EMERGENT FINDINGS

People frequently go to the emergency department for all of the following reasons except:

Ear pain

The complications of peritoneal lavage include all of the following except:

Pneumothorax

In the trauma setting, the most common finding of free fluid in the abdomen or pelvis is:

Hemoperitoneum

The sonographic findings in aortic dissection include all of the following except:

Laminar blood flow pattern

Types of abdominal hernias include all of the following except:

Carcerated hernia

The most common sonographic finding of a hernia is:

Peristalsis of the bowel both during and after a Valsalva maneuver

The traditional modality of choice for evaluating urolithiasis is:

Intravenous urography

Posttrauma, the most common location for fluid to accumulate is in the ____

Morison’s pouch

The survey of a FAST scan is directed to evaluating the following areas except:

Right supradiaphragmatic

Torison of the spermatic cord occurs as a result of which one of the following?

Abnormal mobility of the testis

In the early stages of testicular torsion, the echogenicity of the testis appears _____

Normal

One of the most common conditions that necessitates emergent surgery is:

Acute appendicitis

Sonographic findings of acute cholecystitis include all of the following except:

Small gallbladder

Sonographic findings in acute pancreatitis may include all of the following except:

Atrophy

Midgastric pain radiating to the back is most characteristic of:

Acute pancreatitis

The most common cause of acute cholecystitis is:

Cholelithiasis with obstruction of the cystic duct

Approximately 70% of aortic dissections occur in the:

Ascending aorta

Clinical findings associated with aortic dissection may include all except:

Transchiemic attack

A hernia in the bowel that cannot be reduced is a(n) ____ hernia

Incarcerated

In reproductive age women, a small amount of free fluid isolated to the posterior cul de sac is likely associated with which one of the following?

Physiologic

Common locations where hernias occur include all EXCEPT:

Renal pelvis

On ultrasound, hernia contents may appear as:

Fluid, bowel, or fat

A reducible hernia is defined as:

Can be returned back into the abdomen

A strangulated hernia refers to:

Hernia with compromised blood supply

An incarcerated hernia is:

Irreducible but with intact blood supply

A hernia forms due to:

Weakness in abdominal wall + increased intra-abdominal pressure

Inguinal hernias most commonly affect:

Males

An indirect inguinal hernia:

Follows the course of the spermatic cord

An indirect inguinal hernia is located:

Lateral to inferior epigastric vessels

A direct inguinal hernia:

Bulges through weakened abdominal wall fascia

A direct inguinal hernia is located:

Medial to inferior epigastric vessels

Which hernia is most likely to extend into the scrotum?

Indirect inguinal

FAST stands for:

Focused Assessment with Sonography for Trauma

The FAST exam is most sensitive for detecting:

Free intraperitoneal fluid

The most frequent complaint in the emergency department is:

Right upper quadrant (RUQ) abdominal pain

Right upper quadrant pain is classically associated with:

Cholelithiasis or cholecystitis

On ultrasound, pericardial effusion appears as:

Anechoic or hypoechoic fluid surrounding the heart

Classic clinical presentation of urolithiasis includes:

Spasmodic flank pain radiating to groin

Hematuria is found in approximately what percentage of patients with urolithiasis?

85%

Over time, obstruction from a ureteral stone can lead to:

Hydronephrosis