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[General] Learn The ARDMS AB-Abdomen Real Exam Dumps - To Gain Brilliant Result

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【General】 Learn The ARDMS AB-Abdomen Real Exam Dumps - To Gain Brilliant Result

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ARDMS Abdomen Sonography Examination Sample Questions (Q64-Q69):NEW QUESTION # 64
Which finding is indicated by the arrow in this image of the right upper quadrant?

  • A. Mirror image
  • B. Retroperitoneal hemorrhage
  • C. Pleural effusion
  • D. Ascites
Answer: C
Explanation:
The image provided is a right upper quadrant (RUQ) ultrasound-typically performed during a FAST (Focused Assessment with Sonography in Trauma) exam or for abdominal assessment. The arrow points to an anechoic (black) fluid collection seen above the diaphragm and posterior to the liver.
This fluid collection lies within the thoracic cavity, confirming the diagnosis of a pleural effusion. Pleural effusions are seen sonographically as an anechoic or hypoechoic area superior to the diaphragm in the thoracic cavity and often appear triangular or crescent-shaped. The diaphragm is visualized as a curvilinear echogenic structure separating the liver (or spleen) below from the lung space above.
Comparison of answer choices:
* A. Retroperitoneal hemorrhage would be seen in the posterior abdomen, not above the diaphragm.
* B. Pleural effusion is correct-anechoic fluid above the diaphragm is classic for this condition.
* C. Mirror image artifact occurs when liver echoes are mirrored across the diaphragm and lung-this is not a mirror artifact.
* D. Ascites collects inferior to the diaphragm and around the abdominal organs, not in the thoracic cavity.
References:
Ma OJ, Mateer JR, Blaivas M. Emergency Ultrasound, 3rd ed. McGraw-Hill; 2014.
Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749-757.
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.

NEW QUESTION # 65
Which congenital disorder is most consistent with the finding identified by the arrow on this image?

  • A. Caroli disease
  • B. Biliary atresia
  • C. Sclerosing cholangitis
  • D. Alagille syndrome
Answer: A
Explanation:
The image demonstrates a characteristic "central dot sign" - a hallmark finding of Caroli disease. This is best appreciated on ultrasound as a cystic dilation of the intrahepatic bile ducts with a central echogenic dot or linear structure (which corresponds to the portal vein and fibrous tissue within the dilated duct). The arrow in the image points to one such dilated duct.
Caroli disease is a rare congenital disorder characterized by segmental, saccular dilation of intrahepatic bile ducts. It is often associated with congenital hepatic fibrosis and may predispose to cholangitis, stone formation, and even cholangiocarcinoma.
Key ultrasound features of Caroli disease:
* Cystic or saccular dilations of the intrahepatic bile ducts
* The "central dot sign" - echogenic focus in the center of the dilated ducts (representing portal vein radicle or fibrous tissue)
* May show associated hepatosplenomegaly or signs of portal hypertension Differentiation from other options:
* A. Sclerosing cholangitis: Typically causes diffuse or segmental biliary ductal wall thickening and stricturing; does not present with cystic dilations.
* B. Alagille syndrome: A multisystem disorder often characterized by a paucity of intrahepatic bile ducts, not dilation.
* D. Biliary atresia: Presents in infancy with obliteration of extrahepatic bile ducts, echogenic "triangular cord" sign, and absence of a visible gallbladder. It does not cause ductal dilation.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Biliary System, pp. 152-155.
Radiopaedia.org. Caroli disease. https://radiopaedia.org/articles/caroli-disease American College of Radiology (ACR). ACR-SPR Practice Parameter for the Performance of Pediatric Abdominal Ultrasound, 2022.

NEW QUESTION # 66
Which sonographic finding indicates the need for immediate surgical intervention following testicular trauma?
  • A. Heterogeneity of the testicular parenchyma
  • B. Intratesticular hematoma
  • C. Discontinuity of the tunica albuginea
  • D. Increased testicular vascularity
Answer: C
Explanation:
The tunica albuginea is a dense fibrous capsule surrounding the testis. Discontinuity of the tunica albuginea on ultrasound is diagnostic of testicular rupture - a urologic emergency that requires immediate surgical repair to preserve testicular function and viability. Early surgical intervention within 72 hours has a high success rate for testicular salvage (up to 90%).
* Intratesticular hematoma (A) may be managed conservatively if the tunica albuginea is intact.
* Heterogeneity of the parenchyma (C) indicates injury but not necessarily rupture.
* Increased vascularity (D) may be seen with inflammation or reperfusion but does not mandate surgery unless rupture is present.
Reference Extracts:
* Dogra VS, Bhatt S. "Acute painful scrotum: ultrasound evaluation." Radiologic Clinics of North America. 2004; 42(2):349-363.
* Middleton WD, Kurtz AB, Hertzberg BS.Ultrasound: The Requisites. 3rd ed. Elsevier, 2015.
-

NEW QUESTION # 67
Which condition is demonstrated in this image of a febrile patient with breast redness and tenderness?

  • A. Abscess
  • B. Galactocele
  • C. Sebaceous cyst
  • D. Ductal ectasia
Answer: A
Explanation:
The ultrasound image demonstrates an irregular, complex fluid collection in the subareolar region of the breast with internal echoes, septations, and poorly defined margins. These sonographic findings are classic for a breast abscess, particularly in a patient presenting with clinical signs of infection-fever, redness, and localized tenderness.
A breast abscess is typically seen as:
* A hypoechoic or anechoic area with thick walls
* Presence of internal debris, septations, or floating echoes
* Posterior acoustic enhancement
* Increased peripheral vascularity on Doppler (surrounding inflammation)
* Surrounding hyperechoic fat due to cellulitis
This clinical and imaging profile strongly supports the diagnosis of a breast abscess, most commonly seen in lactating women (puerperal mastitis) or in non-lactating women with chronic infection.
Comparison of answer choices:
* A. Ductal ectasia usually presents with dilated ducts and minimal inflammatory changes, often asymptomatic or causing nipple discharge.
* B. Abscess - Correct. The irregular fluid collection with complex echoes and clinical signs of infection supports this.
* C. Sebaceous cysts are typically superficial, round, and well-defined with a punctum.
* D. Galactocele appears as a well-circumscribed, fat-fluid level-containing lesion in lactating women but lacks surrounding inflammation.
References:
Mendelson EB, Bohm-Velez M, Berg WA.ACR BI-RADS Atlas: Ultrasound. American College of Radiology; 2013.
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
AIUM Practice Parameter for the Performance of Diagnostic and Screening Ultrasound of the Breast (2021).

NEW QUESTION # 68
Which condition is demonstrated in this image of the groin?

  • A. Orchiectomy
  • B. Indirect hernia
  • C. Testicular rupture
  • D. Hematocele
Answer: B
Explanation:
The ultrasound image demonstrates bowel loops with peristalsis visualized within the inguinal canal, which is diagnostic of an inguinal hernia-more specifically, an indirect inguinal hernia. Indirect hernias pass through the deep inguinal ring and may extend into the scrotum, appearing sonographically as bowel-containing masses adjacent to or within the scrotal sac. Peristaltic motion confirms the presence of viable bowel content.
This finding is typical in indirect inguinal hernias, which are more common in males and often congenital due to a patent processus vaginalis. The herniated bowel can be traced through the inguinal canal, as seen in this image.
Comparison of answer choices:
* A. Hematocele presents as a complex fluid collection surrounding the testis, often due to trauma-no complex fluid or trauma is apparent here.
* B. Testicular rupture shows discontinuity of the tunica albuginea and irregular testicular contour-none of which is seen.
* C. Orchiectomy would show an absent testis-this is not the case here.
* D. Indirect hernia is correct. The presence of bowel with peristalsis in the inguinal canal is diagnostic.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
AIUM Practice Parameter for the Performance of Scrotal Ultrasound Examinations (2021).
Dogra VS, Gottlieb RH, Rubens DJ, Oka M. Sonography of the scrotum. Radiology. 2003;227(1):18-36

NEW QUESTION # 69
......
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