Deck 28: Introduction to Abdomen Radiography

Question 1

Dissecting aortic aneurysm would refer pain to which of the following areas?

A) Groin
B) Lumbar spine
C) Midthoracic spine, heart area
D) Right upper abdomen

Answer 1

Lumbar spine

Question 2

Another name for the gastric air bubble is the _________.

A) fundus
B) antrum
C) magenblase
D) gastroesophageal junction

Answer 2

magenblase

Question 3

Which of the following radiographic views is most likely to confirm pneumoperitoneum?

A) Recumbent anteroposterior abdomen
B) Decubitus abdomen
C) Oblique abdomen
D) Upright PA chest

Answer 3

Upright PA chest

Question 4

Where may the pancreas refer musculoskeletal pain?

A) Midlumbar spine
B) Lower thoracic spine
C) Groin
D) Inferior scapula

Question 5

What is the most useful technique for locating and evaluating ovaries?

A) CT
B) MRI
C) Plain film
D) Ultrasound

Question 6

Which of the following is not a retroperitoneal structure?

A) Kidney
B) Urinary bladder
C) Aorta
D) Descending colon

Question 7

Where is the spleen located?

A) LLQ
B) LUQ
C) RUQ
D) RLQ

Question 8

Where may the gallbladder refer musculoskeletal pain?

A) Lumbar spine
B) Inferior scapula
C) Groin
D) Right lumbar paraspinal region

Question 9

What is the diagnostic imaging modality of choice to diagnose cervical cancer?

A) Plain film
B) Ultrasound
C) CT
D) Hysterosalpingogram

Question 10

MRI evaluation of the abdomen is not suited for assessing pathology in the __________.

A) liver
B) kidney
C) bowel
D) adrenals

Question 11

Which of the following abdominal structures would not be suitable for diagnostic ultrasonography evaluation?

A) Gas-filled bowel
B) Liver
C) Kidneys
D) Ovaries

Question 12

Which of the following clinical diagnoses is most likely to be confirmed with radiographic examination of the abdomen?

A) Cholangeitis
B) Acute hepatitis
C) Acute pancreatitis
D) Nephrolithiasis

Question 13

Which diagnostic imaging modality is most appropriate in evaluating an adult female patient with abdominal pain and tenderness who may also be pregnant?

A) Conventional abdominal radiographs
B) Computed tomography
C) Diagnostic ultrasonography
D) Angiography

Question 14

Ascites is best detected using CT and which of the following methods?

A) MRI
B) Plain film
C) Endoscopy
D) Ultrasound

Question 15

Approximately where are the kidneys usually located?

A) L1 to L3 levels
B) T10 to T12 levels
C) L3 to L5 levels
D) T11 to L1 levels

Question 16

Which of the following diagnoses is not considered an indication for abdominal plain film radiography?

A) Intestinal obstruction
B) Gallstone ileus
C) Inflammatory bowel diseases
D) Bowel infarction

Question 17

What is the best imaging modality to differentiate an abscess from bowel gas?

A) CT
B) MRI
C) Plain film
D) Ultrasound

Question 18

Which of the following segments of the bowel generally lacks enough gas to serve any diagnostic purpose for plain film (noncontrasted) radiography?

A) Stomach
B) Jejunum
C) Ascending colon
D) Descending colon

Question 19

Further diagnostic studies are needed to evaluate for potential hepatomegaly in a patient whose abdominal radiographs show the liver to extend inferiorly __________ and medially __________.

A) below the 12th rib, to the midclavicular line
B) below the right iliac crest, across midline
C) below the hepatic flexure of the colon, to the right lumbar transverse processes
D) to the L4 level, to the midline

Question 20

Which of the following is the optimal kV range for abdominal radiographic examination?

A) 60-69
B) 80-89
C) 90-99
D) 100-110

Question 21

The air-filled large bowel is easily recognized on radiographs by the presence of semilunar mucosal folds, also known as __________.

A) volvulus
B) haustra
C) valvulae conniventes
D) villi

Question 22

Lumbopelvic radiographic examination of a 49-year-old female patient with pelvic pain shows amorphous calcification within the region of the uterus, consistent with uterine fibroid. Which of the following diagnostic imaging studies is recommended for initial follow-up?

A) Ultrasonography
B) Pelvic radiograph
C) Magnetic resonance imaging
D) Hysteroscopy

Question 23

A 38-year-old female patient has a history of pelvic inflammatory disease and is struggling to conceive. Which diagnostic imaging study would be beneficial in evaluating patency of the fallopian tubes?

A) Ultrasound
B) Hysterosalpingography
C) Magnetic resonance imaging
D) Computed tomography

Question 24

A patient with chronic history of nonsteroidal antiinflammatory consumption reveals epigastric pain, mostly at night, which is gnawing and burning in sensation. Which of the following diagnostic imaging modalities would be the most appropriate initial diagnostic imaging modality for follow-up of possible peptic ulcer disease?

A) Endoscopy
B) Upper gastrointestinal barium study
C) Endoscopic retrograde cholangiopancreatography
D) Enteroclysis

Question 25

Radiographs of the 58-year-old male patient with hematuria and history of renal carcinoma show a bulge in the lateral margin of the left kidney. Which of the following diagnostic imaging modalities is usually the first imaging modality recommended in further assessment?

A) Ultrasonography
B) Intravenous pyelography
C) Computed tomography
D) Magnetic resonance imaging

Question 26

Within the following diagnostic imaging modalities would allow most sensitive and accurate assessment for suspected appendicitis?

A) Diagnostic ultrasonography
B) Conventional tomography
C) Computed tomography
D) Magnetic resonance imaging

Question 27

Gas outlining the posterior wall of which of the following structures helps to assist in measuring the presacral space on lateral radiographic examination of the spine?

A) Cecum
B) Sigmoid colon
C) Rectum
D) Urinary bladder

Question 28

Which of the following diagnostic imaging modalities would allow for direct visualization of the mucosa of the stomach?

A) Fiberoptic endoscopy
B) Barium contrast study
C) Computed tomography
D) Conventional radiography

Question 29

Physical examination of the testes in a 32-year-old male patient discovers a palpable nodule in the left testicle. Which of the following is the most appropriate diagnostic imaging study for follow-up?

A) Computed tomography
B) Magnetic resonance imaging
C) Intravenous urography
D) Ultrasonography

Question 30

The diagnostic imaging procedure of choice in a patient with right upper quadrant pain referred to the inferior scapula is __________.

A) ultrasonography
B) endoscopic retrograde cholangiopancreatography
C) computed tomography
D) abdominal radiography

Question 31

Which of the following organs is best examined with double contrast barium enema?

A) Large bowel
B) Small bowel
C) Appendix
D) Gallbladder

Question 32

Which of the following structures is intimate to the head of the pancreas?

A) Duodenum
B) Liver
C) Spleen
D) Right kidney

Question 33

Which of the following is the most appropriate diagnostic imaging follow-up in a patient with history of chronic alcoholism, who has pain referred to the lower thoracic spine, and whose radiographs show punctate calcifications traversing the upper lumbar spine on AP radiographs of the abdomen?

A) Endoscopic retrograde cholangiopancreatography
B) Diagnostic ultrasonography
C) Computed tomography
D) Upper gastrointestinal barium study

Question 34

Which of the following diagnostic imaging procedures provides the best imaging of the prostate?

A) Computed tomography
B) Magnetic resonance imaging
C) Transcutaneous ultrasonography
D) Transrectal ultrasonography

Question 35

The diagnostic imaging modality of choice for evaluating aortic diameter in searching for aneurysm, occlusion, or stenosis is __________.

A) conventional radiography
B) computed tomography
C) magnetic resonance imaging
D) ultrasonography

Question 36

The diagnostic imaging procedure in which the entire length of the small bowel is examined by taking radiographs after barium suspension administered through a tube inserted through the patient's nose, and into the stomach and small intestine, is known as _________.

A) enteroclysis
B) wireless endoscopy
C) upper GI
D) endoscopy

Question 37

The most appropriate initial diagnostic imaging study in follow-up of a patient with cystic calcifications within the right upper quadrant of the abdomen is __________.

A) ultrasonography
B) oral cholecystography
C) percutaneous transhepatic radiography
D) computed tomography

Question 38

Direct observation of the tissue lining the anterior margins of the colon would best be accomplished with which of the following diagnostic imaging studies?

A) Computed tomography
B) Barium enema
C) Positron emission tomography
D) Fiberoptic exam

Question 39

Which of the following is not a common location for lodging of calculi within the urinary tract?

A) Junction of the ureter and renal pelvis
B) Point where the ureter crosses the iliac crest
C) Junction of the ureter and bladder
D) Junction of the renal calyces and renal pelvis

Question 40

Vas deferens calcification is seen in patients with __________.

A) hyperparathyroidism
B) diabetes mellitus
C) sexually-transmitted disease
D) nephrolithiasis

Question 41

The stomach is identified on plain film by the gas it contains, especially the _____, located superiorly in the fundus on upright views.

A) rugae
B) mucosa
C) magenblase
D) gastroesophageal junction

Question 42

The most common causes of pneumoperitoneum include all but which of the following?

A) Recent laparotomy
B) Trauma
C) Abscess
D) Spontaneous