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Radiology · Ultrasound
Sample itemWhich ultrasound combination most supports gallstones?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Echogenic foci with posterior acoustic shadowing
Gallstones are typically echogenic and cast clean posterior acoustic shadows; they may also move with patient repositioning, unlike many gallbladder polyps or sludge deposits.
Option by option
A. Absent Doppler signal in every vessel
Absent signal in every vessel would suggest a technical issue, not gallstones.
B. Anechoic renal cortex
Renal cortex appearance does not diagnose gallstones.
C. Uniform lung aeration
Lung aeration is poorly assessed by conventional abdominal ultrasound.
D. Echogenic foci with posterior acoustic shadowing (correct)
Correct: bright mobile foci with shadowing are typical gallstone features.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.