal, parasitic or bacterial?

Answer 36

fungal

Question 37

Amebiasis, hydatid, schistosomiasis are fungal, parasitic or bacterial?

Answer 37

parasitic

Question 38

a positive indirect hemagglunation test is present in a patient with which pathology?

Answer 38

Amebiasis parasite

Question 39

a child presents with convulsions, hypoglycemia, nose bleeds, lethargy what is the diagnosis based on these CP's?

Answer 39

Glycogen storage disease - has SF of cirrhosis

Question 40

ascites, GI bleeding, splenomegaly, varices are CP of what pathology?

Answer 40

Portal hypertension

Question 41

ALP might be elevated with which pathologies?

Answer 41

cirrhosis, hepatitis, gallstones, mets

Question 42

ALT may be elevated with which pathologies?

Answer 42

hepatitis, obstructive jaundice

Question 43

AST may be elevated with which patholgies?

Answer 43

cirrhosis, fatty liver, hepatitis, mets

Question 44

describe facts about Liver adenomas

Answer 44

rare, increased with birth control, can become malignant, non-specific sono appearance