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ARDMS Abdomen Davies Exam Questions With Correct Answers
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ARDMS Abdomen Davies Exam Questions With Correct Answers You are scanning a patient with a known mass in the left medial segment of the liver. What anatomic landmark can you use to identify the left medial segment separate from the right anterior segment of the liver? - answerMiddle Hepatic Vei...

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  • October 15, 2024
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  • 2024/2025
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©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM



ARDMS Abdomen Davies Exam Questions
With Correct Answers


You are scanning a patient with a known mass in the left medial segment of the liver. What

anatomic landmark can you use to identify the left medial segment separate from the right

anterior segment of the liver? - answer✔Middle Hepatic Vein


Which organ is the largest visceral organ in the body ? - answer✔Liver


Where is the major portion of the liver, the right lobe located? - answer✔in the right upper

quadrant of the abdomen

What organ is covered in large part by the peritoneum , except for a small area posterior to the

dome known as the bare area? - answer✔the Liver


Which organ is covered in a layer of fibrous tissue, glisson's capsule? - answer✔the Liver


You suspect enlargement of the caudate lobe in a patient with liver disease. What structure

located at the anterior border of the caudate lobe will help you to identify this lobe of the liver? -

answer✔Fissure for the ligamentum venosum

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


You are asked to rule out the presence of a recannalized paraumbilical. Which anatomic structure

is a useful landmark in location of this structure? - answer✔Ligamentum teres


What is the left portal vein in contact with? - answer✔Ligamentum teres


Where does the paraumbilical vein begins? - answer✔begins at the left portal vein and exits the

liver at the ligamentum teres


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

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

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


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.

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

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


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.


what other reasons would alkaline phosphatase be elevated ? - answer✔skeletal disease,

hyperparathyroidism, and acute hepatocellular disease

What is NOT a lab test use in evaluation of liver function out of the following GGT, AST, direct

bilirubin, indirect bilirubin, or lipase? - answer✔Lipase - is used to evaluate acute pancreatitis

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