DMS 122 Midterm VERIFIED 100% CORRECT 2026 UPDATE WITH
COMPLETE SOLUTIONS
The aorta bifurcates into ____________________________ at the level of the
_____________________ - ANSWER-left and right common illiac arteries; umbilicus
Anterior branches of the aorta - ANSWER-celiac trunk, SMA, IMA
If You are scanning your patient in the transverse plane at the level demonstrated in the
image above, which way would you slide your transducer to see the SMA? - ANSWER-
inferior
smaller branches of the left portal vein - ANSWER-left medial and left lateral portal
veins
Which blood vessel courses anterior to the aorta and posterior to the SMA? - ANSWER-
LRV
Which blood vessel courses more anteriorly, renal arteries or renal veins? - ANSWER-
renal veins
All of the following are lower extremity arteries except: - ANSWER-greater saphenous
artery
What vascular landmark divides the aorta into proximal and mid segments? - ANSWER-
SMA
The liver occupies a major portion of the _____________ region. - ANSWER-right
hypochondrium
The IVC and its visible branches are primarily evaluated to detect - ANSWER-
thrombosis and tumor invasion
On the left anteriorly, the legamentum teres divides the - ANSWER-medial from the
lateral left lobe
The caudate lobe is bordered posteriorly by the _______ and anteriorly by the _______.
- ANSWER-IVC; Left portal vein
, The main portal vein enters the _____________ and divides into left and right portal
branches - ANSWER-porta hepatis
The main lobar fissure is seen as an echogenic line connecting the ________________
to the _________. - ANSWER-gallbladder; right portal vein
The portal triad consist of - ANSWER-CBD, HA, PV
The common hepatic duct is _________ to the portal vein. - ANSWER-anterior
The walls of the portal vein are _____ when compared to the liver parenchyma? -
ANSWER-Hyperechoic
"Shotgun sign" seen in the liver parenchyma is indicative of: - ANSWER-dilated biliary
ducts
ducts of the biliary system - ANSWER-common hepatic
cystic
common bile
What vein brings oxygen enriched blood to the liver? - ANSWER-portal vein
Main lobar fissure - ANSWER-divides the right and left lobes of the liver
A contracted gallbladder packed with stones will give the ______ sign. - ANSWER-wes
Causes of gallbladder wall thickening include everything EXCEPT: - ANSWER-deep
vein thrombosis
A patient presents to the ER with acute RUQ pain. Upon examination, you find that the
gallbladder wall measures 4mm and there are stones within the gallbladder, and some
fluid is seen anterior to the gallbladder. The most likely diagnosis would be: - ANSWER-
acute cholecystitis with cholelithiasis
The gallbladder is located on the - ANSWER-posterior and inferior portion of the right
lobe of the liver
The left and right hepatic ducts join at approximately the level of - ANSWER-porta
hepatis
The cystic duct connects the gallbladder to the - ANSWER-common hepatic duct
The common bile duct extends from the point where the cystic duct joins the -
ANSWER-common hepatic duct
The overall length of the gallbladder is - ANSWER-highly variable
Bile enters the intestinal tract at the - ANSWER-Ampulla of Vater
Low level, nonshadowing echoes in the dependent portion of the gallbladder can be
described as - ANSWER-biliary sludge
The ______________ supplies blood to the gallbladder and liver - ANSWER-proper
hepatic artery
The intrahepatic ducts run alongside of the - ANSWER-portal vein and hepatic arteries
The three landmarks that may be helpful in locating the gallbladder on a longitudinal
image are - ANSWER-portal vein, main lobar fissure and the right kidney
The cystic duct connects the _____ of the gallbladder with the common hepatic duct to
form the _____ - ANSWER-neck; CBD
The _____ is the anterolateral border of the pancreatic head - ANSWER-
gastroduodenal artery
the head of the pancreas is inferior to the - ANSWER-caudate lobe
The tail of the pancreas is found: - ANSWER-anterior to the left kidney, near the splenic
hilum
The primary pancreatic duct is the: - ANSWER-duct of Wirsung
