Ardms Abdomen Board Review| 262
QUESTIONS| WITH COMPLETE SOLUTIONS
the normal AP ddimension of the aorta lumen should not exceed Correct Answer:
3 cm
the celiac trunk is the first _____ branch of the aorta Correct Answer: anterior
the celiac trifurcates into...? Correct Answer: the common hepatic artery
the left gastric artery
the splenic artery
the gastroduodenal artery is a branch of the...? Correct Answer: the common
hepatic artery
this artery branches off the anterior aspect of the aorta and travels vertically
anterior and parallel to the aorta Correct Answer: the superior mesenteric artery
which renal artery has a more complicated course? Correct Answer: the right renal
artery
an arterial disease in which the vessel wall loses its elasticity and becomes
hardened Correct Answer: arteriosclerosis
dilatation of a segment of a vessel wall caused by a weakness of all three layers of
the vessel wall..? Correct Answer: aneurysm
majority of aneurysms are located below...? Correct Answer: the level of the renal
arteries
the most common type of a true aneurysm is...? Correct Answer: fusiform
tear of the intima layer of the vessel wall is a... Correct Answer: dissecting
aneurysm
aneurysm caused by arterial catheterization or trauma Correct Answer: pseudo
aneurysm
,which renal vein has the more complicated course? Correct Answer: the left renal
vein
the right gonadal vein empties directly into the IVC but the left gonadal vein
empties... Correct Answer: into the left renal vein which then empties into the IVC
a liver measurement greater than ____ - ____ cm is considered hepatomegaly
Correct Answer: 15-20
normal variant of the right lobe of the liver extends inferiorly and may be mistaken
for hepatomegaly Correct Answer: Riedel's Lobe
the liver is almost completely covered by... Correct Answer: Glisson's Capsule
arrange these in order from most echogenic to least echogenic:
pancreas, spleen, renal medullary pyramids, liver, renal sinus, renal cortex Correct
Answer: renal sinus > pancreas > liver > or = spleen > renal cortex > renal
medullary pyramids
the liver is composed of three lobes... Correct Answer: left lobe, right lobe,
caudate lobe
the middle hepatic vein divides the liver into ... Correct Answer: right lobe and left
lobe
the right hepatic vein divides the... Correct Answer: right lobe into anterior and
posterior segments
the left hepatic vein divides the... Correct Answer: left lobe into medial and lateral
segments
these veins drain blood from the caudate lobe Correct Answer: the right and left
hepatic veins
the ligamentum venosum divides the... Correct Answer: caudate lobe and the left
lobe
the ligamentum teres divides the... Correct Answer: left lobe into medial and
lateral segments
, the falciform ligament divides the ... Correct Answer: right and left lobe
the coronary ligament connects the liver to... Correct Answer: the diaphragm
the main lobar fissure divides... Correct Answer: right and left lobe
the portal triad is... Correct Answer: the portal vein, the hepatic artery, and the
common bile duct
AST is increased with... Correct Answer: hepatocellular disease
this lab value is useful in detecting acute hepatitis before jaundice occurs and
following in the course of hepatitis Correct Answer: AST
this lab test rises higher than AST and takes longer to return to normal Correct
Answer: ALT
alkaline phosphatase is increased in... Correct Answer: obstruction of the biliary
system
decrease in liver function with an increase in the liver enzymes due to the amount
of necrosis is known as... Correct Answer: diffuse hepatocellular disease
accumulation of fat within the hepatocytes... Correct Answer: fatty liver
diffuse inflammatory process of the liver Correct Answer: acute hepatitis
diffuse fibrotic process that involves the entire liver.. Correct Answer: cirrhosis
autosomal recessive liver disorder of carbohydrate metabolism.... Correct Answer:
glycogen storage disease
portal vein is considered enlarged if it measures over...? Correct Answer: 13mm
obstruction of the hepatic veins caused by thrombosis or compression from a liver
mass is known as..? Correct Answer: Budd-Chiari Syndrome
the gallbladder wall should not exceed... Correct Answer: 3 mm
