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ARDMS ABDOMEN EXAM 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
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ARDMS ABDOMEN EXAM 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
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ARDMS ABDOMEN EXAM 2025 ACTUALEXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS
You are performing a follow-up sonogram on a patient in which a
5 -mm cyst was previously identified at the anterior border of the
left lobe liver. Although you are using a 3.5 MHz curved linear
array probe, you do not see the cyst. What would be most helpful
in improving visibility of this cyst? Correct Answer Rescan the left
lobe with a higher frequency transducer. Visibility of small cysts is
limited by spatial resolution. To improve spatial resolution, the
best option is to increase the imaging frequency.
What do you need to do to improve spatial resolution to visualize
small cysts (which has a limited spatial resolution)? Correct
Answer The best option is to increase the imaging frequency
You are imaging a patient with a high liver. Subcostal images do
not clearly demonstrate the liver tissue. What should you do?
Correct Answer Scan the patient in deep inspiration
Which organ is the largest visceral organ in the body ? Correct
Answer Liver
Where is the major portion of the liver, the right lobe located?
Correct Answer in the right upper quadrant of the abdomen
What organ is covered in large part by the peritoneum , except for
a small area posterior to the dome known as the bare area?
Correct Answer the Liver
Which organ is covered in a layer of fibrous tissue, glisson's
capsule? Correct Answer the Liver
,You suspect enlargement of the caudate lobe in a patient with
liver disease. What structure located at the anterior border of the
caudate lobe will help you to identify this lobe of the liver? Correct
Answer Fissure for the ligamentum venosum
You are asked to rule out the presence of a recannalized
paraumbilical. Which anatomic structure is a useful landmark in
location of this structure? Correct Answer Ligamentum teres
What is the left portal vein in contact with? Correct Answer
Ligamentum teres
Where does the paraumbilical vein begins? Correct Answer
begins at the left portal vein and exits the liver at the ligamentum
teres
Which vessel course within the main lobar fissure? Correct
Answer middle hepatic vein
Oxygenated blood is supplied to the liver via the: Correct Answer
Portal vein and hepatic artery
You are performing a sonogram on a slender female and notice a
long, thin extension of the inferior aspect of the right lobe of the
liver. The most likely represents: Correct Answer Reidel's lobe
What forms the caudal border of the left portal vein? Correct
Answer Ligamentum teres
What ligament divides the left lobe of the liver into medial and
lateral segments? Correct Answer Ligamentum teres
You are asked to perform a Doppler study on the hepatic veins in
the liver. What differentiates the hepatic veins from the portal
,veins? Correct Answer the portal veins are accompanied by
branches of the biliary tree and hepatic artery
You have detected a mass anterior and to the left of ligamentum
venosum. This mass is located in what lobe of the liver ? Correct
Answer Left Lobe
The thin capsule surrounding the liver is known as: Correct
Answer Glisson's capsule
What courses interlobar and intersegmental within the liver?
Correct Answer Hepatic veins
You are performing an ultrasound exam of the liver on a small
patient with a 5MHz curved linear array. Although you have
increased the overall gain to its maximum setting, the posterior
border of the liver and diaphragm are not visualized. What should
you do? Correct Answer Rescan the liver with a lower frequency
transducer.
Correctly describe the probe placement and imaging plane you
would use to demonstrate the three hepatic veins and inferior
vena cava in the one view? Correct Answer Subcostal oblique
approach with the probe angled superiorly and to the patient's
right.
You are scanning a patient with a known mass in the left medial
segment of the liver. What anatomic landmark can you use to
identify the left medial segment separate from the right anterior
segment of the liver? Correct Answer Middle Hepatic Vein
A patient is referred for ultrasound evaluation of a questionable
mass in the dome of the liver seen on a CAT scan. What would
improve visualization in this area of the liver? Correct Answer
, Perform a subcostal scan with the probe angled superior and the
patient in deep inspiration
A patient is referred for a liver ultrasound with the clinical history
of a raised serum alpha-fetoprotein level. What should you look
for? Correct Answer Hepatocellular carcinoma
If a non pregnant person with elevated levels of serum alpha-
fetoprotein AFP , what is associated with this? Correct Answer
Hepatocellular carcinoma, germ cell tumor of gonadal,
retroperitoneal, or mediastinal origin. Sometimes with cancer of
pancreas, stomach, or biliary system.
What may produce modest serum AFP elevations? Correct
Answer Hepatitis and cirrhosis
You are reviewing lab work prior to performing an abnormal
ultrasound exam. Elevated lab values include Gamma- glutamyl
transpeptidase -GGT and alkaline phosphatase. What would it
be? Correct Answer Concomitant elevation of both GGT and
alkaline phosphate indicates the source of the elevated alkaline
phosphatase is the liver.
what other reasons would alkaline phosphatase be elevated ?
Correct Answer skeletal disease, hyperparathyroidism, and acute
hepatocellular disease
What is NOT a lab test use in evaluation of liver function out of
the following GGT, AST, direct bilirubin, indirect bilirubin, or
lipase? Correct Answer Lipase - is used to evaluate acute
pancreatitis
What does it mean when direct bilirubin is elevated? Correct
Answer usually indicates biliary obstruction, which may be
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