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ARDMS Abdomen Exam Prep Liver exam with correct answers

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ARDMS Abdomen Exam Prep Liver exam with correct answers

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ARDMS Abdomen Exam Prep Liver |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




exam with correct answers |||\\\ |||\\\ |||\\\




You are scanning a patient with a known mass in the left medial segment of the liver. What
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anatomic landmark can you use to identify the left medial segment from the right anterior
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segment of the liver? - correct answer✔✔Middle Hepatic Vein
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You suspect enlargement of the caudate lobe in a patient with liver disease. What structure
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located at the anterior border of the caudate lobe will help you identify this lobe of the liver? -
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correct answer✔✔Fissure for the ligamentum venosum
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You are asked to rule out the presence of a recannalized paraumbilical. Which anatomic
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structure is a useful landmark in location of this structure? - correct answer✔✔Ligamentum
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Teres



*The left portal vein is in contact with the ligamentum teres. A paraumbilical vein begins at the
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left portal vein and exits the liver at the ligamentum teres.
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Which vessel courses within the main lobar fissure? - correct answer✔✔Middle Hepatic Vein
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Oxygenated blood is supplied to the liver via the: - correct answer✔✔Portal Vein and Hepatic
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Artery



You are performing a sonogram on a slender female and notice a long, thin extension of the
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inferior aspect of the right lobe of the liver. This most likely represents: - correct
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answer✔✔Reidel's lobe |||\\\




Which of the following forms the caudal border of the left portal vein?
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,A. Ligamentum venosum
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B. Hepatoduodenal ligament
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C. Main Lobar Fissure
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D. Coronary Ligament
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E. Ligamentum teres - correct answer✔✔Ligamentum teres
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What ligament divides the left lobe of the liver into medial and lateral segments? - correct
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answer✔✔Ligamentum teres |||\\\




You are asked to perform a Doppler study on the hepatic veins in the liver. What differentiates
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the hepatic veins from the portal veins? - correct answer✔✔The portal veins are accompanied
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by branches of the biliary tree and hepatic artery
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You have detected a mass anterior and to the left of the ligamentum venosum. This mass is
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located in what lobe of the liver? - correct answer✔✔Left Lobe of the Liver
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The thin capsule surrounding the liver is known as: - correct answer✔✔Glisson's capsule
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Which of the following course interlobar and intersegmental within the liver?
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A. Bile ducts
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B. Portal veins
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C. Hepatic arteries
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D. Lymphatics
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E. Hepatic veins - correct answer✔✔E. Hepatic Veins
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, You are performing an ultrasound exam of the liver on a small patient with a 5 MHz curved
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linear array. Although you have increased the overall gain to its maximum setting, the posterior
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border of the liver and diaphragm are not visualized. What should you do? - correct
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answer✔✔Rescan the liver with a lower frequency transducer |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




*Lower frequency transducers provide greater penetration than higher frequency transducers.
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Another way to increase the penetration is to increase the transmit power. Decreasing the
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transmit power will decrease penetration. Moving the focal zone into the near field will not
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improve penetration. |||\\\




How would you correctly describe the probe placement and imaging plane you would use to
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demonstrate the 3 hepatic veins and IVC in one view? - correct answer✔✔Subcostal oblique |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




approach with the probe angled superiorly and to the patients right |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




You are performing a follow-up sonogram on a patient in which a 5-mm cyst was previously
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identified at the anterior border if the left lobe of the liver. Although you are using a 3.5 MHz
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curved linear array transducer, you do not see the cyst. What would be most helpful in
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improving the visibility of this cyst? - correct answer✔✔Rescan the left lobe with a higher |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




frequency transducer |||\\\ |||\\\




*Visibility of small cysts is limited by spatial resolution. To improve resolution, the best option
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is to increase the imaging frequency.
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You are imaging a patient with a high liver. Subcostal images do not clearly demonstrate the
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liver tissue. What should you do? - correct answer✔✔Scan the patient in deep inspiration
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A patient is referred for ultrasound evaluation of a questionable mass in the dome of the liver
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seen on a CAT scan. What method would improve visualization in this area of the liver? -
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correct answer✔✔Perform a subcostal scan with the probe angled superior and the patient in
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deep inspiration |||\\\

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