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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана
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A.Renalcellcarcinoma
B.Hypertension
C.Portalhypertension
D.Renalatrophy
27.A52-year-oldmaleoutpatientunderwentrenalultrasound.Whichultrasoundartifactisshowninthe
image?
Image courtesy of Biren Shah, MD, FACR, Associate Professor of Radiology and Director of Breast
Imaging,VirginiaCommonwealthUniversityHealthSystem,Richmond,VA.
A.Posterioracousticshadowing
B.Dropoutartifact
C.Ring-downartifact
D.Side-lobeartifact
28. Shown hereare anultrasoundimageoftherightkidneyinthetransverseplaneandanunenhanced
axialCTimageofabdomenofapatientwithchronicrenalfailure.Whatistheappropriatemanagement
forthispatient?
A. The echogenic rim and diffuse acoustic shadowing in the right kidney is consistent with
emphysematouspyelonephritis.Thepatientneedsaggressivemanagementwithantibioticsand
possiblerightnephrectomy.
B. Diffuse cortical and medullary nephrocalcinosis with diffuse acoustic shadowing on
ultrasoundisconcerningforoxalosis.Ifconfirmed, the patient needssimultaneousliver and
renaltransplantation.
C. Irrespective of etiology, the extensive renal parenchymal calcification and chronic renal
failurewouldrequiremanagementwithisolatedrenaltransplantation.
D.Renalcellcanceristhemostcommonrenalneoplasmwithcalcification.The patientshould
undergotargetedpercutaneousrenalbiopsytoassessformalignancy.
29.Sagittalimagingfromthepelvisofa68-year-oldmaleintheintensivecareunitwasperformedfor
hematuriafollowingFoleycatheterplacement.Whatisthemostlikelyetiologyofhematuria?
A.Bladdercancer
B.MalpositionedFoley
C.Iatrogenicperforation
D.Abscess
30.ColorandduplexDopplerimagesofarenaltransplantareshown.WhatisthecauseoftheDoppler
abnormalities?
A.Renalarterypseudoaneurysm
B.Renalveinthrombosis
C.Renalarteriovenousfistula
D.Renalarterystenosis
31. Inassessinga suspectedsolid renalmass using color andspectralDoppler,howmightselecting a
probe with a higher transmitted frequency improve the sensitivity for detection of intralesional blood
flow?
A.AhighertransmittedfrequencyincreasesthestrengthofreflectionfromRBCs.
B.Ahighertransmittedfrequencyreducesside-lobeartifact.
C.Ahighertransmittedfrequencyimprovestissuepenetration.
D.AhighertransmittedfrequencyreducestheDopplerfrequencyshift.
32.Priortoperformingadiagnostic renalultrasound,twopatientidentifiersshouldbeusedsothatthe
rightpatientreceivestherightinvasiveornoninvasiveprocedure.Acceptableidentifiersinclude:
A.Locationofpatient
B.Roomnumberofpatient
C.Patient’sdiagnosis
D.Hometelephonenumber
33. Color andduplex imaging ofarenaltransplant is performed followinga biopsy. Whatisthemost
likelydiagnosisforthelesionindicatedbythearrow?
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