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Pass AB-Abdomen Exam - AB-Abdomen Latest Test FormatFailure in the AB-Abdomen test of the Abdomen Sonography Examination credential leads to loss of time and money. Therefore preparing with Abdomen Sonography Examination actual test questions matters a lot to save time and money. The prep material of DumpsValid comes in three different formats so that users with different study styles can prepare with ease. We have made this Abdomen Sonography Examination product after taking feedback of experts so that applicants can prepare for the ARDMS AB-Abdomen Exam successfully. ARDMS Abdomen Sonography Examination Sample Questions (Q148-Q153):NEW QUESTION # 148
Which condition is most consistent with thinning of the renal cortex, reduction in renal length, and prominence of the renal sinus fat in a patient presenting four months after renal transplant with slightly reduced renal function?
A. Normal findings
B. Chronic rejection
C. Acute rejection
D. Arterial stricture
Answer: B
Explanation:
Chronic rejection presents sonographically as cortical thinning, decreased renal size, and increased echogenicity of the renal sinus fat. Acute rejection typically causes an enlarged, edematous kidney with increased parenchymal echogenicity but preserved size early on.
According to Zwiebel's Introduction to Vascular Ultrasound:
"In chronic rejection, the allograft becomes smaller with cortical thinning, increased echogenicity, and prominence of the central sinus fat." Reference:
Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019.
AIUM Practice Parameter for Renal Transplant Ultrasound, 2020.
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NEW QUESTION # 149
Which structures converge to form the inferior vena cava?
A. Right and left common iliac veins
B. Superior mesenteric and splenic veins
C. Right atrium and superior vena cava
D. Right, left, and middle hepatic veins
Answer: A
Explanation:
The inferior vena cava (IVC) is formed by the confluence of the right and left common iliac veins at the level of approximately L5. The hepatic veins drain into the IVC superiorly but do not form it. The superior mesenteric and splenic veins join to form the portal vein, not the IVC.
According to Moore's Clinically Oriented Anatomy:
"The IVC begins at the level of L5 by the union of the right and left common iliac veins." 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 # 150
In which position should a patient be placed when internal echoes are seen within a fluid-filled bladder?
A. Trendelenburg
B. Lateral decubitus
C. Erect
D. Fowler
Answer: B
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 # 151
Which vessel is most likely to display hepatofugal flow in the presence of portal hypertension?
A. Inferior vena cava
B. Splenic vein
C. Coronary vein
D. Inferior epigastric vein
Answer: C
Explanation:
The coronary vein (left gastric vein) is a common collateral pathway in portal hypertension. It often becomes dilated and may demonstrate hepatofugal (reversed) flow as blood diverts from the high-pressure portal system into systemic collaterals.
According to Zwiebel's Introduction to Vascular Ultrasound:
"The left gastric (coronary) vein is a frequent site of hepatofugal flow in portal hypertension, reflecting collateral development." Reference:
Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019.
AIUM Practice Parameter for Portal Venous Doppler Ultrasound, 2020.
NEW QUESTION # 152
Which technique is best for demonstrating the characteristic of the small hepatic lesion identified by the arrow on this image?
A. Move the transducer focus
B. Scan in upright position
C. Decrease depth
D. Use a standoff pad
Answer: D
Explanation:
The image shows a small hepatic lesion located very close to the anterior liver capsule, as indicated by the arrow. When imaging very superficial or near-field structures like subcapsular hepatic lesions, using a standoff pad is the most effective technique for optimizing visualization.
A standoff pad (also known as an acoustic stand-off or gel pad) helps increase the distance between the transducer and the superficial target. This improves the focus and beam shape for near-field imaging and minimizes reverberation and ring-down artifacts. It allows better evaluation of superficial lesions by positioning them within the focal zone of the transducer, which is usually set a few millimeters below the probe surface.
Differentiation from other options:
* A. Decrease depth: While reducing depth can help center deeper lesions in the field of view, it does not address issues with near-field resolution.
* B. Scan in upright position: This may help in gallbladder or fluid positioning but is not optimal for improving visualization of superficial liver lesions.
* C. Move the transducer focus: Adjusting focus deeper into the image won't enhance resolution of very superficial structures unless a standoff is used to bring the lesion into the focal zone.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Liver, pp. 80-84.
Kremkau FW. Sonography: Principles and Instruments. 9th Edition. Elsevier, 2015. Chapter: Image Formation and Optimization, pp. 114-117.
AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum, 2020.
NEW QUESTION # 153
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