Quiz 19: Emergent Ultrasound Procedures

People frequently go to the emergency department for all of the following reasons except: A) chest pain. B) ear pain. C) flank pain. D) respiratory distress.

The complications of peritoneal lavage include all of the following except: A) bowel perforation. B) bladder penetration. C) vascular laceration. D) pneumothorax.

In the trauma setting, the most common finding of free fluid in the abdomen or pelvis is: A) hemoperitoneum. B) ascites. C) bowel. D) urine.

The sonographic findings in aortic dissection include all of the following except: A) echogenic membrane. B) enlarged aorta. C) moving echogenic flap. D) laminar blood flow pattern.

Types of abdominal hernias include all of the following except: A) reducible hernia. B) carcerated hernia. C) incarcerated hernia. D) strangulated hernia.

The most common sonographic finding of a hernia is: A) peristalsis of the bowel both during and after a Valsalva maneuver. B) positive Murphy's sign. C) negative McBurney's sign. D) positive strangulation sign.

The traditional modality of choice for evaluating urolithiasis is: A) noncontrast abdominal computed tomography (CT) scan. B) abdominal x-ray examination. C) renal ultrasound. D) intravenous urography.

For years, which one of the following techniques has been used as a surgical tool for the diagnosis of hemoperitoneum? A) Paracentesis B) Peritoneal lavage C) Laparoscopy D) Focused assessment with sonography for trauma (FAST)

Posttrauma, the most common location for fluid to accumulate is in the ___________. A) Morison's pouch B) pouch of Douglas C) paracolic gutters D) subphrenic space

The initial survey of a FAST scan is directed to the: A) paracolic gutter. B) subhepatic space. C) posterior cul-de-sac. D) pericardium.

Torsion of the spermatic cord occurs as a result of which one of the following? A) Inflammation of the testis B) Abnormal size of the testis C) Abnormal mobility of the testis D) Inflammation of the epididymis

In the early stages of testicular torsion, the echogenicity of the testis appears _____________. A) normal B) complex C) hypoechoic D) hyperechoic

One of the most common conditions that necessitates emergent surgery is: A) acute cholelithiasis. B) urolithiasis. C) acute appendicitis. D) acute pancreatitis.

Sonographic findings of acute cholecystitis include all of the following except: A) thickened gallbladder wall. B) small gallbladder. C) pericholecystic fluid. D) immobile gallstone.

Sonographic findings in acute pancreatitis may include which one of the following? A) Atrophy B) Microcalcifications C) Hyperechoic parenchyma D) Normal-parenchyma texture

Midepigastric pain radiating to the back is most characteristic of: A) acute cholecystitis. B) urolithiasis. C) acute pancreatitis. D) acute appendicitis.

The most common cause of acute cholecystitis is: A) acute pancreatitis. B) chronic pyelonephritis. C) cholelithiasis. D) obstruction of the cystic duct.

Stones as small as _____ millimeters (mm) may be visualized with ultrasound. A) 1 B) 2 C) 0.5 D) 1.5

Approximately 70% of aortic dissections occur in the: A) aortic arch. B) ascending aorta. C) descending aorta. D) abdominal aorta.

Which one of the following is nearly always associated with aortic dissection? A) Trauma B) Pregnancy C) Hypertension D) Coarctation of the aorta

A pseudodissection demonstrates which one of the following? A) Intimal flap B) Turbulent blood flow pattern C) Decrease in blood flow D) False lumen

Paraumbilical hernia occurs more often in which one of the following? A) Infants B) Female adults C) Male adults D) Children

A hernia in the bowel that cannot be reduced is a(n) ______________ hernia. A) reducible B) carcerated C) incarcerated D) strangulated

A hernia with vascular compromise is ________________. A) carcerated B) incarcerated C) strangulated D) torsioned

In reproductive-age women, free fluid isolated to the posterior cul-de-sac is likely which one of the following? A) Ascites B) Hemoperitoneum C) Abscess D) Physiologic