Category: Writing

A 64-year-old man presents to the sonography department for
a right upper quadrant sonogram. He is complaining of abdominal pain, weight
loss, and pruritus. Sonographically, you visualize an area of dilated ducts
that abruptly end. What is the most likely diagnosis?
a. Biliary atresia
b. Choledocholithiasis
c. Caroli syndrome
d. Cholangiocarcinoma

The most common echogenicity of an acutely inflamed pancreas
is:
a. Anechoic b. Hyperechoic
c. Hypoechoic d. Calcified

Sonographically, you visualize scattered echogenic linear
structures within the liver parenchyma that produce ring-down artifact. What is
the most likely diagnosis?
a. Pneumobilia
b. Choledocholithiasis
c. Sludge balls
d. Cholesterolosis

The portion of the bowel that encompasses the head of the
pancreas is the:
a. Duodenum
b. Jejunum
c. Ileum
d. Cecum

A 32-year-old female patient presents to the sonography
department with a history of fever, leukocytosis, and right upper quadrant
pain. Sonographically, you visualize dilated bile ducts that have thickened
walls and contain sludge. What is the most likely diagnosis?
a. Choledocholithiasis
b. Cholangitis
c. Mirizzi syndrome
d. Biliary atresia

All of the following are clinical findings associated with
pancreatic adenocarcinoma except:
a. Epigastric pain
b. Weight loss
c. Jaundice
d. Decrease amylase and lipase

Which of the following would be the most distal portion of
the biliary tree?
a. Common bile duct
b. Common hepatic duct
c. Gallbladder
d. Intrahepatic radicles

Courvoisier gallbladder is found in the presence of:
a. Hepatitis
b. Cholecystitis and chronic pancreatitis
c. Adenocarcinoma in the head of the pancreas
d. Islet cell tumor in the tail of the pancreas

Which of the following is considered the most proximal
portion of the biliary tree?
a. Intrahepatic radicles
b. Cystic duct
c. Common hepatic duct
d. Common bile duct

Which of the following is the most common islet cell tumor?
a. Granuloma b. Gastrinoma
c. Insulinoma d. Cystadenoma