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Abdominal Sonography Review: Q&A for ARDMS Exam Prep, Exams of Nursing

A series of questions and answers related to abdominal sonography, focusing on the appearance of various pathologies and anatomical structures. It covers topics such as tumefactive sludge in the gallbladder, emphysematous cholecystitis, pancreatic divisum, and portal hypertension. The material is presented in a question-and-answer format, making it useful for exam preparation or quick review. Key areas include liver and biliary system imaging, renal anatomy, and vascular structures. It also touches on common artifacts and techniques for optimizing image quality, such as adjusting transducer frequency and angle of incidence. Useful for medical students and sonographers.

Typology: Exams

2024/2025

Available from 05/21/2025

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Davies ARDMS Abdominal –review
Questions and Answers 100% Pass
what is the sonographic appearance of tumefactive sludge in GB ✔✔avascular mass with low
level echoes
temefactive sludge is ✔✔sludge in GB that has taken on a polypoid mass like shape
patient with symptoms of severe epigastric pain radiating to the back vomitting chills and fever
with a large GB and nondependent hyperechoic foci with ringdown artifact is consistent with
✔✔emphysematous cholycystitis
emphymatous cholycystitis is a form of ____ cholycystitis associated with the presence of ___-
____ bacteria more common in ____ and those suffering from ___ ✔✔acute
gas forming
males
diabetes
best way to identify the intrahepatic billary system is to images structures below ✔✔intrahepatic
portal veins
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Davies ARDMS Abdominal – review

Questions and Answers 100% Pass

what is the sonographic appearance of tumefactive sludge in GB ✔✔avascular mass with low level echoes

temefactive sludge is ✔✔sludge in GB that has taken on a polypoid mass like shape

patient with symptoms of severe epigastric pain radiating to the back vomitting chills and fever with a large GB and nondependent hyperechoic foci with ringdown artifact is consistent with ✔✔emphysematous cholycystitis

emphymatous cholycystitis is a form of ____ cholycystitis associated with the presence of ___- ____ bacteria more common in ____ and those suffering from ___ ✔✔acute

gas forming

males

diabetes

best way to identify the intrahepatic billary system is to images structures below ✔✔intrahepatic portal veins

pancreatic divisum is ✔✔the 2 pancreatic ducts that have not fused

if using a 5MHz transducer and can not visualize the posterior liver and diaphragm ✔✔rescan the liver using a lower frequency transducer for deeper penetration

what intrarenal arteries course along side the renal pyramids ✔✔interlobar

left renal artery courses ✔✔between SMA and Aorta

if lab values of GGT and Alkaline phosphate are increased it is an indication ✔✔liver - hepatocellular disfunction

hydroceles form between the 2 layers of the ✔✔tunica vaginalis

seminal vesicle is ____and ____ to the prostate gland ✔✔posterior and superior

an appendicolith is a ___echoic focus with ___ ___ ✔✔hypoechoic

posterior shadowing

_____is removed as result of liver transplant surgery ✔✔GB

during intraoperative liver surgery ____MHz is used as transducer will be placed directly on the liver ✔✔higher (5-7 MHz)

in suspected cases of cirrhosis and portal hypertension ____is almost always enlarged ✔✔spleen

best angle for measuring an AAA is ✔✔sagittal plane perpendicular to long axis of vessel

patient with history of severe sneezing and palpable abdominal mass may indicate ✔✔rectus sheath hematoma

thin hyperechoic bands of muscles seen just anterior to thyroid are ✔✔sternohyoid

sternothyoid

aliasing can be fixed by _____the ___ ✔✔decreasing the PRF

at the neck of a pseudoaneurysm wave form will be ✔✔hi velocity

bidirectional

or have a to and fro signal

anatomic landmark for the left medial segment of the liver is the ✔✔middle hepatic vein

in a pregnant women with RUQ pain, nausea, and vomiting that has gull stones and wall thickening and fluid around GB is suffering from ✔✔acute cholecystitis complicated by GB perforation

some one with symptoms of

biliary obstruction

weight loss

midepigastric pain

intra & extra hepatic dilitation

hydropic GB

to see a questionable mass in the dome of the liver best way to scan to see is ____ with probe angled _____ with patient taking deep breath ✔✔subcostal

superior

in a rejection to a renal transplant the doppler ___ should be evaluated ✔✔RI

the ____artery courses within the testicular parenchyma ✔✔centripetal

the pancreatic tail lies ____ to the spleen and ____ to the stomach an lesser sac ✔✔inferomedial

posterior

to review for a retroperitoneal fibrosis the _____ _____ should be scanned ✔✔abdominal aorta

the aorta is located in the ____ ___ ____ ✔✔anterior pararenal space

Marfan's syndrome can cause a ____ ____ that will reveal a linear band through the length of the wall of the ___ ✔✔aortic dissection

aorta

*** connective tissue disorder causing a seeping of blood into the layers separating them

the flow pattern of the hepatic veins is ___ ✔✔triphasic

the most significant clinical consequence of portal hypertension is ✔✔visceral hemorrhage

if imaging the gut with a high resolution transducer you can expect to see ____ layers with a good image ✔✔5 layers

**interface of superficial mucosa -echogenic

deep mucosa- hypoechoic

submucosa - echogenic

muscularis propria -hypoechoic

serosa - echogenic

a thyroid gland with bilateral enlargement and increased vascularity of both lobes is most likely a sign of ✔✔Grave's disease