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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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A.  Consult surgery for cholecystectomy. There is a 20% increased risk for development of
gallbladdercarcinoma. B.Drawbloodandtestfortriglycerides.Thisfindingisassociatedwithhypertriglyceridemia. C.Nofurtherworkupisnecessary.Thisfindingisalmostcertainlybenign. D.PerformanMRCPforasearchforgallstones.Thisfindingfrequentlycoexistswithgallstones.
12.Increasingthedepthorwidthofthefieldofviewwill:
A.Decreasetheframerate B.Increasetheframerate C.Increaseacousticimpedance D.Decreaseacousticimpedance
13.Thespeedofsoundinsofttissuesis:
A.1,440m/s B.1,540m/s C.1,640m/s
D.1,740m/s
14.  This patient is being evaluated for abnormal liver enzymes in the setting of a previous liver
transplant.Whatisthemostlikelydiagnosis?
A.Obstructingmass B.Portalbiliopathy C.Choledocholithiasis D.Biliarycastsyndrome
15.Whichofthefollowingcancause“pseudo-sludge”inthegallbladder?
A.Posterioracousticenhancement B.Sidelobeartifact C.Mirrorimage
D.Speeddisplacement
16.Whichofthefollowinganatomicstructuresisprimarilyresponsiblefortheartifactshownbyarrow
inthisimage?
A.Diaphragm B.Lung C.Liver D.Pleura
17a.  A 29-year-old female presentswith rightupper quadrant pain and fever. USandCT imagesare
shown.Whichotherorganmaybeaffectedinthispatient?
A.Pancreas B.Spleen C.Kidneys D.Adrenals
17b.Whatisthecharacteristicimagingfindingseeninthisentity?
A.Reversetargetsign B.Clusterofgrapessign C.Water-lilysign D.Centraldotsign
17c.  Communication of the cystic hepatic lesions with which of the following structures will help
confirmthediagnosisinthispatient?
A.Adjacentportalvein B.Adjacentbileducts C.Adjacenthepaticartery D.Adjacenthepaticvein
18.A56-year-oldfemalepresentswithdiarrhea, right upperabdominalpain,malaise, andfeversince
returningfromacruise2weeksago.Laboratorytestsrevealelevatedwhitebloodcellcountandelevated alkalinephosphatase.Whatisthemostappropriatenextstepinmanagement?
A.Percutaneousdrainage B.Imaging-guidedbiopsy C.LiverprotocolMRI D.Surgicalresection
19.Duringalaparoscopicliverresection,themetalarticulatingliverretractorbreaksandmultiple2-cm-
long cylindrical metal segmentsspill into the patientandare removedbythe surgeon. On a follow-up abdominalultrasound3monthslater,ashadowingforeignbodywaslocatedintherightabdominalwall. Uponretrospectivereviewoftheintraoperativeclosingfilmsthatwereinitiallyinterpretedasnegative,a foreignbodycorrespondingtothebrokenretractorcanbeseenintheoverexposedcorneron oneofthe four intraoperativeabdominalx-rays.It couldonly beseen when the imagewasbrightened.Inamodel classificationsystem,whatkindoferror(s)occurred?