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The appendix is located at:


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

E) None of the above
F) A) and B)

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The colon is divided into segments called:


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

E) A) and B)
F) B) and C)

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The mesentery projects from the parietal peritoneum attaching to the:


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

E) B) and C)
F) A) and B)

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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

E) A) and D)
F) A) and C)

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


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

E) All of the above
F) None of the above

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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.

E) A) and B)
F) A) and D)

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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.

E) C) and D)
F) B) and D)

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


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

E) None of the above
F) A) and B)

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A diverticulum is most common in the:


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

E) A) and D)
F) A) and C)

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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

E) B) and D)
F) A) and D)

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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.

E) A) and B)
F) All of the above

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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

E) A) and B)
F) A) and C)

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


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

E) None of the above
F) A) and B)

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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.

E) A) and B)
F) All of the above

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B

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


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

E) All of the above
F) B) and D)

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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.

E) A) and C)
F) A) and B)

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The pseudokidney sign may be seen in:


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

E) A) and B)
F) All of the above

Correct Answer

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The "keyboard" sign is seen in the:


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

E) B) and C)
F) None of the above

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B

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


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

E) B) and C)
F) A) and B)

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


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

E) None of the above
F) A) and B)

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C

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