ARDMS AB-Abdomen Exam (page: 1)
ARDMS Abdomen Sonographyination
Updated on: 12-Feb-2026

Viewing Page 1 of 22

Which malignancy most commonly metastasizes to the testes?

  1. Prostate cancer
  2. Bladder cancer
  3. Hodgkin lymphoma
  4. Non-Hodgkin lymphoma

Answer(s): A

Explanation:

Testicular metastases are rare and usually identified in older patients. The most frequent primary site of malignancies metastasizing to the testes is the prostate. Studies (Ulbright and Young, 2008; Mosharafa et al., 2003) indicate that prostatic adenocarcinoma accounts for the highest number of testicular metastases, with lung and gastrointestinal tract malignancies also contributing less frequently. These metastases can be unilateral or bilateral and are often discovered incidentally during surgical intervention for prostate cancer.

The metastatic route involves retrograde venous extension, arterial embolism, or lymphatic dissemination. Histologically, prostatic adenocarcinoma in the testis can be confirmed via immunohistochemical markers like prostate-specific antigen (PSA), supporting its prostatic origin.


Reference:

Ulbright TM, Young RH. Tumors of the Testis, Adnexa, Spermatic Cord, and Scrotum. AFIP Atlas of Tumor Pathology, 4th Series, Fascicle 18. Armed Forces Institute of Pathology, 2008.

Mosharafa AA, Foster RS, Bihrle R, et al. Clinical and pathologic features of testicular metastases from solid tumors: a 40-year review. Urology. 2003;61(5): 1064­1068.



Which condition is a cause of intrahepatic dilatation with a normal common bile duct?

  1. Portal vein thrombus
  2. Tumor at the porta hepatis
  3. Choledocholithiasis
  4. Acute pancreatitis

Answer(s): B

Explanation:

Intrahepatic biliary dilatation with a normal common bile duct (CBD) is typically caused by obstruction located at or above the level of the hepatic duct confluence. A tumor at the porta hepatis, such as cholangiocarcinoma (Klatskin tumor), is a classic cause of this pattern. The porta hepatis is the site where the right and left hepatic ducts join to form the common hepatic duct. A mass at this location can obstruct the intrahepatic ducts while leaving the distal CBD unaffected and of normal caliber.

By contrast:

Portal vein thrombus (A) affects vascular flow but does not directly obstruct bile ducts.

Choledocholithiasis (C) obstructs the CBD, typically resulting in both intrahepatic and extrahepatic duct dilatation.

Acute pancreatitis (D) may cause distal CBD compression if there is associated inflammation or pseudocyst formation, but typically results in extrahepatic duct dilatation rather than isolated intrahepatic dilation.

Reference Extracts:

Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound, 5th ed. Elsevier, 2017. Chapter: Biliary Tract: "Klatskin tumors cause proximal (intrahepatic) biliary dilatation while the distal bile duct remains normal in caliber."

Gore RM, Levine MS. Textbook of Gastrointestinal Radiology, 4th ed. Saunders, 2015.



Which sonographic finding indicates the need for immediate surgical intervention following testicular trauma?

  1. Intratesticular hematoma
  2. Discontinuity of the tunica albuginea
  3. Heterogeneity of the testicular parenchyma
  4. Increased testicular vascularity

Answer(s): B

Explanation:

The tunica albuginea is a dense fibrous capsule surrounding the testis. Discontinuity of the tunica albuginea on ultrasound is diagnostic of testicular rupture -- a urologic emergency that requires immediate surgical repair to preserve testicular function and viability. Early surgical intervention within 72 hours has a high success rate for testicular salvage (up to 90%).

Intratesticular hematoma (A) may be managed conservatively if the tunica albuginea is intact.

Heterogeneity of the parenchyma (C) indicates injury but not necessarily rupture.

Increased vascularity (D) may be seen with inflammation or reperfusion but does not mandate surgery unless rupture is present.

Reference Extracts:

Dogra VS, Bhatt S. "Acute painful scrotum: ultrasound evaluation." Radiologic Clinics of North America. 2004; 42(2):349-363.

Middleton WD, Kurtz AB, Hertzberg BS. Ultrasound: The Requisites. 3rd ed. Elsevier, 2015.



What is the most common location of a pancreatic pseudocyst?

  1. Lesser sac
  2. Left anterior pararenal space
  3. Right subdiaphragmatic space
  4. Left pericolic gutter

Answer(s): A

Explanation:

Pancreatic pseudocysts most commonly develop in the lesser sac, which lies between the posterior wall of the stomach and the anterior surface of the pancreas. This space allows for the accumulation of pancreatic fluid collections following pancreatitis or pancreatic ductal disruption.

The left anterior pararenal space (B) is a secondary location.

The right subdiaphragmatic space (C) and left pericolic gutter (D) are less common sites.

Reference Extracts:

Mortele KJ, Wiesner W, et al. "Pancreatic pseudocysts: imaging features and diagnostic difficulties." Radiographics. 2004;24(4):1005-1020.

Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.



Which condition is most likely in a patient presenting with weight loss and fatigue along with elevated liver enzymes, elevated potassium, and decreased sodium?

