ARDMS ABDOMEN EXAM 2024 QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE 2024 graded A
the accessory duct is called - duct of santorini
true or false, the duct of wirsung and the duct of santorini enter the duodenum together -
false
true of false, the pancreas has endocrine and exocrine functions - true
what are the three different types of cells within the islet cells of Langerhans - alpha,
beta, delta
which cells secrete insulin? - beta
which cells secrete glucagon? - alpha
which cells secrete somatostatin - delta
the exocrine function of the pancreas secretes these enzymes that aid in digestion -
amylase, lipase, trypsin
diffuse inflammatory process of the pancreas - pancreatitis
this form of pancreatitis occurs when the pancreas goes through inflammatory changes
and interstitial edema - edematous
this form of pancreatitis occurs when there is a rapid progression of the disease caused
by autodigestion of the pancreatic tissue, which causes area of fat necrosis -
hemorrhagic
form of pancreatitis where inflammation can extend outside the pancreas -
phlegmonous
encapsulated pancreatic enzymes that are commonly found in the lesser sac? -
pseudocyst
the spleen is a part of the ________ system - reticuloendothelial
,breakdown of hemoglobin, formation of bile pigment, formation of antibodies, production
of lymphocytes and plasma cells, resevoir for blood, blood formation in the fetus are all
functions of... - the spleen
spleen in the ectopic location - wandering spleen
failure of the spleen to develop - aplasia
what are the three layers of protection the kidneys have from outside to inside? -
Gerota's Fascia, perirenal fat, true capsule
true or false, gerotas fascia encloses both the kidney and the adrenal gland - true
maintaining salt and water balance, regulate the fluid volume, maintain acid and base
balance are the functions of... - the kidneys
renal dysfunction will cause this lab value to be elevated - serum creatinine
this lab value is elevated when acute or chronic renal disease is present, urinary
obstruction, decreased with overhydration, liver failure, pregnancy - Blood Urea
Nitrogen
least common and most fatal autosomal recessive, more common in females, bilateral
echogenic enlarged kidneys with cysts - infantile polycystic kidney disease (IPKD) or
autosomal recessive polycystic kidney disease (ARPKD)
autosomal dominant disease, relatively frequent, may be latent for years and not show
symptoms until 4th decade, decreasing renal function, hypertension, flank pain, bilateral
large kidneys with randomly distributed cortical cysts of various sizes, kidneys loose
shape in advanced stages - adult polycystic kidney disease (APKD) or autosomal
dominant polycystic kidney disease (ADPKD)
kidneys inability to filter metabolites from the blood resulting in decreased renal function
- renal failure
most common cause of acute renal failure, destruction of the tubular epithelial cells of
the proximal and distal convoluted tubules - acute tubular necrosis
most common disease of the urinary tract, and the combination of parenchymal,
caliceal, and pelvic inflammation - pyelonephritis
perinephric fluid collections commonly associated with transplanted kidneys -
hematoma, abscess, urinoma, lymphocele
the normal AP ddimension of the aorta lumen should not exceed - 3 cm
, the celiac trunk is the first _____ branch of the aorta - anterior
the celiac trifurcates into...? - the common hepatic artery
the left gastric artery
the splenic artery
the gastroduodenal artery is a branch of the...? - the common hepatic artery
this artery branches off the anterior aspect of the aorta and travels vertically anterior
and parallel to the aorta - the superior mesenteric artery
which renal artery has a more complicated course? - the right renal artery
an arterial disease in which the vessel wall loses its elasticity and becomes hardened -
arteriosclerosis
dilatation of a segment of a vessel wall caused by a weakness of all three layers of the
vessel wall..? - aneurysm
majority of aneurysms are located below...? - the level of the renal arteries
the most common type of a true aneurysm is...? - fusiform
tear of the intima layer of the vessel wall is a... - dissecting aneurysm
aneurysm caused by arterial catheterization or trauma - pseudo aneurysm
which renal vein has the more complicated course? - the left renal vein
the right gonadal vein empties directly into the IVC but the left gonadal vein empties... -
into the left renal vein which then empties into the IVC
a liver measurement greater than ____ - ____ cm is considered hepatomegaly - 15-20
normal variant of the right lobe of the liver extends inferiorly and may be mistaken for
hepatomegaly - Riedel's Lobe
the liver is almost completely covered by... - Glisson's Capsule
arrange these in order from most echogenic to least echogenic:
pancreas, spleen, renal medullary pyramids, liver, renal sinus, renal cortex - renal sinus
> pancreas > liver > or = spleen > renal cortex > renal medullary pyramids
the liver is composed of three lobes... - left lobe, right lobe, caudate lobe
the middle hepatic vein divides the liver into ... - right lobe and left lobe