Congenital Disorders Of Spleen

40 Questions  I  By Agambino
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Quiz 2 for packet 1 of spleen

  
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  • 1. 
    This is a mirror image condition, known as _______  __________.

  • 2. 
    The normal arrangement of visceral organs is known as _______  ________.

  • 3. 
    _________________ spleen is a rare developmental anomaly in which the spleen is abnormally positioned and the spleen may move around within the abdominal cavity, leading to increased risk of torsion.

  • 4. 
    Wandering spleen is also known as _________ spleen or _________ spleen.

  • 5. 
    In this condition, the spleen is small and non functioning due to a chronic condition; NOT congenital. This results from repeated splenic infarctions such as with sickle cell anemia, celiac disease, or thyrotoxicosis.

  • 6. 
    ____________ is death or necrosis due to loss of blood supply.

  • 7. 
    This occurs with chronic hyperthyroidism.

  • 8. 
    _____________ disease is an intestinal malabsorption syndrome characterized by diarrhea, malaise, and hypocalcemia.

  • 9. 
    Sono Appearance of acquired hypoplasia is characterized as a small, _______ spleen; fibrotic and ________.

  • 10. 
    This is a rare congenital condition in which there are multiple spleens; usually there are 2 larger spleens with a bunch of smaller one. This is known as ___________.

  • 11. 
    Polysplenia is associated with "bilateral ______  sidedness."

  • 12. 
    In bilateral left sidedness syndrome, structures on the left side of the body are more ___________.  This condition includes multiple spleens, 2 left lungs, absent GB, possible bilairy atresia, GI malrotation, liver located centrally or on left side, and cardiac abnomalities.

  • 13. 
    Asplenia is associated with " __________  ________  __________  syndrome."

  • 14. 
    __________ is a rare congenital absence of the spleen; associated with congenital heart defects and ______  _______.

  • 15. 
    This is a syndrome in which structures on the right side are more dominant and is associated with an absent spleen, midline liver and GB, reversed aorta and IVC, horseshoe Kidneys, and congenital heart disease.

  • 16. 
    Check all that apply to the differential diagnosis of accesory spleen:
    • A. 

      Pancreatic tail pathology

    • B. 

      Left adrenal pathology

    • C. 

      Pathology of upper pole of left kidney

    • D. 

      Enlarged lymoh nodes around spleen


  • 17. 
    This is a very common normal variant, most commonly found at the splenic hilum, and usually measure 1-3 cm in size.

  • 18. 
    When a splenectomy is performed, and the accessory spleen is not removed, it may enlarge and is known as the "_____  _______" spleen.

  • 19. 
    Sono appearance of accessory spleen:
    • A. 

      Small, round homogenous nodules isoechoic to spleen

    • B. 

      Should be low resistance doppler

    • C. 

      Same characteristic color flow in accessory spleen


  • 20. 
    True cysts of the spleen are rare and congenital.
    • A. 

      True

    • B. 

      False


  • 21. 
    These are true cysts of the spleen lined with squamous epithelium and they typically appear as a solitary cyst averaging 10cm in size.

  • 22. 
    This is an inherited condition, autosomal dominant,  associated with cysts in the spleen, liver, and pancreas.

  • 23. 
    Epidermoid cysts usually have a "swiss cheese" appearance and usually are multiple in number.
    • A. 

      True

    • B. 

      False


  • 24. 
    With epidermoid cysts, the walls may be __________ and the internal contents may appear _____________ due to cholesterol crystals.

  • 25. 
    _____________ cysts are the most common splenic cysts worldwide.  They are more common than congenital cysts.

  • 26. 
    What is the name of the only parasite that forms cysts in the spleen?

  • 27. 
    ____________ disease results in the formation of an echinococcal cyst

  • 28. 
    Check all that apply to the sono appearance ofparasitic cysts:
    • A. 

      Cyst within a cyst

    • B. 

      May have hydatid sand

    • C. 

      Daughter cysts can attach via stalk or outpouching of main cyst

    • D. 

      Water lily sign

    • E. 

      Final stages: collapsed and calcified --> granuloma


  • 29. 
    Symptoms of parasitic cysts
    • A. 

      RUQ pain

    • B. 

      Slight increase in AST

    • C. 

      Cirrhosis

    • D. 

      Hepatosplenomegaly

    • E. 

      Slight increase in ALP

    • F. 

      Fever


  • 30. 
    Parasitic cysts cannot be aspirated because patient may go into anaphylactic shock
    • A. 

      True

    • B. 

      False


  • 31. 
    Hydatid disease is transmitted via ______.

  • 32. 
    Hydatid disease is common in _______, _________, and ______ raising countries.

  • 33. 
    ____________ is a collection of fluid without an epithelial lining; is a pancreatic cyst; spleen is usually involved beacause of its close proximity to the pancreas.

  • 34. 
    Sono appearance of psuedocyst:
    • A. 

      Varies

    • B. 

      May be anechoic, have low level echoes or septations

    • C. 

      Can calcify in late stages


  • 35. 
    Because of the vascularity, pseudocysts may erode the vessels, causing pseudoaneurysms and bleeings into the pseudocysts.
    • A. 

      True

    • B. 

      False


  • 36. 
    Splenic ________ are associated with general sepsis in 80% of cases; however in immunocompromised patient, the _______ (organ) may be the only site of _________.

  • 37. 
    What are the 3 symptoms of splenic abscess? (alphabetically)

  • 38. 
    Splenic abscesses may have some ________  components but otherwise is a complex _______mass with __________ (irregular or regular) borders. Dirty shadowing is seen because of ______

  • 39. 
    Commonly with splenic abscess, you may see reactive _______  ________ because the spleen is in contact with the diaphragm.

  • 40. 
    Most common abscesses to invade spleen
    • A. 

      Subphrenic

    • B. 

      Perinephric

    • C. 

      Perforated gastric abscesses

    • D. 

      Pancreatic


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