DMSU 210 EXAM 1 QUESTIONS
AND ANSWERS | ALREADY
PASSED
A 64-year-old undergoes an ultrasound scan for right-sided pain to rule out gallbladder
disease. The patient also has a history of autosomal dominant polycystic kidney disease
and bilateral nephrectomy. Ultrasound examination of the right upper quadrant reveals a
normal gallbladder and multiple thin-walled anechoic structures within the liver. These
results are most consistent with what diagnosis? - Answer- Polycystic disease
Which of the following is NOT a cause of hepatomegaly?
A. Multiple masses
B. Lymphoma
C. Chronic cirrhosis
D. None of the above - Answer- Chronic cirrhosis
This 55-year-old woman with right upper quadrant pain is seen for an abdominal
ultrasound scan. The patient has a history of colon cancer and confirms a recent weight
loss. What is the most likely diagnosis? - Answer- Metastasis
When the reason for examination is to evaluate a possible liver mass, which of the
following is helpful?
A. Palpating the mass
B. Reviewing previous imaging studies
C. Reviewing laboratory values
D. All of the above - Answer- All of the above
A 29-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. What is the most likely
diagnosis? - Answer- Amoebic abscess
What is the upper limit of normal gallbladder wall thickness if the patient is fasting? -
Answer- 3 mm
AND ANSWERS | ALREADY
PASSED
A 64-year-old undergoes an ultrasound scan for right-sided pain to rule out gallbladder
disease. The patient also has a history of autosomal dominant polycystic kidney disease
and bilateral nephrectomy. Ultrasound examination of the right upper quadrant reveals a
normal gallbladder and multiple thin-walled anechoic structures within the liver. These
results are most consistent with what diagnosis? - Answer- Polycystic disease
Which of the following is NOT a cause of hepatomegaly?
A. Multiple masses
B. Lymphoma
C. Chronic cirrhosis
D. None of the above - Answer- Chronic cirrhosis
This 55-year-old woman with right upper quadrant pain is seen for an abdominal
ultrasound scan. The patient has a history of colon cancer and confirms a recent weight
loss. What is the most likely diagnosis? - Answer- Metastasis
When the reason for examination is to evaluate a possible liver mass, which of the
following is helpful?
A. Palpating the mass
B. Reviewing previous imaging studies
C. Reviewing laboratory values
D. All of the above - Answer- All of the above
A 29-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. What is the most likely
diagnosis? - Answer- Amoebic abscess
What is the upper limit of normal gallbladder wall thickness if the patient is fasting? -
Answer- 3 mm