QUESTIONS| WITH COMPLETE SOLUTIONS
the normal AP ddimension of the aorta lumen should not exceed Correct Answer:
3 cm
the celiac trunk is the first _____ branch of the aorta Correct Answer: anterior
the celiac trifurcates into...? Correct Answer: the common hepatic artery
the left gastric artery
the splenic artery
the gastroduodenal artery is a branch of the...? Correct Answer: the common
hepatic artery
this artery branches off the anterior aspect of the aorta and travels vertically
anterior and parallel to the aorta Correct Answer: the superior mesenteric artery
which renal artery has a more complicated course? Correct Answer: the right renal
artery
an arterial disease in which the vessel wall loses its elasticity and becomes
hardened Correct Answer: arteriosclerosis
dilatation of a segment of a vessel wall caused by a weakness of all three layers of
the vessel wall..? Correct Answer: aneurysm
majority of aneurysms are located below...? Correct Answer: the level of the renal
arteries
the most common type of a true aneurysm is...? Correct Answer: fusiform
tear of the intima layer of the vessel wall is a... Correct Answer: dissecting
aneurysm
aneurysm caused by arterial catheterization or trauma Correct Answer: pseudo
aneurysm
,which renal vein has the more complicated course? Correct Answer: the left renal
vein
the right gonadal vein empties directly into the IVC but the left gonadal vein
empties... Correct Answer: into the left renal vein which then empties into the IVC
a liver measurement greater than ____ - ____ cm is considered hepatomegaly
Correct Answer: 15-20
normal variant of the right lobe of the liver extends inferiorly and may be mistaken
for hepatomegaly Correct Answer: Riedel's Lobe
the liver is almost completely covered by... Correct Answer: Glisson's Capsule
arrange these in order from most echogenic to least echogenic:
pancreas, spleen, renal medullary pyramids, liver, renal sinus, renal cortex Correct
Answer: renal sinus > pancreas > liver > or = spleen > renal cortex > renal
medullary pyramids
the liver is composed of three lobes... Correct Answer: left lobe, right lobe,
caudate lobe
the middle hepatic vein divides the liver into ... Correct Answer: right lobe and left
lobe
the right hepatic vein divides the... Correct Answer: right lobe into anterior and
posterior segments
the left hepatic vein divides the... Correct Answer: left lobe into medial and lateral
segments
these veins drain blood from the caudate lobe Correct Answer: the right and left
hepatic veins
the ligamentum venosum divides the... Correct Answer: caudate lobe and the left
lobe
the ligamentum teres divides the... Correct Answer: left lobe into medial and
lateral segments
, the falciform ligament divides the ... Correct Answer: right and left lobe
the coronary ligament connects the liver to... Correct Answer: the diaphragm
the main lobar fissure divides... Correct Answer: right and left lobe
the portal triad is... Correct Answer: the portal vein, the hepatic artery, and the
common bile duct
AST is increased with... Correct Answer: hepatocellular disease
this lab value is useful in detecting acute hepatitis before jaundice occurs and
following in the course of hepatitis Correct Answer: AST
this lab test rises higher than AST and takes longer to return to normal Correct
Answer: ALT
alkaline phosphatase is increased in... Correct Answer: obstruction of the biliary
system
decrease in liver function with an increase in the liver enzymes due to the amount
of necrosis is known as... Correct Answer: diffuse hepatocellular disease
accumulation of fat within the hepatocytes... Correct Answer: fatty liver
diffuse inflammatory process of the liver Correct Answer: acute hepatitis
diffuse fibrotic process that involves the entire liver.. Correct Answer: cirrhosis
autosomal recessive liver disorder of carbohydrate metabolism.... Correct Answer:
glycogen storage disease
portal vein is considered enlarged if it measures over...? Correct Answer: 13mm
obstruction of the hepatic veins caused by thrombosis or compression from a liver
mass is known as..? Correct Answer: Budd-Chiari Syndrome
the gallbladder wall should not exceed... Correct Answer: 3 mm
