Deck 13: Gastrointestinal Tract

Question 1

The maximum outer diameter of the normal appendix can measure up to _____ millimeters (mm).

A) 3
B) 4
C) 5
D) 6

Answer 1

D

Question 2

The appendix is located at:

A) iliac crest.
B) Mubarney's point.
C) McBurney's sign.
D) McBurney's point.

Answer 2

D

Question 3

All of the following are sonographic characteristics of lymphoma of the stomach except:

A) relatively large and hypoechoic appearance.
B) significant thickening of the gastric walls.
C) relatively large and poorly echogenic appearance.
D) spoke-wheel pattern.

Answer 3

C

Question 4

Which one of the following is an embryologic mistake?

A) Duplication cyst
B) Gastric bezoar
C) Polyp
D) Leiomyoma

Question 5

Small bowel obstruction is associated with:

A) dilation of the bowel loops distal to the site of the obstruction.
B) dilation of the bowel loops proximal to the site of the obstruction.
C) collapsed bowel loops proximal to the site of the obstruction.
D) polypoid masses throughout the obstruction.

Question 6

The ___________ has a target shape and is located in the midline anterior to the pancreas body.

A) fundus
B) body
C) gastric antrum
D) pyloric canal

Question 7

The most common tumor of the gastrointestinal tract in children under 10 years of age is:

A) lymphoma.
B) polyp.
C) leiomyoma.
D) fecalith.

Question 8

Which one of the following statements about Crohn disease is false?

A) Crohn disease is regional enteritis.
B) The reaction involves only the mesothelium of the bowel wall.
C) Clinical symptoms include diarrhea, fever, and right lower quadrant pain.
D) Crohn disease affects the terminal ileum or the colon or both.

Question 9

The mesentery projects from the parietal peritoneum attaching to the:

A) large intestine.
B) duodenum.
C) stomach.
D) small intestine.

Question 10

Which one of the following statements about gastric carcinoma is false?

A) Gastric carcinoma is the fourth leading cause of death.
B) Of the malignant tumors of the stomach, 90% are carcinomas.
C) One half of these malignant tumors occur in the pylorus.
D) One fourth of these malignant tumors occur in the body and fundus.

Question 11

Metastatic disease to the stomach may be secondary to all of the following except:

A) breast.
B) lung.
C) prostate.
D) melanoma.

Question 12

The entrance of the esophagus into the stomach is through the ___________ orifice.

A) esophageal
B) diaphragmatic
C) thoracic
D) cardiac

Question 13

The celiac axis, superior mesenteric artery, and __________ artery supply both the small and large intestines.

A) lumbar
B) inferior mesenteric
C) splenic
D) renal

Question 14

A diverticulum is most common in the:

A) stomach.
B) small intestines.
C) colon.
D) ileum.

Question 15

Sonographic findings of Crohn disease may include all the following except:

A) symmetrically swollen bowel pattern.
B) uniformly increased wall thickness.
C) matted-loop pattern.
D) calcification.

Question 16

Which one of the following structures is often visualized on a sagittal ultrasound as a "bull's-eye" or target pattern anterior to the aorta and posterior to the left lobe of the liver?

A) Pancreatic duct
B) Common bile duct
C) Ligamentum teres
D) Gastroesophageal junction

Question 17

Which one of the following divisions of the duodenum courses to the level of the gallbladder neck?

A) First part
B) Second part
C) Third part
D) Fourth part

Question 18

Acute appendicitis may be seen on a transverse sonogram as a ___________ mass.

A) hypoechoic
B) hyperechoic
C) target-shaped
D) anechoic

Question 19

The colon is divided into segments called:

A) villi.
B) valvulae conniventes.
C) haustra.
D) rugae.

Question 20

The "keyboard" sign is seen in the:

A) colon.
B) duodenum.
C) appendix.
D) stomach.

Question 21

Gastrointestinal leiomyosarcomas most commonly occur in the:

A) duodenum.
B) jejunum.
C) ileum.
D) ascending colon.

Question 22

The pseudokidney sign may be seen in:

A) chronic appendicitis.
B) Meckel diverticulum.
C) gastric bezoar.
D) gastric carcinoma.

Question 23

The progression of acute appendicitis to frank perforation is more rapid in:

A) preschool children.
B) elementary school children.
C) adults.
D) senior citizens.

Question 24

Symptoms of appendiceal mucoceles may include all of the following except:

A) asymptomatic.
B) urinary symptoms.
C) bloating.
D) sepsis.

Question 25

The greater curvature of the stomach is supported by all of the following ligaments except the:

A) greater omentum.
B) gastrohepatic ligament.
C) gastrophrenic ligament.
D) gastrosplenic ligament.