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Real AB-Abdomen dumps pdf, ARDMS AB-Abdomen test dump

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Real AB-Abdomen dumps pdf, ARDMS AB-Abdomen test dump

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ARDMS AB-Abdomen Exam Syllabus Topics:
TopicDetails
Topic 1
  • Abdominal Physics: This section of the exam measures the knowledge of ultrasound technicians in applying imaging physics principles to abdominal sonography. It includes understanding how to optimize ultrasound equipment settings for the best image quality and how to identify and correct imaging artifacts that can distort interpretation. Candidates should demonstrate technical proficiency in handling transducers, adjusting frequency, and managing depth and gain to obtain clear, diagnostic-quality images while minimizing errors caused by acoustic artifacts.
Topic 2
  • Pathology, Vascular Abnormalities, Trauma, and Postoperative Anatomy: This section of the exam evaluates the abilities of diagnostic medical sonographers and covers the detection and analysis of diseases, vascular issues, trauma-related damage, and surgical alterations in abdominal anatomy. Candidates are expected to identify abnormal growths, inflammations, obstructions, or vascular irregularities that may affect abdominal organs. They must also recognize post-surgical changes and assess healing or complications through imaging. The emphasis is on correlating pathological findings with clinical data to produce precise diagnostic reports that guide further medical management.
Topic 3
  • Anatomy, Perfusion, and Function: This section of the exam measures the skills of abdominal sonographers and focuses on evaluating the physical characteristics, blood flow, and overall function of abdominal structures. Candidates must understand how to assess organs such as the liver, kidneys, pancreas, and spleen for size, shape, and movement. It also involves analyzing perfusion to determine how effectively blood circulates through these organs. The goal is to ensure accurate interpretation of both normal and abnormal functions within the abdominal cavity using sonographic imaging.
Topic 4
  • Clinical Care, Practice, and Quality Assurance: This section of the exam tests the competencies of clinical ultrasound specialists and focuses on integrating patient care standards, clinical data, and procedural accuracy in abdominal imaging. It assesses the candidate ability to follow established medical guidelines, ensure correct measurements, and provide assistance during interventional or diagnostic procedures. Additionally, this domain emphasizes maintaining high-quality imaging practices and ensuring patient safety. Effective communication, adherence to protocols, and continuous quality improvement are key aspects of this section.

ARDMS Abdomen Sonography Examination Sample Questions (Q87-Q92):NEW QUESTION # 87
What is the innermost layer of the gut wall?
  • A. Muscularis externa
  • B. Mucosa
  • C. Serosa
  • D. Submucosa
Answer: B
Explanation:
The mucosa is the innermost layer of the gastrointestinal wall, consisting of epithelium, lamina propria, and muscularis mucosae. It is responsible for absorption and secretion. The submucosa lies just outside the mucosa.
According to Moore's Clinically Oriented Anatomy:
"The mucosa is the innermost layer of the gastrointestinal tract, responsible for nutrient absorption and secretion." Reference:
Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 8th ed. Wolters Kluwer, 2018.
Rumack CM, Diagnostic Ultrasound, 5th ed. Elsevier, 2017.
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Uploaded image

NEW QUESTION # 88
What is the main purpose for performing focused abdominal sonography for trauma (FAST) exams?
  • A. Diagnosis of organ laceration
  • B. Confirmation of peritoneal lavage findings
  • C. Detection of free peritoneal fluid
  • D. Detection of peritoneal air
Answer: C
Explanation:
The FAST exam is primarily used to detect free intraperitoneal or pericardial fluid in trauma patients, serving as a rapid, bedside assessment tool. While organ injuries may be suspected, the FAST exam is not primarily designed to assess for solid organ lacerations.
According to AIUM and ACEP guidelines:
"The primary goal of the FAST exam is to detect the presence of free fluid suggestive of hemorrhage in trauma patients." Reference:
American College of Emergency Physicians (ACEP) Ultrasound Guidelines, 2016.
AIUM Practice Parameter for the Performance of the FAST Examination, 2020.
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NEW QUESTION # 89
Which structure is indicated by the arrow on this image?

  • A. Inferior vena cava
  • B. Proper hepatic artery
  • C. Middle hepatic vein
  • D. Left portal vein
Answer: C
Explanation:
The structure indicated by the arrow is the middle hepatic vein. This is confirmed by both its anatomical location within the liver and its Doppler waveform characteristics.
Key ultrasound and Doppler features:
* The middle hepatic vein runs between the right and left hepatic lobes and drains into the inferior vena cava (IVC). On grayscale imaging, it appears as a tubular anechoic structure extending toward the IVC.
* On spectral Doppler, hepatic veins (including the middle hepatic vein) demonstrate a characteristic triphasic waveform due to pressure changes in the right atrium. This triphasic pattern is clearly visible in the Doppler tracing below the image.
* This differs significantly from the monophasic low-resistance flow of the hepatic artery or the continuous hepatopetal flow of the portal vein.
Differentiation from other options:
* A. Left portal vein: Would show continuous, hepatopetal flow (toward the liver) and lies more anterior and medial within the liver.
* C. Proper hepatic artery: Small-caliber vessel with low-resistance pulsatile waveform (not triphasic).
* D. Inferior vena cava: Lies posterior to the liver and demonstrates phasic flow with respiration, but this vessel is more centrally located and not shown in this field of view.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Hepatic Vasculature, pp. 90-95.
AIUM Practice Parameter for the Performance of Hepatic Doppler Ultrasound Examinations, 2020.
Radiopaedia.org. Hepatic vein Doppler waveform: https://radiopaedia.org/articles/hepatic-vein-doppler- waveform

NEW QUESTION # 90
The absence of which sonographic finding indicates the acute process depicted in these images?

  • A. Ductal dilatation
  • B. Free fluid
  • C. Hepatic vein thrombosis
  • D. Cavernous transformation
Answer: D
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 # 91
Which of the following must be sterile for a percutaneous procedure?
  • A. Machine controls
  • B. Gel within transducer cover
  • C. Transducer cover
  • D. Transducer
Answer: B
Explanation:
In percutaneous procedures such as biopsies or drainages, maintaining a sterile field is critical to avoid introducing infection. While the transducer is covered by a sterile cover, the gel placed inside this cover (between the probe and the cover) must also be sterile, as it contacts the sterile field. The transducer itself and machine controls are not sterile but are handled appropriately to avoid field contamination.
According to the AIUM Guidelines:
"Sterile coupling gel must be used inside the sterile probe cover during all invasive or percutaneous procedures." (AIUM Guidelines for Cleaning and Preparing Ultrasound Transducers, 2021).
Reference:
AIUM Guidelines for Cleaning and Preparing Ultrasound Transducers and Equipment for Reuse, 2021.
ACR Practice Parameter for Performing Ultrasound-Guided Procedures, 2020.
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NEW QUESTION # 92
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