Ardms Abdomen Board Review Latest Update
2024-2025 Actual Exam 270 Questions and 100%
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5% of thyroid cancers associated with multiple endocrine neoplasia, increased
calcitonin - CORRECT ANSWER: medullary carcinoma
a 1 week old male infant presents with a left flank mass. an IVP demonstrates a normal
right kidney, but there is no visualization of the left kidney. A sonogram is performed and
numerous noncommunicating round cystic structures are demonstrated in the left renal
fossa, the largest of which is located laterally. No renal parenchyma is identified. The
right kidney is normal. This most probably represents:
severe hydronephrosis, polycystic kidneys, a multicystic kidney, nephroblostoma,
unilateral renal agenesis - CORRECT ANSWER: a multicystic kidney
a 2-year old boy presents with hematuria and a palpable left flank mass. An ultrasound
examination is performed, and a solid renal mass is identified. This finding is most
characteristic of which of the following choices?
hypernephroma, wilm's tumor, neuroblastoma, infantile polycystic kidney disease, renal
infarction - CORRECT ANSWER: Wilm's tumor
a 35 year old woman presents with a tender neck, and on physical exam an enlarged
thyroid is found. An enlarged inhomogeneous thyroid with irregular borders is seen on
the sonogram. This is most characteristic of:
a malignant lesion, graves disease, cyst, adenomatous hyperplasia, hashimotos
thyroiditis - CORRECT ANSWER: hashimotos thyroiditis
a 42 year old female presents postcholecystectomy with right-upper quadrant pain,
eleveated serum bilirubin (mainly conjugated), and bilirubin in her urine. This is best
characteristic of:
hepatitis, stone tumor or stricture causing obstruction of the bile duct, small common
duct stone less then 5 mm in diameter, alkaline phophatase will be normal, pancreatic
pseudocyst - CORRECT ANSWER: stone, tumor, or stricture causing obstruction of the
bile duct
,a 44 year old patient presents with painless jaundice and a palpable right upper
quadrant mass. This is most characteristic of:
acute hepatitis, cirrhosis, porcelain gallbladder, courvoisier gallbladder, klatskin tumor -
CORRECT ANSWER: courvoisier gallbladder
a 60-year old man presents with hematuria and nocturnal urination. The ultrasound
findings include an enlarged symmetrical homogeneous prostate. This is most
characteristic of:
seminal vesicle disease, acute prostatitis, benign prostatic hyperplasia, carcinoma of
the prostate, normal prostate - CORRECT ANSWER: benign prostatic hyperplasia
a common cause of acute pyelonephritis?
hypertension, pyogenic bacteria, renal cell carcinoma, hydronephrosis - CORRECT
ANSWER: pyogenic bacteria
a condition that may affect the adrenal gland:
neonatal hypotension, severe fulminant tuberculosis infection, malignant lung
carcinoma, breast carcinoma, all of the above - CORRECT ANSWER: all of the above
a cystic mass that extends from the renal pelvis to outside the renal capsule is:
a parapelvic cyst, an extrarenal pelvis, a renal artery aneurysm, a grade 2
hydronephrosis, duplex collecting system - CORRECT ANSWER: an extrarenal pelvis
a fold or septum on the posterior wall between the body and neck is called? -
CORRECT ANSWER: Junctional Fold
a hyperplastic change in the gallbladder wall is known as..? - CORRECT ANSWER:
adenomyomatosis
a jaundiced male child with a hemolytic disorder may be found to have a(n):
, increase in direct bilirubin, increase in indirect bilirubin, increase in alphafetoprotein,
increase in prothrombin time, normal liver function tests - CORRECT ANSWER:
increase in indirect bilirubin
a liver measurement greater than ____ - ____ cm is considered hepatomegaly -
CORRECT ANSWER: 15-20
a malignant solid renal mass can be all of the following except:
renal cell carcinoma, adenocarcinoma of the kidney, oncocytoma, transitional cell
carcinoma - CORRECT ANSWER: oncocytoma
a patient in the late stages of sickle cell anemia will have a spleen that is:
enlarged and lobulated, enlarged and echogenic, small and hypoechoic, small and
echogenic - CORRECT ANSWER: small and echogenic
a patient presents with ampulla of Vater obstruction, distension of the gallbladder, and
painless jaundice. this is associated with which of the following choices?
hydropic gallbladder, choledochal cyst, courvoisers sign, hartmann's pouch, kehrs sign -
CORRECT ANSWER: courvoisiers sign
a prominent uncinate process will displace the ________ ________ artery and vein
_______ to the pancreas - CORRECT ANSWER: superior mesenteric, anterior
a resistive index (RI) greater than 0.70 in a kidney is consistent with early:
obstructive jaundice, obstructive hydronephrosis, renal cell carcinoma, benign renal
cyst, polycystic renal disease - CORRECT ANSWER: obstructive hydronephrosis
a retroperitoneal abscess may be found in all of the following except:
rectus abdominus muscle, psoas muscle, iliacus muscle, quadratus lumborum muscle -
CORRECT ANSWER: rectus abdominus muscle
a shotgun sign is seen when... - CORRECT ANSWER: bile ducts are dilated