STUDY MATERIALS AB-ABDOMEN REVIEW, AB-ABDOMEN VALID EXAM QUESTION

Study Materials AB-Abdomen Review, AB-Abdomen Valid Exam Question

Study Materials AB-Abdomen Review, AB-Abdomen Valid Exam Question

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Tags: Study Materials AB-Abdomen Review, AB-Abdomen Valid Exam Question, AB-Abdomen Valid Test Duration, AB-Abdomen Examcollection Questions Answers, Test AB-Abdomen Testking

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ARDMS Abdomen Sonography Examination Sample Questions (Q96-Q101):

NEW QUESTION # 96
The absence of which sonographic finding indicates the acute process depicted in these images?

  • A. Free fluid
  • B. Hepatic vein thrombosis
  • C. Cavernous transformation
  • D. Ductal dilatation

Answer: C

Explanation:
The sonographic images depict an acute thrombotic process involving the portal venous system. The absence of cavernous transformation in the setting of portal vein thrombus indicates that the process is acute. In chronic portal vein thrombosis, collateral vessels form in the porta hepatis to bypass the obstruction, a process known as cavernous transformation.
Sonographic features suggesting acute portal vein thrombosis:
* Echogenic thrombus within the portal vein lumen
* Absence of flow on color Doppler
* Enlarged portal vein diameter early in the process
* No evidence of cavernous transformation (i.e., no serpiginous collateral vessels at porta hepatis) Cavernous transformation is a hallmark of chronic portal vein thrombosis and takes weeks to months to develop. Therefore, its absence on ultrasound supports an acute diagnosis.
Differentiation from other options:
* A. Free fluid: Non-specific and may or may not be present in hepatic vascular thrombosis.
* B. Ductal dilatation: Related to biliary obstruction, not portal or hepatic venous thrombosis.
* C. Hepatic vein thrombosis: Seen in Budd-Chiari syndrome, which affects hepatic outflow, not portal inflow.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Portal Venous System, pp. 105-108.
American Institute of Ultrasound in Medicine (AIUM) Practice Parameter for the Performance of Hepatic Doppler Ultrasound Examinations, 2020.
Radiopaedia.org. Cavernous transformation of the portal vein: https://radiopaedia.org/articles/cavernous- transformation-of-the-portal-vein


NEW QUESTION # 97
Which structure is most likely shown in this image of the right lower quadrant?

  • A. Ureter
  • B. Appendix
  • C. Jejunum
  • D. Fallopian tube

Answer: B

Explanation:
The ultrasound image shows a blind-ending, non-compressible, tubular structure in the right lower quadrant with a target or bullseye appearance in transverse section - highly suggestive of the appendix.
Sonographic features of the appendix (especially in suspected appendicitis):
* Blind-ending tubular structure arising from the cecum
* Non-compressible on graded compression
* Diameter >6 mm is suggestive of appendicitis
* May demonstrate a "target sign" in transverse view (concentric ring-like appearance)
* Increased echogenicity of surrounding fat in cases of inflammation
* May contain an appendicolith or show hyperemia on color Doppler if inflamed The location (right lower quadrant) and appearance in this case are classic for the normal or potentially inflamed appendix.
Differentiation from other options:
* A. Fallopian tube: Located more in the adnexal regions and usually not visible unless distended (e.g., hydrosalpinx).
* B. Ureter: Usually not visualized on ultrasound unless dilated due to obstruction.
* D. Jejunum: Has valvulae conniventes ("keyboard sign") and peristalsis; does not present with a blind- ending tubular appearance from the cecum.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Gastrointestinal Tract, pp. 460-468.
American College of Radiology (ACR). ACR Appropriateness Criteria - Right Lower Quadrant Pain - Suspected Appendicitis.
AIUM Practice Parameter for the Performance of a Pediatric Abdominal and/or Retroperitoneal Ultrasound Examination, 2020.


NEW QUESTION # 98
Hepatitis is classified into groups. Which of these four types are transmitted by fecal-oral route?

  • A. Hepatitis C
  • B. Hepatitis D
  • C. Hepatitis B
  • D. Hepatitis A

Answer: D

Explanation:
Hepatitis A is primarily transmitted via the fecal-oral route, often through contaminated food or water.
Hepatitis B, C, and D are transmitted through blood and body fluids.
According to CDC and WHO guidelines:
"Hepatitis A virus (HAV) is transmitted primarily by the fecal-oral route via ingestion of contaminated food or water." Reference:
CDC. Viral Hepatitis Surveillance - United States, 2020.
WHO. Hepatitis A Fact Sheet, 2022.


NEW QUESTION # 99
Which hernia characteristic is demonstrated in these images?

  • A. Fat only
  • B. Strangulated
  • C. Incarcerated
  • D. Reducible

Answer: D

Explanation:
The ultrasound images show two views of the same groin region - one without compression (left image labeled "W/O COMPRESSION") and one with graded probe compression (right image labeled "W/ COMPRESSION").
In the non-compression image, a hypoechoic mass-like structure is visible protruding through the abdominal wall, consistent with a hernia sac. On the compression image, the herniated content is no longer visible, indicating that the contents have been pushed back into the abdominal cavity. This is the hallmark feature of a reducible hernia.
Key characteristics of a reducible hernia on ultrasound:
* Herniated contents are visible without pressure.
* Contents disappear or reduce back into the abdomen with graded probe compression or Valsalva release.
* Typically includes omental fat or bowel, but reduction confirms lack of incarceration or strangulation.
Comparison of answer choices:
* A. Fat only refers to the hernia content type, not the behavior or reducibility shown here.
* B. Reducible - Correct. The change in hernia appearance between images demonstrates successful reduction with compression.
* C. Incarcerated hernia would remain visible and not compressible or reducible.
* D. Strangulated hernia would show signs of ischemia (bowel wall thickening, absent perfusion, hyperechoic mesentery), and would also not reduce with compression.
References:
Radswiki. Ultrasound evaluation of hernia. Radiopaedia.org
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
AIUM Practice Parameter for the Performance of a Focused Ultrasound Examination for Hernia (2021)


NEW QUESTION # 100
Elevation of alpha-fetoprotein levels is a characteristic finding in which tumor?

  • A. Cholangiocarcinoma
  • B. Hepatoma
  • C. Focal nodular hyperplasia
  • D. Adenoma

Answer: B

Explanation:
Alpha-fetoprotein (AFP) is commonly elevated in patients with hepatocellular carcinoma (hepatoma), particularly in those with underlying cirrhosis or chronic hepatitis B/C. AFP is not typically elevated in adenomas, cholangiocarcinoma, or FNH.
According to Rumack's Diagnostic Ultrasound:
"Serum AFP levels are elevated in 50-70% of patients with hepatocellular carcinoma." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AASLD Guidelines for HCC Surveillance, 2018.
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NEW QUESTION # 101
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