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[Hardware] AB-Abdomen Reliable Dumps Sheet - Braindumps AB-Abdomen Downloads

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【Hardware】 AB-Abdomen Reliable Dumps Sheet - Braindumps AB-Abdomen Downloads

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ARDMS Abdomen Sonography Examination Sample Questions (Q32-Q37):NEW QUESTION # 32
Which abnormality is the most common adult adrenal tumor?
  • A. Adenoma
  • B. Pheochromocytoma
  • C. Neuroblastoma
  • D. Adrenal cortical carcinoma
Answer: A
Explanation:
Adrenal adenomas are the most common adrenal tumors in adults. They are often discovered incidentally (adrenal incidentalomas) and are usually nonfunctioning, though some may secrete cortisol or aldosterone.
Neuroblastoma is common in children, pheochromocytomas are rarer catecholamine-producing tumors, and adrenal cortical carcinoma is malignant but much less common than adenomas.
According to Rumack's Diagnostic Ultrasound:
"Adrenal adenomas are the most common adrenal masses in adults, frequently identified incidentally on imaging studies." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
ACR Incidental Findings Committee Guidelines for Adrenal Masses, 2017.
-

NEW QUESTION # 33
Which congenital anomaly is demonstrated in this image?

  • A. Prominent renal column
  • B. Duplicated collecting system
  • C. Horseshoe kidney
  • D. Crossed renal ectopia
Answer: B
Explanation:
The ultrasound image labeled "SAG LT KIDNEY MID" demonstrates a left kidney with two separate, centrally located echogenic renal sinuses separated by intervening renal parenchyma. This appearance is classic for a duplicated collecting system.
A duplicated collecting system (also known as duplex kidney) is a congenital anomaly in which a single kidney contains two separate pelvicalyceal systems. It may be complete (with two ureters) or incomplete (partial duplication of ureters). This condition is one of the most common congenital anomalies of the urinary tract.
Sonographic Features of a Duplicated Collecting System:
* Two separate central echogenic renal sinus regions seen within one kidney
* Intervening parenchyma between the two sinuses
* May show associated findings: hydroureteronephrosis (especially of upper pole moiety), ureterocele
* Best visualized in sagittal plane
Differentiation from other options:
* A. Horseshoe kidney: Shows fusion of the lower poles of the kidneys, typically located anterior to the aorta in the midline-not demonstrated here.
* B. Crossed renal ectopia: One kidney is located on the opposite side of the body; this image shows a normally positioned kidney.
* C. Prominent renal column (column of Bertin): May mimic a mass, but does not produce two separate sinuses as shown here.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Kidneys, pp. 210-215.
American Institute of Ultrasound in Medicine (AIUM). Practice Parameter for the Performance of a Renal Ultrasound Examination, 2020.
Radiopaedia.org. Duplex collecting system: https://radiopaedia.org/articles/duplex-collecting-system

NEW QUESTION # 34
Which characteristic is associated with complex pleural effusion?
  • A. Dependent layering echoes
  • B. Anechoic without locules
  • C. Homogeneous hypoechoic
  • D. Contains septa
Answer: D
Explanation:
A complex pleural effusion often contains internal septations or fibrin strands, distinguishing it from simple anechoic effusion. These septations suggest exudative processes such as infection, malignancy, or hemothorax.
According to Rumack's Diagnostic Ultrasound:
"Complex pleural effusions demonstrate internal septations or loculations, often related to infection or malignancy." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Thoracic Ultrasound, 2020.
-

NEW QUESTION # 35
Which common congenital anomaly is typically seen as a cystic midline anterior neck structure?
  • A. Cystic hygroma
  • B. Cystic follicular adenoma
  • C. Thyroglossal duct cyst
  • D. Branchial cleft cyst
Answer: C
Explanation:
A thyroglossal duct cyst is the most common congenital cystic anomaly in the anterior midline neck. It arises from persistent remnants of the thyroglossal duct, typically located inferior to the hyoid bone.
According to Rumack's Diagnostic Ultrasound:
"Thyroglossal duct cysts are located in the midline anterior neck and are the most common congenital cystic neck lesions." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Thyroid and Neck Ultrasound, 2020.
-

NEW QUESTION # 36
Identify the congenital anomaly.
Using your mouse, place the cursor on the appropriate region of the image and then left-click the mouse button to indicate your selection.

Answer:
Explanation:

Explanation:
An ultrasound of a fetus AI-generated content may be incorrect.

The ultrasound image shows a transverse (axial) view of the fetal abdomen. Notably, there is abnormal continuity of renal parenchyma across the midline anterior to the aorta, forming a U- or horseshoe-shaped structure. This is characteristic of a congenital anomaly known as a horseshoe kidney.
Horseshoe kidney is the most common fusion anomaly of the kidneys, occurring in approximately 1 in 400-
600 live births. It results from fusion of the lower poles of both kidneys during fetal development. On prenatal ultrasound, this anomaly can be suspected when the kidneys appear closer to the midline than usual and are connected by an isthmus of renal tissue or fibrous band that crosses anterior to the spine and great vessels.
Typical sonographic findings include:
* Abnormally located kidneys, often lower than expected
* Renal fusion across the midline (usually at the lower poles)
* Possible associated hydronephrosis or malrotation
Comparison to other anomalies:
* This is not consistent with polycystic kidney disease (which would show diffusely echogenic kidneys with poor corticomedullary differentiation).
* Duplex kidney would show duplicated collecting systems but not fusion across the midline.
* Renal agenesis would demonstrate absence of renal tissue.
* Posterior urethral valves would show a distended bladder with bilateral hydronephrosis, not midline fusion.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
Callen PW. Ultrasonography in Obstetrics and Gynecology, 6th ed. Elsevier; 2016.
Nyberg DA, McGahan JP, Pretorius DH, Pilu G. Diagnostic Imaging of Fetal Anomalies. Lippincott Williams
& Wilkins; 2003.

NEW QUESTION # 37
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