DMS 200 2025”2026 FINAL EXAM 200 QUESTIONS AND
CORRECT ANSWERS COVERING THE MOST TESTED
QUESTIONS GUARANTEE OVER 80% PASSMARK
All of the following structures are homogenous except: - correct answer -Gastrointestinal Tract
Which term can also be used to describe the preliminary report? - correct answer -Technical
impressions
To visualize the normal or abnormal anatomical areas of the subdiaphragmatic, subhepatic, and
hepatorenal spaces, the sonographer would select what anatomic scanning location? - correct answer
-Subcostal
What are the clinical implications for a 52-year-old man with a liver sonography examination suggesting
long standing liver disease and the presence of alpha-fetoprotein? - correct answer -Primary
carcinoma
Which Doppler finding indicates a thrombosis following a transjugular intrahepatic portosystemic shunt?
- correct answer -Absent flow
Which vessel supplies the liver with oxygen-rich blood? - correct answer -Hepatic artery
What is the most likely explanation when a 43-year-old woman is clinically jaundiced and has a marked
elevated serum conjugated (direct reading) bilirubin level? - correct answer -Obstructive jaundice
A marked increase of AST variance, greater than 1,000 U/mL, is clinically indicative of what pathology? -
correct answer -Acute severe fulminating hepatitis
When the patient is in the standard anatomic position, what is the course of the portal vein? - correct
answer -Transverse
,Which 8-cm duct is located in the lesser omentum's right free edge, passes posterior to the first
duodenal part, and is distally situated in a groove on the posterior surface of the pancreatic head? -
correct answer -CBD
When would the sonographer NOT be able to image a thickened gallbladder wall? - correct answer -
Postcholecystectomy
What anatomic structure is located lateral and to the right of the common bile duct? - correct answer -
Hepatic artery
Which variant presents with a kinked or folded back fundus? - correct answer -Phrygian cap
What is the likely diagnosis for a 5-year-old who presents with recurrent fever, right upper quadrant
pain, jaundice, and a sonogram demonstrating a 2-cm cyst that is medial and separate from the
gallbladder and is communicating with the common bile duct? - correct answer -Choledochal cyst
What is the normal gallbladder wall thickness measured parallel to the sound beam adjacent to the
liver? - correct answer -1 to 3 mm
Which are the three parts of an abdominal wall hernia? - correct answer -Contents, opening, sac
With paralysis of the right hemidiaphragm, what type of motion on the right compared to the normal
excursion seen on the left should be documented? - correct answer -Paradoxical (chest wall moves
inward during inhalation, outward during exhalation)
Locating the inferior vena cava, superior mesenteric vein, and gastroduodenal artery helps identify what
portion of the pancreas? - correct answer -Head
What is the classification of an annular pancreas? - correct answer -Congenital anomaly
Neoplasm of which origin comprise the largest group of pancreatic tumors? - correct answer -Exocrine
, What pancreatic function occurs in the islets of Langerhans? - correct answer -Endocrine
What type of gland secretes its products into blood or cellular tissue? - correct answer -Endocrine
What vessel courses toward the patient's midline and is located posterior to the pancreas? - correct
answer -Splenic vein
What is the most common cause of a pancreatic pseudocyst in an adult patient? - correct answer -
Acute pancreatitis
Which space or void is considered an anatomically true peritoneal space? - correct answer -Lesser sac
(omental bursa)
Which channel communicates between the supracolic and infracolic compartments? - correct answer -
Paracolic gutters
What type of pressure describes the normal venous system? - correct answer -Low
What circular vascular structure is identified coursing posterior to the inferior vena cava? - correct
answer -Right renal artery
Which term defines the inner wall layer of an artery and vein? - correct answer -Tunica intima
Which vessel lies posterior to the bile duct and anterior to the portal vein? - correct answer -Hepatic
artery
What is the most common location of aneurysms associated with the continuation of an abdominal
aortic aneurysm? - correct answer -Iliac artery
What instrumentation adjustment can help remove artifact echoes that may appear in the lumen of the
abdominal aorta? - correct answer -Decrease time gain compensation (TGC)
CORRECT ANSWERS COVERING THE MOST TESTED
QUESTIONS GUARANTEE OVER 80% PASSMARK
All of the following structures are homogenous except: - correct answer -Gastrointestinal Tract
Which term can also be used to describe the preliminary report? - correct answer -Technical
impressions
To visualize the normal or abnormal anatomical areas of the subdiaphragmatic, subhepatic, and
hepatorenal spaces, the sonographer would select what anatomic scanning location? - correct answer
-Subcostal
What are the clinical implications for a 52-year-old man with a liver sonography examination suggesting
long standing liver disease and the presence of alpha-fetoprotein? - correct answer -Primary
carcinoma
Which Doppler finding indicates a thrombosis following a transjugular intrahepatic portosystemic shunt?
