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ARDMS ABDOMEN REGISTRY CERTIFICATION WITH QUESTIONS AND CORRECT ANSWERS
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ARDMS ABDOMEN REGISTRY CERTIFICATION WITH QUESTIONS AND CORRECT ANSWERS
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ARDMS ABDOMEN REGISTRYCERTIFICATION WITH QUESTIONS AND
CORRECT ANSWERS
Name 4 defined well defined hyperechoic liver masses: Correct
Answer Hemangiomas, Hepatic lipomas, echogenic mets, and
focal fatty infiltration
What are the ultrasound findings associated the significant acute
pyelonephritis? Correct Answer Renal enlargement
Hypoechoic parenchyma
Absence of sinus echoes
Name 2 structures posterior to the IVC: Correct Answer right
renal artery
right adrenal gland
Name 2 structures posterior to the first portion of the duodenum:
Correct Answer CBD and GDA pass posteriorly to the first portion
of the duodenum prior to entering the head of the pancreas
Name the structure posterior to the third portion of the duodenum:
Correct Answer Aorta
Name the structure posterior to the head of the pancreas: Correct
Answer IVC
What are the four functions of the spleen? Correct Answer
Breakdown of hemoglobin
Formation of bile pigment
formation of antibodies
a reservoir for blood
,What tumor of the adrenal gland is seen as an echogenic mass
with an associated propagation speed artifact? Correct Answer
Adrenal myelolipomas
What 2 tumors originate from the adrenal medulla? Correct
Answer pheochromocytoma
Neuroblastoma
What is the sonographic appearance of Caroli's disease? Correct
Answer Saccular, communicating intrahepatic bile duct dilatation
What other genetically acquired conditions are associated with
Caroli's disease? Correct Answer Infantile polycystic kidney
disease
Congenital hepatic fibrosis
Choledocal cysts
Define acceleration time: Correct Answer The interval of time
from the beginning of systole tot he initial peak velocity
Define acceleration index: Correct Answer Derived by dividing
the acceleration slope by the transmitted frequency
What are the 3 major pathologic mechanisms of cirrhosis?
Correct Answer Hepatocellular death
fibrosis
regeneration
What is the classic clinical presentation of a patient with cirrhosis?
Correct Answer Hepatomegaly
Jaundice
Ascites
What are the clinical signs of portal hypertension? Correct Answer
Ascites
,Splenomegaly
Varices
What is the sonographic presentation of gallbladder carcinoma?
Correct Answer Intraluminal mass, asymmetric wall thickening, or
a mass-filled gallbladder
What 3 other findings should be investigated to confirm the
diagnosis of gallbladder carcinoma? Correct Answer Liver
metastases
Lymphadenopathy
Bile duct dilatation
What are the sonographic findings associated with Budd-Chiari
syndrome? Correct Answer Hepatic vein thrombosis, ascites,
acute hepatomegaly, Chronic caudate lobe enlargement, Portal
hypertension
How is Budd-Chiari syndrome characterized? Correct Answer By
the occlusion of the hepatic veins
What tumors commonly imaged with ultrasound are associated
with Von Hippel-Lindau Syndrome? Correct Answer RCC,
Hemangioma, Pheochromocytoma, Pancreatic
cystadenoma/cystadenocarcinoma, adenoma, islet cell tumor,
cysts in general
6 causes of gallbladder wall thickening: Correct Answer Ascites,
Cholecystitis, adenomyomatosis, hypoalbuminemia, congestive
heart failure, acute hepatitis
Gallbladder wall thickening ti diagnosed with the wall is greater
than what? Correct Answer > 3mm
, What are 5 reasons for and enlarged gallbladder? Correct Answer
Prolonged fasting, hydrops of the GB, choledocholithiasis,
Courvoisier GB, diabetes
Name 3 anatomic anomalies that appear as pseudotumors of the
kidney? Correct Answer Column of Bertin
Dromedary hump
Fetal lobulation
What are the sonographic findings of portal vein thrombosis?
Correct Answer Intraluminal thrombus
Increased vein diameter
Cavernous transformations
Spatial relationships for pancreas: Correct Answer The
pancreatic head is ANTERIOR to the IVC
The pancreatic head is INFERIOR to the PV
The pancreatic head is MEDIAL to the 2nd portion of the
duodenum
The uncinate process is POSTERIOR to the SMV
What are the boundaries of the caudate lobe? Correct Answer
POSTERIORLY by the IVC
ANTEROINFERIORLY by the prox lt. PV
ANTEROLATERALLY by the ligamentum venosum
INFERIORLY by the MPV
Describe the sonographic appearance of ARPKD: Correct Answer
Bilaterally enlarged echogenic kidneys with loss of the cortical
medullary boundary
What other anomalies are associated with ARPKD? Correct
Answer Lung hypoplasia
Periportal hepatic fibrosis
Oligohydramnios
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