Abdomen ARDMS MOCK exam
11111111111111111111111111111111111111111
1. Progression of which of the following abnormalities flattens the
portal veins?(Answer) Biliary obstruction
2. The wall thickness in a normal fasting gallbladder should not
exceed(Answer) 3 mm
3. 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 pseudoa- neurysm.
4. 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
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.
5. 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.
6. A patient presents with a history of hematuria. The findings in this
duplex image are most suspicious for which of the following pathologies?
(Answer) Carcino- ma
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.
7. 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.
,8. 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.
9. 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).
10.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.
11.A 20-year-old patient presents with a palpable left scrotal mass. The
sonographic findings are most suspicious for which of the following
patholo- gies?(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.
12.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.
13.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.
11111111111111111111111111111111111111111
1. Progression of which of the following abnormalities flattens the
portal veins?(Answer) Biliary obstruction
2. The wall thickness in a normal fasting gallbladder should not
exceed(Answer) 3 mm
3. 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 pseudoa- neurysm.
4. 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
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.
5. 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.
6. A patient presents with a history of hematuria. The findings in this
duplex image are most suspicious for which of the following pathologies?
(Answer) Carcino- ma
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.
7. 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.
,8. 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.
9. 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).
10.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.
11.A 20-year-old patient presents with a palpable left scrotal mass. The
sonographic findings are most suspicious for which of the following
patholo- gies?(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.
12.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.
13.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.
