DMS 207 FINAL EXAM WITH 100%
CORRECT ANSWERS
A patient presents with fever, leukocytosis, and right upper quadrant tenderness.
Ultrasound shows a complex cystic liver mass with debris. What is the most likely
diagnosis? - Answer- Pyogenic abscess
Multiple cystic lesions within the liver should raise suspicion for which condition? -
Answer- Polycystic liver disease
When evaluating multiple cystic liver lesions what malignant process should be included
in the differential? - Answer- Necrotic metastases
Which structure lies anterior to the pancreatic body? - Answer- Gastric antrum
The common bile duct runs in a groove posterior to which pancreatic structure? -
Answer- Pancreatic head
A pancreatic head mass may obstruct which duct and cause biliary dilation? - Answer-
Common bile duct
Ultrasound evaluation of the kidneys primarily assesses what aspect of renal health? -
Answer- Structural anatomy
What is the most common solid renal tumor in children? - Answer- Wilms tumor
Normal bladder wall thickness typically measures what? - Answer- 3 to 6 millimeters
An outpouching of the bladder wall is called what? - Answer- Bladder diverticulum
Absent ureteral jets during bladder evaluation most likely indicate what? - Answer-
Ureteral obstruction
A patient presents with elevated alkaline phosphatase and biliary dilation on ultrasound.
What type of pathology should be suspected? - Answer- Biliary obstruction
Elevation of AST and ALT most strongly indicates what? - Answer- Hepatocellular injury
, What is the most common benign tumor of the liver? - Answer- Cavernous hemangioma
A hyperechoic liver lesion with well-defined borders discovered incidentally in an
asymptomatic patient most likely represents what? - Answer- Hemangioma
Use of oral contraceptives is most strongly associated with which benign liver tumor? -
Answer- Hepatic adenoma
Which benign liver lesion commonly contains a central scar? - Answer- Focal nodular
hyperplasia
A liver demonstrates diffuse increased echogenicity with poor visualization of portal vein
walls and the diaphragm. What condition is most likely? - Answer- Hepatic steatosis
What sonographic feature most strongly suggests cirrhosis? - Answer- Nodular liver
contour
Which condition commonly causes ascites and a shrunken right hepatic lobe? - Answer-
Cirrhosis
A sheep farmer presents with right upper quadrant pain and a complex cystic liver
lesion. What diagnosis should be suspected? - Answer- Echinococcal cyst
Travel history, fever, diarrhea, and a liver lesion are classic clues for which pathology? -
Answer- Amebic abscess
What ligament connects the liver to the anterior abdominal wall? - Answer- Falciform
ligament
The ligamentum teres represents the remnant of which fetal structure? - Answer-
Umbilical vein
The main lobar fissure extends from the gallbladder neck to which structure? - Answer-
Portal vein
Which renal condition demonstrates dilation of the renal pelvis and calyces? - Answer-
Hydronephrosis
Severe hydronephrosis may eventually lead to what cortical change? - Answer- Cortical
thinning
Which condition does NOT cause dilation of the renal pelvis? - Answer- Oliguria
A cyst located in the renal hilum that does not communicate with the collecting system
is called what? - Answer- Parapelvic cyst
CORRECT ANSWERS
A patient presents with fever, leukocytosis, and right upper quadrant tenderness.
Ultrasound shows a complex cystic liver mass with debris. What is the most likely
diagnosis? - Answer- Pyogenic abscess
Multiple cystic lesions within the liver should raise suspicion for which condition? -
Answer- Polycystic liver disease
When evaluating multiple cystic liver lesions what malignant process should be included
in the differential? - Answer- Necrotic metastases
Which structure lies anterior to the pancreatic body? - Answer- Gastric antrum
The common bile duct runs in a groove posterior to which pancreatic structure? -
Answer- Pancreatic head
A pancreatic head mass may obstruct which duct and cause biliary dilation? - Answer-
Common bile duct
Ultrasound evaluation of the kidneys primarily assesses what aspect of renal health? -
Answer- Structural anatomy
What is the most common solid renal tumor in children? - Answer- Wilms tumor
Normal bladder wall thickness typically measures what? - Answer- 3 to 6 millimeters
An outpouching of the bladder wall is called what? - Answer- Bladder diverticulum
Absent ureteral jets during bladder evaluation most likely indicate what? - Answer-
Ureteral obstruction
A patient presents with elevated alkaline phosphatase and biliary dilation on ultrasound.
What type of pathology should be suspected? - Answer- Biliary obstruction
Elevation of AST and ALT most strongly indicates what? - Answer- Hepatocellular injury
, What is the most common benign tumor of the liver? - Answer- Cavernous hemangioma
A hyperechoic liver lesion with well-defined borders discovered incidentally in an
asymptomatic patient most likely represents what? - Answer- Hemangioma
Use of oral contraceptives is most strongly associated with which benign liver tumor? -
Answer- Hepatic adenoma
Which benign liver lesion commonly contains a central scar? - Answer- Focal nodular
hyperplasia
A liver demonstrates diffuse increased echogenicity with poor visualization of portal vein
walls and the diaphragm. What condition is most likely? - Answer- Hepatic steatosis
What sonographic feature most strongly suggests cirrhosis? - Answer- Nodular liver
contour
Which condition commonly causes ascites and a shrunken right hepatic lobe? - Answer-
Cirrhosis
A sheep farmer presents with right upper quadrant pain and a complex cystic liver
lesion. What diagnosis should be suspected? - Answer- Echinococcal cyst
Travel history, fever, diarrhea, and a liver lesion are classic clues for which pathology? -
Answer- Amebic abscess
What ligament connects the liver to the anterior abdominal wall? - Answer- Falciform
ligament
The ligamentum teres represents the remnant of which fetal structure? - Answer-
Umbilical vein
The main lobar fissure extends from the gallbladder neck to which structure? - Answer-
Portal vein
Which renal condition demonstrates dilation of the renal pelvis and calyces? - Answer-
Hydronephrosis
Severe hydronephrosis may eventually lead to what cortical change? - Answer- Cortical
thinning
Which condition does NOT cause dilation of the renal pelvis? - Answer- Oliguria
A cyst located in the renal hilum that does not communicate with the collecting system
is called what? - Answer- Parapelvic cyst
