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[Hardware] AB-Abdomen Exam Questions - Successful Guidelines For Preparation [2026]

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【Hardware】 AB-Abdomen Exam Questions - Successful Guidelines For Preparation [2026]

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ARDMS Abdomen Sonography Examination Sample Questions (Q106-Q111):NEW QUESTION # 106
Which area of the spleen is not covered by visceral peritoneum?
  • A. Gastric surface
  • B. Capsule
  • C. Hilum
  • D. Inferior border
Answer: C
Explanation:
The spleen is almost entirely covered by visceral peritoneum, except at the hilum where vessels, nerves, and lymphatics enter and exit. This area lacks peritoneal covering to allow vascular connection to the splenic artery and vein.
According to Moore's Clinically Oriented Anatomy:
"The spleen is entirely covered by visceral peritoneum except at its hilum where the vascular structures enter." Reference:
Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 8th ed. Wolters Kluwer, 2018.
Gray's Anatomy for Students, 4th ed., Elsevier, 2019.
-

NEW QUESTION # 107
Which congenital anomaly is characterized by the failure of the dorsal and ventral pancreatic buds to fuse?
  • A. Pancreas divisum
  • B. Annular pancreas
  • C. Pancreatic agenesis
  • D. Ectopic pancreas
Answer: A
Explanation:
Pancreas divisum occurs when the dorsal and ventral pancreatic ducts fail to fuse during embryologic development. This results in most pancreatic secretions draining through the minor papilla via the dorsal duct (duct of Santorini).
According to Rumack's Diagnostic Ultrasound:
"In pancreas divisum, the dorsal and ventral pancreatic ducts fail to fuse, resulting in separate drainage systems." 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.
-

NEW QUESTION # 108
During a renal artery Doppler study, which vessel should also be sampled to verify patency?
  • A. Iliac vein
  • B. Inferior vena cava
  • C. Portal vein
  • D. Main renal vein
Answer: D
Explanation:
The main renal vein should be assessed in addition to the renal arteries during renal Doppler exams. Venous thrombosis may coexist with arterial abnormalities and can impact renal perfusion. Evaluation of both arterial inflow and venous outflow ensures a comprehensive assessment of renal vascular patency.
According to Zwiebel's Introduction to Vascular Ultrasound:
"Renal vein assessment should be performed during renal artery Doppler studies to exclude venous thrombosis or outflow obstruction." Reference:
Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019.
AIUM Practice Parameter for Renal Artery Duplex Sonography, 2020.
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NEW QUESTION # 109
Which finding is most likely demonstrated in this abdominal wall image of a patient with a history of atrial fibrillation?

  • A. Hematoma
  • B. Lipoma
  • C. Abscess
  • D. Hernia
Answer: A
Explanation:
The ultrasound image demonstrates a complex, heterogeneous hypoechoic collection within the abdominal wall, with mixed echogenicity and ill-defined margins. The lesion appears to contain internal debris but lacks definitive signs of vascularity or air (which would be seen in an abscess). There is no peristalsis, herniated bowel, or fat to suggest hernia.
Given the history of atrial fibrillation - a condition commonly treated with anticoagulation therapy (e.g., warfarin, apixaban) - this clinical background raises high suspicion for a rectus sheath or abdominal wall hematoma.
Key ultrasound features of hematomas:
* Early (acute): hyperechoic or heterogeneous
* Chronic/resolving: complex or cystic with fluid-debris levels
* No internal vascularity on Doppler
* May be confined to muscle or fascial planes
This is consistent with a hematoma, particularly in patients on anticoagulation therapy.
Comparison of answer choices:
* A. Hernia - typically shows bowel or fat with movement/peristalsis passing through a fascial defect.
* B. Lipoma - usually homogeneous and echogenic, not complex or fluid-filled.
* C. Abscess - often presents as a complex fluid collection with peripheral hyperemia and possibly air, plus systemic signs of infection.
* D. Hematoma - Correct. The image and clinical history (anticoagulation due to atrial fibrillation) strongly support this diagnosis.
References:
Berman L, et al. Sonographic appearance and evolution of rectus sheath hematomas. AJR Am J Roentgenol.
1996.
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
AIUM Practice Parameter for the Performance of Diagnostic Ultrasound Examinations of the Abdomen and Retroperitoneum (2020).

NEW QUESTION # 110
Which syndrome is characterized by right upper quadrant pain, ascites, and hepatocellular dysfunction?
  • A. Budd-Chiari
  • B. Klippel-Trenaunay
  • C. Calciphylaxis
  • D. Ehlers-Danlos
Answer: A
Explanation:
Budd-Chiari syndrome is caused by hepatic venous outflow obstruction, resulting in hepatomegaly, ascites, right upper quadrant pain, and liver dysfunction. It may be due to thrombosis or compression of the hepatic veins or IVC.
According to Rumack's Diagnostic Ultrasound:
"Budd-Chiari syndrome results from hepatic venous outflow obstruction and presents with hepatomegaly, ascites, and right upper quadrant pain." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Liver Ultrasound, 2020.
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NEW QUESTION # 111
......
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