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DMSU 210: Exam 1 Questions and answers. 100% Accurate, Verified.
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DMSU 210: Exam 1 Questions and answers. 100% Accurate, Verified. A 68-year-old woman has right upper quadrant pain. The ultrasound examination reveals a distended gallbladder with a wall thickness of 1.8 mm. The gallbladder contains low-level echoes that layer and are gravity dependent and mul...

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  • February 3, 2023
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  • 2022/2023
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  • verified a 68 year old woman has right upper quadrant pain the ultrasound examination reveals a distended gallbladder with a wall thickness o

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DMSU 210: Exam 1 Questions and
answers. 100% Accurate, Verified.

A 68-year-old woman has right upper quadrant pain. The ultrasound examination reveals a distended
gallbladder with a wall thickness of 1.8 mm. The gallbladder contains low-level echoes that layer and are
gravity dependent and multiple small echogenic foci that shadow. The common bile duct measures 10
mm and also contains a small echogenic focus in its distal aspect. What is the most likely diagnosis? -
✔✔-Cholelithiasis & Sludge



Elevation of which of the following laboratory values are most associated with biliary obstruction? - ✔✔-
Alkalike phosphatase



What is the upper limit of normal gallbladder wall thickness if the patient is fasting? - ✔✔-3 mm



Optimal imaging of the gallbladder in the average patient generally requires a __________ frequency
transducer. - ✔✔-Lower



Multiple patient positions are important when scanning the gallbladder because:

A. Gallstones are mobile

B. Bowel can move out of the way

C. The gallbladder moves when the patient moves

D. All of the above - ✔✔-All of the above



Which of the following is NOT characteristic of gallstones?

A. Echogenic

B. Mobile

C. Posterior shadowing

D. Posterior enhancement - ✔✔-Posterior enhancement

, The sonographic WES sign is characteristic of: - ✔✔-A gallbladder completely filled with stones



A 49-year-old woman is seen at an emergency department with epigastric pain for 1 day, nausea and
vomiting, and an elevated temperature. The ultrasound examination reveals a thick-walled gallbladder
and evidence of gallstones. What is the most likely diagnosis? - ✔✔-Cholecystitis



Low-level "sandy" echoes within the gallbladder the move slowly when the patient changes position but
do not exhibit shadowing are consistent with: - ✔✔-Gallbladder sludge



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 - ✔✔-All of the above



A gallbladder with multiple septate, multiple polyps, and comet-tail artifact on sonography is consistent
with: - ✔✔-Adenomyomatosis



Which of the following is NOT characteristic of hepatic abscess?

A. Anechoic mass with posterior enhancement

B. Multiple small masses with echogenic centers

C. Mass with echogenic foci and dirty shadowing in subhepatic space

D. Complex mass - ✔✔-Anechoic mass with posterior enhancement



Choledocholithiasis refers to: - ✔✔-Stones in the bile ducts



Definitive diagnosis of the nature of a mass requires: - ✔✔-Biopsy



Which of the following is NOT a cause of hepatomegaly?

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