DMS 600 Final Questions With Complete Solutions
False
A 46-year-old man with a clinical history of gross hematuria is
seen for a urinary ultrasound. No prior imaging exams are
available for comparison. The kidneys are identified in their
normal location, no masses or hydronephrosis is seen, and the
size and echotexture are consistent with healthy kidneys. A
Foley catheter is seen in a distended urinary bladder. A large,
solid, irregular marginated echogenic mass is identified adherent
to the posterior bladder wall. Echogenic debris is identified in
the urinary bladder. Color Doppler scan does NOT definitely
show vascularity. Renal cell carcinoma is the best diagnosis.
True
False
C Focal nodular hyperplasia
A 27-year-old is seen after cesarean section for an ultrasound of
the liver. The OB physician reported a palpation of a "hard liver
mass" at time of surgery. The ultrasound scan shows an
isoechoic mass in the left lobe of the liver that is relatively
homogenous. The patient reveals oral contraceptive use for 7
years prior to her pregnancy. What is the likely diagnosis?
A Metastasis Liver
B cirrhosis
C Focal nodular hyperplasia
D Focal sparing
,B Echinococcal cyst
A 20-year-old man was seen for RUQ pain and hepatomegaly.
He had recently moved to the United States. The ultrasound
revealed a large oval-shaped cystic liver mass measuring 10 X 7
cm, with a few smaller cysts seen within a larger cystic lesion.
What is the likely diagnosis?
A Polycystic liver disease
B Echinococcal cyst
C Hepatitis
D Abscess
A 2mm
The measurement of the main pancreatic duct in the body of the
pancreas should NOT exceed:
A 2 mm
B 3 cm
C 2 cm
D 3 mm
C Stones impacted in the cystic duct
Mirizzi syndrome caused compression of the common hepatic
duct due to:
A Stone impacted in the distal CBD at the head of the pancreas
B Stone impacted in the Ampulla of Vater
C Stone impacted in cystic duct
D Stone impacted in the main pancreatic duct
True
,A 45-year-old man had an ultrasound for RUQ pain that reveals
multiple small polypoid lesions that arise from the gallbladder
wall. Multiple small polyps are consistent with cholesterolosis.
This is most likely an incidental finding in this case.
True
False
C Reidel's lobe
What normal variant is seen in the image below?
, A Caudate lobe
B Hepatomegaly
C Reidel's lobe
D Hepatitis
B 1-3mm
What is the normal gallbladder wall thickness measured parallel
to the sound beam adjacent to the liver?
A 10 - 12 mm
B 1 - 3 mm
C 4 - 6 mm
D 7 - 9 mm
B Hemangioma
What vascular tumor is composed of blood vessel cells with
nonspecific range of sonographic appearances (majority are
echogenic and it is the most common benign liver mass)?
False
A 46-year-old man with a clinical history of gross hematuria is
seen for a urinary ultrasound. No prior imaging exams are
available for comparison. The kidneys are identified in their
normal location, no masses or hydronephrosis is seen, and the
size and echotexture are consistent with healthy kidneys. A
Foley catheter is seen in a distended urinary bladder. A large,
solid, irregular marginated echogenic mass is identified adherent
to the posterior bladder wall. Echogenic debris is identified in
the urinary bladder. Color Doppler scan does NOT definitely
show vascularity. Renal cell carcinoma is the best diagnosis.
True
False
C Focal nodular hyperplasia
A 27-year-old is seen after cesarean section for an ultrasound of
the liver. The OB physician reported a palpation of a "hard liver
mass" at time of surgery. The ultrasound scan shows an
isoechoic mass in the left lobe of the liver that is relatively
homogenous. The patient reveals oral contraceptive use for 7
years prior to her pregnancy. What is the likely diagnosis?
A Metastasis Liver
B cirrhosis
C Focal nodular hyperplasia
D Focal sparing
,B Echinococcal cyst
A 20-year-old man was seen for RUQ pain and hepatomegaly.
He had recently moved to the United States. The ultrasound
revealed a large oval-shaped cystic liver mass measuring 10 X 7
cm, with a few smaller cysts seen within a larger cystic lesion.
What is the likely diagnosis?
A Polycystic liver disease
B Echinococcal cyst
C Hepatitis
D Abscess
A 2mm
The measurement of the main pancreatic duct in the body of the
pancreas should NOT exceed:
A 2 mm
B 3 cm
C 2 cm
D 3 mm
C Stones impacted in the cystic duct
Mirizzi syndrome caused compression of the common hepatic
duct due to:
A Stone impacted in the distal CBD at the head of the pancreas
B Stone impacted in the Ampulla of Vater
C Stone impacted in cystic duct
D Stone impacted in the main pancreatic duct
True
,A 45-year-old man had an ultrasound for RUQ pain that reveals
multiple small polypoid lesions that arise from the gallbladder
wall. Multiple small polyps are consistent with cholesterolosis.
This is most likely an incidental finding in this case.
True
False
C Reidel's lobe
What normal variant is seen in the image below?
, A Caudate lobe
B Hepatomegaly
C Reidel's lobe
D Hepatitis
B 1-3mm
What is the normal gallbladder wall thickness measured parallel
to the sound beam adjacent to the liver?
A 10 - 12 mm
B 1 - 3 mm
C 4 - 6 mm
D 7 - 9 mm
B Hemangioma
What vascular tumor is composed of blood vessel cells with
nonspecific range of sonographic appearances (majority are
echogenic and it is the most common benign liver mass)?
