Abdominal Sonography Mock Registry Exam C19
.______________ transplant rejection appears as swollen kidney, loss of corticomedullary definition,
enlarged
renal pyramids, compression of the renal sinus, and decreased blood flow with increased RI value.
A. Chronic
B. Acute
C. Chronic or acute, stages of rejection are not able to be differentiated with sonography
D. Rejection of a renal allograft is not usually evaluated by sonography - ANSWER-B. Acute
.A 45yr old patient presents with increased serum BUN and creatinine, a recent history of oliguria and
bilateral
flank pain. The US exam demonstrates bilateral hydronephrosis and hydroureter but the bladder is
nearly empty.
Which of the following statements is true regarding this patient and the findings?
A. Acute intrinsic renal failure is present that is most likely due to acute tubular necrosis.
B. The patient will most likely return for a follow up exam in 7-10 days, after anticoagulant treatment.
C. The patient has a neurogenic bladder and the radiologist should review the case immediately.
D. Acute postrenal failure is present and the radiologist should review the case immediately. - ANSWER-
D. Acute postrenal failure is present and the radiologist should review the case immediately.
.A 55yr old male presents with a history of Budd-Chiari syndrome. What vessels should be evaluated
with
Doppler on this exam?
A. hepatic veins
B. renal veins
C. aorta
D. hepatic arteries - ANSWER-A. hepatic veins
,.A 56yr old male presents with a 4yr history of cirrhosis. When performing the ultrasound exam on this
patient,
the size of which of the following structures should be assessed to evaluate the effects of cirrhosis?
A. caudate lobe and hepatic artery
B. portal vein, hepatic vein, and hepatic artery
C. right lobe, portal vein and caudate lobe
D. left lobe and caudate lobe - ANSWER-C. right lobe, portal vein and caudate lobe
.A 56yr old male presents with acute onset of epigastric pain that has persisted for about 2 days. His lab
tests
demonstrate elevated bilirubin, amylase and lipase. Multiple mobile echogenic foci are present in the
gallbladder
with a wall thickness of 2.4mm. The CBD measures 6mm and appears patent. The pancreas is mildly
enlarged with
posterior enhancement. Which of the following best describes these findings?
A. Acute pancreatitis with cholelithiasis
B. Chronic pancreatitis with cholelithiasis
C. Adenomyomatosis with cholelithiasis and cholecystitis
D. Cystic fibrosis with cholelithiasis - ANSWER-A. Acute pancreatitis with cholelithiasis
.A 64yr old female presents with recent weight loss and mild jaundice. Lab values demonstrate normal
WBC
levels but increased levels of direct bilirubin, alkaline phosphatase and prothrombin time. The
gallbladder
demonstrates a small wall mass that is isoechoic to the wall tissues. The wall measures 4.5mm in
maximum
thickness. Multiple stones are present within the lumen. Which of the following best describes the
findings on the
image?
A. acute cholecystitis, polyp formation and cholelithiasis
B. adenomyomatosis
C. primary GB carcinoma and cholelithiasis
,D. acute cholecystitis and cholelithiasis - ANSWER-C. primary GB carcinoma and cholelithiasis
.A 70yr old male presents for transrectal ultrasound due to PSA level of 7ng/ml, urinary frequency and
hematuria. The US exam demonstrates a 40cc prostate volume with heterogeneity and calcifications
centrally. The
peripheral zone appears normal. These findings are most consistent with:
A. benign prostatic hypertrophy
B. carcinoma of the prostate
C. prostatitis
D. normal prostate - ANSWER-A. benign prostatic hypertrophy
.A contrast enhanced ultrasound examination is performed on a patient with suspected hepatocellular
carcinoma. What are the expected findings if the exam is positive for HCC?
A. hypoechoic lesions during the arterial phase and hyperechoic lesions during the portal venous phase
B. hyperechoic lesions that demonstrate sustained levels of contrast uptake throughout the arterial and
venous
phases of circulation
C. hypoechoic lesions that demonstrate absence of contrast uptake throughout the arterial and venous
phases
of circulation
D. hyperechoic lesions during the arterial phase and hypoechoic lesions during the portal venous phase -
ANSWER-D. hyperechoic lesions during the arterial phase and hypoechoic lesions during the portal
venous phase
.A large ___________________ could lead to propagation speed artifact.
A. renal angiomyolipoma
B. cavernous hemangioma
C. simple cyst
D. complex cyst - ANSWER-C. simple cyst
, .A long standing, partial obstruction of the cystic duct will most likely lead to which of the following?
A. Septated GB
B. Porcelain GB
C. Hartmann pouch
D. Mucocele of the GB - ANSWER-D. Mucocele of the GB
.A normal portal vein will:
A. decrease in diameter after eating
B. increase in diameter after exercise
C. increase in diameter by more than 20% with deep inspiration
D. increase in diameter by placing patient in the upright position - ANSWER-C. increase in diameter by
more than 20% with deep inspiration
.A patient presents for a liver ultrasound. A 5cm mass is identified at the porta hepatis of the liver. How
will this
affect the IVC position in the abdomen?
A. A 6cm mass is not large enough to displace the IVC in most patients
B. IVC will be displaced posteriorly
C. IVC will be displaced inferiorly
D. IVC will be displaced anteriorly - ANSWER-B. IVC will be displaced posteriorly
.A patient presents for a scrotal ultrasound following a recent herniorrhaphy. The findings on the image
are most
consistent with:
A. filariasis
B. orchitis
C. intratesticular varicocele
D. dilated rete testis - ANSWER-C. intratesticular varicocele
.A patient presents for a thyroid US due to increased T3 and T4 levels in the blood. Additional symptoms
.______________ transplant rejection appears as swollen kidney, loss of corticomedullary definition,
enlarged
renal pyramids, compression of the renal sinus, and decreased blood flow with increased RI value.
