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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. Consult surgery for cholecystectomy. There is a 20% increased risk for development of
gallbladdercarcinoma.
B.Drawbloodandtestfortriglycerides.Thisfindingisassociatedwithhypertriglyceridemia.
C.Nofurtherworkupisnecessary.Thisfindingisalmostcertainlybenign.
D.PerformanMRCPforasearchforgallstones.Thisfindingfrequentlycoexistswithgallstones.
12.Increasingthedepthorwidthofthefieldofviewwill:
A.Decreasetheframerate
B.Increasetheframerate
C.Increaseacousticimpedance
D.Decreaseacousticimpedance
13.Thespeedofsoundinsofttissuesis:
A.1,440m/s
B.1,540m/s
C.1,640m/s

D.1,740m/s
14. This patient is being evaluated for abnormal liver enzymes in the setting of a previous liver
transplant.Whatisthemostlikelydiagnosis?


A.Obstructingmass
B.Portalbiliopathy
C.Choledocholithiasis
D.Biliarycastsyndrome
15.Whichofthefollowingcancause“pseudo-sludge”inthegallbladder?
A.Posterioracousticenhancement
B.Sidelobeartifact
C.Mirrorimage

D.Speeddisplacement
16.Whichofthefollowinganatomicstructuresisprimarilyresponsiblefortheartifactshownbyarrow
inthisimage?


A.Diaphragm
B.Lung
C.Liver
D.Pleura
17a. A 29-year-old female presentswith rightupper quadrant pain and fever. USandCT imagesare
shown.Whichotherorganmaybeaffectedinthispatient?

A.Pancreas
B.Spleen
C.Kidneys
D.Adrenals
17b.Whatisthecharacteristicimagingfindingseeninthisentity?
A.Reversetargetsign
B.Clusterofgrapessign
C.Water-lilysign
D.Centraldotsign
17c. Communication of the cystic hepatic lesions with which of the following structures will help
confirmthediagnosisinthispatient?
A.Adjacentportalvein
B.Adjacentbileducts
C.Adjacenthepaticartery
D.Adjacenthepaticvein
18.A56-year-oldfemalepresentswithdiarrhea, right upperabdominalpain,malaise, andfeversince

returningfromacruise2weeksago.Laboratorytestsrevealelevatedwhitebloodcellcountandelevated
alkalinephosphatase.Whatisthemostappropriatenextstepinmanagement?

A.Percutaneousdrainage
B.Imaging-guidedbiopsy
C.LiverprotocolMRI
D.Surgicalresection
19.Duringalaparoscopicliverresection,themetalarticulatingliverretractorbreaksandmultiple2-cm-
long cylindrical metal segmentsspill into the patientandare removedbythe surgeon. On a follow-up
abdominalultrasound3monthslater,ashadowingforeignbodywaslocatedintherightabdominalwall.
Uponretrospectivereviewoftheintraoperativeclosingfilmsthatwereinitiallyinterpretedasnegative,a
foreignbodycorrespondingtothebrokenretractorcanbeseenintheoverexposedcorneron oneofthe
four intraoperativeabdominalx-rays.It couldonly beseen when the imagewasbrightened.Inamodel
classificationsystem,whatkindoferror(s)occurred?
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