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A series of questions and answers related to abdominal sonography, focusing on the appearance of various pathologies and anatomical structures. It covers topics such as tumefactive sludge in the gallbladder, emphysematous cholecystitis, pancreatic divisum, and portal hypertension. The material is presented in a question-and-answer format, making it useful for exam preparation or quick review. Key areas include liver and biliary system imaging, renal anatomy, and vascular structures. It also touches on common artifacts and techniques for optimizing image quality, such as adjusting transducer frequency and angle of incidence. Useful for medical students and sonographers.
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what is the sonographic appearance of tumefactive sludge in GB ✔✔avascular mass with low level echoes
temefactive sludge is ✔✔sludge in GB that has taken on a polypoid mass like shape
patient with symptoms of severe epigastric pain radiating to the back vomitting chills and fever with a large GB and nondependent hyperechoic foci with ringdown artifact is consistent with ✔✔emphysematous cholycystitis
emphymatous cholycystitis is a form of ____ cholycystitis associated with the presence of ___- ____ bacteria more common in ____ and those suffering from ___ ✔✔acute
gas forming
males
diabetes
best way to identify the intrahepatic billary system is to images structures below ✔✔intrahepatic portal veins
pancreatic divisum is ✔✔the 2 pancreatic ducts that have not fused
if using a 5MHz transducer and can not visualize the posterior liver and diaphragm ✔✔rescan the liver using a lower frequency transducer for deeper penetration
what intrarenal arteries course along side the renal pyramids ✔✔interlobar
left renal artery courses ✔✔between SMA and Aorta
if lab values of GGT and Alkaline phosphate are increased it is an indication ✔✔liver - hepatocellular disfunction
hydroceles form between the 2 layers of the ✔✔tunica vaginalis
seminal vesicle is ____and ____ to the prostate gland ✔✔posterior and superior
an appendicolith is a ___echoic focus with ___ ___ ✔✔hypoechoic
posterior shadowing
_____is removed as result of liver transplant surgery ✔✔GB
during intraoperative liver surgery ____MHz is used as transducer will be placed directly on the liver ✔✔higher (5-7 MHz)
in suspected cases of cirrhosis and portal hypertension ____is almost always enlarged ✔✔spleen
best angle for measuring an AAA is ✔✔sagittal plane perpendicular to long axis of vessel
patient with history of severe sneezing and palpable abdominal mass may indicate ✔✔rectus sheath hematoma
thin hyperechoic bands of muscles seen just anterior to thyroid are ✔✔sternohyoid
sternothyoid
aliasing can be fixed by _____the ___ ✔✔decreasing the PRF
at the neck of a pseudoaneurysm wave form will be ✔✔hi velocity
bidirectional
or have a to and fro signal
anatomic landmark for the left medial segment of the liver is the ✔✔middle hepatic vein
in a pregnant women with RUQ pain, nausea, and vomiting that has gull stones and wall thickening and fluid around GB is suffering from ✔✔acute cholecystitis complicated by GB perforation
some one with symptoms of
biliary obstruction
weight loss
midepigastric pain
intra & extra hepatic dilitation
hydropic GB
to see a questionable mass in the dome of the liver best way to scan to see is ____ with probe angled _____ with patient taking deep breath ✔✔subcostal
superior
in a rejection to a renal transplant the doppler ___ should be evaluated ✔✔RI
the ____artery courses within the testicular parenchyma ✔✔centripetal
the pancreatic tail lies ____ to the spleen and ____ to the stomach an lesser sac ✔✔inferomedial
posterior
to review for a retroperitoneal fibrosis the _____ _____ should be scanned ✔✔abdominal aorta
the aorta is located in the ____ ___ ____ ✔✔anterior pararenal space
Marfan's syndrome can cause a ____ ____ that will reveal a linear band through the length of the wall of the ___ ✔✔aortic dissection
aorta
*** connective tissue disorder causing a seeping of blood into the layers separating them
the flow pattern of the hepatic veins is ___ ✔✔triphasic
the most significant clinical consequence of portal hypertension is ✔✔visceral hemorrhage
if imaging the gut with a high resolution transducer you can expect to see ____ layers with a good image ✔✔5 layers
**interface of superficial mucosa -echogenic
deep mucosa- hypoechoic
submucosa - echogenic
muscularis propria -hypoechoic
serosa - echogenic
a thyroid gland with bilateral enlargement and increased vascularity of both lobes is most likely a sign of ✔✔Grave's disease