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Abdomen 2 Review SON 131 Exam Questions With Complete Solutions
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Abdomen 2 Review SON 131 Exam Questions WithComplete Solutions
a 1 mo old boy presents w projectile vomiting and symptoms of
dehydration. an olive shaped mass can be palpated in the
epigastric region. what pathology are you looking for as you
eval the abd in this pt Correct Answer hypertrophic pyloric
stenosis
a 10 yo pt presents for an abd exam following blunt abd trauma
that occurred during a bicycle accident. which of the following
would be an unusual finding in this pt Correct Answer varices
in the splenic hilum
a 2 mo infant presents with persistent jaundice and a palpable
RUQ mass. the sonogram demonstrates a normal GB and a
cystic mass in the porta hepatis that appears to be separate from
the GB. the CBD appears to be entering the cystic mass. what is
the most likely dx? Correct Answer choledochal cyst
a 2 mo old infants presents w an enlarging, palpable Lt sided
flank mass and mild hypertension. a large, solid, ill-defined
echogenic mass is seen superior to the Lt kidney. calcifications
with shadowing are present within the mass. the kidney appears
to be displaced inferiorly. what is the most likely dx Correct
Answer neuroblastoma
a 2 wo infant presents w a sudden onset of jaundice. the
sonogram demonstrates intrahepatic ductal dilation but does not
demonstrate a GB or CHD. which congenital biliary anomaly is
the most likely cause Correct Answer biliary atresia
,a 2 yo pt presents with abd pain and a palpable abd mass. an
echogenic mass is seen in the midline, and in the trans plane, it
appears to demostrate multiple concentric rings. what is the most
likely dx Correct Answer intussusception
a 20 yo pt presents with RLQ pain. the u/s demonstrates a 8 mm
noncompressible target shaped lesion at the area of maximum
tenderness. a calcification is seen within the lesion. what is the
most likely dx Correct Answer appendicitis with appendicolith
a 25 yo pregnant pt presents in her 3rd trimester w/ mild rt flank
pain. which of the following would you expect to find in this pt
Correct Answer mild to moderate hydronephrosis
a 26 yo man presents w fever, scrotal pain, and swelling. the u/s
shows an enlarged hypoechoic epi w hyperemia. a small
hydrocele is noted. the testis appear normal. what is the likely dx
Correct Answer epididymitis
a 26 yo woman presents w dysuria, fever, and pelvic pain. the
bladder wall is diffusely thickened and hypoechoic. the kidneys
appear normal. what is the most likely cause of these findings
Correct Answer cystitis
a 3 yo presents w a palpable right sided flank mass. a large,
homogeneous, well circumscribed mass is seen extending from
the superior pole of the rt kidney. a few cystic spaces are noted
within the lesion. what is the most likely dx Correct Answer
Wilms tumor
,a 3 yo pt presents w a low grade fever and refusal to bear weight
on her left hip. she recently had a upper respiratory infection.
what is the most likely dx Correct Answer transient synovitis
a 38 yo woman presents post-cholecystectomy with RUQ pain,
fever, and an elevated white count. what is the most likely dx if
the sonography exam reveals an irregular, hypoechoic mass with
posterior enhancement in the region of the porta hepatis Correct
Answer pyogenic abcsess
a 4 wk old premie infant presents for an u/s of the brain. small
cystic structures are visualized in the periventricular area of the
brain bilaterally. which is the most likely cause of this finding
Correct Answer periventricular leukomalacia
a 42 yo pt presents w a painless rt scrotal mass. a 2.5 cm,
irregular, hypoechoic mass is seen in the mid rt testis. color
doppler demonstrates hyperemia. the remainder of the scrotum,
including the scrotal wall, appears normal. what is the likely dx
Correct Answer seminoma
a 56 yo woman's clinical symptoms include chills, fever, back
pain, malaise, dysuria, and frequent, urgent urination. her lab
values include leukocytosis, hematuria, pyuria, and bacteriuria. a
small kidney is seen w parenchymal loss and multifocal echoes
in the cortical and medullary regions probably from focal
fibrosis. what is the most likely dx Correct Answer chronic
atrophic pyelonephritis
a 65 y/o man presents with elevated LFTs. the exam reveals a
shrunken, echogenic right lobe, a relatively enlarged caudate
, lobe, and the liver contour is irregular. what is the most likely
dx? Correct Answer cirrhosis
a 76 yo pt presents for an abd exam with chronic abd pain. an
irregular mass is seen projecting into the GB lumen. color
doppler detects flow within the mass. gallstones are also seen.
what is the most likely dx? Correct Answer gallbladder
carcinoma
A comet-tail reverberation artifact is seen originating from the
anterior gallbladder wall. What gallbladder pathology is most
likely causing this artifact? Correct Answer adenomyomatosis
a dandy-walker malformation is usually associated with which
entity Correct Answer defective development of the cerebellar
vermis
a definitive dx of protate ca can be made by which of the
following procedures Correct Answer u/s guided bx
a diabetic pt presents w fever, urinary frequency, LBP, and
hemturia. while scanning the prostate gland you notice a focal
complex area that has increased blood flow. what is the most
likely dx given the pt hx Correct Answer prostatic abscess
a dilatation of the ventricular system that results from
impairment of cerebrospinal fluid dynamics or brain
parenchymal loss is called Correct Answer hydrocephalus
a female infant presents w a low grade fever and palpable abd
mass just superior to the urinary bladder. a cystic mass is seen in
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