Abdomen ARDMS Mock Exam With
Verified Answers Graded a+
Progression of which of the following abnormalities flattens the portal veins? -
ANSWER Biliary obstruction
The wall thickness in a normal fasting gallbladder should not exceed -
ANSWER 3 mm
This color Doppler sonogram is most likely demonstrating which of the
following abnormalities? - ANSWER Pseudoaneurysm
This color Doppler image demonstrates turbulent swirling blood flow within a
fluid collection, classic sonographic findings of a common femoral artery
pseudoaneurysm.
A patient presents with sudden onset of upper abdominal pain. Ultrasound
demonstrates prominence in the stomach rugae. These findings are most
suspicious for which of the following conditions? - ANSWER Gastritis
Prominence of the stomach rugae in a patient with upper abdominal pain is
most suspicious for gastritis. Hypervascular, thick gastric walls are
sonographic findings associated with gastric ulcers.
Which of the following is a complication of acute pancreatitis? - ANSWER
Duodenal obstruction
,Complications of acute pancreatitis may include abscess formation, duodenal
obstruction, hemorrhage, phlegmon, and pseudocyst formation. Cholecystitis
is a possible etiology of acute pancreatitis.
A patient presents with a history of hematuria. The findings in this duplex
image are most suspicious for which of the following pathologies? - ANSWER
Carcinoma
A vascular echogenic mass is identified protruding from the posterior wall of
the urinary bladder. Bladder carcinoma commonly presents with a history of
painless hematuria. Based on the clinical history, the sonographic findings are
suspicious for a malignant mass.
A sagittal sonogram medial to the porta hepatis is demonstrating which of the
following abnormalities? - ANSWER Dilated common bile duct
A hypoechoic mass identified by the calipers is obstructing the common bile
duct resulting in dilatation. The mass is most likely a malignancy in the head of
the pancreas.
The pathology in this sonogram is most likely a/an - ANSWER Pseudocyst
A complex fluid collection is identified posterior to the tail of the pancreas.
This is most likely a pancreatic pseudocyst. Phlegmons and islet cell tumors
appear as hypoechoic masses on ultrasound. A pancreatic hemorrhage is a
differential consideration but not the most likely pathology.
,Which of the following abnormalities is demonstrated in this transverse
sonogram? - ANSWER Stones in the duct of Wirsung
Multiple stones are located in main pancreatic duct (duct of Wirsung).
Which of the following is a clinical symptom of hypothyroidism? - ANSWER
Muscle cramps
Muscles cramping is a symptom of hypothyroidism. Other symptoms may
include weight gain, mental and physical lethargy, arthritis, skin dryness,
feeling cold, slow metabolic rate, and decreased heart rate. Symptoms
commonly associated with hyperthyroidism include weight loss, palpitations,
nervousness, exophthalmos, constant hunger, tremors, increased heart rate,
and intolerance to heat.
A 20-year-old patient presents with a palpable left scrotal mass. The
sonographic findings are most suspicious for which of the following
pathologies? - ANSWER Malignant neoplasm
A malignant neoplasm is the most likely diagnosis in a young adult
demonstrating a hypoechoic intratesticular mass. The patient is afebrile
excluding a testicular abscess from the differential considerations.
A patient presents with a history of a palpable neck mass. Which of the
following terms best describes the sonographic findings? - ANSWER
Heterogeneous thyroid gland
, The sonographer's technical report should describe the right thyroid lobe as
demonstrating an irregular and heterogeneous echo texture.
A patient presents with a history of cirrhosis. The arrows are identifying the -
ANSWER coronary ligament
A hyperechoic linear structure is identified dividing the right subphrenic space
from the subhepatic space. This is consistent with the right coronary ligament.
The right coronary ligament serves as a barrier between these two peritoneal
spaces.
This color Doppler sonogram is most likely demonstrating which of the
following abnormalities? - ANSWER Patent umbilical vein
The sonogram is demonstrating a patent paraumbilical vein. Note the liver
parenchyma of the left lobe superior to the patent umbilical vein. Gastric
varices are generally located to the left of midline.
Splenomegaly is a consistent finding in which of the following pathologies? -
ANSWER Portal hypertension
Splenomegaly is a consistent finding in cases of portal hypertension.
A duplex image of the splenic vein is demonstrating - ANSWER retrograde
flow.
