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1. Which organ is primarily responsible for producing bile?
A. Pancreas
B. Liver
C. Gallbladder
D. Spleen
Answer: B
Rationale: The liver produces bile, which is then stored and
concentrated in the gallbladder.
2. The normal adult common bile duct measures up to:
A. 2 mm
B. 4 mm
C. 6 mm
D. 10 mm
Answer: C
Rationale: The CBD is generally considered normal up to 6 mm,
with slight increases with age.
3. The sonographic appearance of the normal pancreas is typically:
A. Anechoic
B. Hypoechoic compared to liver
C. Hyperechoic compared to liver
D. Cystic
, Answer: C
Rationale: The normal pancreas is usually slightly more
echogenic than the liver in adults.
4. Which structure lies posterior to the left lobe of the liver?
A. Aorta
B. Stomach
C. Inferior vena cava
D. Left kidney
Answer: B
Rationale: The stomach is located posterior to the left lobe of the
liver.
5. The portal vein is formed by the union of:
A. Splenic and inferior mesenteric veins
B. Superior mesenteric and splenic veins
C. Inferior vena cava and renal vein
D. Hepatic and splenic veins
Answer: B
Rationale: The portal vein is formed by the convergence of the
superior mesenteric and splenic veins.
6. A normal adult spleen measures up to:
A. 5 cm
B. 8 cm
C. 12 cm
D. 20 cm
Answer: C
Rationale: A spleen length greater than 12 cm is generally
considered enlarged.
7. The echogenic center of the kidney represents the:
A. Cortex
, B. Medulla
C. Renal sinus
D. Capsule
Answer: C
Rationale: The renal sinus contains fat, vessels, and collecting
system, appearing echogenic.
8. The functional unit of the liver is the:
A. Nephron
B. Lobule
C. Acinus
D. Alveolus
Answer: C
Rationale: The hepatic acinus is considered the functional unit of
the liver.
9. A “starry sky” liver appearance is commonly associated with:
A. Cirrhosis
B. Hepatitis
C. Fatty liver
D. Hemangioma
Answer: B
Rationale: Acute hepatitis causes hepatic swelling and
hypoechoic parenchyma with prominent portal triads.
10. The right kidney is typically located:
A. Higher than the left
B. Lower than the left
C. At the same level
D. Pelvic region
Answer: B
Rationale: The right kidney sits lower due to the liver.