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Abdomen ARDMS _ MOCK exam
Questions with Detailed Verified
Answers
Question: Progression of which of the following abnormalities flattens the
portal veins?
Answer: Biliary obstruction
Question: The wall thickness in a normal fasting gallbladder should not
exceed
Answer: 3 mm
Question: 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.
Question: 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
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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.
Question: 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.
Question: 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.
Question: 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.
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Question: 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.
Question: 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).
Question: 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.
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Question: 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.
Question: 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.
Question: 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.
Question: This color Doppler sonogram is most likely demonstrating which
of the following abnormalities?
Abdomen ARDMS _ MOCK exam
Questions with Detailed Verified
Answers
Question: Progression of which of the following abnormalities flattens the
portal veins?
Answer: Biliary obstruction
Question: The wall thickness in a normal fasting gallbladder should not
exceed
Answer: 3 mm
Question: 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.
Question: 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
, Page | 2
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.
Question: 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.
Question: 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.
Question: 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.
, Page | 3
Question: 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.
Question: 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).
Question: 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.
, Page | 4
Question: 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.
Question: 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.
Question: 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.
Question: This color Doppler sonogram is most likely demonstrating which
of the following abnormalities?
