CMI 351 ABDOMINAL ULTRASOUND EXAM 1
QUESTIONS WITH VERIFIED ANSWERS
What is adenomyomatosis? - Answers - ~hyperplastic changes involving the gb wall
causing overgrowth of the mucosa, thickening of the wall, and formation of diverticula.
- The affected areas demonstrate thickening of the gallbladder wall with internal cystic
spaces
- Can be either focal (occurring in one particular site in the body) - Echogenic foci in the
gallbladder wall that create comet-tail artifacts OR diffuse
What are other causes of focal gallbladder wall thickening? - Answers - - gangrenous
cholecystitis
- polyps
- papillary adenomas
- adenomyomatosis
- tumefactive sludge
cholecystitis vs cholelithiasis - Answers - cholecysttitis- acute inflammation
cholelithiasis-gallstone
What is the normal thickness of the Gallbladder wall?
a. less than 4 mm
b. less than 6 cm
c. less than 3 cm
d. less than 3 mm - Answers - d. less than 3 mm
What is the Celiac axis and the 3 branches attached to it? - Answers - - 1st major
branch of AO
- hepatic artery
- left gastric artery
- splenic artery
Superior mesenteric arteries - Answers - - 1 cm from celiac axis
- high resistance flow during fasting
- feeds the large and small intestines
Renal arteries (left and right) - Answers - - arise 1.5 cm from the SMA
- supply the kidneys, adrenal glands and ureters
inferior mesenteric artery - Answers - - supplies large intestine
- bifurcates at L4 (belly button) to become the common iliac artery
, The Collagenous fibers inner mix elastic elements, the membrane of the liver is? (what
covers the liver?)
a. Glissions capsule
b. Phrygian cap
c. Riedel's lobe
d. Morisons pouch - Answers - a. Glission's capsule
Where is glisson's capsule the thickest? - Answers - Around IVC and porta hepatis
What is Hartmann's pouch? - Answers - small part of the gallbladder that lies near the
cystic duct where stones may collect
What is a fold at the fundal portion of the Hartmanns gallbladder usually called?
a. Glissions capsule
b. phrygian cap
c. riedel's lobe - Answers - b. Phrygian cap
Drawing of a Gallbladder, know the parts! - Answers -
The ligamentum venosum separates which two lobes of the liver?
a. caudate lobe and right lobe of the liver
b. caudate lobe and left lobe of the liver
c. right lobe and left lobe - Answers - b. caudate lobe and left lobe of the liver
What is the most common benign neoplasm of the liver?
a. hepatic adenoma
b. hepatic lipomas
c. Hepatocellular carcinoma
d. cavernous hemangioma - Answers - d. Cavernous Hemangioma
What laboratory values should be elevated that is specific for the hepatoma of the liver?
a. Serum Bilirubin
b. Alpha fetoprotein
c. alanine aminotransferase
d. Gamma Glutamyl Transpeptidase - Answers - b. AFP (alpha-fetoprotein)
What does an elevated alpha fetoprotein indicate? - Answers - - hepatocellular
carcinoma!!!
- gastrointestinal cancer
- lung cancer
- cns tumor
If you have a dissecting aneurysm, how many layers does it go through of the wall of
the aorta?
a. 1 layer
QUESTIONS WITH VERIFIED ANSWERS
What is adenomyomatosis? - Answers - ~hyperplastic changes involving the gb wall
causing overgrowth of the mucosa, thickening of the wall, and formation of diverticula.
- The affected areas demonstrate thickening of the gallbladder wall with internal cystic
spaces
- Can be either focal (occurring in one particular site in the body) - Echogenic foci in the
gallbladder wall that create comet-tail artifacts OR diffuse
What are other causes of focal gallbladder wall thickening? - Answers - - gangrenous
cholecystitis
- polyps
- papillary adenomas
- adenomyomatosis
- tumefactive sludge
cholecystitis vs cholelithiasis - Answers - cholecysttitis- acute inflammation
cholelithiasis-gallstone
What is the normal thickness of the Gallbladder wall?
a. less than 4 mm
b. less than 6 cm
c. less than 3 cm
d. less than 3 mm - Answers - d. less than 3 mm
What is the Celiac axis and the 3 branches attached to it? - Answers - - 1st major
branch of AO
- hepatic artery
- left gastric artery
- splenic artery
Superior mesenteric arteries - Answers - - 1 cm from celiac axis
- high resistance flow during fasting
- feeds the large and small intestines
Renal arteries (left and right) - Answers - - arise 1.5 cm from the SMA
- supply the kidneys, adrenal glands and ureters
inferior mesenteric artery - Answers - - supplies large intestine
- bifurcates at L4 (belly button) to become the common iliac artery
, The Collagenous fibers inner mix elastic elements, the membrane of the liver is? (what
covers the liver?)
a. Glissions capsule
b. Phrygian cap
c. Riedel's lobe
d. Morisons pouch - Answers - a. Glission's capsule
Where is glisson's capsule the thickest? - Answers - Around IVC and porta hepatis
What is Hartmann's pouch? - Answers - small part of the gallbladder that lies near the
cystic duct where stones may collect
What is a fold at the fundal portion of the Hartmanns gallbladder usually called?
a. Glissions capsule
b. phrygian cap
c. riedel's lobe - Answers - b. Phrygian cap
Drawing of a Gallbladder, know the parts! - Answers -
The ligamentum venosum separates which two lobes of the liver?
a. caudate lobe and right lobe of the liver
b. caudate lobe and left lobe of the liver
c. right lobe and left lobe - Answers - b. caudate lobe and left lobe of the liver
What is the most common benign neoplasm of the liver?
a. hepatic adenoma
b. hepatic lipomas
c. Hepatocellular carcinoma
d. cavernous hemangioma - Answers - d. Cavernous Hemangioma
What laboratory values should be elevated that is specific for the hepatoma of the liver?
a. Serum Bilirubin
b. Alpha fetoprotein
c. alanine aminotransferase
d. Gamma Glutamyl Transpeptidase - Answers - b. AFP (alpha-fetoprotein)
What does an elevated alpha fetoprotein indicate? - Answers - - hepatocellular
carcinoma!!!
- gastrointestinal cancer
- lung cancer
- cns tumor
If you have a dissecting aneurysm, how many layers does it go through of the wall of
the aorta?
a. 1 layer
