Quiz Accurate ARDMS - AB-Abdomen - Abdomen Sonography Examination Useful Dumps
Quiz Accurate ARDMS - AB-Abdomen - Abdomen Sonography Examination Useful Dumps
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ARDMS Abdomen Sonography Examination Sample Questions (Q50-Q55):
NEW QUESTION # 50
Which vessel is indicated by the arrow on this image?
- A. Right renal artery
- B. Superior mesenteric artery
- C. Left renal vein
- D. Proper hepatic artery
Answer: B
Explanation:
The ultrasound image demonstrates a transverse view of the abdominal vasculature, where the arrow is pointing to a circular vascular structure anterior to the aorta and posterior to the body of the pancreas - consistent with the superior mesenteric artery (SMA).
The SMA originates from the anterior aspect of the abdominal aorta just below the level of the celiac trunk and courses anterior to the left renal vein and uncinate process of the pancreas. On transverse ultrasound, it is often seen in cross-section as a round, pulsatile structure with echogenic walls, situated just anterior to the aorta. This appearance is known as the "target sign" or "bull's-eye" appearance.
Vessel Position Landmarks (transverse plane):
* Aorta: Posterior and central
* SMA: Just anterior to the aorta
* Left renal vein: Passes between the aorta and SMA (nutcracker location)
* Right renal artery: Courses posterior to the IVC toward the right kidney Differentiation from other options:
* A. Proper hepatic artery: Typically visualized within the liver hilum (portal triad), not in this anatomic location.
* C. Left renal vein: Seen in transverse as a longer, oval structure crossing anterior to the aorta and posterior to the SMA.
* D. Right renal artery: Arises laterally from the aorta and courses posterior to the IVC - not visualized in this axial midline location.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Vascular Anatomy and Abdominal Vessels, pp. 471-475.
American Institute of Ultrasound in Medicine (AIUM) Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum, 2020.
Radiopaedia.org. Superior mesenteric artery: https://radiopaedia.org/articles/superior-mesenteric-artery
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NEW QUESTION # 51
Which organ is drained via the vessel indicated by the arrow in this image?
- A. Left kidney
- B. Duodenum
- C. Stomach
- D. Spleen
Answer: D
Explanation:
The ultrasound image shows a transverse section through the upper abdomen. The arrow is pointing to a vascular structure running posterior to the pancreas and anterior to the left kidney. This vessel is the splenic vein.
Anatomically:
* The splenic vein runs along the posterior border of the pancreas.
* It courses medially to join the superior mesenteric vein (SMV) and form the portal vein.
* It receives tributaries from the spleen, short gastric veins (draining the stomach), and the inferior mesenteric vein.
In this case, the question asks which organ is primarily drained via the vessel marked by the arrow. The splenic vein's main tributary is from the spleen.
Comparison of answer choices:
* A. Spleen - Correct. The splenic vein is the primary drainage vessel for the spleen.
* B. Stomach - Some gastric veins drain into the splenic vein, but the primary drainage is via left and right gastric veins into the portal system.
* C. Left kidney - Drains into the left renal vein, not the splenic vein.
* D. Duodenum - Drains mainly into the superior mesenteric vein (SMV).
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
Hagen-Ansert SL. Textbook of Diagnostic Sonography, 8th ed. Elsevier; 2017.
Netter FH. Atlas of Human Anatomy, 7th ed. Elsevier; 2018.
NEW QUESTION # 52
Which scanning technique is most beneficial when imaging the appendix?
- A. Image in the longitudinal plane around the iliac vessels
- B. Apply light pressure around the patient's area of pain
- C. Apply graded compression around the patient's area of pain
- D. Image small bowel transversely to evaluate for peristalsis
Answer: C
Explanation:
Graded compression technique is the gold standard for ultrasound evaluation of the appendix. It displaces gas and compresses overlying bowel loops to visualize the noncompressible, blind-ending tubular appendix directly at the point of maximal tenderness.
According to Rumack's Diagnostic Ultrasound:
"Graded compression using steady, increasing pressure displaces gas and bowel to optimize visualization of the appendix." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen, 2020.
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NEW QUESTION # 53
Which vessel is most likely to display hepatofugal flow in the presence of portal hypertension?
- A. Splenic vein
- B. Inferior vena cava
- C. Coronary vein
- D. Inferior epigastric vein
Answer: C
Explanation:
The coronary vein (left gastric vein) is a common collateral pathway in portal hypertension. It often becomes dilated and may demonstrate hepatofugal (reversed) flow as blood diverts from the high-pressure portal system into systemic collaterals.
According to Zwiebel's Introduction to Vascular Ultrasound:
"The left gastric (coronary) vein is a frequent site of hepatofugal flow in portal hypertension, reflecting collateral development." Reference:
Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019.
AIUM Practice Parameter for Portal Venous Doppler Ultrasound, 2020.
NEW QUESTION # 54
Which characteristic is associated with complex pleural effusion?
- A. Anechoic without locules
- B. Homogeneous hypoechoic
- C. Contains septa
- D. Dependent layering echoes
Answer: C
Explanation:
A complex pleural effusion often contains internal septations or fibrin strands, distinguishing it from simple anechoic effusion. These septations suggest exudative processes such as infection, malignancy, or hemothorax.
According to Rumack's Diagnostic Ultrasound:
"Complex pleural effusions demonstrate internal septations or loculations, often related to infection or malignancy." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Thoracic Ultrasound, 2020.
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NEW QUESTION # 55
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