- correct answer -Absent flow
Which vessel supplies the liver with oxygen-rich blood? - correct answer -Hepatic artery
What is the most likely explanation when a 43-year-old woman is clinically jaundiced and has a marked
elevated serum conjugated (direct reading) bilirubin level? - correct answer -Obstructive jaundice
A marked increase of AST variance, greater than 1,000 U/mL, is clinically indicative of what pathology? -
correct answer -Acute severe fulminating hepatitis
When the patient is in the standard anatomic position, what is the course of the portal vein? - correct
answer -Transverse
,Which 8-cm duct is located in the lesser omentum's right free edge, passes posterior to the first
duodenal part, and is distally situated in a groove on the posterior surface of the pancreatic head? -
correct answer -CBD
When would the sonographer NOT be able to image a thickened gallbladder wall? - correct answer -
Postcholecystectomy
What anatomic structure is located lateral and to the right of the common bile duct? - correct answer -
Hepatic artery
Which variant presents with a kinked or folded back fundus? - correct answer -Phrygian cap
What is the likely diagnosis for a 5-year-old who presents with recurrent fever, right upper quadrant
pain, jaundice, and a sonogram demonstrating a 2-cm cyst that is medial and separate from the
gallbladder and is communicating with the common bile duct? - correct answer -Choledochal cyst
What is the normal gallbladder wall thickness measured parallel to the sound beam adjacent to the
liver? - correct answer -1 to 3 mm
Which are the three parts of an abdominal wall hernia? - correct answer -Contents, opening, sac
With paralysis of the right hemidiaphragm, what type of motion on the right compared to the normal
excursion seen on the left should be documented? - correct answer -Paradoxical (chest wall moves
inward during inhalation, outward during exhalation)
Locating the inferior vena cava, superior mesenteric vein, and gastroduodenal artery helps identify what
portion of the pancreas? - correct answer -Head
What is the classification of an annular pancreas? - correct answer -Congenital anomaly
Neoplasm of which origin comprise the largest group of pancreatic tumors? - correct answer -Exocrine
, What pancreatic function occurs in the islets of Langerhans? - correct answer -Endocrine
What type of gland secretes its products into blood or cellular tissue? - correct answer -Endocrine
What vessel courses toward the patient's midline and is located posterior to the pancreas? - correct
answer -Splenic vein
What is the most common cause of a pancreatic pseudocyst in an adult patient? - correct answer -
Acute pancreatitis
Which space or void is considered an anatomically true peritoneal space? - correct answer -Lesser sac
(omental bursa)
Which channel communicates between the supracolic and infracolic compartments? - correct answer -
Paracolic gutters
What type of pressure describes the normal venous system? - correct answer -Low
What circular vascular structure is identified coursing posterior to the inferior vena cava? - correct
answer -Right renal artery
Which term defines the inner wall layer of an artery and vein? - correct answer -Tunica intima
Which vessel lies posterior to the bile duct and anterior to the portal vein? - correct answer -Hepatic
artery
What is the most common location of aneurysms associated with the continuation of an abdominal
aortic aneurysm? - correct answer -Iliac artery
What instrumentation adjustment can help remove artifact echoes that may appear in the lumen of the
abdominal aorta? - correct answer -Decrease time gain compensation (TGC)
