1|Page
ARDMS ABDOMEN ACTUAL EXAM, PRACTICE
EXAM AND STUDY GUIDE NEWEST 2024
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
ARDMS ABDOMEN EXAM
A patient is referred for ultrasound evaluation of a questionable
mass in the dome of the liver seen on a CAT scan. What would
improve visualization in this area of the liver? - CORRECT
ANSWER-Perform a subcostal scan with the probe angled
superior and the patient in deep inspiration
A patient is referred for a liver ultrasound with the clinical
history of a raised serum alpha-fetoprotein level. What should
you look for? - CORRECT ANSWER-Hepatocellular carcinoma
If a non pregnant person with elevated levels of serum alpha-
fetoprotein AFP , what is associated with this? - CORRECT
ANSWER-Hepatocellular carcinoma, germ cell tumor of
gonadal, retroperitoneal, or mediastinal origin. Sometimes with
cancer of pancreas, stomach, or biliary system.
,2|Page
What may produce modest serum AFP elevations? - CORRECT
ANSWER-Hepatitis and cirrhosis
You are reviewing lab work prior to performing an abnormal
ultrasound exam. Elevated lab values include Gamma- glutamyl
transpeptidase -GGT and alkaline phosphatase. What would it
be? - CORRECT ANSWER-Concomitant elevation of both
GGT and alkaline phosphate indicates the source of the elevated
alkaline phosphatase is the liver.
what other reasons would alkaline phosphatase be elevated ? -
CORRECT ANSWER-skeletal disease, hyperparathyroidism,
and acute hepatocellular disease
What is NOT a lab test use in evaluation of liver function out of
the following GGT, AST, direct bilirubin, indirect bilirubin, or
lipase? - CORRECT ANSWER-Lipase - is used to evaluate
acute pancreatitis
What does it mean when direct bilirubin is elevated? -
CORRECT ANSWER-usually indicates biliary obstruction,
which may be intrahepatic due to hepatitis, cirrhosis, or
extrahepatic due to gallstones, gallbladder or pancreatic cancer.
,3|Page
Why would indirect bilirubin be elevated? - CORRECT
ANSWER-with hepatocellular dysfunction such as hepatitis
What is Aspartate aminotransferase - AST used in evaluating? -
CORRECT ANSWER-used in evaluation of acute hepatic
disease. May also be elevated with recent myocardial infarction.
What is Gamma- glutamyl transpeptidase - GGT is used with
what to suggest the source of elevated alkaline phosphatase
levels? - CORRECT ANSWER-used with alkaline phosphatase
A patient is referred with right upper quadrant tenderness and a
history of oral contraceptive use. A solid, hypoechoic mass is
identified in the right lobe of the liver. Color Doppler reveals
hypervascularity of the mass. What is the scenario likely to be? -
CORRECT ANSWER-Hepatic Adenoma - the incidence of
hepatic adenomas has increased in the united states since the
1970s. And are associated with use of oral contraceptives.
A liver ultrasound on a 49-year-old obese male demonstrates
diffuse increased echogenicity with a focal hypoechoic area
anterior to the portal vein. This most likely represents: -
CORRECT ANSWER-Fatty metamorphosis of the liver with
focal sparing
, 4|Page
What is commonly seen as a hypoechoic mass anterior to the
portal vein? - CORRECT ANSWER-Focal fatty sparring
A 52-year-old male with known liver cirrhosis presents for an
abdominal ultrasound. You will carefully evaluate the liver to
rule out the presence of any focal mass because of what? -
CORRECT ANSWER-Patients with liver cirrhosis are at
increased risk for hepatocellular carcinoma
You are scanning a patient with suspected liver cirrhosis. All of
the following, 1. Surface nodularity, 2. Shrunken caudate lobe,
3. Altered echo texture, 4. Ascites, 5. Regenerative nodules are
sonographic feature of cirrhosis Except: - CORRECT
ANSWER-Shrunken caudate lobe
The caudate lobe is most commonly enlarged compared to the
right lobe due to sparing in what disease? - CORRECT
ANSWER-Liver cirrhosis
An ultrasound evaluation of liver cirrhosis should include a
search for which associated complication? - CORRECT
ANSWER-Portal hypertension
ARDMS ABDOMEN ACTUAL EXAM, PRACTICE
EXAM AND STUDY GUIDE NEWEST 2024
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
ARDMS ABDOMEN EXAM
A patient is referred for ultrasound evaluation of a questionable
mass in the dome of the liver seen on a CAT scan. What would
improve visualization in this area of the liver? - CORRECT
ANSWER-Perform a subcostal scan with the probe angled
superior and the patient in deep inspiration
A patient is referred for a liver ultrasound with the clinical
history of a raised serum alpha-fetoprotein level. What should
you look for? - CORRECT ANSWER-Hepatocellular carcinoma
If a non pregnant person with elevated levels of serum alpha-
fetoprotein AFP , what is associated with this? - CORRECT
ANSWER-Hepatocellular carcinoma, germ cell tumor of
gonadal, retroperitoneal, or mediastinal origin. Sometimes with
cancer of pancreas, stomach, or biliary system.
