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Free PDF Quiz 2025 ARDMS AB-Abdomen–Valid Sample Exam

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ARDMS Abdomen Sonography Examination Sample Questions (Q55-Q60):

NEW QUESTION # 55
In which position should a patient be placed when internal echoes are seen within a fluid-filled bladder?

A. Fowler
B. Erect
C. Trendelenburg
D. Lateral decubitus

Answer: D

Explanation:
Lateral decubitus positioning allows shifting of internal echoes within the bladder, helping differentiate mobile debris (such as blood clots or sediment) from adherent masses like tumors. This technique is helpful in evaluating questionable bladder filling defects.
According to Rumack's Diagnostic Ultrasound:
"Changing the patient's position, such as turning to the lateral decubitus, can help distinguish mobile debris from attached bladder wall lesions." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Bladder Ultrasound, 2020.

NEW QUESTION # 56
The absence of which sonographic finding indicates the acute process depicted in these images?

A. Free fluid
B. Hepatic vein thrombosis
C. Cavernous transformation
D. Ductal dilatation

Answer: C

Explanation:
The sonographic images depict an acute thrombotic process involving the portal venous system. The absence of cavernous transformation in the setting of portal vein thrombus indicates that the process is acute. In chronic portal vein thrombosis, collateral vessels form in the porta hepatis to bypass the obstruction, a process known as cavernous transformation.
Sonographic features suggesting acute portal vein thrombosis:
* Echogenic thrombus within the portal vein lumen
* Absence of flow on color Doppler
* Enlarged portal vein diameter early in the process
* No evidence of cavernous transformation (i.e., no serpiginous collateral vessels at porta hepatis) Cavernous transformation is a hallmark of chronic portal vein thrombosis and takes weeks to months to develop. Therefore, its absence on ultrasound supports an acute diagnosis.
Differentiation from other options:
* A. Free fluid: Non-specific and may or may not be present in hepatic vascular thrombosis.
* B. Ductal dilatation: Related to biliary obstruction, not portal or hepatic venous thrombosis.
* C. Hepatic vein thrombosis: Seen in Budd-Chiari syndrome, which affects hepatic outflow, not portal inflow.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Portal Venous System, pp. 105-108.
American Institute of Ultrasound in Medicine (AIUM) Practice Parameter for the Performance of Hepatic Doppler Ultrasound Examinations, 2020.
Radiopaedia.org. Cavernous transformation of the portal vein: https://radiopaedia.org/articles/cavernous- transformation-of-the-portal-vein

NEW QUESTION # 57
Which complication is of greatest concern with undescended testis?

A. Hernia
B. Torsion
C. Hydrocele
D. Seminoma

Answer: D

Explanation:
The most serious long-term complication of undescended testis (cryptorchidism) is an increased risk of testicular malignancy, especially seminoma. Although torsion and hernia may also occur, seminoma is the most concerning complication due to its life-threatening potential.
According to Rumack's Diagnostic Ultrasound:
"Cryptorchidism is associated with a significantly increased risk of seminoma, the most common malignancy in undescended testes." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
American Urological Association (AUA) Guidelines, 2019.
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NEW QUESTION # 58
Which retroperitoneal finding is most likely associated with trauma?

A. Adenoma
B. Urinoma
C. Fibrosis
D. Neuroblastoma

Answer: B

Explanation:
Urinomas are collections of urine in the retroperitoneum that result from trauma, surgery, or obstruction causing urine leakage. Trauma is a frequent cause of urinoma formation due to disruption of the urinary tract.
According to Rumack's Diagnostic Ultrasound:
"Urinomas may develop as a complication of trauma, surgery, or obstructive uropathy with urinary extravasation into the retroperitoneum." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Renal Ultrasound, 2020.
-

NEW QUESTION # 59
Which scanning technique is most beneficial when imaging the appendix?

A. Apply graded compression around the patient's area of pain
B. Image small bowel transversely to evaluate for peristalsis
C. Image in the longitudinal plane around the iliac vessels
D. Apply light pressure around the patient's area of pain

Answer: A

Explanation:
Graded compression technique is the gold standard for ultrasound evaluation of the appendix. It displaces gas and compresses overlying bowel loops to visualize the noncompressible, blind-ending tubular appendix directly at the point of maximal tenderness.
According to Rumack's Diagnostic Ultrasound:
"Graded compression using steady, increasing pressure displaces gas and bowel to optimize visualization of the appendix." 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 # 60
......

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