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AB-Abdomen Study Center, AB-Abdomen Exam Dumps Free

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ARDMS Abdomen Sonography Examination Sample Questions (Q152-Q157):

NEW QUESTION # 152
When measuring the abdominal aorta, where should the calipers be placed?

A. Inner wall to outer wall
B. Outer wall to outer wall
C. Outer wall to inner wall
D. Inner wall to inner wall

Answer: B

Explanation:
When measuring the abdominal aorta (or any vessel diameter for aneurysm evaluation), calipers should be placed from outer wall to outer wall to ensure inclusion of the full vessel diameter, including any mural thrombus. This is the standard method accepted by professional societies.
According to AIUM and SRU Guidelines:
"Vessel diameter measurements should be performed from outer wall to outer wall to avoid underestimation of aneurysm size." Reference:
AIUM Practice Parameter for the Performance of Abdominal Aortic Ultrasound, 2020.
Society of Radiologists in Ultrasound (SRU) Consensus Statement, 2003.
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NEW QUESTION # 153
Which abnormality is depicted in this image of a patient who presents with a fever following a liver biopsy?

A. Biloma
B. Hematoma
C. Cyst
D. Abscess

Answer: D

Explanation:
The sonographic image shows a complex fluid collection within the liver parenchyma, with internal echoes and possibly septations, consistent with an abscess. In the clinical context of post-procedural fever following a liver biopsy, a liver abscess is the most likely diagnosis.
A liver abscess appears on ultrasound as a hypoechoic or complex fluid collection that may contain internal debris, septations, or gas (which may produce reverberation artifacts). These features distinguish it from other post-procedural complications.
* A cyst (Option A) typically appears as an anechoic, well-defined lesion with posterior acoustic enhancement and no internal debris-this does not match the image or clinical setting.
* A biloma (Option B) is a bile collection that can appear similar to a cyst or fluid collection but typically occurs due to bile leak; however, fever and internal complexity on ultrasound more strongly suggest abscess.
* A hematoma (Option D) may also appear complex but usually presents with pain and not fever unless secondarily infected. Over time, hematomas evolve in appearance but lack septations and gas unless superinfected.
Reference:
Rumack, Carol M., et al. Diagnostic Ultrasound.5th ed., Elsevier, 2018. Chapter: Hepatobiliary System, pp.
107-111.
American Institute of Ultrasound in Medicine (AIUM) Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum.

NEW QUESTION # 154
Which condition is a cause of intrahepatic dilatation with a normal common bile duct?

A. Acute pancreatitis
B. Portal vein thrombus
C. Tumor at the porta hepatis
D. Choledocholithiasis

Answer: C

Explanation:
Intrahepatic biliary dilatation with a normal common bile duct (CBD) is typically caused by obstruction located at or above the level of the hepatic duct confluence. A tumor at the porta hepatis, such as cholangiocarcinoma (Klatskin tumor), is a classic cause of this pattern. The porta hepatis is the site where the right and left hepatic ducts join to form the common hepatic duct. A mass at this location can obstruct the intrahepatic ducts while leaving the distal CBD unaffected and of normal caliber.
By contrast:
* Portal vein thrombus (A) affects vascular flow but does not directly obstruct bile ducts.
* Choledocholithiasis (C) obstructs the CBD, typically resulting in both intrahepatic and extrahepatic duct dilatation.
* Acute pancreatitis (D) may cause distal CBD compression if there is associated inflammation or pseudocyst formation, but typically results in extrahepatic duct dilatation rather than isolated intrahepatic dilation.
Reference Extracts:
* Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier, 2017.
Chapter: Biliary Tract: "Klatskin tumors cause proximal (intrahepatic) biliary dilatation while the distal bile duct remains normal in caliber."
* Gore RM, Levine MS. Textbook of Gastrointestinal Radiology, 4th ed. Saunders, 2015.
-

NEW QUESTION # 155
What is the adrenal disorder that produces excessive secretion of aldosterone?

A. Waterhouse-Friderichsen syndrome
B. Cushing disease
C. Conn syndrome
D. Addison disease

Answer: C

Explanation:
Conn syndrome (primary hyperaldosteronism) results from excessive aldosterone secretion, often due to an adrenal adenoma, leading to hypertension, hypokalemia, and metabolic alkalosis. Cushing disease involves cortisol, Addison disease involves adrenal insufficiency, and Waterhouse-Friderichsen is associated with adrenal hemorrhage.
According to Rumack's Diagnostic Ultrasound:
"Conn syndrome is due to excessive secretion of aldosterone, often secondary to adrenal cortical adenoma." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Adrenal Ultrasound, 2020.
-

NEW QUESTION # 156
Which abnormality is the most common adult adrenal tumor?

A. Neuroblastoma
B. Adrenal cortical carcinoma
C. Adenoma
D. Pheochromocytoma

Answer: C

Explanation:
Adrenal adenomas are the most common adrenal tumors in adults. They are often discovered incidentally (adrenal incidentalomas) and are usually nonfunctioning, though some may secrete cortisol or aldosterone.
Neuroblastoma is common in children, pheochromocytomas are rarer catecholamine-producing tumors, and adrenal cortical carcinoma is malignant but much less common than adenomas.
According to Rumack's Diagnostic Ultrasound:
"Adrenal adenomas are the most common adrenal masses in adults, frequently identified incidentally on imaging studies." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
ACR Incidental Findings Committee Guidelines for Adrenal Masses, 2017.
-

NEW QUESTION # 157
......

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