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Exam (elaborations)

ARDMS ABDOMEN BOARD REVIEW (LIVER) QUESTIONS WITH COMPLETE ANSWERS

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ARDMS ABDOMEN BOARD REVIEW (LIVER) QUESTIONS WITH COMPLETE ANSWERS












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Uploaded on
April 6, 2025
Number of pages
63
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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What are the sonographic findings of Cirrhosis?


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Hepatomegaly (Acute)
Liver atrophy (Chronic)
Caudate lobe enlargement
Surface modularity (regenerative nods)
Fatty infiltration -increased echogenicity

, Changes related to portal hypertension
Increased incidence of HCC




"Starry Night" (periportal cuffing) is another name for what and how does it appear
monographically?


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Acute hepatitis;
Hypoechoic liver parenchyma, liver enlargement, hyperechoic portal vein
walls.




What is the location and usefulness of the LHV?


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Location: Left intersegmental fissure
Usefulness: Divides medial and lateral segments of the left lobe.




What is an indication for a liver transplant in children?


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Biliary atresia

,A remnant of the umbilical vein extending from the umbilicus to the left portal vein:


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Ligamentum teres.




What are secondary signs of portal hypertension?


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Splenomegaly, ascites, esophageal variceal bleeding, portosystemic
collaterals.




If liver cysts are seen before the 5th decade of life, what should you do?


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Evaluate kidneys for autosomal dominant polycystic kidney disease.




What tests are monitored prior to an invasive procedure to insure proper clotting?


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, PT (INR), PTT and platelets.




How do granulomas present on ultrasound? What are they caused by?


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Small calcifications in the liver and the spleen; histoplasmosis or tuberculosis.




What is Aminotransferases (Transaminases)? What does it increase with?


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One of the first lab tests to asses liver is determining the presence of liver
enzymes in the blood. When liver cells are damaged they spill these enzymes
into the blood stream.;
It increased with a fatty liver, drug-induced, Hep A, Hep B, hep C,
autoimmune Hepatitis.




Hepatocellular carcinoma commonly invades:


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Venous structures (PV, HV, IVC)

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