ARDMS Abdomen Davies Actual Exam Questions With Reviewed
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1. You are scanning a patient with a known Middle Hepatic Vein
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?
2. Which organ is the largest visceral organ in Liver
the body ?
3. Where is the major portion of the liver, the in the right upper quadrant of the ab-
right lobe located? domen
4. What organ is covered in large part by the the Liver
peritoneum , except for a small area poste-
rior to the dome known as the bare area?
5. Which organ is covered in a layer of fibrous the Liver
tissue, glisson's capsule?
6. You suspect enlargement of the caudate Fissure for the ligamentum venosum
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?
7. You are asked to rule out the presence of a Ligamentum teres
recannalized paraumbilical. Which anatom-
ic structure is a useful landmark in location
of this structure?
8. What is the left portal vein in contact with? Ligamentum teres
9. Where does the paraumbilical vein begins?
, ARDMS Abdomen Davies Actual Exam Questions With Reviewed
100% Correct Detailed Answers - Guaranteed Pass!!
begins at the left portal vein and exits the
liver at the ligamentum teres
10. Which vessel course within the main lobar middle hepatic vein
fissure?
11. Oxygenated blood is supplied to the liver Portal vein and hepatic artery
via the:
12. You are performing a sonogram on a slen- Reidel's lobe
der female and notice a long, thin extension
of the inferior aspect of the right lobe of the
liver. The most likely represents:
13. What forms the caudal border of the left Ligamentum teres
portal vein?
14. What ligament divides the left lobe of the Ligamentum teres
liver into medial and lateral segments?
15. You are asked to perform a Doppler study the portal veins are accompanied by
on the hepatic veins in the liver. What differ- branches of the biliary tree and hepatic
entiates the hepatic veins from the portal artery
veins?
16. You have detected a mass anterior and to Left Lobe
the left of ligamentum venosum. This mass
is located in what lobe of the liver ?
17. The thin capsule surrounding the liver is Glisson's capsule
known as:
18. What courses interlobar and intersegmen- Hepatic veins
tal within the liver?
, ARDMS Abdomen Davies Actual Exam Questions With Reviewed
100% Correct Detailed Answers - Guaranteed Pass!!
19. You are performing an ultrasound exam of Rescan the liver with a lower frequency
the liver on a small patient with a 5MHz transducer.
curved linear array. Although you have in-
creased the overall gain to its maximum set-
ting, the posterior border of the liver and
diaphragm are not visualized. What should
you do?
20. Correctly describe the probe placement and Subcostal oblique approach with the
imaging plane you would use to demon- probe angled superiorly and to the pa-
strate the three hepatic veins and inferior tient's right.
vena cava in the one view?
21. You are performing a follow-up sonogram Rescan the left lobe with a higher fre-
on a patient in which a 5 -mm cyst was previ- quency transducer. Visibility of small cysts
ously identified at the anterior border of the is limited by spatial resolution. To improve
left lobe liver. Although you are using a 3.5 spatial resolution, the best option is to
MHz curved linear array probe, you do not increase the imaging frequency.
see the cyst. What would be most helpful in
improving visibility of this cyst?
22. What do you need to do to improve spa- The best option is to increase the imaging
tial resolution to visualize small cysts (which frequency
has a limited spatial resolution)?
23. You are imaging a patient with a high liv- Scan the patient in deep inspiration
er. Subcostal images do not clearly demon-
strate the liver tissue. What should you do?
24. A patient is referred for ultrasound evalua- Perform a subcostal scan with the probe
tion of a questionable mass in the dome of angled superior and the patient in deep
inspiration
, ARDMS Abdomen Davies Actual Exam Questions With Reviewed
100% Correct Detailed Answers - Guaranteed Pass!!
the liver seen on a CAT scan. What would im-
prove visualization in this area of the liver?
25. A patient is referred for a liver ultrasound Hepatocellular carcinoma
with the clinical history of a raised serum al-
pha-fetoprotein level. What should you look
for?
26. If a non pregnant person with elevated lev- Hepatocellular carcinoma, germ cell tu-
els of serum alpha-fetoprotein AFP , what is mor of gonadal, retroperitoneal, or medi-
associated with this? astinal origin. Sometimes with cancer of
pancreas, stomach, or biliary system.
27. What may produce modest serum AFP ele- Hepatitis and cirrhosis
vations?
28. You are reviewing lab work prior to per- Concomitant elevation of both GGT and
forming an abnormal ultrasound exam. El- alkaline phosphate indicates the source of
evated lab values include Gamma- glutamyl the elevated alkaline phosphatase is the
transpeptidase -GGT and alkaline phos- liver.
phatase. What would it be?
29. what other reasons would alkaline phos- skeletal disease, hyperparathyroidism,
phatase be elevated ? and acute hepatocellular disease
30. What is NOT a lab test use in evaluation of Lipase - is used to evaluate acute pancre-
liver function out of the following GGT, AST, atitis
direct bilirubin, indirect bilirubin, or lipase?
31. What does it mean when direct bilirubin is usually indicates biliary obstruction,
elevated? which may be intrahepatic due to hepati-
tis, cirrhosis, or extrahepatic due to gall-
stones, gallbladder or pancreatic cancer.