Verified Answers Graded a+
Progression of which of the following abnormalities flattens the portal veins? -
ANSWER Biliary obstruction
The wall thickness in a normal fasting gallbladder should not exceed -
ANSWER 3 mm
This color Doppler sonogram is most likely demonstrating which of the
following abnormalities? - ANSWER Pseudoaneurysm
This color Doppler image demonstrates turbulent swirling blood flow within a
fluid collection, classic sonographic findings of a common femoral artery
pseudoaneurysm.
A patient presents with sudden onset of upper abdominal pain. Ultrasound
demonstrates prominence in the stomach rugae. These findings are most
suspicious for which of the following conditions? - ANSWER Gastritis
Prominence of the stomach rugae in a patient with upper abdominal pain is
most suspicious for gastritis. Hypervascular, thick gastric walls are
sonographic findings associated with gastric ulcers.
Which of the following is a complication of acute pancreatitis? - ANSWER
Duodenal obstruction
,Complications of acute pancreatitis may include abscess formation, duodenal
obstruction, hemorrhage, phlegmon, and pseudocyst formation. Cholecystitis
is a possible etiology of acute pancreatitis.
A patient presents with a history of hematuria. The findings in this duplex
image are most suspicious for which of the following pathologies? - ANSWER
Carcinoma
A vascular echogenic mass is identified protruding from the posterior wall of
the urinary bladder. Bladder carcinoma commonly presents with a history of
painless hematuria. Based on the clinical history, the sonographic findings are
suspicious for a malignant mass.
A sagittal sonogram medial to the porta hepatis is demonstrating which of the
following abnormalities? - ANSWER Dilated common bile duct
A hypoechoic mass identified by the calipers is obstructing the common bile
duct resulting in dilatation. The mass is most likely a malignancy in the head of
the pancreas.
The pathology in this sonogram is most likely a/an - ANSWER Pseudocyst
A complex fluid collection is identified posterior to the tail of the pancreas.
This is most likely a pancreatic pseudocyst. Phlegmons and islet cell tumors
appear as hypoechoic masses on ultrasound. A pancreatic hemorrhage is a
differential consideration but not the most likely pathology.
,Which of the following abnormalities is demonstrated in this transverse
sonogram? - ANSWER Stones in the duct of Wirsung
Multiple stones are located in main pancreatic duct (duct of Wirsung).
Which of the following is a clinical symptom of hypothyroidism? - ANSWER
Muscle cramps
Muscles cramping is a symptom of hypothyroidism. Other symptoms may
include weight gain, mental and physical lethargy, arthritis, skin dryness,
feeling cold, slow metabolic rate, and decreased heart rate. Symptoms
commonly associated with hyperthyroidism include weight loss, palpitations,
nervousness, exophthalmos, constant hunger, tremors, increased heart rate,
and intolerance to heat.
A 20-year-old patient presents with a palpable left scrotal mass. The
sonographic findings are most suspicious for which of the following
pathologies? - ANSWER Malignant neoplasm
A malignant neoplasm is the most likely diagnosis in a young adult
demonstrating a hypoechoic intratesticular mass. The patient is afebrile
excluding a testicular abscess from the differential considerations.
A patient presents with a history of a palpable neck mass. Which of the
following terms best describes the sonographic findings? - ANSWER
Heterogeneous thyroid gland
, The sonographer's technical report should describe the right thyroid lobe as
demonstrating an irregular and heterogeneous echo texture.
A patient presents with a history of cirrhosis. The arrows are identifying the -
ANSWER coronary ligament
A hyperechoic linear structure is identified dividing the right subphrenic space
from the subhepatic space. This is consistent with the right coronary ligament.
The right coronary ligament serves as a barrier between these two peritoneal
spaces.
This color Doppler sonogram is most likely demonstrating which of the
following abnormalities? - ANSWER Patent umbilical vein
The sonogram is demonstrating a patent paraumbilical vein. Note the liver
parenchyma of the left lobe superior to the patent umbilical vein. Gastric
varices are generally located to the left of midline.
Splenomegaly is a consistent finding in which of the following pathologies? -
ANSWER Portal hypertension
Splenomegaly is a consistent finding in cases of portal hypertension.
A duplex image of the splenic vein is demonstrating - ANSWER retrograde
flow.