,2|Page
What may produce modest serum AFP elevations? - CORRECT
ANSWER-Hepatitis and cirrhosis
You are reviewing lab work prior to performing an abnormal
ultrasound exam. Elevated lab values include Gamma- glutamyl
transpeptidase -GGT and alkaline phosphatase. What would it
be? - CORRECT ANSWER-Concomitant elevation of both
GGT and alkaline phosphate indicates the source of the elevated
alkaline phosphatase is the liver.
what other reasons would alkaline phosphatase be elevated ? -
CORRECT ANSWER-skeletal disease, hyperparathyroidism,
and acute hepatocellular disease
What is NOT a lab test use in evaluation of liver function out of
the following GGT, AST, direct bilirubin, indirect bilirubin, or
lipase? - CORRECT ANSWER-Lipase - is used to evaluate
acute pancreatitis
What does it mean when direct bilirubin is elevated? -
CORRECT ANSWER-usually indicates biliary obstruction,
which may be intrahepatic due to hepatitis, cirrhosis, or
extrahepatic due to gallstones, gallbladder or pancreatic cancer.
,3|Page
Why would indirect bilirubin be elevated? - CORRECT
ANSWER-with hepatocellular dysfunction such as hepatitis
What is Aspartate aminotransferase - AST used in evaluating? -
CORRECT ANSWER-used in evaluation of acute hepatic
disease. May also be elevated with recent myocardial infarction.
What is Gamma- glutamyl transpeptidase - GGT is used with
what to suggest the source of elevated alkaline phosphatase
levels? - CORRECT ANSWER-used with alkaline phosphatase
A patient is referred with right upper quadrant tenderness and a
history of oral contraceptive use. A solid, hypoechoic mass is
identified in the right lobe of the liver. Color Doppler reveals
hypervascularity of the mass. What is the scenario likely to be? -
CORRECT ANSWER-Hepatic Adenoma - the incidence of
hepatic adenomas has increased in the united states since the
1970s. And are associated with use of oral contraceptives.
A liver ultrasound on a 49-year-old obese male demonstrates
diffuse increased echogenicity with a focal hypoechoic area
anterior to the portal vein. This most likely represents: -
CORRECT ANSWER-Fatty metamorphosis of the liver with
focal sparing
, 4|Page
What is commonly seen as a hypoechoic mass anterior to the
portal vein? - CORRECT ANSWER-Focal fatty sparring
A 52-year-old male with known liver cirrhosis presents for an
abdominal ultrasound. You will carefully evaluate the liver to
rule out the presence of any focal mass because of what? -
CORRECT ANSWER-Patients with liver cirrhosis are at
increased risk for hepatocellular carcinoma
You are scanning a patient with suspected liver cirrhosis. All of
the following, 1. Surface nodularity, 2. Shrunken caudate lobe,
3. Altered echo texture, 4. Ascites, 5. Regenerative nodules are
sonographic feature of cirrhosis Except: - CORRECT
ANSWER-Shrunken caudate lobe
The caudate lobe is most commonly enlarged compared to the
right lobe due to sparing in what disease? - CORRECT
ANSWER-Liver cirrhosis
An ultrasound evaluation of liver cirrhosis should include a
search for which associated complication? - CORRECT
ANSWER-Portal hypertension
