ARDMS ABDOMEN CORE REVIEW ANSWERS AND
QUESTIONS SET A+
✔✔hypoglycemia - ✔✔glucose deficient
✔✔hyperglycemia - ✔✔uncontrolled increase of glucose
✔✔hypoalbuminemia - ✔✔low serum albumin
✔✔vitamin k is essential in - ✔✔coagulation
✔✔in hepatocellular disease which of the following enzymes increase, and which ones
decrease?
bilirubin, serum albumin, AST, ALT, Alkaline Phosphatase - ✔✔Increase - bilirubin
(severe), AST (severe), ALT (severe), Alkaline Phophatase (modertate)
decrease - serum albumin
✔✔in obstruction which of the following enzymes increase and which ones decrease?
bilirubin, serum albumin, AST, ALT, alkaline phosphatase - ✔✔increase - bilirubin
(severe), AST (mild), ALT (mild), alkaline phosphatase (severe)
serum albumin will remain normal
✔✔gastrointestinal hemorrhage frequently leads to toxic levels of _____ in the blood -
✔✔NH4 (ammonia)
✔✔this type of bilirubin predominates in hepatocellular disease and obstruction -
✔✔direct or conjugated
✔✔indirect or unconjugated bilirubin predominates in - ✔✔hemolysis
✔✔fatty stools - ✔✔steatorrhea
, ✔✔rare disease of iron metabolism characterized by excess iron deposits throughout
the body may lead to cirrhosis and portal hypertension - ✔✔hemochromatosis
✔✔infectious cystic disease common in sheep herding areas of the world -
✔✔echinococcal cyst
✔✔tumor of the glandular epithelium, mostly found in women, related to contraceptive
usage, increased incidence in patients with von gierkes disease, "bulls eye or halo"
appearance - ✔✔liver cell adenoma
✔✔second most common benign liver mass after hemangioma, seen with central scar -
✔✔focal nodular hyperplasia
✔✔extrahepatic mass compressing the common bile duct is known as - ✔✔courvoisiers
gallbladder
✔✔adrenocortical insufficiency characterized by atrophy of the adrenal cortex with
decreased cortisol and aldosterone - ✔✔Addisons disease
✔✔excessive secretion of sex hormones - ✔✔adrenogenital syndrome
✔✔excessive secretion of aldosterone - ✔✔conns syndrome
✔✔excessive secretion of glucocorticoids - ✔✔cushings syndrome
✔✔excessive secretion of epinephrine and norepinephrine - ✔✔pheochromocytoma
✔✔most common malignancy of the thyroid, solid mass with microcalcifications -
✔✔papillary carcinoma
✔✔more aggressive than papillary carcinoma, spreads through bloodstream -
✔✔follicular carcinoma
✔✔5% of thyroid cancers associated with multiple endocrine neoplasia, increased
calcitonin - ✔✔medullary carcinoma
✔✔the appendix must be greater than ____ mm in diameter and the wall must be
greater than _____ mm, increased vascularity, noncompressible, pericecal fluid in order
for appendicitis to be considered - ✔✔6, 2
✔✔in cases of HPS, the transverse muscle greater than ____ mm and a pyloric length
greater than ____ mm must be seen - ✔✔4, 18
QUESTIONS SET A+
✔✔hypoglycemia - ✔✔glucose deficient
✔✔hyperglycemia - ✔✔uncontrolled increase of glucose
✔✔hypoalbuminemia - ✔✔low serum albumin
✔✔vitamin k is essential in - ✔✔coagulation
✔✔in hepatocellular disease which of the following enzymes increase, and which ones
decrease?
bilirubin, serum albumin, AST, ALT, Alkaline Phosphatase - ✔✔Increase - bilirubin
(severe), AST (severe), ALT (severe), Alkaline Phophatase (modertate)
decrease - serum albumin
✔✔in obstruction which of the following enzymes increase and which ones decrease?
bilirubin, serum albumin, AST, ALT, alkaline phosphatase - ✔✔increase - bilirubin
(severe), AST (mild), ALT (mild), alkaline phosphatase (severe)
serum albumin will remain normal
✔✔gastrointestinal hemorrhage frequently leads to toxic levels of _____ in the blood -
✔✔NH4 (ammonia)
✔✔this type of bilirubin predominates in hepatocellular disease and obstruction -
✔✔direct or conjugated
✔✔indirect or unconjugated bilirubin predominates in - ✔✔hemolysis
✔✔fatty stools - ✔✔steatorrhea
, ✔✔rare disease of iron metabolism characterized by excess iron deposits throughout
the body may lead to cirrhosis and portal hypertension - ✔✔hemochromatosis
✔✔infectious cystic disease common in sheep herding areas of the world -
✔✔echinococcal cyst
✔✔tumor of the glandular epithelium, mostly found in women, related to contraceptive
usage, increased incidence in patients with von gierkes disease, "bulls eye or halo"
appearance - ✔✔liver cell adenoma
✔✔second most common benign liver mass after hemangioma, seen with central scar -
✔✔focal nodular hyperplasia
✔✔extrahepatic mass compressing the common bile duct is known as - ✔✔courvoisiers
gallbladder
✔✔adrenocortical insufficiency characterized by atrophy of the adrenal cortex with
decreased cortisol and aldosterone - ✔✔Addisons disease
✔✔excessive secretion of sex hormones - ✔✔adrenogenital syndrome
✔✔excessive secretion of aldosterone - ✔✔conns syndrome
✔✔excessive secretion of glucocorticoids - ✔✔cushings syndrome
✔✔excessive secretion of epinephrine and norepinephrine - ✔✔pheochromocytoma
✔✔most common malignancy of the thyroid, solid mass with microcalcifications -
✔✔papillary carcinoma
✔✔more aggressive than papillary carcinoma, spreads through bloodstream -
✔✔follicular carcinoma
✔✔5% of thyroid cancers associated with multiple endocrine neoplasia, increased
calcitonin - ✔✔medullary carcinoma
✔✔the appendix must be greater than ____ mm in diameter and the wall must be
greater than _____ mm, increased vascularity, noncompressible, pericecal fluid in order
for appendicitis to be considered - ✔✔6, 2
✔✔in cases of HPS, the transverse muscle greater than ____ mm and a pyloric length
greater than ____ mm must be seen - ✔✔4, 18
