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DMSU 210 FINAL EXAM QUESTIONS
AND ANSWERS 100% PASS
Alkaline phosphatase - ANS Elevation of which of the following laboratory values is most
associated with biliary obstruction?
Alkaline phosphatase
Amylase
ALT
AST
3 mm - ANS What is the upper limit of normal gallbladder wall thickness if the patient is
fasting?
3 cm
3 mm
5 cm
5 mm
All of the above - ANS Multiple patient positions are important when scanning the
gallbladder because:
Gallstones are mobile.
Bowel can move out of the way.
The gallbladder moves when the patient moves.
All of the above
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Posterior enhancement - ANS Which of the following is NOT characteristic of gallstones?
Echogenic
Mobile
Posterior shadowing
Posterior enhancement
A gallbladder that is completely filled with stones - ANS The sonographic WES sign is
characteristic of:
A dilated gallbladder with stones
A gallbladder that is completely filled with stones
Acute cholecystitis
Gallbladder polyps
Gallbladder sludge - ANS Low-level "sandy" echoes within the gallbladder that move when
the patient changes position but do not exhibit shadowing are consistent with:
Gallbladder sludge
Gallstones
Gallbladder polyps
All of the above
Adenomyomatosis - ANS A gallbladder with multiple septate, multiple polyps, and comet-tail
artifact on sonography is consistent with:
Acute cholecystitis
Gangrenous cholecystitis
Adenomyomatosis
Cholelithiasis
gastritis - ANS A 45-year-old man has epigastric pain of 3 week's duration. A right upper
quadrant ultrasound scan reveals multiple small polypoid lesions that arise from the gallbladder
wall. The remaining ultrasound examination results are unremarkable. Subsequent
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investigation of the gastrointestinal tract reveals gastroenteritis. What is the most likely
diagnosis for the finding in the gallbladder?
A) acute cholecystitis
B) cholelithiasis
C) chronic cholecystitis
D) gastritis
All of the above - ANS A 68-year-old woman has right upper quadrant pain. The ultrasound
examination reveals a distended gallbladder with a wall thickness of 1.8 mm. The gallbladder
contains low-level echoes that layer and are gravity dependent and multiple small echogenic
foci that shadow (Figure 2, A and B). The common bile duct measures 10 mm and also contains
a small echogenic focus (Figure 2, C) in its distal aspect. What is the most likely diagnosis?
A) choledocholithiasis
B) sludge
C) cholelithiasis
D) All of the above
acute cholecystitis - ANS aA 49-year-old woman is seen at an emergency department with
epigastric pain for 1 day, nausea and vomiting, and an elevated temperature. The ultrasound
examination reveals a thick-walled gallbladder and evidence of gallstones (Figure 3, A and B).
What is the most likely diagnosis?
A) acute cholecystitis
B) adenomyomatosis
C) sludge
D) Caroli's disease
amoebic abscess - ANS A 36-year-old man is seen with right upper quadrant pain, diarrhea,
and fever. History reveals that the patient recently returned from a 2-week business trip in
South America. An ultrasound examination of the right upper quadrant reveals a 3 cm mass in
the right lobe of the liver that appears to be isoechoic to the liver, with a surrounding
hypoechoic halo. Acoustic enhancement posterior to the mass is also shown (Figure 4, A and B).
What is the most likely diagnosis?
DMSU 210 FINAL EXAM QUESTIONS
AND ANSWERS 100% PASS
Alkaline phosphatase - ANS Elevation of which of the following laboratory values is most
associated with biliary obstruction?
Alkaline phosphatase
Amylase
ALT
AST
3 mm - ANS What is the upper limit of normal gallbladder wall thickness if the patient is
fasting?
3 cm
3 mm
5 cm
5 mm
All of the above - ANS Multiple patient positions are important when scanning the
gallbladder because:
Gallstones are mobile.
Bowel can move out of the way.
The gallbladder moves when the patient moves.
All of the above
, ©THESTAR 2025 ALL RIGHTS RESERVED
Posterior enhancement - ANS Which of the following is NOT characteristic of gallstones?
Echogenic
Mobile
Posterior shadowing
Posterior enhancement
A gallbladder that is completely filled with stones - ANS The sonographic WES sign is
characteristic of:
A dilated gallbladder with stones
A gallbladder that is completely filled with stones
Acute cholecystitis
Gallbladder polyps
Gallbladder sludge - ANS Low-level "sandy" echoes within the gallbladder that move when
the patient changes position but do not exhibit shadowing are consistent with:
Gallbladder sludge
Gallstones
Gallbladder polyps
All of the above
Adenomyomatosis - ANS A gallbladder with multiple septate, multiple polyps, and comet-tail
artifact on sonography is consistent with:
Acute cholecystitis
Gangrenous cholecystitis
Adenomyomatosis
Cholelithiasis
gastritis - ANS A 45-year-old man has epigastric pain of 3 week's duration. A right upper
quadrant ultrasound scan reveals multiple small polypoid lesions that arise from the gallbladder
wall. The remaining ultrasound examination results are unremarkable. Subsequent
, ©THESTAR 2025 ALL RIGHTS RESERVED
investigation of the gastrointestinal tract reveals gastroenteritis. What is the most likely
diagnosis for the finding in the gallbladder?
A) acute cholecystitis
B) cholelithiasis
C) chronic cholecystitis
D) gastritis
All of the above - ANS A 68-year-old woman has right upper quadrant pain. The ultrasound
examination reveals a distended gallbladder with a wall thickness of 1.8 mm. The gallbladder
contains low-level echoes that layer and are gravity dependent and multiple small echogenic
foci that shadow (Figure 2, A and B). The common bile duct measures 10 mm and also contains
a small echogenic focus (Figure 2, C) in its distal aspect. What is the most likely diagnosis?
A) choledocholithiasis
B) sludge
C) cholelithiasis
D) All of the above
acute cholecystitis - ANS aA 49-year-old woman is seen at an emergency department with
epigastric pain for 1 day, nausea and vomiting, and an elevated temperature. The ultrasound
examination reveals a thick-walled gallbladder and evidence of gallstones (Figure 3, A and B).
What is the most likely diagnosis?
A) acute cholecystitis
B) adenomyomatosis
C) sludge
D) Caroli's disease
amoebic abscess - ANS A 36-year-old man is seen with right upper quadrant pain, diarrhea,
and fever. History reveals that the patient recently returned from a 2-week business trip in
South America. An ultrasound examination of the right upper quadrant reveals a 3 cm mass in
the right lobe of the liver that appears to be isoechoic to the liver, with a surrounding
hypoechoic halo. Acoustic enhancement posterior to the mass is also shown (Figure 4, A and B).
What is the most likely diagnosis?
