ARDMS Abdomen MOCK exam| 251 | QUESTIONS & ANSWERS | ALREADY GRADED A+ | 2024 UPDATE

Progression of which of the following abnormalities flattens the portal veins? Correct Answer: Biliary obstruction The wall thickness in a normal fasting gallbladder should not exceed Correct Answer: 3 mm This color Doppler sonogram is most likely demonstrating which of the following abnormalities? Correct Answer: Pseudoaneurysm This color Doppler image demonstrates turbulent swirling blood flow within a fluid collection, classic sonographic findings of a common femoral artery pseudoaneurysm. A patient presents with sudden onset of upper abdominal pain. Ultrasound demonstrates prominence in the stomach rugae. These findings are most suspicious for which of the following conditions? Correct Answer: Gastritis Prominence of the stomach rugae in a patient with upper abdominal pain is most suspicious for gastritis. Hypervascular, thick gastric walls are sonographic findings associated with gastric ulcers. Which of the following is a complication of acute pancreatitis? Correct Answer: Duodenal obstruction Complications of acute pancreatitis may include abscess formation, duodenal obstruction, hemorrhage, phlegmon, and pseudocyst formation. Cholecystitis is a possible etiology of acute pancreatitis. A patient presents with a history of hematuria. The findings in this duplex image are most suspicious for which of the following pathologies? Correct Answer: Carcinoma A vascular echogenic mass is identified protruding from the posterior wall of the urinary bladder. Bladder carcinoma commonly presents with a history of painless hematuria. Based on the clinical history, the sonographic findings are suspicious for a malignant mass. A sagittal sonogram medial to the porta hepatis is demonstrating which of the following abnormalities? Correct Answer: Dilated common bile duct A hypoechoic mass identified by the calipers is obstructing the common bile duct resulting in dilatation. The mass is most likely a malignancy in the head of the pancreas. The pathology in this sonogram is most likely a/an Correct Answer: Pseudocyst A complex fluid collection is identified posterior to the tail of the pancreas. This is most likely a pancreatic pseudocyst. Phlegmons and islet cell tumors appear as hypoechoic masses on ultrasound. A pancreatic hemorrhage is a differential consideration but not the most likely pathology. Which of the following abnormalities is demonstrated in this transverse sonogram? Correct Answer: Stones in the duct of Wirsung Multiple stones are located in main pancreatic duct (duct of Wirsung).