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ARDMS Abdomen Sonography Examination Sample Questions (Q54-Q59):
NEW QUESTION # 54
Which technique is used to demonstrate the finding in this video?
- A. Exhalation
- B. Valsalva
- C. Compression
- D. Deep inspiration
Answer: C
Explanation:
The technique shown in the video is compression. In ultrasound imaging-especially of soft tissue masses, the bowel, or venous structures-compression is used to evaluate the compressibility of structures. The image demonstrates a classic grayscale ultrasound view of a lesion or structure being compressed with the probe.
Compression sonography is particularly important in:
* Evaluating venous patency (e.g., for deep vein thrombosis)
* Differentiating cystic from solid structures
* Evaluating bowel wall abnormalities or intussusception
* Assessing lymph nodes and soft tissue masses (as shown here)
When a structure compresses easily under probe pressure, it suggests that the lesion is fluid-filled or soft. In contrast, incompressibility may indicate a solid mass or thrombus.
Differentiation from other options:
* B. Valsalva: Involves forced expiration against a closed airway, used primarily to assess venous reflux or inguinal hernias-not what is demonstrated here.
* C. Exhalation: A respiratory maneuver that passively alters thoracoabdominal pressure, not actively performed by the operator or causing focal structural change.
* D. Deep inspiration: Used to improve visualization of the liver, diaphragm, or gallbladder-not to evaluate the compressibility of soft tissue.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Ultrasound Technique and Physics, pp. 35-39.
AIUM Practice Parameter for the Performance of a Diagnostic Ultrasound Examination, 2020.
NEW QUESTION # 55
Which normal anatomical structure is also known as the accessory pancreatic duct?
- A. Duct of Vater
- B. Common pancreatic duct
- C. Duct of Santorini
- D. Duct of Wirsung
Answer: C
Explanation:
The Duct of Santorini is the accessory pancreatic duct that drains the superior portion of the pancreatic head into the minor duodenal papilla. The main pancreatic duct (Duct of Wirsung) drains into the major papilla, often joining the common bile duct at the Ampulla of Vater.
According to Moore's Clinically Oriented Anatomy:
"The accessory pancreatic duct (Duct of Santorini) may be present and drains into the minor duodenal papilla." Reference:
Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 8th ed. Wolters Kluwer, 2018.
Gray's Anatomy for Students, 4th ed., Elsevier, 2019.
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NEW QUESTION # 56
What is the most common ultrasound appearance of the pancreas in mild acute pancreatitis?
- A. Heterogeneous
- B. Normal
- C. Enlarged
- D. Hypoechoic
Answer: C
Explanation:
In mild acute pancreatitis, the pancreas often appears diffusely enlarged and slightly hypoechoic due to edema and inflammation. However, in very early or mild cases, the pancreas may still appear normal. Heterogeneous echotexture may develop in more severe or necrotizing pancreatitis.
According to Rumack's Diagnostic Ultrasound:
"In mild pancreatitis, the pancreas is commonly enlarged and hypoechoic due to inflammatory edema." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen, 2020.
-
NEW QUESTION # 57
When measuring the abdominal aorta, where should the calipers be placed?
- A. Inner wall to outer wall
- B. Outer wall to outer wall
- C. Outer wall to inner wall
- D. Inner wall to inner wall
Answer: B
Explanation:
When measuring the abdominal aorta (or any vessel diameter for aneurysm evaluation), calipers should be placed from outer wall to outer wall to ensure inclusion of the full vessel diameter, including any mural thrombus. This is the standard method accepted by professional societies.
According to AIUM and SRU Guidelines:
"Vessel diameter measurements should be performed from outer wall to outer wall to avoid underestimation of aneurysm size." Reference:
AIUM Practice Parameter for the Performance of Abdominal Aortic Ultrasound, 2020.
Society of Radiologists in Ultrasound (SRU) Consensus Statement, 2003.
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NEW QUESTION # 58
What is the main purpose for performing focused abdominal sonography for trauma (FAST) exams?
- A. Confirmation of peritoneal lavage findings
- B. Detection of free peritoneal fluid
- C. Detection of peritoneal air
- D. Diagnosis of organ laceration
Answer: B
Explanation:
The FAST exam is primarily used to detect free intraperitoneal or pericardial fluid in trauma patients, serving as a rapid, bedside assessment tool. While organ injuries may be suspected, the FAST exam is not primarily designed to assess for solid organ lacerations.
According to AIUM and ACEP guidelines:
"The primary goal of the FAST exam is to detect the presence of free fluid suggestive of hemorrhage in trauma patients." Reference:
American College of Emergency Physicians (ACEP) Ultrasound Guidelines, 2016.
AIUM Practice Parameter for the Performance of the FAST Examination, 2020.
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NEW QUESTION # 59
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