Questions and Answers 2024
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ARDMS
8/13/24
,ARDMS Abdomen Davies Exam Study Questions and Answers 2024
You are scanning a patient with a known mass in the left medial segment of
the liver. What anatomic landmark can you use to identify the left medial
segment separate from the right anterior segment of the liver? - Middle
Hepatic Vein
Which organ is the largest visceral organ in the body ? - Liver
Where is the major portion of the liver, the right lobe located? - in the right
upper quadrant of the abdomen
What organ is covered in large part by the peritoneum , except for a small
area posterior to the dome known as the bare area? - the Liver
Which organ is covered in a layer of fibrous tissue, glisson's capsule? - the
Liver
You suspect enlargement of the caudate lobe in a patient with liver disease.
What structure located at the anterior border of the caudate lobe will help
you to identify this lobe of the liver? - Fissure for the ligamentum venosum
You are asked to rule out the presence of a recannalized paraumbilical.
Which anatomic structure is a useful landmark in location of this structure? -
Ligamentum teres
What is the left portal vein in contact with? - Ligamentum teres
Where does the paraumbilical vein begins? - begins at the left portal vein
and exits the liver at the ligamentum teres
Which vessel course within the main lobar fissure? - middle hepatic vein
Oxygenated blood is supplied to the liver via the: - Portal vein and hepatic
artery
You are performing a sonogram on a slender female and notice a long, thin
extension of the inferior aspect of the right lobe of the liver. The most likely
represents: - Reidel's lobe
What forms the caudal border of the left portal vein? - Ligamentum teres
, ARDMS Abdomen Davies Exam Study Questions and Answers 2024
What ligament divides the left lobe of the liver into medial and lateral
segments? - Ligamentum teres
You are asked to perform a Doppler study on the hepatic veins in the liver.
What differentiates the hepatic veins from the portal veins? - the portal veins
are accompanied by branches of the biliary tree and hepatic artery
You have detected a mass anterior and to the left of ligamentum venosum.
This mass is located in what lobe of the liver ? - Left Lobe
The thin capsule surrounding the liver is known as: - Glisson's capsule
What courses interlobar and intersegmental within the liver? - Hepatic veins
You are performing an ultrasound exam of the liver on a small patient with a
5MHz curved linear array. Although you have increased the overall gain to
its maximum setting, the posterior border of the liver and diaphragm are not
visualized. What should you do? - Rescan the liver with a lower frequency
transducer.
Correctly describe the probe placement and imaging plane you would use to
demonstrate the three hepatic veins and inferior vena cava in the one view? -
Subcostal oblique approach with the probe angled superiorly and to the
patient's right.
You are performing a follow-up sonogram on a patient in which a 5 -mm
cyst was previously identified at the anterior border of the left lobe liver.
Although you are using a 3.5 MHz curved linear array probe, you do not see
the cyst. What would be most helpful in improving visibility of this cyst? -
Rescan the left lobe with a higher frequency transducer. Visibility of small
cysts is limited by spatial resolution. To improve spatial resolution, the best
option is to increase the imaging frequency.
What do you need to do to improve spatial resolution to visualize small cysts
(which has a limited spatial resolution)? - The best option is to increase the
imaging frequency
You are imaging a patient with a high liver. Subcostal images do not clearly
demonstrate the liver tissue. What should you do? - Scan the patient in deep
inspiration