Deck 32: Abdomen Patterns

Question 1

The abdominal calcification(s) marked by the white arrows in Figure 32-3A and Figure 32-3B are characterized as __________.

A) Concretions
B) Conduit wall calcifications
C) Solid mass calcification
D) Cystic calcification

Answer 1

Concretions

Question 2

The calcification within the pelvis is best described as __________?

A) Arc and ring
B) Laminated
C) Cauliflower-like
D) Loculated

Answer 2

Cauliflower-like

Question 3

Which of the following is the most significant abnormality noted in the radiographs in Figure 32-2?

A) Abdominal aortic aneurysm
B) Gallstone
C) Renal lithiasis
D) Ureteral lithiasis

Answer 3

Abdominal aortic aneurysm

Question 4

Which section of the bowel is abnormal in Figure 32-1?

A) Small bowel
B) Ascending colon
C) Transverse colon
D) Descending colon

Question 5

The most common cause for the radiographic presentation in Figure 32-1 is __________.

A) Carcinoma
B) Adhesions from prior surgery
C) Internal hernias
D) Volvulus

Question 6

Which radiographic pattern of disease is evident in Figure 32-4?

A) Solid mass calcification
B) Abnormal bowel gas resulting from obstruction
C) Enlarged organ shadows
D) Disease of the gallbladder

Question 7

Which of the following is the procedure of choice for determining the presence, size, and extent of abdominal aortic aneurysm?

A) Conventional abdomen radiographs
B) Diagnostic ultrasound
C) Magnetic resonance imaging
D) Physical examination of the abdomen

Question 8

The abdominal calcification(s) marked by the black arrows in Figure 32-3B are characteristic for __________.

A) Concretions
B) Conduit wall calcifications
C) Solid mass calcifications
D) Cystic calcifications

Question 9

Which of the following is the most likely clinical presentation/history for this patient?

A) Asymptomatic
B) Acute-onset abdomen pain
C) 5- to 10-year history of episodic abdominal pain
D) Pulsatile abdominal mass

Question 10

The preferred imaging modality for evaluating the presence of gallstones or biliary duct obstruction is __________?

A) Abdominal radiographs
B) Computed tomography
C) Diagnostic ultrasound
D) Magnetic resonance imaging

Question 11

The most useful tool for follow-up evaluation of the abnormality observed in Figure 32-4 is __________.

A) Recumbent abdomen radiography
B) Computed tomography
C) Magnetic resonance imaging
D) Diagnostic ultrasound

Question 12

In Figure 32-4, the calcification within the pelvic soft tissues is characteristic for __________.

A) Appendicolith
B) Bladder calculus
C) Dermoid cyst
D) Uterine leiomyoma

Question 13

The upper limit of normal for small bowel diameter when distended by gas is __________ cm.

A) 2
B) 3
C) 4
D) 5

Question 14

Which percentage of cholelithiasis demonstrates calcification sufficient to be visualized on conventional radiography?

A) 0% to 9%
B) 10% to 15%
C) 16% to 30%
D) 90% to 95%

Question 15

Consultation with which of the following specialists is the most appropriate immediate follow-up in management of this patient?

A) Vascular surgeon
B) Urologist
C) Nephrologist
D) Gastroenterologist

Question 16

The condition responsible for the calcifications indicated by the white arrows in Figure 32-3 is __________.

A) Alcoholic pancreatitis
B) Pseudocysts
C) Hyperparathyroidism
D) Pancreatic cancer

Question 17

The patient should be questioned for possible __________.

A) Abnormal bleeding
B) Constipation
C) Acute abdominal pain
D) Abdominal pain with fatty meals

Question 18

Which finding is identified by the white arrows in Figure 32-1B?

A) Posterior
B) Valvulae conniventes
C) Coffee bean sign
D) Air-fluid levels

Question 19

The calcifications indicated by the white arrows are generally seen at which vertebral level with disk disease?

A) T12-L1
B) L1-L2
C) L2-L3
D) L3-L4

Question 20

What radiographic pattern of disease is evident in Figure 32-1?

A) Abnormal localized intraperitoneal gas collections
B) Pneumoperitoneum
C) Abnormal bowel gas resulting from obstruction
D) Pneumoretroperitoneum