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Frequent ARDMS AB-Abdomen Updates & AB-Abdomen Reliable Test Question

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ARDMS Abdomen Sonography Examination Sample Questions (Q41-Q46):

NEW QUESTION # 41
Which thyroid condition is most likely caused by a viral infection?

A. Graves
B. Abscess
C. De Quervain
D. Hashimoto

Answer: C

Explanation:
De Quervain thyroiditis (subacute granulomatous thyroiditis) is often triggered by a viral infection. Patients may present with painful thyroid enlargement, elevated inflammatory markers, and transient hyperthyroidism.
Hashimoto's and Graves' diseases are autoimmune in nature.
According to Braverman's The Thyroid:
"Subacute (De Quervain) thyroiditis typically follows a viral upper respiratory tract infection and is characterized by thyroid pain and transient thyrotoxicosis." Reference:
Braverman LE, Cooper DS. The Thyroid: A Fundamental and Clinical Text. 11th ed. Wolters Kluwer, 2021.
American Thyroid Association Guidelines, 2016.

NEW QUESTION # 42
Which organ is drained via the vessel indicated by the arrow in this image?

A. Left kidney
B. Spleen
C. Duodenum
D. Stomach

Answer: B

Explanation:
The ultrasound image shows a transverse section through the upper abdomen. The arrow is pointing to a vascular structure running posterior to the pancreas and anterior to the left kidney. This vessel is the splenic vein.
Anatomically:
* The splenic vein runs along the posterior border of the pancreas.
* It courses medially to join the superior mesenteric vein (SMV) and form the portal vein.
* It receives tributaries from the spleen, short gastric veins (draining the stomach), and the inferior mesenteric vein.
In this case, the question asks which organ is primarily drained via the vessel marked by the arrow. The splenic vein's main tributary is from the spleen.
Comparison of answer choices:
* A. Spleen - Correct. The splenic vein is the primary drainage vessel for the spleen.
* B. Stomach - Some gastric veins drain into the splenic vein, but the primary drainage is via left and right gastric veins into the portal system.
* C. Left kidney - Drains into the left renal vein, not the splenic vein.
* D. Duodenum - Drains mainly into the superior mesenteric vein (SMV).
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier; 2017.
Hagen-Ansert SL. Textbook of Diagnostic Sonography, 8th ed. Elsevier; 2017.
Netter FH. Atlas of Human Anatomy, 7th ed. Elsevier; 2018.

NEW QUESTION # 43
What is the adrenal disorder that produces excessive secretion of aldosterone?

A. Waterhouse-Friderichsen syndrome
B. Conn syndrome
C. Cushing disease
D. Addison disease

Answer: B

Explanation:
Conn syndrome (primary hyperaldosteronism) results from excessive aldosterone secretion, often due to an adrenal adenoma, leading to hypertension, hypokalemia, and metabolic alkalosis. Cushing disease involves cortisol, Addison disease involves adrenal insufficiency, and Waterhouse-Friderichsen is associated with adrenal hemorrhage.
According to Rumack's Diagnostic Ultrasound:
"Conn syndrome is due to excessive secretion of aldosterone, often secondary to adrenal cortical adenoma." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Adrenal Ultrasound, 2020.
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NEW QUESTION # 44
Which probe frequency is most appropriate for imaging of the salivary glands?

A. 4 MHz
B. 2 MHz
C. 12 MHz
D. 8 MHz

Answer: C

Explanation:
Salivary glands are superficial structures, and high-frequency transducers (10-15 MHz) are optimal to obtain high spatial resolution. Lower frequencies are inappropriate as they lack sufficient resolution for superficial structures. A 12 MHz transducer provides excellent detail necessary for detecting small lesions, duct abnormalities, and vascular structures.
According to Rumack et al., Diagnostic Ultrasound:
"High-frequency linear transducers (10-15 MHz) are recommended for evaluating superficial structures such as salivary glands." (Rumack CM et al., Diagnostic Ultrasound, 5th ed.).
Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier; 2017.
AIUM Practice Parameter for the Performance of a Head and Neck Ultrasound Examination, 2020.
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NEW QUESTION # 45
Which sonographic finding is most consistent with scrotal inflammation?

A. Hyperemia
B. Abscess
C. Granuloma
D. Hydrocele

Answer: A

Explanation:
Scrotal inflammation, such as epididymitis or orchitis, typically presents with increased blood flow (hyperemia) on color Doppler sonography. This finding reflects the inflammatory process and vascular dilation. Abscesses, granulomas, or hydroceles may be present but are not as consistent or specific for inflammation.
According to AIUM Practice Parameters and Rumack's Diagnostic Ultrasound:
"In acute inflammation, color Doppler ultrasound demonstrates prominent hyperemia of the epididymis or testis." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Scrotal Ultrasound, 2020.
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NEW QUESTION # 46
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