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The Spleen

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The Spleen

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ARDMS-style spleen quiz

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The Spleen
 

The SpleenOnline version

ARDMS-style spleen quiz

by jessie
1

Which ligament attaches the spleen to the stomach and left kidney?

2

Where is the spleen primarily located?

3

What is the spleen’s major immune function component?

4

Which component of splenic tissue is mainly phagocytic?

5

What is the primary blood reservoir function of the spleen attributed to?

6

Which vessel is the arterial supply to the spleen?

7

Where does the splenic vein drain after leaving the hilum?

8

What congenital spleen anomaly can present as an abdominal mass or torsion risk?

9

What is another name for accessory spleen?

10

Which condition describes absence of the spleen?

11

Which congenital variant involves multiple small spleens?

12

Which congenital variant may cause a left-sided version of liver and GB?

13

What is the term for spleen located posterior to the kidney pole?

14

What happens during pitting of red blood cells in the spleen?

15

What process removes irregular RBCs from blood in the spleen?

16

Which pigment formation is associated with bilirubin production?

17

Which vessel is a branch of the celiac trunk supplying the spleen?

18

What imaging view is best to visualize the spleen in ultrasound?

19

Which tissue type is 25% of splenic parenchyma?

20

What is the major function of red pulp?

21

Which congenital anomaly presents bilateral right-sidedness if present?

22

What is the normal size range for the spleen length?

23

Which ligament attaches the spleen to the greater curvature of the stomach?

24

What is the function of the white pulp?

25

Which organ system does the spleen belong to in immune defense?

26

Which anomaly is common in 30% of the population?

27

What is the venous drainage path from the spleen?

28

What changes with age in spleen size?

29

Which condition describes enlarged spleen?

30

What is the key role of the spleen in RBC turnover?

31

Which component forms the posterior and anterior sacs for the gastrosplenic ligament?

32

Which congenital anomaly is associated with splenic agenesis?

33

Which structure lies between stomach and diaphragm?

34

What is the main defense function of the spleen?

35

Which condition can mimic a mass on left kidney due to location?

36

Which imaging view best demonstrates splenic vessels in some protocols?

37

What are the lobular components of the spleen?

38

What condition results from pooling of blood in the spleen?

39

Which cells form the splenic cords of Billroth?

40

Which statement about accessory spleens is true?

41

What is the term for spleen’s role in iron storage?

42

Which test is NOT a standard laboratory test for spleen assessment?

43

Which disease is linked to increased splenic macrophage activity breaking down RBCs?

44

What is the spleen’s role in pigment formation after RBC breakdown?

45

What is a key feature of splenic sinus endothelium allowing distention?

46

Which organ is not functionally linked to the spleen in immunity?

47

Which pathology would you expect in a patient with massive splenomegaly?

48

Which structure lies at the left hypochondrium and adjacent to the stomach?

49

Which type of blood cell shows expansion in thrombocytosis?

50

Which feature helps differentiate splenic artery from other vessels on imaging?

51

Which vessel joins the splenic vein to form the MPV?

52

Which congenital anomaly is often asymptomatic?

53

Which disease uses bilirubin as a byproduct of RBC breakdown?

54

What is the normal hematocrit range for adult males?

55

What is the normal hematocrit range for adult females?

56

Which condition features a spleen that sits posterior to the left kidney pole?

57

Which structure is responsible for lymphocyte production in the spleen?

58

What does the spleen store besides blood?

59

Which age-related change occurs to the spleen?

60

Which is a non-ARDMS but spleen-relevant anatomical feature?

61

Which RBC process is described as “pitting”?

62

What is a key function of the white pulp?

63

What is the relationship between the spleen and the liver in congenital heterotaxia?

64

Which structure is not a primary splenic ligament?

65

Which is true about the splenic hilum?

66

What is the imaging descriptor for spleen echogenicity often seen in ultrasound?

67

Which organ shares the same echogenicity as the spleen and may enlarge with splenomegaly?

68

Which term describes the spleen’s defense against infection?

69

What is the primary function of white pulp’s malpighian corpuscles?

70

Which feature is NOT typical of a normal spleen on ultrasound?

71

What does the spleen recycle besides old RBCs?

72

Which symptom may indicate splenic torsion in wandering spleen?

73

Which is a key autolysis function of RBCs influenced by the spleen?

74

Which is the correct description of the spleen’s capsule?

75

Which condition can present with splenomegaly as part of portal hypertension?

76

Which of the following is a reservoir for blood in the spleen?

