Penny Book Questions

Which of the following is a cyst located in female urethra?

Skene gland cyst

64 year old w/anorexia, gross hematuria, flank pain, & hx of smoking. What renal mass is most likely?

RCC / hypernephroma

which lab function is most helpful in predicting evidence of renal infarction?

LDH

checks for general tissue damage

which is described as disorder caused by damage to glomeruli resulting in proteinuria, swelling of ankles, face, & feet due to excess water retention?

nephrotic syndrome

disorder causing body to pass too much protein throiugh urine

what would least likely be associated w medullary nephrocalcinosis?

pyonephritis

hypercalcemia

urinary tract infection

hyperparathyroidism

pyonephritis

most common cause of prune belly syndrome?

megacystitis

what enzyme is produced by kidneys to assist in BP regulation?

renin

childhood autoimmune disease resulting in purple spots on skin & possible renal failure?

Henoch-Schonlein purpura

most indicative of renal artery stenosis?

RAR > 3.5 (renal to aorta ratio)

the systemic disorder associated w/epilepsy that leads to development of solid tumors in various organs including AMLS in kidneys is…

tuberous sclerosis

clinical findings of glomerulonephritis include all of the following except…

proteinuria

throat infection

azotemia (high BUN & creatinine)

hypercalcemia

hypercalcemia

which is not considered intrinsic cause for hydro?

ureterocele

urethritis

urolithiasis

UPJ

urethritis

A NICU baby suffers from brief anoxia at birth & now has jaundice. Superior to rt kidney, triangle shaped, hetero mass is visualized. What is most likely?

adrenal hemorrhage

cushing vs conn syndrome

excess cortisol- metabolizer increase & break down of muscle

excess aldosterone- BP increase

all of the following are associated w/Conn syndrome except:

adrenal adenoma

hypertension

excessive thirst

thinning arms & legs

thinning arms & legs

which would result in a buffalo hump & moon-shaped face?

hypercortisolism (cushing)

what is the cause of Cushing disease?

anterior pituitary gland tumor

bronzing of the skin is clinical finding associated with…

Addison disease

Addison disease

also called primary adrenal insufficiency

lacks enough production of cortisol

Which of the following is associated w/hyponatremia? (low levels sodium)

Which is associated w/hypernatremia? (high levels sodium)

Addison disease

Conn syndrome

Which adrenal mass is associated w/uncontrollable HTN, tachycardia, & tremors?

pheochromocytoma

when does neuroblastoma typically present?

< 5 years

bone pain & purple skin are clinical findings associated w/what adrenal tumor?

pheochromocytoma

What is associated w/excessive urination & hyperkalemia?

Conn syndrome

common cause for femoral artery pseudo?

heart catheterization

diameter for common iliacs should not exceed…

2 cm

what would a high resistance SMA even after eating indicate?

small bowel ischemia

which of the following is not a section of the IVC?

postrenal

pancreatic

prerenal

hepatic

pancreatic

the diameter of IVC should never exceed…

2.5 cm

what’s another name for cystic hygroma?

lymphangioma

autoimmune lymphocytic thyroiditis

AKA Hashimoto disease

weight gain, cold sensitivity, menorrhagia

which muscle does fibromatosis colli mostly affect?

sternocleidomastoid

the fluid produced by the thyroid gland that contains thyroid hormones is referred to as…

colloid

what is associated w/congenital muscular torticollis?

fibromatosis colli

most common form of salivary gland cancer..

Mucoepidermoid carcinoma

what covers the corpora cavernosa & corpus spongiosum of the penis?

buck fascia

what would likely be associated w/hematospermia & painful ejaculation?

prostatitis

which testicular tumor is found in younger patients & associated w/high levels of estrogens & gynecomastia?

sertoli cell tumor

multiple non-shadowing, echogenic foci throughout both testes is a sign of…

infertility

most common side for primary & secondary varicocele

primary- lt side

secondary- rt side

what hormone from the mother can cause hip dysplasia in infant?

estrogen

medical term for the wrist bones

carpals

which is not a cause of gynecomastia?

Klinefelter syndrome

marijuana use

hepatoblastoma

renal adenocarcinoma

renal adenocarcinoma

clinical test for torn achilles

Thompson test

inflammation of breast related to pregnancy is called…

puerperal mastitis

how do most foreign objects appear on US?

hypoechoic

a complicated baker cyst may contain a thin flap of tissue referred to as…

pannus

how many lobes does the left lung have? how many does right?

2

3

what is the thyroid in the belly sign?

hyperechoic edematous connective tissue surrounding an inflamed appendix

what term means twisting of the bowel?

volvulus

which bowel segment is most affected by diverticulitis?

sigmoid colon in LLQ

the diameter of intussuscepted bowel will exceed…

3 cm

pseudomyxoma peritonei can result from…

appendix cancer

what abnormality associates red currant jelly stools?

intussusception

gastric carcinoma is most often in the form of…

adenocarcinoma

bowel obstructions from buildup of injested hair…

trichobezoar

sonographic findings of fluid-filled, distended loops of bowel is…

intestinal obstruction

GB wall layers inner to outer

mucosal

muscularis

serosal

what is a benign lesion that is a congenital malformation of the lymphatic system?

hemangioma

is the spleen retro or intraperitoneal?

intraperitoneal

all of following are functions of spleen expect…

storage or iron

defense against disease

blood reservoir

destruction of phagocytic cells

destruction of phagocytic cells

all of following can be associated w/splenomegaly except:

trauma

hemolytic abnormalities

mononucleosis

pancreatitis

pancreatitis

congenital anomaly where spleen is divided into 2 portions by band of tissue…

splenic cleft

patients w/sickle cell anemia have increased risk for:

hemangiomas

hamartomas

hydatid cysts

gallstones

gallstones

heterotaxia (misplaced/missing) syndrome may be associated w/both cardiac malformation and…

ploysplenia

malignant testicular tumor that consists of trophoblastic cells is…

choriocarcinoma

non-linear propagation of sound as it travels through body to get better axial & lateral res…

harmonics

which lab findings is associated w/decrease in albumin?

cirrhosis

benign CONGENITAL malformation of spleen

lymphangioma

pheochromocytoma appearance

hyeperechoic

heterogenous

what hormone regulates BP & fluid balance?

aldosterone

hematospermia & painful ejaculation

prostatitis

endocrine function & exocrine function of testes

endocrine- testosterone

exocrine- sperm