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Abdominal Sonography Mock Registry Exam C19 Questions With Complete Solutions
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Abdominal Sonography Mock Registry Exam C19 QuestionsWith Complete Solutions
______________ transplant rejection appears as swollen kidney,
loss of corticomedullary definition, enlarged
renal pyramids, compression of the renal sinus, and decreased
blood flow with increased RI value.
A. Chronic
B. Acute
C. Chronic or acute, stages of rejection are not able to be
differentiated with sonography
D. Rejection of a renal allograft is not usually evaluated by
sonography Correct Answer B. Acute
A 45yr old patient presents with increased serum BUN and
creatinine, a recent history of oliguria and bilateral
flank pain. The US exam demonstrates bilateral hydronephrosis
and hydroureter but the bladder is nearly empty.
Which of the following statements is true regarding this patient
and the findings?
A. Acute intrinsic renal failure is present that is most likely due
to acute tubular necrosis.
B. The patient will most likely return for a follow up exam in 7-
10 days, after anticoagulant treatment.
C. The patient has a neurogenic bladder and the radiologist
should review the case immediately.
D. Acute postrenal failure is present and the radiologist should
review the case immediately. Correct Answer D. Acute
postrenal failure is present and the radiologist should review the
case immediately.
,A 55yr old male presents with a history of Budd-Chiari
syndrome. What vessels should be evaluated with
Doppler on this exam?
A. hepatic veins
B. renal veins
C. aorta
D. hepatic arteries Correct Answer A. hepatic veins
A 56yr old male presents with a 4yr history of cirrhosis. When
performing the ultrasound exam on this patient,
the size of which of the following structures should be assessed
to evaluate the effects of cirrhosis?
A. caudate lobe and hepatic artery
B. portal vein, hepatic vein, and hepatic artery
C. right lobe, portal vein and caudate lobe
D. left lobe and caudate lobe Correct Answer C. right lobe,
portal vein and caudate lobe
A 56yr old male presents with acute onset of epigastric pain that
has persisted for about 2 days. His lab tests
demonstrate elevated bilirubin, amylase and lipase. Multiple
mobile echogenic foci are present in the gallbladder
with a wall thickness of 2.4mm. The CBD measures 6mm and
appears patent. The pancreas is mildly enlarged with
posterior enhancement. Which of the following best describes
these findings?
A. Acute pancreatitis with cholelithiasis
B. Chronic pancreatitis with cholelithiasis
C. Adenomyomatosis with cholelithiasis and cholecystitis
D. Cystic fibrosis with cholelithiasis Correct Answer A. Acute
pancreatitis with cholelithiasis
,A 64yr old female presents with recent weight loss and mild
jaundice. Lab values demonstrate normal WBC
levels but increased levels of direct bilirubin, alkaline
phosphatase and prothrombin time. The gallbladder
demonstrates a small wall mass that is isoechoic to the wall
tissues. The wall measures 4.5mm in maximum
thickness. Multiple stones are present within the lumen. Which
of the following best describes the findings on the
image?
A. acute cholecystitis, polyp formation and cholelithiasis
B. adenomyomatosis
C. primary GB carcinoma and cholelithiasis
D. acute cholecystitis and cholelithiasis Correct Answer C.
primary GB carcinoma and cholelithiasis
A 70yr old male presents for transrectal ultrasound due to PSA
level of 7ng/ml, urinary frequency and
hematuria. The US exam demonstrates a 40cc prostate volume
with heterogeneity and calcifications centrally. The
peripheral zone appears normal. These findings are most
consistent with:
A. benign prostatic hypertrophy
B. carcinoma of the prostate
C. prostatitis
D. normal prostate Correct Answer A. benign prostatic
hypertrophy
A contrast enhanced ultrasound examination is performed on a
patient with suspected hepatocellular
, carcinoma. What are the expected findings if the exam is
positive for HCC?
A. hypoechoic lesions during the arterial phase and hyperechoic
lesions during the portal venous phase
B. hyperechoic lesions that demonstrate sustained levels of
contrast uptake throughout the arterial and venous
phases of circulation
C. hypoechoic lesions that demonstrate absence of contrast
uptake throughout the arterial and venous phases
of circulation
D. hyperechoic lesions during the arterial phase and hypoechoic
lesions during the portal venous phase Correct Answer D.
hyperechoic lesions during the arterial phase and hypoechoic
lesions during the portal venous phase
A large ___________________ could lead to propagation speed
artifact.
A. renal angiomyolipoma
B. cavernous hemangioma
C. simple cyst
D. complex cyst Correct Answer C. simple cyst
A long standing, partial obstruction of the cystic duct will most
likely lead to which of the following?
A. Septated GB
B. Porcelain GB
C. Hartmann pouch
D. Mucocele of the GB Correct Answer D. Mucocele of the
GB
A normal portal vein will:
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