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E. Splenic cysts

Right!

The correct answer is E, splenic cysts.

Tutorial

Splenic Cysts

by
Beth M. Anderhub, MEd, RT, CNMT, RDMS
Mary Jane Baker, RT, RDMS

Splenic cysts are subdivided into several groups: (1) congenital, including the epidermoid cyst; (2) parasitic, including the echinoccal cyst; (3) neoplastic, including the dermoid and epithelial cysts; (4) pseudocystic, including cysts associated with adult polycystic disease and occult splenic rupture.

1 Clinical symptoms and laboratory test results
Most cysts are asymptomatic. Large or multiple cysts may produce splenomegaly and/or left upper quadrant pain or pressure. Cysts related to bacterial infection typically are associated with an elevated WBC.

2 Sonographic findings
True cysts, such as epithelial cysts, typically display smooth, thin walls, an anechoic interior, and distal acoustic enhancement. Echinoccal cysts and pseudocysts usually demonstrate a thicker wall that may become calcified, and may contain internal echoes caused by hemorrhage, infection, or necrosis.

3 Conditions that can mimic splenic cysts
Old hematomas resulting from occult trauma may appear to meet the full criteria of a simple neoplastic cyst.

4 Where else to look
The presence of multiple splenic cysts suggests adult polycystic disease and the sonographer should examine both kidneys for evidence of cyst formation. Echinoccal infection of the spleen is rare. Nevertheless, the sonographer should examine the liver if this pathology is suspected.

__________

Reprinted with permission from Anderhub BM, Baker MJ: The spleen. In Abdominal Sonography: An Illustrated Review. Pasadena, CA, Davies Publishing Inc., 2008; and Owen C, Grant EG: Abdominal Sonography Mock Exam on CD-ROM. Pasadena, CA, Davies Publishing Inc., 2004.

Sources

Anderhub BM, Baker MJ: The spleen. In Abdominal Sonography: An Illustrated Review. Pasadena, CA, Davies Publishing Inc., 2008.

Owen CA, Grant EG: Abdominal Sonography Mock Exam on CD-ROM. Pasadena, CA, Davies Publishing Inc., 2004.

Abdominal Sonography Mock Exam (Download)
An Interactive Q&A Review for the ARDMS Specialty Exam
Version 3.0 Download


Abdominal Sonography Mock Exam (Download)
Cindy A. Owen, RT, RVT, RDMS, FSDMS
Edward G. Grant, MD

Exam: Abdominal Sonography
Step 2: Mock Exam
CME Credits: 15
ISBN: 0941022641
Format: Download
Catalog No: 11041-DL
Price: $79.95

More Details2
Powerful, featuresome, and fun, this multimedia wonder simulates the ARDMS exam experience right down to the automatic timer, and it delivers CME credit conveniently and inexpensively. This is the CD that does NOT skip explanations, shut down after a certain amount of use, shortchange you with inadequate content, or fail to give you a complete topic-by-topic analysis of your performance. Before you know it, you will be preparing for your registry exams, earning CME credit, or both. And you will be doing it with the latest version of Davies’ state-of-the-art mock exam, written and peer-reviewed by experts and so easy to use that no one has ever called to ask, How do I use this? In fact—dare we say it?—you might even have fun.

If you would rather get the packaged CD-ROM version of this product click here.

574 questions and answers in registry format ensure that you are
     prepared.

88 image-based cases sharpen your wits.

Simple explanations clarify answer choices.

Concise tutorials cover key concepts.

Video clips teach clinical principles.

References guide your further study.

Automatic timer paces you.

Performance analysis automatically scores and guides you.

Unlimited personal use means you pay only once.

Educational site licenses available for educators and DMS
     programs.

Earn 15 hours SDMS-approved CME credit.

Most RDMS candidates in Abdomen combine this download with Ultrasound Physics Review: SPI Edition and Abdominal Ultrasound: How, Why, and When. Need advice? Call us!

System Requirements

Compatibility* for Windows computers: Windows 98 or above. Not compatible with Windows 95 or previous.

Compatibility* for Macintosh computers: Mac OS X 10.4.8 or above, PowerPC G3, G4, G5 or Intel-based Mac, 256 MB of RAM.

*Note on compatibility: These programs are designed to be used on desktop and laptop computers using the above-mentioned operating systems. They are NOT COMPATIBLE with tablet and smart phone devices using mobile operating systems such as Google's Android and Apple's iOS.
Specials | Readers' Comments | Reviews | Contents | Sample | Cover
Abdominal Sonography CD-ROM Mock Exam
An Interactive Q&A Review for the ARDMS Specialty Exam
Version 3.0 CD-ROM


Abdominal Sonography CD-ROM Mock Exam
Cindy A. Owen, RT, RVT, RDMS, FSDMS
Edward G. Grant, MD

Exam: Abdominal Sonography
Step 2: Mock Exam
CME Credits: 15
ISBN: 0941022641
Format: CD-ROM
Catalog No: 11041-DISC
Price: $89.95

More Details2
Powerful, featuresome, and fun, this multimedia wonder simulates the ARDMS exam experience right down to the automatic timer, and it delivers CME credit conveniently and inexpensively. This is the CD that does NOT skip explanations, shut down after a certain amount of use, shortchange you with inadequate content, or fail to give you a complete topic-by-topic analysis of your performance. Before you know it, you will be preparing for your registry exams, earning CME credit, or both. And you will be doing it with the latest version of Davies’ state-of-the-art mock exam, written and peer-reviewed by experts and so easy to use that no one has ever called to ask, How do I use this? In fact—dare we say it?—you might even have fun.

If you would rather get the downloadable version click here.

574 questions and answers in registry format ensure that you are
     prepared.

88 image-based cases sharpen your wits.

Simple explanations clarify answer choices.

Concise tutorials cover key concepts.

Video clips teach clinical principles.

References guide your further study.

Automatic timer paces you.

Performance analysis automatically scores and guides you.

Unlimited personal use means you pay only once.

Educational site licenses available for educators and DMS
     programs.

Earn 15 hours SDMS-approved CME credit.

Most RDMS candidates in Abdomen combine this CD with Ultrasound Physics Review: SPI Edition and Abdominal Ultrasound: How, Why, and When. Need advice? Call us!

System Requirements

Compatibility* for Windows computers: Windows 98 or above. Not compatible with Windows 95 or previous.

Compatibility* for Macintosh computers: Mac OS X 10.4.8 or above, PowerPC G3, G4, G5 or Intel-based Mac, 256 MB of RAM.

*Note on compatibility: These programs are designed to be used on desktop and laptop computers using the above-mentioned operating systems. They are NOT COMPATIBLE with tablet and smart phone devices using mobile operating systems such as Google's Android and Apple's iOS.
Specials | Readers' Comments | Reviews | Contents | Sample | Cover
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