DMS- SMALL PARTS MIDTERM UPDATED QUESTIONS AND
ANSWERS
Bilaterally, which structure is positioned adjacent to the trachea? - CORRECT ANSWER✅✅✅Thyroid
Gland
What structure is located posterior to the bilateral lobes of the thyroid gland? - CORRECT
ANSWER✅✅✅Longus Colli Muscle
What can be excluded when the patient presents with a normal thyroid-stimulating hormone (TSH)
level? - CORRECT ANSWER✅✅✅Hypothyroidism
Which transducers should the Sonographer use to obtain the widest field of view and the best
resolution to detect small lesions? - CORRECT ANSWER✅✅✅7.5 - 15 MHz, Linear Array
What do the thyroid gland hormones regulate? - CORRECT ANSWER✅✅✅Metabolism and Growth
What artifact can be identified distal to the transverse image showing a small echogenic structure within
the colloid cyst? - CORRECT ANSWER✅✅✅Comet Tail
Because an adenoma of the thyroid gland has sonographic appearances ranging from anechoic to
hyperechoic, what observation is helpful to distinguish an anechoic adenoma from a simple cyst? -
CORRECT ANSWER✅✅✅Lack of discrete margins in the adenoma
A cold nodule indicates the thyroid was unable to complete what function with the
radiopharmaceutical? - CORRECT ANSWER✅✅✅Absorb
What is the most common etiology of Grave's Disease? - CORRECT ANSWER✅✅✅Autoimmune
Disorder
What is the most common inflammatory disease of the thyroid? - CORRECT
ANSWER✅✅✅Hashimoto Thyroiditis
, Which pathology distribution is associated with geographic areas where the soil, water, and food supply
contains low levels of iodine? - CORRECT ANSWER✅✅✅Endemic Distribution
If a 53-year-old woman presents with the most common solid mass sonographically identified as well
circumscribed, an oval contour, and a halo effect, What is the most likely diagnosis? - CORRECT
ANSWER✅✅✅Adenoma
What is the most likely diagnosis if a patient presents with a cold thyroid nodule on a technitium-99m
(Te-99m) radiodine scintigraphy examination and the sonography examination demonstrates an
anechoic circular areas with smooth sharp boarders and good through transmission? - CORRECT
ANSWER✅✅✅Thyroid Cyst
What is the diagnosis if the sonographic features include an irregular, solid, uneven, neovascular,
hypoechocic mass with internal echoes within the walls of a normal-sized thyroid gland? - CORRECT
ANSWER✅✅✅Thyroid Carcinoma
Which pathology is responsible for the majority of primary hyperparathyroid cases? - CORRECT
ANSWER✅✅✅Parathyroid Adenoma
Which condition is suggestive of parathyroid pathology? - CORRECT ANSWER✅✅✅Hypercalcemia
What developmental cyst occurs because of a congenital modification in the cervical lymphatic system?
- CORRECT ANSWER✅✅✅Cystic hygroma
What is the most common imaging modality used to evaluate the breast and remains the only widely
used screening tool proven effective at reducing breast mortality? - CORRECT
ANSWER✅✅✅Mammography
In addition to providing and adjunct to mammography for palpable and nonpalpable indeterminate
masses, which characteristic principally apply in breast sonography imaging? - CORRECT
ANSWER✅✅✅Ability to detect cystic versus solid lesions
ANSWERS
Bilaterally, which structure is positioned adjacent to the trachea? - CORRECT ANSWER✅✅✅Thyroid
Gland
What structure is located posterior to the bilateral lobes of the thyroid gland? - CORRECT
ANSWER✅✅✅Longus Colli Muscle
What can be excluded when the patient presents with a normal thyroid-stimulating hormone (TSH)
level? - CORRECT ANSWER✅✅✅Hypothyroidism
Which transducers should the Sonographer use to obtain the widest field of view and the best
resolution to detect small lesions? - CORRECT ANSWER✅✅✅7.5 - 15 MHz, Linear Array
What do the thyroid gland hormones regulate? - CORRECT ANSWER✅✅✅Metabolism and Growth
What artifact can be identified distal to the transverse image showing a small echogenic structure within
the colloid cyst? - CORRECT ANSWER✅✅✅Comet Tail
Because an adenoma of the thyroid gland has sonographic appearances ranging from anechoic to
hyperechoic, what observation is helpful to distinguish an anechoic adenoma from a simple cyst? -
CORRECT ANSWER✅✅✅Lack of discrete margins in the adenoma
A cold nodule indicates the thyroid was unable to complete what function with the
radiopharmaceutical? - CORRECT ANSWER✅✅✅Absorb
What is the most common etiology of Grave's Disease? - CORRECT ANSWER✅✅✅Autoimmune
Disorder
What is the most common inflammatory disease of the thyroid? - CORRECT
ANSWER✅✅✅Hashimoto Thyroiditis
, Which pathology distribution is associated with geographic areas where the soil, water, and food supply
contains low levels of iodine? - CORRECT ANSWER✅✅✅Endemic Distribution
If a 53-year-old woman presents with the most common solid mass sonographically identified as well
circumscribed, an oval contour, and a halo effect, What is the most likely diagnosis? - CORRECT
ANSWER✅✅✅Adenoma
What is the most likely diagnosis if a patient presents with a cold thyroid nodule on a technitium-99m
(Te-99m) radiodine scintigraphy examination and the sonography examination demonstrates an
anechoic circular areas with smooth sharp boarders and good through transmission? - CORRECT
ANSWER✅✅✅Thyroid Cyst
What is the diagnosis if the sonographic features include an irregular, solid, uneven, neovascular,
hypoechocic mass with internal echoes within the walls of a normal-sized thyroid gland? - CORRECT
ANSWER✅✅✅Thyroid Carcinoma
Which pathology is responsible for the majority of primary hyperparathyroid cases? - CORRECT
ANSWER✅✅✅Parathyroid Adenoma
Which condition is suggestive of parathyroid pathology? - CORRECT ANSWER✅✅✅Hypercalcemia
What developmental cyst occurs because of a congenital modification in the cervical lymphatic system?
- CORRECT ANSWER✅✅✅Cystic hygroma
What is the most common imaging modality used to evaluate the breast and remains the only widely
used screening tool proven effective at reducing breast mortality? - CORRECT
ANSWER✅✅✅Mammography
In addition to providing and adjunct to mammography for palpable and nonpalpable indeterminate
masses, which characteristic principally apply in breast sonography imaging? - CORRECT
ANSWER✅✅✅Ability to detect cystic versus solid lesions
