Penny Abdomen Review Exam Questions and Complete Solutions Graded A+, Exams of Law

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Penny Abdomen Review Exam Questions and Complete Solutions Graded A+ [Document subtitle] Denning [Date] [Course title]

Transitional cell carcinoma is commonly found in all of the following locations except: a. liver b. renal pelvis c. urinary bladder d. ureter - Answer: a. liver The neuroblastoma is a malignant pediatric mass commonly found in: a. kidney b. liver c. testicle d. adrenal gland - Answer: d. adrenal gland The pheochromocytoma is a benign mass commonly located in: a. testicle b. thyroid gland c. adrenal gland d. liver - Answer: c. adrenal gland Which of the following is not considered an intraperitoneal organ? a. liver b. pancrease c. gallbladder d. spleen - Answer: b. pancreas Which of the following is not considered retroperitoneal? a. abdominal lymph nodes b. kidneys c. adrenal glands d. ovaries - Answer: d. ovaries

c. malignant tumor of the pediatric liver d. malignant tumor of the pediatric adrenal gland - Answer: c. malignant tumor of the pediatric liver A Wilms tumor may also be referred to as a: a. neuroblastoma b. nephroblastoma c. hepatoblastoma d. hepatoma - Answer: b. nephroblastoma An angiosarcoma would most likely be discovered in: a. rectum b. gallbladder c. spleen d. pancreas - Answer: c. spleen A gastrinoma would most likely be discovered in the: a. pancreas b. adrenal gland c. stomach d. spleen - Answer: a. pancreas The space located beding the liver and stomach, and posterior to the pancreas is the: a. hepatosplenic space b. lesser sac c. greater sac d. supraduodenal space - Answer: b. lesser sac Of the list below, which is considered to be an intraperitoneal organ? a. left kidney

b. aorta c. IVC d. liver - Answer: d. liver Of the list below, which is considered to be a malignant testicular neoplasm? a. neuroblastoma b. hepatoma c. yolk sac tumor d. hamartoma - Answer: c. yolk sac tumor The oncocytoma is a mass noted more commonly in the: a. liver b. adrenal glands c. pancreas d. kidneys - Answer: d. kidneys These potential spaces extend alongside the ascending and descending colon on both sides of the abdomen: a. paracolic gutters b. periumbilical gutters c. greater gutters d. suprapubic gutters - Answer: a. paracolic gutters This common tumor of the kidney consists of blood vessels, muscle, and fat a. hemangioma b. angiomyolipoma c. oncocytoma d. pheochromocytoma - Answer: b. angiomyolipoma

A tumor that consists of a focal collection of blood best describes the: a. hematoma b. hemangioma c. hamartoma d. hepatoma - Answer: a. hematoma The malignant testicular tumor that consists of trophoblastic cells is the : a. cholangiocarcinoma b. teratoma c. yolk sac tumor d. chroriocarcinoma - Answer: d. chroriocarcinoma Which of the following lab values would be most helpful in evaluating a patient with recent trauma? a. white blood cell count b. a- fetoprotein c. blood urea nitrogen d. hematocrit - Answer: d. hematocrit Which of the following lab values would be most helpful in evaluating a patient with an infection? a. white blood cell count b. a- fetoprotein c. blood urea nitrogen d. hematocrit - Answer: a. white blood cell count The artifact most commonly encountered posterior to a gallstone is: a. acoustic enhancement b. shadowing c. ring down

d. reverberation - Answer: b. shadowing A collection of abdominal fluid within the peritoneal cavity often associated with cancer is termed: a. transudate ascites b. peritoneal ascites c. exudate ascites d. chromaffin ascites - Answer: c. exudate ascites The covering of the liver is referred to as: a. glisson capsule b. gerotas fascia c. morisons pouch d. hepatic fascia - Answer: a. glisson capsule The left love of the liver can be separated from the right lobe by: a. right hepatic vein b. middle hepatic vein c. left hepatic vein d. falciform ligament - Answer: b. middle hepatic vein The right lobe of the liver is divided into segments by the: a. middle lobar fissure b. middle hepatic vein c. right hepatic vein d. left hepatic vein - Answer: c. right hepatic vein The right intersegmental fissure contains the: a. right hepatic vein b. middle hepatic vein

a. abdominal aorta b. inferior vena cava and hepatic veins c. inferior vena cava and portal veins d. portal veins and spleen - Answer: b. inferior vena cava and hepatic veins The right portal vein divides into: a. middle, left, and right branches b. left and right branches c. anterior and posterior branches d. medial and lateral branches - Answer: c. anterior and posterior branches The diameter of the portal vein should not exceed: a. 4 mm b. 8 mm c. 10 mm d. 13 mm - Answer: d. 13 mm The right lobe of the liver can be divided into: a. medial and lateral segments b. medial and posterior segments c. anterior and medial segments d. anterior and posterior segments - Answer: d. anterior and posterior segments Which of the following is true concerning the portal veins? a. portal veins carry deoxygenated blood away from the liver b. portal veins have brighter walls than hepatic veins c. portal veins should demonstrate hepatofugal flow d. portal veins increase in diameter as they approach the diaphragm - Answer: b. portal veins have brighter walls than hepatic veins

