ARDMS ABDOMINAL SONOGRAPHY EXAM NEWEST
2025 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
The prostate is located in the (retroperitoneum or peritoneum) layer. -
(answer)retroperitoneum
What borders the prostate gland? (A-P & S-I) - (answer)Ant = pubic bone
Post = rectum
Sup = bladder
Inf = urogenital diaphragm
What artery supplies the prostate gland & has branches from the internal iliac
artery? - (answer)Inferior vesical artery
Apex - (answer)Inferior portion just superior to the urogenital diaphragm
Base - (answer)Superior portion just below the inferior margin of the bladder
Seminal vesicles - (answer)2 sac-like out-pouchings of the vas deferens b/t the
bladder and rectum & adjacent to the superior/posterior prostate
Ejaculatory ducts - (answer)pass thru the central zone & empties into urethra
,Verumontanum - (answer)longitudinal ridge in the urethra that the ejaculatory
ducts are adjacent to
Corpora amylacea - (answer)calcifications commonly seen in the inner gland of
the prostate
Surgical capsule - (answer)demarcation b/t the inner(central/transitional) &
outer(peripheral) gland
Eiffel tower sign - (answer)shadowing created by calcifications in the
urethra/verumontanum area
Name the 4 zones of the prostate - (answer)1.peripheral
2.central
3.transitional
4.fibromuscular stroma
Peripheral Zone - (answer)Posterior portion
70% of organ's tissue
Most common area for cancers
Extends to apex
,Central Zone - (answer)Superior portion
25% of organ's tissue
Ejaculatory ducts pass thru here
Transitional Zone - (answer)5% of organ's tissue
Site of origin of BPH
Fibromuscular stroma - (answer)Anterior portion
Non-glandular tissue
Not affected by cancers, infections, hyperplasia
Gleason score - (answer)grading of prostate cancer
Orientation for prostate study:
In transverse view, what is at the top, bottom, left, & right of screen? (In that
order) - (answer)Anterior, posterior, right, left
Orientation for prostate study:
In sagittal view, what is at the top, bottom, left, & right of screen? (In that order) -
(answer)Anterior, posterior, superior, inferior
What does TRUS stand for? - (answer)TransRectal UltraSound
, What age & percentage of men are diagnosed with prostate cancer? -
(answer)>65 yo
>80%
What race is 2x more likely to develop prostate cancer than white males? -
(answer)African American
What does the genetic make-up of a patient have to do with prostate cancer
likelihood? - (answer)1st degree relative = 2-3 x greater risk of developing cancer
PSA - (answer)Prostate specific antigen
Enzyme that increases with age, prostate volume, cancer, BPH, prostatitis
Levels: < 4 (benign) & > 10 (malignant)
PAP - (answer)Prostatic acid phosphatase
Enzyme that increases with carcinoma (& other conditions)
What is the classic sonographic appearance of prostate cancer? -
(answer)hypoechoic, peripherally-oriented lesion
Lesion directed biopsy - (answer)Method of prostate biopsy
Based on sonographic lesion
2025 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
The prostate is located in the (retroperitoneum or peritoneum) layer. -
(answer)retroperitoneum
What borders the prostate gland? (A-P & S-I) - (answer)Ant = pubic bone
Post = rectum
Sup = bladder
Inf = urogenital diaphragm
What artery supplies the prostate gland & has branches from the internal iliac
artery? - (answer)Inferior vesical artery
Apex - (answer)Inferior portion just superior to the urogenital diaphragm
Base - (answer)Superior portion just below the inferior margin of the bladder
Seminal vesicles - (answer)2 sac-like out-pouchings of the vas deferens b/t the
bladder and rectum & adjacent to the superior/posterior prostate
Ejaculatory ducts - (answer)pass thru the central zone & empties into urethra
,Verumontanum - (answer)longitudinal ridge in the urethra that the ejaculatory
ducts are adjacent to
Corpora amylacea - (answer)calcifications commonly seen in the inner gland of
the prostate
Surgical capsule - (answer)demarcation b/t the inner(central/transitional) &
outer(peripheral) gland
Eiffel tower sign - (answer)shadowing created by calcifications in the
urethra/verumontanum area
Name the 4 zones of the prostate - (answer)1.peripheral
2.central
3.transitional
4.fibromuscular stroma
Peripheral Zone - (answer)Posterior portion
70% of organ's tissue
Most common area for cancers
Extends to apex
,Central Zone - (answer)Superior portion
25% of organ's tissue
Ejaculatory ducts pass thru here
Transitional Zone - (answer)5% of organ's tissue
Site of origin of BPH
Fibromuscular stroma - (answer)Anterior portion
Non-glandular tissue
Not affected by cancers, infections, hyperplasia
Gleason score - (answer)grading of prostate cancer
Orientation for prostate study:
In transverse view, what is at the top, bottom, left, & right of screen? (In that
order) - (answer)Anterior, posterior, right, left
Orientation for prostate study:
In sagittal view, what is at the top, bottom, left, & right of screen? (In that order) -
(answer)Anterior, posterior, superior, inferior
What does TRUS stand for? - (answer)TransRectal UltraSound
, What age & percentage of men are diagnosed with prostate cancer? -
(answer)>65 yo
>80%
What race is 2x more likely to develop prostate cancer than white males? -
(answer)African American
What does the genetic make-up of a patient have to do with prostate cancer
likelihood? - (answer)1st degree relative = 2-3 x greater risk of developing cancer
PSA - (answer)Prostate specific antigen
Enzyme that increases with age, prostate volume, cancer, BPH, prostatitis
Levels: < 4 (benign) & > 10 (malignant)
PAP - (answer)Prostatic acid phosphatase
Enzyme that increases with carcinoma (& other conditions)
What is the classic sonographic appearance of prostate cancer? -
(answer)hypoechoic, peripherally-oriented lesion
Lesion directed biopsy - (answer)Method of prostate biopsy
Based on sonographic lesion
