URR Mock Exam #5 E19 Abdomen All Possible Questions and Answers with complete solution
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URR Mock E19 Abdomen
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URR Mock E19 Abdomen
A 40 yr old female patient presents with nausea, vomiting and increasing ABD pain following a recent
procedure. The patient has a history of a mass in the head of the pancreas and an ERCP was performed
to evaluate the ductal involvement. The ERCP report states the ductal system at the head of the...
URR Mock Exam #5 E19 Abdomen
A 40 yr old female patient presents with nausea, vomiting and increasing ABD pain following a recent
procedure. The patient has a history of a mass in the head of the pancreas and an ERCP was performed
to evaluate the ductal involvement. The ERCP report states the ductal system at the head of the pancreas
was within normal limits. Which of the following will most likely be identified on the US exam as a cause
for the acute symptoms? - pneumobilia
A 10 yr old presents for an ABD US with a palpable RUQ mass. He has no history of liver disease and AFP
are normal. you identify a 9cm mass in the right lobe that demonstrates punctate calcifications and a
central scat. These findings are most suggestive of: - Fibrolamellar carcinoma
____ refers to a rare genetic disorder characterized by visceral cysts, renal and pancreatic cysts, benign
masses, ad the potential for malignant transformation in multiple organ systems - Von Hippel
Lindau syndrome
____ should be suspected in an infant with a large hepatic hemangioma and unexplained
thrombocytopenia - Kasabach-Merrit Syndrome
aka hemangioma thrombocytopenia syndrome
it is seen in infants with large hemangiomas
Sequestration and destruction of platelets within the large cavernous hemangioma causes significant
thrombocytopenia (reduced platelet count)
Visible cutaneous blue or reddish-brown lesions are usually present on the extremities
Hepatomegaly or jaundice can also be identified
If the skin lesions are present with significant thrombocytopenia, the liver and spleen should be
evaluated for related hemangioma formation
,- is a subtype of HCC found in adolescents and young adults with no coexisting liver disease. AFP levels
are normal. Punctate calcifications and a central echogenic scar help to differentiate it from a hepatoma.
All the other choices would have elevated AFP in most cases
A 4 yr old presents for a renal ultrasound with a suspected mass on the lateral aspect of the left kidney
seen on a KUB x-ray. The ultrasound reveals a focal outward thickening of the normal renal cortex near
the mid pole of the kidney
Which of the following best describes the finding? - dromedary hump- prominent docal bulge on
the lateral border of th eleft kidney
they are normal variants of the renal contour, caused by the splenic impression onto the superolateral
left kidney
ERCP is the #1 cause for pneumobilia or air in the ductal system
Liver metastasis would not lead to acute symptoms
A 65 yr old male patient presents with bilateral scrotal swelling and mild pain. The US exam
demonstrates bilateral hypoechoic, solid masses within the testicular parenchyma. Which of the
following is the most likely diagnosis for the findings - Lymphoma-
most primary testicular cancers are unilateral in formation, but lymphoma, leukemia, and metastasis
usually occur bilaterally
A 66 yr old female present for an abdominal US due to bloating and pain following a recent
cholecystectomy. The bile ducts demonstrate varied level of increased echogenicity with dirty shadowing
and ring down artifact posterior to several segments. These findings are more consistent with? -
pneumobilia
air in the biliary system can be a complication of cholecystectomy
, A 75 yr old female presents with RUQ pain. She was diagnosed with cirrhosis 4 yrs ago. Lab values
demonstrate increased levels of AFP, ALP, AST and ALT. The US exam demonstrates a heterogenous liver
texture that is decreased in size. The left lobe contains a new round hypoechoic mass with increased
vascularity - Hepatocellular Carcinoma
70% HCC cases demonstrate increased AFP levels
Nearly all cases have abnormal LFTS with associated cirrhosis. The sonographic appearance of the liver
parenchyma and reduced size indicate cirrhosis
80% patients that develop HCC have preexisting cirrhosis
A disorder that affects the pancreas by causing it to excrete a thick mucus like substance that inhibits the
exocrine function is called: - cystic fibrosis - is a genetic disorder that affects the pancreas by
causing
A large calculus located in the renal pelvis area is called: - Staghorn Calculi
A mother who is currently breast feeding presents with a painful and reddened area on the UOQ of the
right breast. She states that she first noticed it two days ago. hat is the most likely finding on her exam? -
puerperal mastitis is associated with lactation and caused by a bacteria invading the nipple
through crack sin the skin
A patient is referred for a RUQ scan due to the possibility of a fungal infection of the liver. They have a 4
yr hx of treatment for AIDS. The liver demonstrates diffuse presentation of multiple calcification of
different sizes, with and without shadowing. These findings are most consistent with: -
pneumocystis carinii - caused by a yeast like fungal infection ( people who are immunosupressed
are affected)
A patient present for a 2 mo follow up for liver transplant. Lab tests indicate abnormal LFTS, increased
bilirubin, and jaundice. The US exam demonstrates a new focal dilation of the bile duct at the porta
hepatis with mildy dilated intrahepatic ducts just inside the liver. The pancreas is normal. Which of the
following most likely describes the findings - biliary stricture- common complication of liver
transplant
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