ARDMS Abdomen Davies
evaluation exam with solutions
2025 update (214 terms)
Which vessel course within the main lobar fissure? - Answer middle hepatic vein
Oxygenated blood is supplied to the liver via the: - Answer 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: - Answer Reidel's lobe
What forms the caudal border of the left portal vein? - Answer Ligamentum teres
What ligament divides the left lobe of the liver into medial and lateral segments?
- Answer 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? - Answer the portal veins
are accompanied by branches of the biliary tree and hepatic artery
,ARDMS Abdomen Davies
evaluation exam with solutions
2025 update (214 terms)
You have detected a mass anterior and to the left of ligamentum venosum. This
mass is located in what lobe of the liver ? - Answer Left Lobe
The thin capsule surrounding the liver is known as: - Answer Glisson's capsule
What courses interlobar and intersegmental within the liver? - Answer 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? - Answer 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? -
Answer Subcostal oblique approach with the probe angled superiorly and to the
patient's right.
,ARDMS Abdomen Davies
evaluation exam with solutions
2025 update (214 terms)
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? - Answer 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)? - Answer 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? - Answer Scan the patient in
deep inspiration
A patient is referred for ultrasound evaluation of a questionable mass in the dome
of the liver seen on a CAT scan. What would improve visualization in this area of
the liver? - Answer Perform a subcostal scan with the probe angled superior and
the patient in deep inspiration
A patient is referred for a liver ultrasound with the clinical history of a raised
serum alpha-fetoprotein level. What should you look for? - Answer Hepatocellular
carcinoma
If a non pregnant person with elevated levels of serum alpha-fetoprotein AFP ,
what is associated with this? - Answer Hepatocellular carcinoma, germ cell tumor
of gonadal, retroperitoneal, or mediastinal origin. Sometimes with cancer of
pancreas, stomach, or biliary system.
What may produce modest serum AFP elevations? - Answer Hepatitis and
cirrhosis
You are reviewing lab work prior to performing an abnormal ultrasound exam.
Elevated lab values include Gamma- glutamyl transpeptidase -GGT and alkaline
phosphatase. What would it be? - Answer Concomitant elevation of both GGT and
alkaline phosphate indicates the source of the elevated alkaline phosphatase is
the liver.
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