COMPLETE SOLUTIONS
The aorta bifurcates into ____________________________ at the level of the
_____________________ - ANSWER-left and right common illiac arteries; umbilicus
Anterior branches of the aorta - ANSWER-celiac trunk, SMA, IMA
If You are scanning your patient in the transverse plane at the level demonstrated in the
image above, which way would you slide your transducer to see the SMA? - ANSWER-
inferior
smaller branches of the left portal vein - ANSWER-left medial and left lateral portal
veins
Which blood vessel courses anterior to the aorta and posterior to the SMA? - ANSWER-
LRV
Which blood vessel courses more anteriorly, renal arteries or renal veins? - ANSWER-
renal veins
All of the following are lower extremity arteries except: - ANSWER-greater saphenous
artery
What vascular landmark divides the aorta into proximal and mid segments? - ANSWER-
SMA
The liver occupies a major portion of the _____________ region. - ANSWER-right
hypochondrium
The IVC and its visible branches are primarily evaluated to detect - ANSWER-
thrombosis and tumor invasion
On the left anteriorly, the legamentum teres divides the - ANSWER-medial from the
lateral left lobe
The caudate lobe is bordered posteriorly by the _______ and anteriorly by the _______.
- ANSWER-IVC; Left portal vein
, The main portal vein enters the _____________ and divides into left and right portal
branches - ANSWER-porta hepatis
The main lobar fissure is seen as an echogenic line connecting the ________________
to the _________. - ANSWER-gallbladder; right portal vein
The portal triad consist of - ANSWER-CBD, HA, PV
The common hepatic duct is _________ to the portal vein. - ANSWER-anterior
The walls of the portal vein are _____ when compared to the liver parenchyma? -
ANSWER-Hyperechoic
"Shotgun sign" seen in the liver parenchyma is indicative of: - ANSWER-dilated biliary
ducts
ducts of the biliary system - ANSWER-common hepatic
cystic
common bile
What vein brings oxygen enriched blood to the liver? - ANSWER-portal vein
Main lobar fissure - ANSWER-divides the right and left lobes of the liver
A contracted gallbladder packed with stones will give the ______ sign. - ANSWER-wes
Causes of gallbladder wall thickening include everything EXCEPT: - ANSWER-deep
vein thrombosis
A patient presents to the ER with acute RUQ pain. Upon examination, you find that the
gallbladder wall measures 4mm and there are stones within the gallbladder, and some
fluid is seen anterior to the gallbladder. The most likely diagnosis would be: - ANSWER-
acute cholecystitis with cholelithiasis
The gallbladder is located on the - ANSWER-posterior and inferior portion of the right
lobe of the liver
The left and right hepatic ducts join at approximately the level of - ANSWER-porta
hepatis
The cystic duct connects the gallbladder to the - ANSWER-common hepatic duct
The common bile duct extends from the point where the cystic duct joins the -
ANSWER-common hepatic duct
The overall length of the gallbladder is - ANSWER-highly variable
Bile enters the intestinal tract at the - ANSWER-Ampulla of Vater
Low level, nonshadowing echoes in the dependent portion of the gallbladder can be
described as - ANSWER-biliary sludge
The ______________ supplies blood to the gallbladder and liver - ANSWER-proper
hepatic artery
The intrahepatic ducts run alongside of the - ANSWER-portal vein and hepatic arteries
The three landmarks that may be helpful in locating the gallbladder on a longitudinal
image are - ANSWER-portal vein, main lobar fissure and the right kidney
The cystic duct connects the _____ of the gallbladder with the common hepatic duct to
form the _____ - ANSWER-neck; CBD
The _____ is the anterolateral border of the pancreatic head - ANSWER-
gastroduodenal artery
the head of the pancreas is inferior to the - ANSWER-caudate lobe
The tail of the pancreas is found: - ANSWER-anterior to the left kidney, near the splenic
hilum
The primary pancreatic duct is the: - ANSWER-duct of Wirsung