77

What is the MPV in splenic drainage anatomy?

78

Which RBC index is most directly affected by splenectomy?

79

Which of the following best describes the spleen’s position in relation to the stomach?

80

Which of these is a liver-related consequence of splenic RBC turnover?

81

Which vessel travels horizontally along the superior border of the pancreas to perfuse the spleen?

82

What is the main functional division of the spleen’s parenchyma?

Feedback

Splenorenal ligament anchors spleen to stomach and left kidney.

Spleen resides in the LUQ beneath the diaphragm.

White pulp handles lymphatic/immune functions.

Red pulp contains splenic sinuses and cords for phagocytosis.

Spleen distends to store blood in venous sinuses.

Splenic artery is a branch of the celiac trunk.

Splenic vein joins SMV to form the MPV.

Wandering spleen is ectopic due to lax ligaments.

Accessory spleen is also called splenunculus.

Asplenia means spleen failure to develop.

Polysplenial pattern with multiple small spleens.

Asplenia can show situs anomalies including left-sided liver.

Retrorenal describes spleen behind kidney pole.

Pitting cleans RBCs by removing inclusions.

Culling removes irregular RBCs from circulation.

Hemoglobin breakdown forms biliverdin then bilirubin.

Splenic artery originates from the celiac trunk.

Long axis optimizes splenic visualization.

White pulp comprises about a quarter of spleen.

Red pulp handles phagocytosis and filtration.

Asplenia can be associated with right-sidedness.

Spleen length typically 8–12 cm.

Gastrosplenic ligament connects spleen to stomach.

White pulp is lymphatic tissue producing lymphocytes.

Spleen is part of the lymphatic immune system.

Accessory spleens are common incidental findings.

Splenic vein joins SMV to form the MPV.

Spleen tends to decrease in size with age.

Splenomegaly is enlargement of the spleen.

Spleen filters blood and recycles old RBCs.

Gastrosplenic ligament has two layers separating sacs.

Splenic agenesis is a type of heterotaxia.

The spleen sits in the LUQ between stomach and diaphragm.

Spleen contributes by producing lymphocytes.

Retrorenal spleen can resemble a mass near the kidney.

Long-axis views optimize splenic vessel visualization.

Spleen has white pulp (immune) and red pulp (phagocytic).

Spleen acts as a reservoir for blood when distended.

Cords of Billroth are part of red pulp.

Accessory spleens share echogenicity and can enlarge.

Spleen participates in iron storage as part of RES.

Liver panel is not specific to spleen evaluation.

Spleen macrophages phagocytose aged RBCs.

Bilirubin is formed during heme breakdown.

Spleen has elastic lobules enabling distention.

Spleen is a primary lymphoid/immune organ, liver is not primary in immunity.

Massive splenomegaly can cause hypersplenism.

Spleen resides in LUQ near stomach.

Thrombocytosis is increased platelets.

Splenic artery is tortuous and runs along pancreas.

Splenic vein joins SMV to form MPV.

Accessory spleen is usually asymptomatic.

Bilirubin is bilirubin pigment from heme breakdown.

Normal male Hct ~39-50%.

Normal female Hct ~35-45%.

Retrorenal spleen is posterior to the kidney pole.

White pulp produces lymphocytes.

Spleen stores iron as part of RES functions.

Size tends to decrease with age.

Splenorenal ligament connects spleen to stomach and kidney.

Pitting removes inclusions from RBCs.

White pulp is lymphoid tissue with lymphocyte production.

Heterotaxia can involve abnormal laterality including liver/spleen positions.

Gastrophrenic is not a primary spleen ligament.

Hilum is portal for vessels and lymphatics.

Spleen is usually mid-to-low echogenic.

Accessory spleens share echogenicity.

Spleen contributes to defense by lymphocyte production.

Malpighian corpuscles are lymphoid tissue.

Normal spleen is homogeneous with moderate echogenicity.

Spleen participates in iron storage and platelet turnover.

Wandering spleen can cause torsion with intermittent pain.

Spleen processes phagocytosis and heme recycling.

Spleen is peritoneal except at hilum.

Portal hypertension can cause splenomegaly.

Spleen distends to hold blood in venous sinuses.

MPV is formed by SMV and splenic vein.

Splenectomy often causes thrombocytosis due to reduced pooling.

Spleen sits inferomedially near stomach and left kidney.

RBC breakdown in spleen contributes bilirubin production.

Splenic artery courses along pancreas to spleen.

Parenchyma is divided into white and red pulp.

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