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ARDMS ABDOMEN ACTUAL EXAM, PRACTICE
EXAM AND STUDY GUIDE NEWEST 2024
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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ARDMS ABDOMEN EXAM
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? - CORRECT 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? - CORRECT ANSWER -Hepatocellular carcinoma
If a non pregnant person with elevated levels of serum alpha- fetoprotein AFP , what is associated with this? - CORRECT ANSWER-Hepatocellular carcinoma, germ cell tumor of gonadal, retroperitoneal, or mediastinal origin. Sometimes with cancer of pancreas, stomach, or biliary system. 1 / 4
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What may produce modest serum AFP elevations? - CORRECT 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? - CORRECT 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 ? - CORRECT 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? - CORRECT ANSWER -Lipase - is used to evaluate acute pancreatitis
What does it mean when direct bilirubin is elevated? - CORRECT ANSWER -usually indicates biliary obstruction, which may be intrahepatic due to hepatitis, cirrhosis, or extrahepatic due to gallstones, gallbladder or pancreatic cancer.
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Why would indirect bilirubin be elevated? - CORRECT ANSWER-with hepatocellular dysfunction such as hepatitis
What is Aspartate aminotransferase - AST used in evaluating? - CORRECT ANSWER -used in evaluation of acute hepatic disease. May also be elevated with recent myocardial infarction.
What is Gamma- glutamyl transpeptidase - GGT is used with what to suggest the source of elevated alkaline phosphatase levels? - CORRECT ANSWER -used with alkaline phosphatase
A patient is referred with right upper quadrant tenderness and a history of oral contraceptive use. A solid, hypoechoic mass is identified in the right lobe of the liver. Color Doppler reveals hypervascularity of the mass. What is the scenario likely to be? - CORRECT ANSWER -Hepatic Adenoma - the incidence of hepatic adenomas has increased in the united states since the 1970s. And are associated with use of oral contraceptives.
A liver ultrasound on a 49-year-old obese male demonstrates diffuse increased echogenicity with a focal hypoechoic area
anterior to the portal vein. This most likely represents: -
CORRECT ANSWER -Fatty metamorphosis of the liver with focal sparing
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What is commonly seen as a hypoechoic mass anterior to the portal vein? - CORRECT ANSWER -Focal fatty sparring
A 52-year-old male with known liver cirrhosis presents for an abdominal ultrasound. You will carefully evaluate the liver to rule out the presence of any focal mass because of what? - CORRECT ANSWER -Patients with liver cirrhosis are at increased risk for hepatocellular carcinoma
You are scanning a patient with suspected liver cirrhosis. All of the following, 1. Surface nodularity, 2. Shrunken caudate lobe,
- Altered echo texture, 4. Ascites, 5. Regenerative nodules are
sonographic feature of cirrhosis Except: - CORRECT
ANSWER-Shrunken caudate lobe
The caudate lobe is most commonly enlarged compared to the right lobe due to sparing in what disease? - CORRECT ANSWER-Liver cirrhosis
An ultrasound evaluation of liver cirrhosis should include a search for which associated complication? - CORRECT ANSWER-Portal hypertension
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