1|Page
ARDMS ABDOMEN ACTUAL EXAM, PRACTICE EXAM
AND STUDY GUIDE NEWEST 2025/ 2026 COMPLETE
400 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!!
Following liver transplantation, which of the following
anatomic locations has an anastomotic connection that
should be evaluated with ultrasound? - ANSWER-Inferior
vena cava, portal vein, hepatic artery, and bile duct
You are scanning a patient with liver cirrhosis and
suspected portal hypertension. In this study, assessment
of the size of which of the following is most important? -
ANSWER-Spleen
A recannalized paraumbilical vein may be seen as a result
of which of the following? - ANSWER-Portal hypertension
Which of the following describes the best sonographic
window to view a recannalized paraumbilical vein? -
ANSWER-Sagittal subcoastal view through the left lobe at
the level of the ligamentum teres
The portal triad consists of the following three structures: -
ANSWER-Portal vein, bile duct, hepatic artery
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The ligamentum venosum forms the anterior border of
what lobe of the liver? - ANSWER-Caudate lobe
You are scanning a patient with portal hypertension.
Enlargement of which of the following structures is
diagnostic of this condition? - ANSWER-Coronary vein
Which measurement below is the diagnostic cutoff for
portal vein enlargement? - ANSWER-13mm
Regenerating nodules are a feature associated with: -
ANSWER-Cirrhosis
You are performing an ultrasound exam in a patient with a
history of alcoholic liver cirrhosis. You have documented
the presence of splenomegaly and dilated veins at the
splenic hilum. Considering the patient's history and
findings, what else should you look for? - ANSWER-
Search for the presence of portosystemic collaterals
The best view for ultrasound demonstration of the
coronary vein is: - ANSWER-A sagittal view of the splenic
vein near the midline
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You are performing a follow-up study on a patient with a
history of cavernous transformation. Where should you
look to evaluate this condition? - ANSWER-Porta hepatis
You are scanning a patient with an enlarged caudate lobe
and shrunken right lobe. What diffuse liver process should
you suspect? - ANSWER-Cirrhosis
You are scanning an obese patient to rule out fatty liver.
What is the common sonographic appearance this
condition? - ANSWER-Increased echogenicity of the liver
compared to the normal kidney
You are having difficulty locating the gallbladder in a
patient with right upper quadrant pain. What anatomic
landmark will help you identify the gallbladder fossa? -
ANSWER-Interlobar hepatic fissure
In what anatomic variant is the fundus of the gallbladder
folded over the body? - ANSWER-Phrygian cap
A patient is referred from the emergency room to rule out
acute cholecystitis. You think the gallbladder wall may be
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thickened. What is the normal diameter of the gallbladder
wall? - ANSWER-less than 3 mm
You are scanning the gallbladder and notice some smudgy
echoes within it. You suspect the echoes are due to
artifact. What is a common cause of artifactual echoes
within the gallbladder? - ANSWER-Reverberation, side
lobes, slice thickness artifact
You have a patient scheduled for a gallbladder sonogram.
What preparation is required? - ANSWER-The patient
should be fasting for 8-12 hours prior to study.
You have been requested to perform a gallbladder
ultrasound to rule out cholelithiasis. What is cholelithiasis?
- ANSWER-Gallstones
You are scanning the gallbladder and notice that the wall
is abnormally thickened, would this be associated with
malignant ascites? - ANSWER-NO
A referring physician has asked you about the accuracy of
gallbladder sonography. The diagnostic accuracy of
gallbladder sonography is: - ANSWER-more than 90%
ARDMS ABDOMEN ACTUAL EXAM, PRACTICE EXAM
AND STUDY GUIDE NEWEST 2025/ 2026 COMPLETE
400 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!!
Following liver transplantation, which of the following
anatomic locations has an anastomotic connection that
should be evaluated with ultrasound? - ANSWER-Inferior
vena cava, portal vein, hepatic artery, and bile duct
You are scanning a patient with liver cirrhosis and
suspected portal hypertension. In this study, assessment
of the size of which of the following is most important? -
ANSWER-Spleen
A recannalized paraumbilical vein may be seen as a result
of which of the following? - ANSWER-Portal hypertension
Which of the following describes the best sonographic
window to view a recannalized paraumbilical vein? -
ANSWER-Sagittal subcoastal view through the left lobe at
the level of the ligamentum teres
The portal triad consists of the following three structures: -
ANSWER-Portal vein, bile duct, hepatic artery
,2|Page
The ligamentum venosum forms the anterior border of
what lobe of the liver? - ANSWER-Caudate lobe
You are scanning a patient with portal hypertension.
Enlargement of which of the following structures is
diagnostic of this condition? - ANSWER-Coronary vein
Which measurement below is the diagnostic cutoff for
portal vein enlargement? - ANSWER-13mm
Regenerating nodules are a feature associated with: -
ANSWER-Cirrhosis
You are performing an ultrasound exam in a patient with a
history of alcoholic liver cirrhosis. You have documented
the presence of splenomegaly and dilated veins at the
splenic hilum. Considering the patient's history and
findings, what else should you look for? - ANSWER-
Search for the presence of portosystemic collaterals
The best view for ultrasound demonstration of the
coronary vein is: - ANSWER-A sagittal view of the splenic
vein near the midline
,3|Page
You are performing a follow-up study on a patient with a
history of cavernous transformation. Where should you
look to evaluate this condition? - ANSWER-Porta hepatis
You are scanning a patient with an enlarged caudate lobe
and shrunken right lobe. What diffuse liver process should
you suspect? - ANSWER-Cirrhosis
You are scanning an obese patient to rule out fatty liver.
What is the common sonographic appearance this
condition? - ANSWER-Increased echogenicity of the liver
compared to the normal kidney
You are having difficulty locating the gallbladder in a
patient with right upper quadrant pain. What anatomic
landmark will help you identify the gallbladder fossa? -
ANSWER-Interlobar hepatic fissure
In what anatomic variant is the fundus of the gallbladder
folded over the body? - ANSWER-Phrygian cap
A patient is referred from the emergency room to rule out
acute cholecystitis. You think the gallbladder wall may be
, 4|Page
thickened. What is the normal diameter of the gallbladder
wall? - ANSWER-less than 3 mm
You are scanning the gallbladder and notice some smudgy
echoes within it. You suspect the echoes are due to
artifact. What is a common cause of artifactual echoes
within the gallbladder? - ANSWER-Reverberation, side
lobes, slice thickness artifact
You have a patient scheduled for a gallbladder sonogram.
What preparation is required? - ANSWER-The patient
should be fasting for 8-12 hours prior to study.
You have been requested to perform a gallbladder
ultrasound to rule out cholelithiasis. What is cholelithiasis?
- ANSWER-Gallstones
You are scanning the gallbladder and notice that the wall
is abnormally thickened, would this be associated with
malignant ascites? - ANSWER-NO
A referring physician has asked you about the accuracy of
gallbladder sonography. The diagnostic accuracy of
gallbladder sonography is: - ANSWER-more than 90%
