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Penny-ARDMS Abdomen Exam- Integration of Data Questions and Complete Solutions Graded A+
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Penny-ARDMS Abdomen Exam- Integration of Data Questions and Complete Solutions Graded A+
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Penny-ARDMS AbdomenExam- Integration of Data
Questions and Complete
Solutions Graded A+
Denning [Date] [Course title]
, b. Follicular carcinoma
(Follicular carcinoma is not typically a primary cancer of the testicles. However, it is often a primary form
of thyroid cancer.) - Answer: 1. A 35-year-old patient presents to the sonography department with a
history of testicular cancer. Which of the following is not typically a primary cancer of the testicle?
a. Choriocarcinoma
b. Follicular carcinoma
c. Seminoma
d. Embryonal cell carcinoma
b. Fatty infiltration
(Given the patient's age and lack of symptoms, the sonographic findings are most indicative of fatty
infiltration of the liver. Fatty changes within the liver can be diffuse or focal. Diffuse infiltration will cause
the liver to appear diffusely echogenic and it will be more difficult to penetrate. Frequently, in the
presence of diffuse fatty infiltration, the walls of the hepatic vasculature and diaphragm will not be
easily imaged, secondary to the attenuation of the sound beam.) - Answer: 2. A 34-year-old obese,
asymptomatic male patient presents to the sonography department with a history of elevated liver
function labs. Sonographically, the liver appears diffusely echogenic, and the borders of the vessels are
difficult to visualize. Which of the following would be the most likely diagnosis?
a. Portal hypertension
b. Fatty infiltration
c. Budd-Chiari syndrome
d. Hepatocellular carcinoma (HCC)
d. Hepatitis
(Patients with hepatitis can experience fever, chills, nausea, vomiting, fatigue, hepatosplenomegaly,
dark urine, and jaundice. Elevation in the liver function tests is often apparent as well. Sonographically, a
patient with hepatitis can have evidence of hepatomegaly and splenomegaly. As the liver enlarges, it
tends to become more hypoechoic. Periportal cuffing may be seen in some patients with hepatitis. This
is described as an increase in the echogenicity of the walls of the portal triads ("starry-sky" sign). The
gallbladder wall may also be thickened.) - Answer: 3. A 44-year-old male patient presents to the
sonography department for an abdominal sonogram complaining of fever, chills, dark urine, elevated
liver function tests, and jaundice. Sonographically, the echogenicity of the portal vein walls appear
increased, while the liver appears enlarged, and diffusely hypoechoic. The gallbladder wall also appears
thickened. Which of the following would be the most likely diagnosis?
a. HCC
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