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EXAM 2 STUDY PREP
Abdominal Sonography II
| Question | Answer |
|---|---|
| What sonographic findings may indicate appendicitis in a child? | Free peritoneal fluid, loculated fluid in the lower abdomen, & appendicolith (all are correct) |
| The normal pediatric gallbladder should not be longer than which abdominal organ? | Kidney |
| What is the maximum CBD diameter (in mm) in older children? | 4 |
| How many hours should a 2-year-old be held NPO for a biliary examination? | 4 hours |
| What is the medical condition that can lead to liver cirrhosis in neonatal patients? | Biliary Atresia |
| Why is sonography often used as the first imaging procedure in examining symptomatic neonates and young children? | Excellent visualization of the abdomen & pelvis, doesn't expose patient to ionizing radiation or iodinated contrast media, it's portability & low cost (all are correct) |
| Mesenchymal hamartoma, adenoma, and focal nodular hyperplasia make up what percentage of benign liver tumors in children? | 50% |
| What may be a pitall in diagnosing appendicitis? | Enlarged lymph nodes |
| The pylorus muscle connects which part of the stomach to the duodenum? | Antrum |
| What is the most common acute abdominal disorder in early childhood? | Intussesception |
| What is the outer diameter (in mm) of the appendix in children with appendicitis? | >6-7 |
| What techniques should a sonographer consider using when preparing to examine a young child? | Use age-appropriate terms, get the parent(s) involved in the procedure, maintain a cheerful attitude and help the child have fun (all are correct) |
| What is the mean portal vein diameter (in mm) in children less than 10 years old? | 8.5 |
| What are the most common causes of prolonged neonatal jaundice? | Biliary atresia, choledochal cyst, hepatitis (all are correct) |
| Hepatoblastoma is associated with which medical condition? | Precocious puberty |
| What are some sonographic "signs" associated with imaging the bowel? | Pseudokidney, Doughnut, Target (all are correct) |
| What is the most common type of choledochal cyst? | Fusiform dilation of the CBD |
| In which direction can an over-distended stomach displace the pylorus? | Posteriorly |
| Children with intussusception may exhibit what clinical signs and symptoms? | Colickly abdominal pain, vomiting, blood stolls (all are correct) |