DMSU 210 FINAL EXAM PREP (ALL MODULES) QUESTIONS WITH COMPL
SOLUTIONS!!/NEWEST UPDATE
1. Elevation of which of the following laboratory values Alkaline phosphatase
is most associated with biliary obstruction?
Alkaline phosphatase
Amylase
ALT
AST
2. What is the upper limit of normal gallbladder wall 3 mm
thickness if the patient is fasting?
3 cm
3 mm
5 cm
5 mm
3. Multiple patient positions are important when scan- All of the above
ning the gallbladder because:
Gallstones are mobile.
Bowel can move out of the way.
The gallbladder moves when the patient moves.
All of the above
4. Which of the following is NOT characteristic of gall- Posterior enhancement
stones?
Echogenic
Mobile
Posterior shadowing
Posterior enhancement
5. The sonographic WES sign is characteristic of: A gallbladder that is com-
A dilated gallbladder with stones pletely filled with stones
A gallbladder that is completely filled with stones
, DMSU 210 FINAL EXAM PREP (ALL MODULES) QUESTIONS WITH COMPL
SOLUTIONS!!/NEWEST UPDATE
Acute cholecystitis
Gallbladder polyps
6. Low-level "sandy" echoes within the gallbladder that Gallbladder sludge
move when the patient changes position but do not
exhibit shadowing are consistent with:
Gallbladder sludge
Gallstones
Gallbladder polyps
All of the above
7. A gallbladder with multiple septate, multiple polyps, Adenomyomatosis
and comet-tail artifact on sonography is consistent
with:
Acute cholecystitis
Gangrenous cholecystitis
Adenomyomatosis
Cholelithiasis
8. A 45-year-old man has epigastric pain of 3 week's du- gastritis
ration. A right upper quadrant ultrasound scan reveals
multiple small polypoid lesions that arise from the
gallbladder wall. The remaining ultrasound examina-
tion results are unremarkable. Subsequent investiga-
tion of the gastrointestinal tract reveals gastroenteri-
tis. What is the most likely diagnosis for the finding in
the gallbladder?
A) acute cholecystitis
B) cholelithiasis
C) chronic cholecystitis
D) gastritis
, DMSU 210 FINAL EXAM PREP (ALL MODULES) QUESTIONS WITH COMPL
SOLUTIONS!!/NEWEST UPDATE
9. A 68-year-old woman has right upper quadrant pain. All of the above
The ultrasound examination reveals a distended gall-
bladder with a wall thickness of 1.8 mm. The gall-
bladder 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
10. aA 49-year-old woman is seen at an emergency de- acute cholecystitis
partment with epigastric pain for 1 day, nausea and
vomiting, and an elevated temperature. The ultra-
sound 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
11. A 36-year-old man is seen with right upper quadrant amoebic abscess
pain, diarrhea, and fever. History reveals that the pa-
tient 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
SOLUTIONS!!/NEWEST UPDATE
1. Elevation of which of the following laboratory values Alkaline phosphatase
is most associated with biliary obstruction?
Alkaline phosphatase
Amylase
ALT
AST
2. What is the upper limit of normal gallbladder wall 3 mm
thickness if the patient is fasting?
3 cm
3 mm
5 cm
5 mm
3. Multiple patient positions are important when scan- All of the above
ning the gallbladder because:
Gallstones are mobile.
Bowel can move out of the way.
The gallbladder moves when the patient moves.
All of the above
4. Which of the following is NOT characteristic of gall- Posterior enhancement
stones?
Echogenic
Mobile
Posterior shadowing
Posterior enhancement
5. The sonographic WES sign is characteristic of: A gallbladder that is com-
A dilated gallbladder with stones pletely filled with stones
A gallbladder that is completely filled with stones
, DMSU 210 FINAL EXAM PREP (ALL MODULES) QUESTIONS WITH COMPL
SOLUTIONS!!/NEWEST UPDATE
Acute cholecystitis
Gallbladder polyps
6. Low-level "sandy" echoes within the gallbladder that Gallbladder sludge
move when the patient changes position but do not
exhibit shadowing are consistent with:
Gallbladder sludge
Gallstones
Gallbladder polyps
All of the above
7. A gallbladder with multiple septate, multiple polyps, Adenomyomatosis
and comet-tail artifact on sonography is consistent
with:
Acute cholecystitis
Gangrenous cholecystitis
Adenomyomatosis
Cholelithiasis
8. A 45-year-old man has epigastric pain of 3 week's du- gastritis
ration. A right upper quadrant ultrasound scan reveals
multiple small polypoid lesions that arise from the
gallbladder wall. The remaining ultrasound examina-
tion results are unremarkable. Subsequent investiga-
tion of the gastrointestinal tract reveals gastroenteri-
tis. What is the most likely diagnosis for the finding in
the gallbladder?
A) acute cholecystitis
B) cholelithiasis
C) chronic cholecystitis
D) gastritis
, DMSU 210 FINAL EXAM PREP (ALL MODULES) QUESTIONS WITH COMPL
SOLUTIONS!!/NEWEST UPDATE
9. A 68-year-old woman has right upper quadrant pain. All of the above
The ultrasound examination reveals a distended gall-
bladder with a wall thickness of 1.8 mm. The gall-
bladder 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
10. aA 49-year-old woman is seen at an emergency de- acute cholecystitis
partment with epigastric pain for 1 day, nausea and
vomiting, and an elevated temperature. The ultra-
sound 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
11. A 36-year-old man is seen with right upper quadrant amoebic abscess
pain, diarrhea, and fever. History reveals that the pa-
tient 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
