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83 Cards in this Set
- Front
- Back
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You suspect enlargement of the caudate lobe in a patientwith live disease. What structurelocated at the anterior border of the caudate lobe will help you identify thislobe of the liver? |
Fissurefor the ligamentum venosum.[h\a |
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The most common benign tumor in the liver is |
Cavernoushemangioma and then focal nodular hyperplasia. |
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The coronary vein drains into the splenic vein near the |
Portalsplenic confluence |
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What forms the caudal border of the left portal vein |
Ligamentumteres |
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The ligamentum venosum forms the anterior border of thatlobe of the liver |
Caudatelobe |
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What anatomic landmark can you use to identify the leftmedial segment separate from the right anterior segment of the liver |
Middlehepatic vein |
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Which is commonly associated with invasion of the portalvein? |
Hepatocellularcarcinoma |
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Which of the following describes the probe placement andimaging plane you would use to demonstrate the three hepatic veins and inferiorvena cava in one view |
Subcostaloblique approach with the probe angled superiorly and to the patient’s right. |
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Hepatofugal flow is a sign of |
Portal hypertension |
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You are having difficulty locating the gallbladder in apatient with right upper quadrant pain. What anatomic landmark will help you identify the gallbladder fossa |
Interlobarhepatic fissure |
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That is the most common cause of acute cholecystitisfamily |
Calculusobstruction of the gallbladder neck or cystic duct |
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You are attempting to locate the common hepatic duct at theporta hepatis. What is the most commonanatomic relationship of the portal triad at this location. |
Thecommon duct is anterior to the hepatic artery and portal vein |
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Which of the following best describe the location of thedistal common bile duct. |
Posteriorand slightly lateral to the pancreatic head |
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The best way to identify the intrahepatic biliary system isto image which structures |
Intrahepaticportal veins. |
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Identification of what anatomic structure would most help asonographer locate a contracted gallbladder. |
Mainlobar fissure |
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You are asked to perform an ultrasound study on a patientwith suspected cholangiocarcinoma. Whatassociated findings should you look for |
Dilatationof the biliary tree |
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Hypervascularity associated with acute cholecystitis is bestevaluated with Doppler interrogation of what artery below. |
Cysticartery. It feeds the wall of thegallbladder and it is a branch of the right hepatic artery. class |
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An ultrasound image obtained from the gallbladder shows anirregular mass within the lumen which demonstrates hypervascularity by colorDoppler imaging. Multiple stones arealso seen within the gallbladder lumen. These findings are most consistent with |
Gallbladdercarcinoma and it is rare. |
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What forms the common bile duct |
Junctionof the cystic duct and common hepatic duct. |
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What is the prominent vessel just posterior to thepancreatic neck |
Portal-splenicconfluence |
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What structure can you use to identify the anterior aspectof the head of the pancreas |
Gastroduodenalartery. |
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Which vessel do you routinely visualize at the posteriorborder of the pancreatic head? |
Inferior vena cava. |
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Which vessel is located at the superior border of thepancreas? |
Celiactrunk |
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If you are attempting to image the head of the pancreas in apatient referred for abdominal sonography. How should you align the probe on the body to obtain a long-axis view ofthe head and body of the pancreas? |
Obtainmidline transverse scan plane with the left side of the probe slightly caudadcompared to the right side of the probe. |
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You routinely image a vessel coursing anterior to theuncinate process. This vessel is the |
Superiormesenteric vein |
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What is the relationship of the superior mesenteric arteryto the pancreas. |
Posteriorto the neck |
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Which structure can be seen coursing transversely at thelevel of the upper pancreatic head? |
Leftrenal vein |
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What is the relationship of the splenic vein to thepancreas? |
Posteriorand caudal |
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What will help you identify the right renal vein? |
Theright renal vein lies anterior to the renal artery. |
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What would you suspect with thickened bladder wall,hydronephrosis and a dilated ureter. |
Transitionalcell carcinoma. |
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Where is the isthmus of a horseshoe kidney located. |
Anteriorto the abdominal aorta |
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What is the most common solid renal mas in the adult |
Renalcell carcinoma |
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What is a normalchange in renal transplants? |
Hypertrophy |
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What is the normal course of the left renal vein? |
Betweenthe superior mesenteric artery and the aorta |
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What is the most common solid renal mas in the adult |
Renalcell carcinoma |
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What is a normalchange in renal transplants |
Hypertrophy |
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What is the normal course of the left renal vein? |
Betweenthe superior mesenteric artery and the aorta |
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What is the normal course of the right renal artery? |
Posteriorto the IVC |
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Which renal mass would most likely cause speed propagationartifact |
