DMS 207 FINAL EXAM
STUDY GUIDE
QUESTIONS WITH ALL
CORRECT ANSWERS!!
DMS 207
Evatee 10/18/24 DMS 207
,DMS 207 FINAL EXAM STUDY GUIDE
QUESTIONS WITH ALL CORRECT ANSWERS!!
Normal CBD measurement Answer - 6mm. Upper limits 6-8
Normal pancreatic duct measurement Answer - 2mm or less
Normal GB wall measurement Answer - less than 3mm
TIPS Shunt Answer - Transjugular intrahepatic portosystemic shunt. The
surgical placement of a permanent shunt designed to divert blood around the
liver, thereby relieving portal hypertension by reducing portal vein pressure.
With a TIPS, the right and left PV flow could possibly be Answer - reversed
mesocaval shunt Answer - Attaches the mid/distal SMV to the IVC
portacaval shunt Answer - attaches the MPV at the SMV-SPV confluence to the
anterior aspect of the IVC
splenorenal shunt Answer - attaches the splenic vein to the left renal vein
Courvoisier's sign Answer - states that in a patient with painless jaundice and
an enlarged gallbladder (or right upper quadrant mass), the cause is unlikely to
be gallstones and therefore presumes the cause to be an obstructing
pancreatic or biliary neoplasm until proven otherwise
, Accessory spleen Answer - Aka splenunculus. results from the failure of fusion
of separate splenic masses forming on the dorsal mesogastrium; most
commonly found in the splenic hilum or along the splenic vessels or associated
ligaments
Cholelithiasis Answer - gallstones
Cholelithiasis sono findings Answer - -echogenic, mobile, shadowing
structure(s) within the gallbladder lumen
-stones that lodge within the cystic duct or neck of the GB may not move
-WES sign may be present if GB is filled with stones
causes of cholelithiasis Answer - Five "F's" - fat, female, forty, fertile, and fair.
Pregnancy, diabetes, oral contraceptives, hemolytic diseases, diet-induced
weight loss, total parenteral nutrition
Budd-Chiari syndrome Answer - thrombosis of the hepatic veins (most
common) or IVC. Poor prognosis.
Primary Budd Chiari Answer - Caused by congenital obstruction of the hepatic
veins or IVC by membranous webs across the upper vena cava or at just above
the entrance of the left and middle hepatic veins. Most common in Asia
Secondary Budd-Chiari Answer - Thrombosis in the hepatic veins or IVC. Occurs
often on patients with predisposing conditions, such as prolonged use of oral
contraceptives, pregnancy, tumors, infections, and in rare cases trauma.
What is the most characteristic clinical feature of Budd Chiari Answer - Ascites.
Patient will also have abd pain and hepatomegaly.
STUDY GUIDE
QUESTIONS WITH ALL
CORRECT ANSWERS!!
DMS 207
Evatee 10/18/24 DMS 207
,DMS 207 FINAL EXAM STUDY GUIDE
QUESTIONS WITH ALL CORRECT ANSWERS!!
Normal CBD measurement Answer - 6mm. Upper limits 6-8
Normal pancreatic duct measurement Answer - 2mm or less
Normal GB wall measurement Answer - less than 3mm
TIPS Shunt Answer - Transjugular intrahepatic portosystemic shunt. The
surgical placement of a permanent shunt designed to divert blood around the
liver, thereby relieving portal hypertension by reducing portal vein pressure.
With a TIPS, the right and left PV flow could possibly be Answer - reversed
mesocaval shunt Answer - Attaches the mid/distal SMV to the IVC
portacaval shunt Answer - attaches the MPV at the SMV-SPV confluence to the
anterior aspect of the IVC
splenorenal shunt Answer - attaches the splenic vein to the left renal vein
Courvoisier's sign Answer - states that in a patient with painless jaundice and
an enlarged gallbladder (or right upper quadrant mass), the cause is unlikely to
be gallstones and therefore presumes the cause to be an obstructing
pancreatic or biliary neoplasm until proven otherwise
, Accessory spleen Answer - Aka splenunculus. results from the failure of fusion
of separate splenic masses forming on the dorsal mesogastrium; most
commonly found in the splenic hilum or along the splenic vessels or associated
ligaments
Cholelithiasis Answer - gallstones
Cholelithiasis sono findings Answer - -echogenic, mobile, shadowing
structure(s) within the gallbladder lumen
-stones that lodge within the cystic duct or neck of the GB may not move
-WES sign may be present if GB is filled with stones
causes of cholelithiasis Answer - Five "F's" - fat, female, forty, fertile, and fair.
Pregnancy, diabetes, oral contraceptives, hemolytic diseases, diet-induced
weight loss, total parenteral nutrition
Budd-Chiari syndrome Answer - thrombosis of the hepatic veins (most
common) or IVC. Poor prognosis.
Primary Budd Chiari Answer - Caused by congenital obstruction of the hepatic
veins or IVC by membranous webs across the upper vena cava or at just above
the entrance of the left and middle hepatic veins. Most common in Asia
Secondary Budd-Chiari Answer - Thrombosis in the hepatic veins or IVC. Occurs
often on patients with predisposing conditions, such as prolonged use of oral
contraceptives, pregnancy, tumors, infections, and in rare cases trauma.
What is the most characteristic clinical feature of Budd Chiari Answer - Ascites.
Patient will also have abd pain and hepatomegaly.
