ABD MOCK Registry Exam Part
QUESTIONS AND ANSWERS
A patient presents for an abdominal sonogram due to a history of esophageal
varices. What structure(s) should be closely evaluated for related findings?
A. portal system
B. pylorus
C. splenic artery
D. renal Cartier's - ANSWER-A. portal system
It may be difficult to differentiate a ____________ from a splenic disease process
at the hilum.
A. Liver mass in the caudate lobe
B. Pancreatic pseudocyst
C. Duodenal tumor
,D. Right renal cyst in the upper pole - ANSWER-B. Pancreatic pseudocyst
The most common location of pancreatic pseudocyst is in the tail portion of the
gland. The tail of the pancreas is adjacent to the splenic hilum. It may be hard to
differentiate from which organ it originates. The duodenum is located in the RUQ
and the caudate love is located midline in the liver in the abdomen
What transducer would be preferred for the evaluation of sialolithiasis on an
average sized patient?
A. 10-12 MHz linear
B. 3-5 sector
C. 3-5 curvilinear
D. 5-7 MHz linear - ANSWER-A. 10-12 MHz linear
Sialolithiasis is the formation of a salivary stone. A high-frequency linear
transducer is preferred for evaluating superficial structures. The submandibular
glands are located under the mandible and the parotid glands are located anterior
to the ear. A salivary stone would have an appearance similar to a kidney stone. If
the stone is causing obstruction, the duct will be dilated within the gland. The
submandibular gland is drained by the Wharton duct and the parotid gland is
drained by the Stensen duct.
Which of the following is and immune system disorder that commonly affects the
salivary glands?
A. Epstein-Barr syndrome
B. Sjogren syndrome
,C. Kasabach-Merritt syndrome
D. Kippel-Trenaunay-Weber syndrome - ANSWER-B. Sjogren syndfrome
Sjogren syndrome is an immune system disorder that causes a reduction in saliva
and tear production. It is associated with rheumatoid arthritis and lupus. Primary
symptoms are dry eyes and dry mouth. It may cause swelling of the salivary
glands. Usually affects the parotid and submandibular glands.
The most important structure to evaluate with a liver transplant is:
A. hepatic artery
B. hepatic vein
C. biliary anastomosis
D. portal vein - ANSWER-A. hepatic artery
Hepatic artery patency is most important to evaluate because it is the only way
oxygenated blood is supplied to the biliary tree. If the biliary tree is cut off from
oxygenated blood, binary tissue death will occur. The portal vein also carries
oxygenated blood to the liver tissues but NOT the biliary tree.
Which of the following is most suggestive of Ormond disease?
A. bilateral staghorn calculi and posterior urethral valves
B. pedal edema and scrotal swelling
C. aortic arch aneurysm formation
, D. extrinsic compression of the celiac artery - ANSWER-B. pedal edema and scrotal
swelling
Retroperitoneal Fibrosis is also called Ormond disease and refers to idiopathic
(usually) overgrowth of fibrous tissue around an atherosclerotic aorta. It most
commonly occurs at the level of aortic bifurcation and extends inferiorly in pelvis,
Rarely will it ureteral obstruction. May lead to ureteral obstruction causing
hydronephrosis. Sonographic characteristics include a hypoechoic, soft tissue
mass with smooth borders.
Why did the Sonographer steer the US image during the thyroid biopsy?
A. to make the US beam more perpendicular to the nodule
B. to reduce the side lobe artifact
C. to make the US beam more perpendicular to the long axis of the needle
D. to better visualize the borders of the nodule - ANSWER-C. to make the US beam
more perpendicular to the long axis of the needle
The purpose of the image is to document the needle's location within the nodule.
The best reflection occurs when the US beam is perpendicular to the needle. The
beam is steered to better visualize the needle and adjust the angle of incidence to
closer to 90 degrees.
Which lobe of the liver receives blood from the left and right portal veins?