100% Correct Detailed Answers - Guaranteed Pass!!
1. You are scanning a patient with a known Middle Hepatic Vein
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?
2. Which organ is the largest visceral organ in Liver
the body ?
3. Where is the major portion of the liver, the in the right upper quadrant of the ab-
right lobe located? domen
4. What organ is covered in large part by the the Liver
peritoneum , except for a small area poste-
rior to the dome known as the bare area?
5. Which organ is covered in a layer of fibrous the Liver
tissue, glisson's capsule?
6. You suspect enlargement of the caudate Fissure for the ligamentum venosum
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?
7. You are asked to rule out the presence of a Ligamentum teres
recannalized paraumbilical. Which anatom-
ic structure is a useful landmark in location
of this structure?
8. What is the left portal vein in contact with? Ligamentum teres
9. Where does the paraumbilical vein begins?
, ARDMS Abdomen Davies Actual Exam Questions With Reviewed
100% Correct Detailed Answers - Guaranteed Pass!!
begins at the left portal vein and exits the
liver at the ligamentum teres
10. Which vessel course within the main lobar middle hepatic vein
fissure?
11. Oxygenated blood is supplied to the liver Portal vein and hepatic artery
via the:
12. You are performing a sonogram on a slen- Reidel's lobe
der female and notice a long, thin extension
of the inferior aspect of the right lobe of the
liver. The most likely represents:
13. What forms the caudal border of the left Ligamentum teres
portal vein?
14. What ligament divides the left lobe of the Ligamentum teres
liver into medial and lateral segments?
15. You are asked to perform a Doppler study the portal veins are accompanied by
on the hepatic veins in the liver. What differ- branches of the biliary tree and hepatic
entiates the hepatic veins from the portal artery
veins?
16. You have detected a mass anterior and to Left Lobe
the left of ligamentum venosum. This mass
is located in what lobe of the liver ?
17. The thin capsule surrounding the liver is Glisson's capsule
known as:
18. What courses interlobar and intersegmen- Hepatic veins
tal within the liver?
, ARDMS Abdomen Davies Actual Exam Questions With Reviewed
100% Correct Detailed Answers - Guaranteed Pass!!
19. You are performing an ultrasound exam of Rescan the liver with a lower frequency
the liver on a small patient with a 5MHz transducer.
curved linear array. Although you have in-
creased the overall gain to its maximum set-
ting, the posterior border of the liver and
diaphragm are not visualized. What should
you do?
20. Correctly describe the probe placement and Subcostal oblique approach with the
imaging plane you would use to demon- probe angled superiorly and to the pa-
strate the three hepatic veins and inferior tient's right.
vena cava in the one view?
21. You are performing a follow-up sonogram Rescan the left lobe with a higher fre-
on a patient in which a 5 -mm cyst was previ- quency transducer. Visibility of small cysts
ously identified at the anterior border of the is limited by spatial resolution. To improve
left lobe liver. Although you are using a 3.5 spatial resolution, the best option is to
MHz curved linear array probe, you do not increase the imaging frequency.
see the cyst. What would be most helpful in
improving visibility of this cyst?
22. What do you need to do to improve spa- The best option is to increase the imaging
tial resolution to visualize small cysts (which frequency
has a limited spatial resolution)?
23. You are imaging a patient with a high liv- Scan the patient in deep inspiration
er. Subcostal images do not clearly demon-
strate the liver tissue. What should you do?
24. A patient is referred for ultrasound evalua- Perform a subcostal scan with the probe
tion of a questionable mass in the dome of angled superior and the patient in deep
inspiration
, ARDMS Abdomen Davies Actual Exam Questions With Reviewed
100% Correct Detailed Answers - Guaranteed Pass!!
the liver seen on a CAT scan. What would im-
prove visualization in this area of the liver?
25. A patient is referred for a liver ultrasound Hepatocellular carcinoma
with the clinical history of a raised serum al-
pha-fetoprotein level. What should you look
for?
26. If a non pregnant person with elevated lev- Hepatocellular carcinoma, germ cell tu-
els of serum alpha-fetoprotein AFP , what is mor of gonadal, retroperitoneal, or medi-
associated with this? astinal origin. Sometimes with cancer of
pancreas, stomach, or biliary system.
27. What may produce modest serum AFP ele- Hepatitis and cirrhosis
vations?
28. You are reviewing lab work prior to per- Concomitant elevation of both GGT and
forming an abnormal ultrasound exam. El- alkaline phosphate indicates the source of
evated lab values include Gamma- glutamyl the elevated alkaline phosphatase is the
transpeptidase -GGT and alkaline phos- liver.
phatase. What would it be?
29. what other reasons would alkaline phos- skeletal disease, hyperparathyroidism,
phatase be elevated ? and acute hepatocellular disease
30. What is NOT a lab test use in evaluation of Lipase - is used to evaluate acute pancre-
liver function out of the following GGT, AST, atitis
direct bilirubin, indirect bilirubin, or lipase?
31. What does it mean when direct bilirubin is usually indicates biliary obstruction,
elevated? which may be intrahepatic due to hepati-
tis, cirrhosis, or extrahepatic due to gall-
stones, gallbladder or pancreatic cancer.
