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Hot AB-Abdomen Certified - How to Prepare for ARDMS AB-Abdomen Exam

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ARDMS Abdomen Sonography Examination Sample Questions (Q109-Q114):

NEW QUESTION # 109
Which vascular condition is most consistent with patent cutaneous para-umbilical channels and portal hypertension?

A. Esophageal varices
B. Caput medusae
C. Coronary vein varices
D. Splenic vein varices

Answer: B

Explanation:
Caput medusae refers to dilated paraumbilical veins due to portal hypertension. When portal venous pressure rises, collateral channels may open along the ligamentum teres and recanalized paraumbilical vein, resulting in visible dilated veins radiating from the umbilicus.
* Esophageal varices (B) are gastroesophageal collaterals.
* Coronary vein varices (C) involve gastric veins.
* Splenic vein varices (D) are typically localized to the splenic hilum.
Reference Extracts:
* Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
* Gore RM, Levine MS. Textbook of Gastrointestinal Radiology. 4th ed. Saunders, 2015.
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NEW QUESTION # 110
A patient presents with ampulla of Vater obstruction, distention of the gallbladder, and painless jaundice.
Which condition is most likely associated with these findings?

A. Courvoisier sign
B. Choledochal cyst
C. Porcelain gallbladder
D. Mirizzi syndrome

Answer: A

Explanation:
Courvoisier sign describes the clinical finding of painless jaundice combined with a palpable, distended gallbladder. This typically results from obstruction at the distal common bile duct, often due to pancreatic head carcinoma or cholangiocarcinoma, leading to bile accumulation and gallbladder distention. In contrast, Mirizzi syndrome involves compression of the common hepatic duct by an impacted stone in the cystic duct.
According to Rumack's Diagnostic Ultrasound and standard clinical references:
"Courvoisier sign refers to a palpable, enlarged gallbladder due to obstruction of the distal bile duct, often from malignancy." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
Moore KL. Clinically Oriented Anatomy. 8th ed. Wolters Kluwer, 2018.
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NEW QUESTION # 111
Which structures are located within the testes?

A. Efferent ductules
B. Aberrant ductules
C. Seminiferous tubules
D. Gubernacula

Answer: C

Explanation:
The seminiferous tubules are coiled structures located within the testes where spermatogenesis (sperm production) occurs. They are surrounded by Sertoli and Leydig cells that support spermatogenesis and testosterone production.
* Gubernacula (A) are fetal structures involved in testicular descent.
* Efferent ductules (B) connect the rete testis to the epididymis but are not located within the testicular parenchyma.
* Aberrant ductules (C) are accessory ducts found outside the testis.
Reference Extracts:
* Moore KL, Dalley AF, Agur AM. Clinically Oriented Anatomy. 7th ed. Lippincott Williams & Wilkins, 2013.
* Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.

NEW QUESTION # 112
Which finding is helpful to differentiate postsurgical breast scarring from a recurrent tumor?

A. Architectural distortion
B. Irregular hypoechoic area
C. Absent Doppler signal
D. Associated skin thickening

Answer: C

Explanation:
Postsurgical breast scarring may appear hypoechoic and irregular but typically shows no internal vascularity on Doppler imaging. In contrast, recurrent tumors generally exhibit increased internal vascular flow due to neovascularization. Therefore, absent Doppler signal helps suggest scar tissue rather than malignancy.
According to Stavros' Breast Ultrasound:
"The absence of internal Doppler flow favors scar tissue, whereas recurrent malignancy typically demonstrates internal vascularity." Reference:
Stavros AT. Breast Ultrasound. Lippincott Williams & Wilkins, 2004.
AIUM Practice Parameter for Breast Ultrasound, 2020.
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NEW QUESTION # 113
Which of the following must be sterile for a percutaneous procedure?

A. Machine controls
B. Transducer
C. Gel within transducer cover
D. Transducer cover

Answer: C

Explanation:
In percutaneous procedures such as biopsies or drainages, maintaining a sterile field is critical to avoid introducing infection. While the transducer is covered by a sterile cover, the gel placed inside this cover (between the probe and the cover) must also be sterile, as it contacts the sterile field. The transducer itself and machine controls are not sterile but are handled appropriately to avoid field contamination.
According to the AIUM Guidelines:
"Sterile coupling gel must be used inside the sterile probe cover during all invasive or percutaneous procedures." (AIUM Guidelines for Cleaning and Preparing Ultrasound Transducers, 2021).
Reference:
AIUM Guidelines for Cleaning and Preparing Ultrasound Transducers and Equipment for Reuse, 2021.
ACR Practice Parameter for Performing Ultrasound-Guided Procedures, 2020.
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NEW QUESTION # 114
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