The left lobe of the liver can be divided into: a. medial and lateral segments b. medial and posterior segments c. anterior and medial segments d. anterior and posterior segments - Answer: a. medial and lateral segments Budd-Chiari syndrome leads to reduction in the size of the: a. hepatic arteries b. portal veins c. hepatic veins d. common bile duct - Answer: c. hepatic veins A toungelike extension of the right lobe of the liver is termed: a. papillary lobe b. focal hepatomegaly c. reidel lobe d. morison lobe - Answer: c. reidel lobe The left portal vein divides into: a. middle, left, and right branches b. left and right branches c. anterior and posterior branches d. medial and lateral branches - Answer: d. medial and lateral branches The left umbilical vein after birth becomes the: a. falciform ligament b. main lobar fissure c. ligamentum teres

c. alcoholism d. cholangitis - Answer: c. alcoholism Clinical findings of hepatitis include all of the following except: a. jaundice b. fever c. chills d. pericholecystic fluid - Answer: d. pericholecystic fluid Immunocompromised patients are more prone to develop what form of hepatic abnormality? a. hepatic adenoma b. amebic abscess c. hydatid liver abscess d. candidiasis - Answer: d. candidiasis All of the following are sequela of cirrhosis except: a. portal vein thrombosis b. hepatic artery enlargement c. portal hypertension d. splenomegaly - Answer: b. hepatic artery enlargement Normal flow toward the liver in the portal veins is termed: a. hepatopetal b. hepatofugal - Answer: a. hepatopetal Which of the following is the most common form of liver cancer? a. hepatocellular carcinoma b. adenocarcinoma c. metastatic liver disease

d. hepatoblastoma - Answer: c. metastatic liver disease Which hepatic mass is closely associated with oral contraceptive use? a. hepatic adenoma b. hepatic hypernephroma c. hepatic hamartoma d. hepatic hemangioma - Answer: a. hepatic adenoma All of the following are clinical findings of hepatocellular carcinoma except: a. reduction in alpha-fetoprotein b. unexplained weight loss c. fever d. cirrhosis - Answer: a. reduction in alpha-fetoprotein A 71-year-old patient presents to the emergency department with painless jaundice and an enlarged, palpable gallbladder. These findings are highly suspicious for: a. Acute cholecystitis b. chronic cholecystitis c. courvoisier gallbladder d. porcelain gallbladder - Answer: c. courvoisier gallbladder The innermost layer of the gallbladder wall is the: a. fibromuscular layer b. mucosal layer c. serosal layer d. muscularis layer - Answer: b. mucosal layer The cystic artery is a branch of the: a. main pancreatic artery

a. cholecystic artery b. common hepatic artery c. main portal vein d. cystic artery - Answer: d. cystic artery The outermost layer of the gallbladder wall is the: a. fibromuscular layer b. mucosal layer c. serosal layer d. muscularis layer - Answer: c. serosal layer Hartmann pouch involves which part of the gallbladder: a. neck b. fundus c. body d. phrygian cap - Answer: a. neck The gallbladder is connected to the biliary tree by the: a. common hepatic duct b. common bile duct c. cystic duct d. right hepatic duct - Answer: c. cystic duct The junctional fold is found at which level of the gallbladder: a. neck b. fundus c. body d. phrygian cap - Answer: a. neck

What is/are cholelithiasis? a. inflammation of the gallbladder b. gallstones c. hyperplasia of the gallbladder wall d. stones within the biliary tree - Answer: b. gallstones The most common variant of gallbladder shape is the: a. phrygian cap b. hartmann pouch c. septated gallbladder d. junctional fold - Answer: a. phrygian cap (Davies says junctional fold is most common) The diameter of the gallbladder should not exceed: a. 8 cm b. 5 cm c. 7 mm d. 3 cm - Answer: b. 5 cm Acute cholecystitis that leads to necrosis and abscess development within the gallbladder wall describes: a. emphysematous cholecystitis b. gangrenous cholecystitis c. chronic cholecystitis d. gallbladder perforation - Answer: b. gangrenous cholecystitis All of the followign are sources of diffuse gallbladder wall thickening except: a. malignant ascites b. AIDS c. hepatits

b. membranous cholecystitis c. chronic cholecystitis d. gallbladder perforation - Answer: a. emphysematous cholecystitis A 32-year-old female patient presents to the sonography department with vague abdominal pain. The sonographic investigation of the gallbladder reveals a focal area of gallbladder wall thickening that produces a come tail artifact. These findings are associated with: a. gangrenous cholecystitis b. gallbladder perforation c. acalculous cholecystitis d. adenomyomatosis - Answer: d. adenomyomatosis Intermittent obstruction of the cystic duct by a gallstone results in: a. emphysematous cholecystitis b. gangrenous cholecystitis c. chronic cholecystitis d. acute cholecystitis - Answer: c. chronic cholecystitis A nonmobile, nonshadowing focus is seen within the gallbladder lumen. This most likely represents a: a. gallstone b. gallbladder carcinoma c. gallbladder polyp d. sludge ball - Answer: c. gallbladder polyp Focal tenderness over the gallbladder with probe pressure describes: a. Murphy sign b. Strawberry sign c. Courvoisier sign d. Hydrops signs - Answer: a. Murphy sign

The sequela of acute cholecystitis that is found more often in diabetic patients is a. emphysematous cholecystitis b. gangrenous cholecystitis c. chronic cholecystitis d. gallbladder perforation - Answer: a. emphysematous cholecystitis Cholesterol crystals within the Rokitansky-Aschoff sinuses are found with: a. acute cholecystitis b. Acalculous cholecystitis c. adenomyomatosis d. gallbladder perforation - Answer: c. adenomyomatosis The spiral valves of Heister are found within the: a. gallbladder neck b. cystic duct c. gallbladder fundus d. gallbladder wall - Answer: b. cystic duct Courvoisier's gallbladder is associated with which of the following: a. pancreatic head mass b. stone in the cystic duct c. cholecystitis d. chronic diverticulitis - Answer: a. pancreatic head mass A congenital disease in which there is narrowing or obliteration of the bile ducts is referred to as: a. caroli disease b. mirizzi disease c. choledochal cysts