A. Chronic
B. Acute
C. Chronic or acute, stages of rejection are not able to be differentiated with sonography
D. Rejection of a renal allograft is not usually evaluated by sonography - ANSWER-B. Acute
.A 45yr old patient presents with increased serum BUN and creatinine, a recent history of oliguria and
bilateral
flank pain. The US exam demonstrates bilateral hydronephrosis and hydroureter but the bladder is
nearly empty.
Which of the following statements is true regarding this patient and the findings?
A. Acute intrinsic renal failure is present that is most likely due to acute tubular necrosis.
B. The patient will most likely return for a follow up exam in 7-10 days, after anticoagulant treatment.
C. The patient has a neurogenic bladder and the radiologist should review the case immediately.
D. Acute postrenal failure is present and the radiologist should review the case immediately. - ANSWER-
D. Acute postrenal failure is present and the radiologist should review the case immediately.
.A 55yr old male presents with a history of Budd-Chiari syndrome. What vessels should be evaluated
with
Doppler on this exam?
A. hepatic veins
B. renal veins
C. aorta
D. hepatic arteries - ANSWER-A. hepatic veins
,.A 56yr old male presents with a 4yr history of cirrhosis. When performing the ultrasound exam on this
patient,
the size of which of the following structures should be assessed to evaluate the effects of cirrhosis?
A. caudate lobe and hepatic artery
B. portal vein, hepatic vein, and hepatic artery
C. right lobe, portal vein and caudate lobe
D. left lobe and caudate lobe - ANSWER-C. right lobe, portal vein and caudate lobe
.A 56yr old male presents with acute onset of epigastric pain that has persisted for about 2 days. His lab
tests
demonstrate elevated bilirubin, amylase and lipase. Multiple mobile echogenic foci are present in the
gallbladder
with a wall thickness of 2.4mm. The CBD measures 6mm and appears patent. The pancreas is mildly
enlarged with
posterior enhancement. Which of the following best describes these findings?
A. Acute pancreatitis with cholelithiasis
B. Chronic pancreatitis with cholelithiasis
C. Adenomyomatosis with cholelithiasis and cholecystitis
D. Cystic fibrosis with cholelithiasis - ANSWER-A. Acute pancreatitis with cholelithiasis
.A 64yr old female presents with recent weight loss and mild jaundice. Lab values demonstrate normal
WBC
levels but increased levels of direct bilirubin, alkaline phosphatase and prothrombin time. The
gallbladder
demonstrates a small wall mass that is isoechoic to the wall tissues. The wall measures 4.5mm in
maximum
thickness. Multiple stones are present within the lumen. Which of the following best describes the
findings on the
image?
A. acute cholecystitis, polyp formation and cholelithiasis
B. adenomyomatosis
C. primary GB carcinoma and cholelithiasis
,D. acute cholecystitis and cholelithiasis - ANSWER-C. primary GB carcinoma and cholelithiasis
.A 70yr old male presents for transrectal ultrasound due to PSA level of 7ng/ml, urinary frequency and
hematuria. The US exam demonstrates a 40cc prostate volume with heterogeneity and calcifications
centrally. The
peripheral zone appears normal. These findings are most consistent with:
A. benign prostatic hypertrophy
B. carcinoma of the prostate
C. prostatitis
D. normal prostate - ANSWER-A. benign prostatic hypertrophy
.A contrast enhanced ultrasound examination is performed on a patient with suspected hepatocellular
carcinoma. What are the expected findings if the exam is positive for HCC?
A. hypoechoic lesions during the arterial phase and hyperechoic lesions during the portal venous phase
B. hyperechoic lesions that demonstrate sustained levels of contrast uptake throughout the arterial and
venous
phases of circulation
C. hypoechoic lesions that demonstrate absence of contrast uptake throughout the arterial and venous
phases
of circulation
D. hyperechoic lesions during the arterial phase and hypoechoic lesions during the portal venous phase -
ANSWER-D. hyperechoic lesions during the arterial phase and hypoechoic lesions during the portal
venous phase
.A large ___________________ could lead to propagation speed artifact.
A. renal angiomyolipoma
B. cavernous hemangioma
C. simple cyst
D. complex cyst - ANSWER-C. simple cyst
, .A long standing, partial obstruction of the cystic duct will most likely lead to which of the following?
A. Septated GB
B. Porcelain GB
C. Hartmann pouch
D. Mucocele of the GB - ANSWER-D. Mucocele of the GB
.A normal portal vein will:
A. decrease in diameter after eating
B. increase in diameter after exercise
C. increase in diameter by more than 20% with deep inspiration
D. increase in diameter by placing patient in the upright position - ANSWER-C. increase in diameter by
more than 20% with deep inspiration
.A patient presents for a liver ultrasound. A 5cm mass is identified at the porta hepatis of the liver. How
will this
affect the IVC position in the abdomen?
A. A 6cm mass is not large enough to displace the IVC in most patients
B. IVC will be displaced posteriorly
C. IVC will be displaced inferiorly
D. IVC will be displaced anteriorly - ANSWER-B. IVC will be displaced posteriorly
.A patient presents for a scrotal ultrasound following a recent herniorrhaphy. The findings on the image
are most
consistent with:
A. filariasis
B. orchitis
C. intratesticular varicocele
D. dilated rete testis - ANSWER-C. intratesticular varicocele
.A patient presents for a thyroid US due to increased T3 and T4 levels in the blood. Additional symptoms
