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AB-Abdomen Certification Exam Cost - Valid AB-Abdomen Exam Experience

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ARDMS Abdomen Sonography Examination Sample Questions (Q107-Q112):

NEW QUESTION # 107
Which scanning approach was utilized to obtain this image?

A. Left coronal
B. Anterior
C. Posterior
D. Right coronal

Answer: D

Explanation:
The ultrasound image provided shows the liver and diaphragm imaged in a coronal plane with characteristic rib shadows and costophrenic angles. The orientation of the image and the structures visualized suggest that the transducer is placed in the right mid-axillary line, with the sound beam directed coronally - this is a classic right coronal scanning approach.
Key features supporting this:
* The liver appears superiorly in the image.
* Multiple echogenic lines (representing the ribs) run obliquely, casting acoustic shadows.
* The diaphragm and adjacent lung base are seen clearly, which is commonly imaged through the right intercostal spaces in a coronal plane.
Comparison of answer choices:
* A. Anterior: Would show a more transverse view of the liver and not typically image the diaphragm and lung this way.
* B. Posterior: Not used for upper abdominal scanning due to shadowing from the spine and posterior ribs.
* C. Left coronal: Would show the spleen and left kidney - not the liver as seen here.
* D. Right coronal - Correct. This image was obtained using the right coronal (intercostal) approach through the right flank.
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.
AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum (2020).

NEW QUESTION # 108
Which congenital anomaly is characterized by the failure of the dorsal and ventral pancreatic buds to fuse?

A. Pancreatic agenesis
B. Ectopic pancreas
C. Pancreas divisum
D. Annular pancreas

Answer: C

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.
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NEW QUESTION # 109
Which renal anomaly is demonstrated on this image?

A. Duplicated collecting system
B. Pelvic kidney
C. Crossed renal ectopia
D. Horseshoe kidney

Answer: D

Explanation:
The ultrasound image labeled "SAG RUQ KIDNEY" demonstrates a midline sagittal view showing a renal parenchymal structure that extends across the midline anterior to the aorta and vertebral bodies, suggesting the presence of a horseshoe kidney.
A horseshoe kidney is a congenital renal anomaly in which the lower poles of both kidneys are fused across the midline by a parenchymal or fibrous isthmus. This isthmus typically lies anterior to the aorta and inferior vena cava and can be seen as a hypoechoic band of tissue crossing the midline on ultrasound.
Ultrasound findings characteristic of a horseshoe kidney:
* Abnormally low position of the kidneys in the abdomen
* Renal tissue (isthmus) bridging the lower poles anterior to the great vessels
* Renal axes may be more horizontal than usual
* Kidneys may appear closer together or "kissing" the spine anteriorly
Differentiation from other options:
* A. Duplicated collecting system: Manifests as two separate collecting systems within one kidney, often with a central renal sinus split into two - not typically midline bridging.
* B. Crossed renal ectopia: Involves one kidney crossing midline and fusing with the other on the opposite side, but they do not form a midline isthmus.
* D. Pelvic kidney: A single kidney located in the pelvis due to failed ascent - it does not appear as midline fusion of two kidneys.
References:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th Edition. Elsevier, 2018.
Chapter: Urinary Tract, pp. 215-218.
American Institute of Ultrasound in Medicine (AIUM). Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum. 2020.
Radiopaedia.org. Horseshoe kidney: https://radiopaedia.org/articles/horseshoe-kidney

NEW QUESTION # 110
Which syndrome is characterized by right upper quadrant pain, ascites, and hepatocellular dysfunction?

A. Ehlers-Danlos
B. Calciphylaxis
C. Klippel-Trenaunay
D. Budd-Chiari

Answer: D

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.
-

NEW QUESTION # 111
Which characteristic is associated with complex pleural effusion?

A. Anechoic without locules
B. Contains septa
C. Dependent layering echoes
D. Homogeneous hypoechoic

Answer: B

Explanation:
A complex pleural effusion often contains internal septations or fibrin strands, distinguishing it from simple anechoic effusion. These septations suggest exudative processes such as infection, malignancy, or hemothorax.
According to Rumack's Diagnostic Ultrasound:
"Complex pleural effusions demonstrate internal septations or loculations, often related to infection or malignancy." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Thoracic Ultrasound, 2020.
-

NEW QUESTION # 112
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