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Free PDF 2025 AB-Abdomen: Abdomen Sonography Examination–Valid PDF VCE
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ARDMS Abdomen Sonography Examination Sample Questions (Q135-Q140):
NEW QUESTION # 135
What is the main purpose for performing focused abdominal sonography for trauma (FAST) exams?
- A. Detection of free peritoneal fluid
- B. Confirmation of peritoneal lavage findings
- C. Diagnosis of organ laceration
- D. Detection of peritoneal air
Answer: A
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 # 136
Which mechanism is used for a fine needle aspiration?
- A. Injection of saline and suction
- B. Automated spring loaded device
- C. Packing of cells in the needle
- D. Cutting needle obtains core tissue
Answer: C
Explanation:
Fine needle aspiration (FNA) uses a thin needle to aspirate cells, which are then packed into the lumen of the needle for cytological evaluation. It is distinct from core biopsy, which uses cutting needles to obtain tissue cores.
According to AIUM Practice Parameters:
"Fine needle aspiration involves insertion of a thin needle into a lesion to aspirate cells for cytologic analysis.
The cells are collected inside the needle lumen."
Reference:
AIUM Practice Parameter for the Performance of Ultrasound-Guided Percutaneous Needle Biopsy, 2020.
Rumack CM, Diagnostic Ultrasound, 5th ed. Elsevier, 2017.
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NEW QUESTION # 137
Which type of hernia is located medial to the inferior epigastric artery?
- A. Indirect inguinal
- B. Spigelian
- C. Femoral
- D. Direct inguinal
Answer: D
Explanation:
Direct inguinal hernias protrude through Hesselbach's triangle, which lies medial to the inferior epigastric artery. In contrast, indirect inguinal hernias pass lateral to the inferior epigastric artery via the deep inguinal ring.
According to Moore's Clinically Oriented Anatomy:
"Direct inguinal hernias occur medial to the inferior epigastric vessels, within Hesselbach's triangle." Reference:
Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 8th ed. Wolters Kluwer, 2018.
Gray's Anatomy for Students, 4th ed., Elsevier, 2019.
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NEW QUESTION # 138
Which condition is a common cause of biliary duct obstruction?
- A. Cholecystitis
- B. Hepatitis
- C. Pneumobilia
- D. Tumor
Answer: D
Explanation:
A tumor (such as cholangiocarcinoma, pancreatic head carcinoma, or metastases) is a common cause of biliary duct obstruction. It can compress or invade the bile ducts, leading to intrahepatic and extrahepatic duct dilatation.
* Cholecystitis (B) typically affects the gallbladder but may rarely cause duct obstruction if complicated.
* Pneumobilia (C) refers to air in the biliary tree, not obstruction.
* Hepatitis (D) causes liver inflammation but not mechanical biliary obstruction.
Reference Extracts:
* Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
* Gore RM, Levine MS. Textbook of Gastrointestinal Radiology. 4th ed. Saunders, 2015.
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NEW QUESTION # 139
Which retroperitoneal finding is most likely associated with trauma?
- A. Fibrosis
- B. Adenoma
- C. Urinoma
- D. Neuroblastoma
Answer: C
Explanation:
Urinomas are collections of urine in the retroperitoneum that result from trauma, surgery, or obstruction causing urine leakage. Trauma is a frequent cause of urinoma formation due to disruption of the urinary tract.
According to Rumack's Diagnostic Ultrasound:
"Urinomas may develop as a complication of trauma, surgery, or obstructive uropathy with urinary extravasation into the retroperitoneum." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Renal Ultrasound, 2020.
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NEW QUESTION # 140
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