Updated RATED A+ | 2026
You are scanning a pa ent and no ce that the right and le kidneys are a ached at their lower
poles. What anomaly is present?
Presents Horseshoe Kidney
During a rou ne renal ultrasound, you are suspicious of increased echogenicity of the kidneys.
Which of the following best describes the normal echogenicity of the renal cortex?
the normal kidney echogenicity is frequently isoechoic with the liver and spleen
Which of the following renal masses would most likely cause a speed propaga on ar fact?
angiomyolipoma
You are performing a sonogram on a pa ent with bilaterally small kidneys. What is the normal
range in size for a kidney?
9-12 cm (9-14)
During a renal sonogram, you no ce a 1.5 cm thickening of the le lateral renal cortex. This
most likely represents:
Represents Dromedary Hump
You have detected compensatory hypertrophy of the right kidney in a 35- year-old male. This
finding is associated with which of the following?
(nephrectomy, renal agenesis, renal hypoplasia & renal atrophy)
all of the above
Which of following statements is NOT TRUE regarding normal anatomy of the kidneys?
the tail of the pancreas is in contact with the lateral dorsal aspect of the le kidney
What is the normal appearance of the central sinus of the kidney?
highly echogenic compared to the renal cortex
You are performing an ultrasound on a pa ent with suspected renal failure. What lab work is
elevated with renal failure?
The Serum Crea nine
, A pa ent is referred from x-ray with a ques onable le renal cyst. What are the sonographic
criteria of a simple cyst?
anechoic, acous c enhancement, sharply defined smooth far wall, round or ovoid in shape
A ques onable mass is seen between the renal pyramids on the right kidney. You suspect this is
a column of Ber n "pseudomass". Which of the following sonographic features helps dis nguish
this from a true pathologic mass?
(isoechogenicity with the rest of the renal cortex,
con nuity of the renal cortex,
lack of mass effect or splaying of central renal sinus fat,
normal vascularity by color Doppler)
all of the above
You are performing an ultrasound exam on a pa ent with crossed renal ectopia. Which of the
following describes your findings?
Both kidneys are on the same side of the abdomen
Which part of the kidney contains fat, calyces, collec ng system, and vessels?
The Sinus
.During rou ne surveillance of the urinary bladder, you detect the presence of periodic ureteral
jets. This is a sign of
normality
What prepara on should you require of your pa ents scheduled for renal sonograms?
moderate hydra on with not other specific prepara on
.You are performing an ultrasound on a pa ent with known horseshoe kidneys. Where is the
isthmus of a horseshoe kidney located?
anterior to the abdominal aorta
The normal adult kidney measures___________ in length:
9-12 cm
The fibrous capsule surrounding the kidney is referred to as the:
True capsule