ARDMS ABDOMEN BOARD
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Which crus of the diaphragm is visualized anterior to
the aorta above the level of the celiac artery?
Answer:
the left crus
Question 2: The right crus is seen where?
Answer:
posterior to the caudate lobe and ivc
Question 3: Abnormal accumulation of serous fluid in the
peritoneum secondary to a pathological process
Answer:
ascites
Question 4: Anechoic freely mobile usually benign ascites
Answer:
transudative
Question 5: Internal echoes, loculated, associated with infection
and malignancy ascites
Answer:
, exudative
Question 6: In cases of massive ascites this will also be present
Answer:
respiratory distress
Question 7: Fluid accumulations in order in the supine patient (5
areas)
Answer:
inferior tip (right lobe liver), superior portion (right flank), pelvic cul-de-sac,
right paracolic gutter (lateral and anterior to liver), morrison's pouch
Question 8: Encased collection of pus
Answer:
abscess
Question 9: This type of abscess is associated with cholangitis,
sepsis, and penetrating trauma to the liver
Answer:
intrahepatic
Question 10: This type of abscess is associated with
cholecystectomy
Answer:
subhepatic
,Question 11: This type of abscess is associated with bacterial spill
into peritoneum, bowel rupture, peptic ulcer perforation, trauma
Answer:
subphrenic
Question 12: How to tell the difference between ascites and
abscess
Answer:
move the patient erect, ascites will move to the dependent portion
Question 13: What are the three areas of the retroperitoneum
Answer:
anterior perirenal space, perirenal space, posterior perirenal space
Question 14: What organs lie in the anterior perirenal space
Answer:
retroperitoneal portion of the intestines and the pancreas
Question 15: What organs lie in the perirenal space
Answer:
kidneys, ureters, adrenal glands, aorta, ivc, retroperitoneal nodes
Question 16: What organs lie in the posterior perirenal space
Answer:
posterior abdominal wall, iliopsoas muscle, quadratus muscle
, Question 17: Originates from fat, has complex echogenic pattern
with thick walls
Answer:
liposarcoma
Question 18: Originates from connective tissue, has complex
sonolucent pattern, invading surrounding tissues
Answer:
fibrosarcoma
Question 19: Originates from muscle, occurs as a solid, complex,
or homogeneous echogenic mass, invading surrounding tissue
Answer:
rhabdomyosarcoma
Question 20: Originates from smooth muscle, occurs as a complex
echodense mass that may have areas of necrosis and cystic
degeneration
Answer:
leiomyosarcoma
Question 21: Originates from all three germ cell layers, most occur
in the area of the upper pole of the left kidney, 90% are benign,
complex with echogenic and cystic areas, 50% occur in children
Answer:
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Which crus of the diaphragm is visualized anterior to
the aorta above the level of the celiac artery?
Answer:
the left crus
Question 2: The right crus is seen where?
Answer:
posterior to the caudate lobe and ivc
Question 3: Abnormal accumulation of serous fluid in the
peritoneum secondary to a pathological process
Answer:
ascites
Question 4: Anechoic freely mobile usually benign ascites
Answer:
transudative
Question 5: Internal echoes, loculated, associated with infection
and malignancy ascites
Answer:
, exudative
Question 6: In cases of massive ascites this will also be present
Answer:
respiratory distress
Question 7: Fluid accumulations in order in the supine patient (5
areas)
Answer:
inferior tip (right lobe liver), superior portion (right flank), pelvic cul-de-sac,
right paracolic gutter (lateral and anterior to liver), morrison's pouch
Question 8: Encased collection of pus
Answer:
abscess
Question 9: This type of abscess is associated with cholangitis,
sepsis, and penetrating trauma to the liver
Answer:
intrahepatic
Question 10: This type of abscess is associated with
cholecystectomy
Answer:
subhepatic
,Question 11: This type of abscess is associated with bacterial spill
into peritoneum, bowel rupture, peptic ulcer perforation, trauma
Answer:
subphrenic
Question 12: How to tell the difference between ascites and
abscess
Answer:
move the patient erect, ascites will move to the dependent portion
Question 13: What are the three areas of the retroperitoneum
Answer:
anterior perirenal space, perirenal space, posterior perirenal space
Question 14: What organs lie in the anterior perirenal space
Answer:
retroperitoneal portion of the intestines and the pancreas
Question 15: What organs lie in the perirenal space
Answer:
kidneys, ureters, adrenal glands, aorta, ivc, retroperitoneal nodes
Question 16: What organs lie in the posterior perirenal space
Answer:
posterior abdominal wall, iliopsoas muscle, quadratus muscle
, Question 17: Originates from fat, has complex echogenic pattern
with thick walls
Answer:
liposarcoma
Question 18: Originates from connective tissue, has complex
sonolucent pattern, invading surrounding tissues
Answer:
fibrosarcoma
Question 19: Originates from muscle, occurs as a solid, complex,
or homogeneous echogenic mass, invading surrounding tissue
Answer:
rhabdomyosarcoma
Question 20: Originates from smooth muscle, occurs as a complex
echodense mass that may have areas of necrosis and cystic
degeneration
Answer:
leiomyosarcoma
Question 21: Originates from all three germ cell layers, most occur
in the area of the upper pole of the left kidney, 90% are benign,
complex with echogenic and cystic areas, 50% occur in children
Answer: