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100% Pass AB-Abdomen - Abdomen Sonography Examination–Efficient Test Dumps Free
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ARDMS Abdomen Sonography Examination Sample Questions (Q41-Q46):
NEW QUESTION # 41
Which gray scale artifact is caused by the oscillation of gas bubbles?
- A. Ring down
- B. Mirror image
- C. Reverberation
- D. Refraction
Answer: A
Explanation:
Ring-down artifact occurs when gas bubbles resonate or oscillate, creating continuous echoes distal to the structure that appear as a vertical, echogenic band extending posteriorly. This is distinct from reverberation, which produces multiple discrete reflections.
According to Zwiebel's Introduction to Vascular Ultrasound:
"Ring-down artifact results from resonance of gas bubbles, producing a continuous, echogenic tail distal to the reflecting interface." Reference:
Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019.
AIUM Practice Parameter for Abdominal Ultrasound, 2020.
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NEW QUESTION # 42
Which term refers to the testicular capsule?
- A. Dartos fascia
- B. Tunica vaginalis
- C. Pampiniform plexus
- D. Tunica albuginea
Answer: D
Explanation:
The tunica albuginea is the dense fibrous capsule that directly surrounds the testicular parenchyma. The tunica vaginalis is a serous covering surrounding the testis externally, and the dartos fascia and pampiniform plexus are part of the scrotal wall and spermatic cord, respectively.
According to Rumack's Diagnostic Ultrasound:
"The tunica albuginea is the fibrous capsule surrounding the testis and forming septa within the gland." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Scrotal Ultrasound, 2020.
-
NEW QUESTION # 43
Which vascular condition is most commonly associated with a wandering spleen?
- A. Infarction
- B. Rupture
- C. Torsion
- D. Portal hypertension
Answer: C
Explanation:
A wandering spleen occurs when the spleen is not adequately anchored by its supporting ligaments, allowing it to move freely within the abdomen. This increases the risk of splenic torsion, which compromises vascular supply and may result in infarction if not corrected.
According to Rumack's Diagnostic Ultrasound:
"The most serious complication of a wandering spleen is torsion, which may result in splenic infarction." 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 # 44
Which condition is characterized by abnormal dilatation of veins of the pampiniform plexus and most commonly affects the left testicle?
- A. Hydrocele
- B. Spermatocele
- C. Varicocele
- D. Hematocele
Answer: C
Explanation:
A varicocele is an abnormal dilatation of the pampiniform plexus veins, usually seen on the left side due to the perpendicular insertion of the left testicular vein into the left renal vein, making it more susceptible to elevated venous pressure. Sonographically, varicoceles appear as multiple serpiginous anechoic tubular structures that show venous flow on color Doppler, often accentuated with Valsalva maneuver.
Hydrocele (A) is a fluid collection surrounding the testis.
Hematocele (C) is blood within the tunica vaginalis.
Spermatocele (D) is a cystic lesion arising from the epididymis.
Reference Extracts:
Dogra VS, Bhatt S. "Sonographic evaluation of testicular varicoceles." Journal of Ultrasound in Medicine.
2004;23(6): 829-838.
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
-
NEW QUESTION # 45
Which type of artifact is indicated by the arrows on this image?
- A. Edge shadow
- B. Comet tail
- C. Focal enhancement
- D. Speed error
Answer: A
Explanation:
The ultrasound image of the thyroid clearly shows posterior shadowing originating from the lateral edges of a rounded structure, which is indicative of edge shadow artifact. Edge shadowing occurs when an ultrasound beam passes tangentially to a rounded or curved structure, such as a cyst or blood vessel. The difference in sound wave refraction and beam divergence at the edges leads to decreased echo signals deep to the edges, creating linear hypoechoic bands - which is exactly what the arrows are pointing to in the image.
Edge shadow artifact is purely a result of beam physics and not a real anatomic or pathologic finding.
Key characteristics of edge shadowing:
* Appears as a narrow, linear hypoechoic (dark) shadow extending deep to the edge of a curved interface (e.g., cyst, vessel, thyroid nodule)
* Caused by refraction and beam deflection, leading to reduced beam intensity distal to the edges
* Most commonly seen adjacent to cysts or fluid-filled structures
Differentiation from other options:
* A. Focal enhancement: Appears as increased echogenicity distal to a fluid-filled structure due to lower attenuation of the sound beam through fluid (opposite of shadowing).
* C. Speed error: A less common artifact that results in displacement of structures due to variation in assumed sound speed.
* D. Comet tail: A reverberation artifact that appears as a series of closely spaced bright echoes, often associated with metallic objects or cholesterol crystals in adenomyomatosis.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Ultrasound Physics and Artifacts, pp. 38-42.
Kremkau FW. Sonography Principles and Instruments. 9th Edition. Elsevier, 2015. Chapter: Image Artifacts, pp. 132-136.
NEW QUESTION # 46
......
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