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Congenital Disorders Of Spleen Part 2

50 Questions
Disorder Quizzes & Trivia
Questions and Answers
  • 1. 
    A _____________ is a bleed, or a collection of blood usually confined to an organ, tissue or space.
  • 2. 
    CT imaging and MRI are the modalities of choice for the spleen.
    • A. 

      True

    • B. 

      False

  • 3. 
    Ultrasound is useful and highly accurate in diagnosing splenic _____________ and ________________.
  • 4. 
    The spleen is more likely to be injured if a ______________ splenic condition is present.
  • 5. 
    A hematoma can result from rupture of _________________, _______________ or _______________ secondary to interventional complications or from _______________ abdominal trauma.
  • 6. 
    Hematomas are characterized on the basis of ________________ and ________________.
  • 7. 
    If the spleen is involved in blunt abdominal trauma, there can be two outcomes. One is _______________ or _______________ hematoma where the capsule ruptures causing a bleed into areas surrounding the spleen. The bleed may be surrounding the spleen or throughout the LUQ. Fluid may also be found in the flanks or in Morrison's pouch. The spleen presents with poorly defined borders.
  • 8. 
    If the spleen is involved in blunt abdominal trauma, there can be two outcomes. One is __________________ or __________________ hematoma where the capsule remains intact.
  • 9. 
    Symptoms of a hematoma-
    • A. 

      Increase in hematocrit

    • B. 

      Decrease in hematocrit

    • C. 

      Signs of shock

    • D. 

      Rapid heart rate

    • E. 

      Hypertension

    • F. 

      Decreased blood pressure

    • G. 

      Confusion

    • H. 

      Fever

    • I. 

      Pale skin

    • J. 

      LUQ pain

  • 10. 
    Sono appearance of hematomas depend on the _______ of the bleed. It is important to consider the timing of the exam in respect to ___________ for correct appearance.
  • 11. 
    HematomaAfter a traumatic incident, blood appears ____________.
  • 12. 
    HematomaThe clot quickly organizes and resembles _____________ tissue.
  • 13. 
    HematomaAfter the clot organizes, it then turns ____________ then back to _______________ because of the complete liquification into a ______________.
  • 14. 
    A ______________ or very ___________ hematoma may look calcified.
  • 15. 
    ******Splenic rupture can occur from ______________ or ________________, which can be a result of _______________, _______________, or a _______________ _________________.
  • 16. 
    Rupture of the spleen is associated with a _______________ _______________ ______________.
  • 17. 
    __________________ management is preferred to __________________ if the patient is clinically stable.
  • 18. 
    An _________________ is necrosis of tissue resulting from insufficient blood supply.
  • 19. 
    Splenic infarctions are one of the most common causes of ________________ _______________ ______________.
  • 20. 
    ________________ _______________are common in patients with bacterial endocarditis, leukemia, lymphoma, sickle cell anemia, splenic artery aneurysms, or tumor embolus (traveling thrombus)
  • 21. 
    _______________ ________________ is usually an incidental finding and there may be sudden LUQ pain.
  • 22. 
    Sono Appearance Splenic InfarctionA fresh hemorrhagic infarction (Acute) appears ___________. As the infarct heals, scar tissue develops (chronic), which appears _____________. As infarction continues to necrose, it may enlarge and become more ______________. There may be a possible ___________ appearance.
  • 23. 
    Sono Appearance Splenic InfarctionClassic presentation of infarct is a ___________-shaped ______________ area with widest portion continuous with the ________________.
  • 24. 
    ________________ ________________ is the most common feature of splenic disease.
  • 25. 
    Splenomegaly is _____________ but the degree can help narrow down a ______________.
  • 26. 
    With __________ ___________ there is massive enlargement of the spleen.
  • 27. 
    Causes of Congestive Splenomegaly include:
    • A. 

      Heart Failure

    • B. 

      Cirrhosis

    • C. 

      Portal hypertension

    • D. 

      Portal/splenic vein thrombosis

    • E. 

      Cystic Fibrosis

  • 28. 
    The most common cause of splenomegaly in adults is what?
  • 29. 
    Which of the following are types of infection/splenitis that cause splenomegaly?
    • A. 

      Hepatitis

    • B. 

      Infections, such as mononucleosis

    • C. 

      Echinococcus

    • D. 

      Tuberculosis

    • E. 

      Bacterial Infections

    • F. 

      Malaria, typhoid

    • G. 

      Syphilis

    • H. 

      Histoplasmosis

    • I. 

      Schistosomiasis

    • J. 

      HIV/AIDS

  • 30. 
    Which of the following are neoplasmic diseases that cause splenomegaly?
    • A. 

      Leukemia

    • B. 

      RCC

    • C. 

      Primary neoplasm

    • D. 

      Metastasis

    • E. 

      Lymphoma

    • F. 

      HCC

  • 31. 
    Hemolytic anemia can cause splenomegaly. Choose all of the following that cause this.
    • A. 

      Spherocytosis

    • B. 

      Sickle cell anemia

    • C. 

      Thrombocytopenic purpura

    • D. 

      Thalassemia

  • 32. 
    A type of hemolytic anemia in which the blood cells are sphere shaped is called...
  • 33. 
    The hereditary blood disorder in which there are abnormal hemoglobin molecules is called...
  • 34. 
    ____________ _____________ is when there is massive destruction of blood cells.
  • 35. 
    Two types of extramedullary hematopoiesis that cause splenomegaly are ___________ and _____________
  • 36. 
    ____________ means outside the bone
  • 37. 
    ___________ is a disorder of bone marrow where marrow undergoes fibrosis.
  • 38. 
    Choose all of the storage diseases that cause splenomegaly
    • A. 

      Gaucher disease

    • B. 

      Diabetes mellitus

    • C. 

      Niemann-Pick disease

    • D. 

      Amyloidosis

    • E. 

      Histocytosis

    • F. 

      Hemochromatosis

    • G. 

      Histoplasmosis

  • 39. 
    ___________ _____________ is a lysosomal storage disease where fatty material collects in organs.
  • 40. 
    _______________ ________________ is the same type as Gaucher.
  • 41. 
    ______________ is when amyloid proteins are deposited in organs.
  • 42. 
    _____________ refers to excessive macrophages.
  • 43. 
    ____________ refers to excessive iron accumulation in tissue.
  • 44. 
    Immunologic inflammatory conditions that cause splenomegaly include-
    • A. 

      Lupus

    • B. 

      Rheumatoid arthritis

    • C. 

      Osteoporosis

    • D. 

      Other vascular collagen disorders

  • 45. 
    ____________ is a condition where the body attacks cells and tissues resulting in inflammation. It is a chronic condition.
  • 46. 
    TraumaThe spleen is more likely to be injured if ____________ splenic disease is present. ________ is the imaging modality of choice.
  • 47. 
    ______________ causes splenomegaly, and is multiple granulomas.
  • 48. 
    ______________ is another cause of splenomegaly, where blood is filtered outside of the body.
  • 49. 
    Sono Appearance of splenomegaly-
    • A. 

      Dependent on the cause

    • B. 

      Congestive=Hyperechoic

    • C. 

      Congestive=Hypoechoic

    • D. 

      If associated with a chronic condition- hyperechoic

    • E. 

      It is important to check other organs if splenomegaly is suspected

  • 50. 
    The opposite of splenomegaly is ______________ which is an almost complete disappearance of the spleen through progressive _____________ and ______________, such as with __________ __________ ___________.