A. Medial left lobe
B. Caudate lobe
QUESTIONS AND ANSWERS
A patient presents for an abdominal sonogram due to a history of esophageal
varices. What structure(s) should be closely evaluated for related findings?
A. portal system
B. pylorus
C. splenic artery
D. renal Cartier's - ANSWER-A. portal system
It may be difficult to differentiate a ____________ from a splenic disease process
at the hilum.
A. Liver mass in the caudate lobe
B. Pancreatic pseudocyst
C. Duodenal tumor
,D. Right renal cyst in the upper pole - ANSWER-B. Pancreatic pseudocyst
The most common location of pancreatic pseudocyst is in the tail portion of the
gland. The tail of the pancreas is adjacent to the splenic hilum. It may be hard to
differentiate from which organ it originates. The duodenum is located in the RUQ
and the caudate love is located midline in the liver in the abdomen
What transducer would be preferred for the evaluation of sialolithiasis on an
average sized patient?
A. 10-12 MHz linear
B. 3-5 sector
C. 3-5 curvilinear
D. 5-7 MHz linear - ANSWER-A. 10-12 MHz linear
Sialolithiasis is the formation of a salivary stone. A high-frequency linear
transducer is preferred for evaluating superficial structures. The submandibular
glands are located under the mandible and the parotid glands are located anterior
to the ear. A salivary stone would have an appearance similar to a kidney stone. If
the stone is causing obstruction, the duct will be dilated within the gland. The
submandibular gland is drained by the Wharton duct and the parotid gland is
drained by the Stensen duct.
Which of the following is and immune system disorder that commonly affects the
salivary glands?
A. Epstein-Barr syndrome
B. Sjogren syndrome
,C. Kasabach-Merritt syndrome
D. Kippel-Trenaunay-Weber syndrome - ANSWER-B. Sjogren syndfrome
Sjogren syndrome is an immune system disorder that causes a reduction in saliva
and tear production. It is associated with rheumatoid arthritis and lupus. Primary
symptoms are dry eyes and dry mouth. It may cause swelling of the salivary
glands. Usually affects the parotid and submandibular glands.
The most important structure to evaluate with a liver transplant is:
A. hepatic artery
B. hepatic vein
C. biliary anastomosis
D. portal vein - ANSWER-A. hepatic artery
Hepatic artery patency is most important to evaluate because it is the only way
oxygenated blood is supplied to the biliary tree. If the biliary tree is cut off from
oxygenated blood, binary tissue death will occur. The portal vein also carries
oxygenated blood to the liver tissues but NOT the biliary tree.
Which of the following is most suggestive of Ormond disease?
A. bilateral staghorn calculi and posterior urethral valves
B. pedal edema and scrotal swelling
C. aortic arch aneurysm formation
, D. extrinsic compression of the celiac artery - ANSWER-B. pedal edema and scrotal
swelling
Retroperitoneal Fibrosis is also called Ormond disease and refers to idiopathic
(usually) overgrowth of fibrous tissue around an atherosclerotic aorta. It most
commonly occurs at the level of aortic bifurcation and extends inferiorly in pelvis,
Rarely will it ureteral obstruction. May lead to ureteral obstruction causing
hydronephrosis. Sonographic characteristics include a hypoechoic, soft tissue
mass with smooth borders.
Why did the Sonographer steer the US image during the thyroid biopsy?
A. to make the US beam more perpendicular to the nodule
B. to reduce the side lobe artifact
C. to make the US beam more perpendicular to the long axis of the needle
D. to better visualize the borders of the nodule - ANSWER-C. to make the US beam
more perpendicular to the long axis of the needle
The purpose of the image is to document the needle's location within the nodule.
The best reflection occurs when the US beam is perpendicular to the needle. The
beam is steered to better visualize the needle and adjust the angle of incidence to
closer to 90 degrees.
Which lobe of the liver receives blood from the left and right portal veins?
A. Medial left lobe
B. Caudate lobe