Angiomyolipoma |
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The left renal artery is normally located immediatelyposterior to |
Leftrenal vein |
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Which of the following arteries shows a low-resistancewaveform |
Testicularartery |
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A large complex hydrocele is most commonly associated with |
Orchitis |
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Which artery courses within the testicular parenchyma? |
Centripetalartery |
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The capsular artery of the testis is a branch of what artery |
Testicular |
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The testicular artery is a branch of what artery? |
Abdominalaorta |
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Where are the seminal vesicles in relation to the prostategland? |
Posteriorand superior |
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Seminal vesicles are |
Hypoechoic,symmetrical, irregularly shaped structures. |
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The prostaticovesical arteries that supply the prostate arebranches from which artery? |
Internaliliac |
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What is the appearance of benign prostatic hyperplasia. |
Enlargesprostate gland which may be diffuse or focal. |
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The hepatic veins drain into what vessel |
Theinferior vena cava |
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What is the relationship of the left renal vein to the aortaand SMA |
Anteriorto the aorta and posterior to the SMA |
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You are performing an ultrasound exam on a patient with ahistory of chronic pancreatitis and abdominal bruit. What vascular abnormality is associated withthis history? |
Pseudoaneurysmof the hepatic or splenic artery and can be caused by repeated bouts ofpancreatitis. |
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Marfan’s sundrome is associated with |
Aorticdissection |
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The waveform you will see in the portal vein is |
Mildlyundulating and low velocity |
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Cavernous transformation |
Networkof vessels replacing obliterated portal vein |
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Which visceral artery is most commonly involved withaneurysmal formation |
Splenicartery and usually involves the distal third of the artery and far more commonin women than men. Especially pregnantwomen. |
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When looking for Budd-Chiari evaluate |
Allthree hepatic veins, IVC and the portal vein |
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The IVC lies posterior to what lobe |
TheCaudate lobe |
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Celiac trunk |
Splenic,left gastric, and common hepatic. |
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You are performing a Doppler study on a patient with medianarcuate ligament syndrome. What vesselare you studying |
Celiactrunk |
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What forms the portal vein? |
Superiormesenteric vein and splenic vein |
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Normal flow in the hepatic veins is |
Triphasic |
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What is the relationship of the splenic vein to thepancreas? |
Posteriorand inferior |
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What vessels will you study in a patient who has beenreferred for a Doppler study with symptoms of chronic mesenteric ischemia? |
Celiactrunk, superior mesenteric, and inferior mesenteric arteries |
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You are examining the spleen during routine sonography. What view provides the best long axis imageof the spleen? |
Intercostalcoronal view with patient supine. |
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The splenic vein drains into the |
Portalvein |
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A patient has been referred for ultrasound evaluation with asuspicion of retroperitoneal fibrosis. What structure will you image to identify this abnormality? |
Abdominalaorta |
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To rule out a leaking abdominal aortic aneurysm which retroperitoneal compartment contains the aorta? |
Anteriorpararenal space |
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Which retroperitoneal compartments do not contain any solidorgans? |
Posteriorpararenal space and retrofascial space |
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Which retroperitoneal compartment is most frequentlyinvolved with pseudocyst? |
Anteriorpararenal space |
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Which retroperitoneal compartment contains the psoas andquadratus lumborum muscles? |
Retrofascialspace |
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Which of the following describes the anatomic location ofthe right diaphragmatic crus? |
Posteriorto the inferior vena cava and right renal artery |
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The kidneys lie in what retroperitoneal space? |
Perirenalspace |
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Where is the right adrenal gland located? |
Posteriorto the inferior vena cava |
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Where is the left adrenal gland? |
Lateralto the abdominal aorta and diaphragmatic crus |
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What is the appearance of appendicolith? |
Hyperechoicfocus with posterior shadowing. |
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You are performing an ultrasound exam on a patient withparathyroid hyperplasia. How many glandsare usually involved in this condition? |
Four |
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What muscle is seen as thin, hypoechoic bands immediatelyanterior to each thyroid lobe |
Sternohyoidand sternothyroid. |
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You have identified the thyrocervical trunk in a patientwith hupervascular thyroid nodule. Thrthyrocervical trunk arises from what artery? |
Subclavianartery |
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What muscle is located posterior to each lobe of thethyroid? |
Longuscoli |
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The superior thyroid artery is a branch of what artery? |
Externalcarotid |
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What is the appearance of parathyroid adenoma? |
Homogenoushypoechoic, solid oval-shaped nodule. |
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Signs of tendinitis |
Thickening of the tendon Decresasedechogenicity Blurredmargins Calcificationsin chronic tendinitis |
