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Exam (elaborations)

ARDMS ABDOMEN EXAM PREP, LIVER QUESTIONS WITH COMPLETE ANSWERS

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ARDMS ABDOMEN EXAM PREP, LIVER QUESTIONS WITH COMPLETE ANSWERS











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Uploaded on
April 6, 2025
Number of pages
24
Written in
2024/2025
Type
Exam (elaborations)
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You have been asked to perform a liver sonogram on a patient with AIDS. What tumor is
most commonly associated with this history?


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Kaposi's sarcoma

,You have identified a single homogeneous hyperechoic lesion measuring 2.4 cm in the
posterior aspect of the right lobe of the liver. What is the most common etiology of a
mass fitting this description?


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Cavernous Hemangioma




You are asked to rule out the presence of a recannalized paraumbilical. Which anatomic
structure is a useful landmark in location of this structure?


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Ligamentum Teres

*The left portal vein is in contact with the ligamentum teres. A paraumbilical
vein begins at the left portal vein and exits the liver at the ligamentum teres.




An ultrasound evaluation of liver cirrhosis should include a search for which associated
complication?


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Portal Hypertension

, You have performed an ultrasound study on a patient with an enlarged caudate lobe,
shrunken right lobe and splenomegaly. The hepatic veins could not be identified. No
other abnormalities were discovered. What should you do?


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Evaluate the hepatic veins and IVC with color Doppler to confirm patency

*In liver cirrhosis, the thin walled hepatic veins may become compressed and
difficult to identify by B-mode imaging. Color Doppler is very helpful in
confirming patency of the hepatic veins in this setting. If one or more of the
hepatic veins cannot be identified with color Doppler, Budd-Chiari syndrome
should be suspected.




Which of the following forms the caudal border of the left portal vein?


A. Ligamentum venosum
B. Hepatoduodenal ligament
C. Main Lobar Fissure
D. Coronary Ligament
E. Ligamentum teres


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Ligamentum teres




You are reviewing lab work prior to performing an abdominal ultrasound exam. Elevated
lab values include Gamma-glutamyl transpeptidase (GGT) and alkaline phosphatase
(ALP). Which statement below is true?

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