  1. Addison disease
  2. Conn syndrome
  3. Acute pancreatitis
  4. Hepatocellular carcinoma

Answer(s): A

Explanation:

Addison disease (primary adrenal insufficiency) results in insufficient production of cortisol and aldosterone. The hallmark laboratory findings include:

Hyponatremia (low sodium)

Hyperkalemia (high potassium)

Elevated liver enzymes (due to nonspecific hepatic involvement)

Fatigue, weight loss, and hypotension are common clinical features.

Conn syndrome (B) causes hyperaldosteronism, leading to hypokalemia (not hyperkalemia).

Acute pancreatitis (C) would typically show elevated amylase/lipase.

Hepatocellular carcinoma (D) may present with elevated liver enzymes but not the electrolyte pattern described.

Reference Extracts:

Nieman LK. "Diagnosis and Treatment of Primary Adrenal Insufficiency." J Clin Endocrinol Metab.
2011;96(7):1957-1966.

Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.



Which renal condition is commonly associated with pyuria and leukocytosis?

  1. Nephrocalcinosis
  2. Staghorn calculus
  3. Renal cell carcinoma
  4. Acute pyelonephritis

Answer(s): D

Explanation:

Acute pyelonephritis is a bacterial infection of the renal parenchyma and collecting system. Classic clinical findings include fever, flank pain, leukocytosis (elevated white blood cells), and pyuria (white blood cells in urine). Ultrasound may demonstrate renal enlargement, decreased echogenicity, and loss of corticomedullary differentiation.

Nephrocalcinosis (A) involves calcium deposition without infection.

Staghorn calculus (B) may lead to infection but is primarily characterized by obstructive uropathy.

Renal cell carcinoma (C) presents with hematuria and mass formation rather than infection symptoms.

Reference Extracts:

Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
Chapter: Kidneys.

Middleton WD, Kurtz AB, Hertzberg BS. Ultrasound: The Requisites. 3rd ed. Elsevier, 2015.



Which arterial branches lie at the base of the renal pyramids?

  1. Segmental
  2. Interlobar
  3. Arcuate
  4. Interlobular

Answer(s): C

Explanation:

The arcuate arteries are located at the corticomedullary junction, arching over the base of the renal pyramids. They form as the interlobar arteries reach the boundary between the cortex and medulla. The arcuate arteries give rise to the interlobular arteries, which supply the renal cortex.

Segmental arteries (A) branch directly from the renal artery.

Interlobar arteries (B) course between the renal pyramids.

Interlobular arteries (D) extend into the cortex from the arcuate arteries.

Reference Extracts:

Moore KL, Dalley AF, Agur AM. Clinically Oriented Anatomy. 7th ed. Lippincott Williams & Wilkins, 2013.

Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.



Which condition is a common cause of biliary duct obstruction?

  1. Tumor
  2. Cholecystitis
  3. Pneumobilia
  4. Hepatitis

Answer(s): A

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.



Viewing Page 1 of 22



Share your comments for ARDMS AB-Abdomen exam with other users:

Albin 10/13/2023 12:37:00 AM

good ................
EUROPEAN UNION


Passed 1/16/2022 9:40:00 AM

passed
GERMANY


Harsh 6/12/2023 1:43:00 PM

yes going good
Anonymous


Salesforce consultant 1/2/2024 1:32:00 PM

good questions for practice
FRANCE


Ridima 9/12/2023 4:18:00 AM

need dump and sap notes for c_s4cpr_2308 - sap certified application associate - sap s/4hana cloud, public edition - sourcing and procurement
Anonymous


Tanvi Rajput 10/6/2023 6:50:00 AM

question 11: d i personally feel some answers are wrong.
UNITED KINGDOM


Anil 7/18/2023 9:38:00 AM

nice questions
Anonymous


Chris 8/26/2023 1:10:00 AM

looking for c1000-158: ibm cloud technical advocate v4 questions
Anonymous


sachin 6/27/2023 1:22:00 PM

can you share the pdf
Anonymous


Blessious Phiri 8/13/2023 10:26:00 AM

admin ii is real technical stuff
Anonymous


Luis Manuel 7/13/2023 9:30:00 PM

could you post the link
UNITED STATES


vijendra 8/18/2023 7:54:00 AM

hello send me dumps
Anonymous


Simeneh 7/9/2023 8:46:00 AM

it is very nice
Anonymous


john 11/16/2023 5:13:00 PM

i gave the amazon dva-c02 tests today and passed. very helpful.
Anonymous


Tao 11/20/2023 8:53:00 AM

there is an incorrect word in the problem statement. for example, in question 1, there is the word "speci c". this is "specific. in the other question, there is the word "noti cation". this is "notification. these mistakes make this site difficult for me to use.
Anonymous


patricks 10/24/2023 6:02:00 AM

passed my az-120 certification exam today with 90% marks. studied using the dumps highly recommended to all.
Anonymous


Ananya 9/14/2023 5:17:00 AM

i need it, plz make it available
UNITED STATES


JM 12/19/2023 2:41:00 PM

q47: intrusion prevention system is the correct answer, not patch management. by definition, there are no patches available for a zero-day vulnerability. the way to prevent an attacker from exploiting a zero-day vulnerability is to use an ips.
UNITED STATES


Ronke 8/18/2023 10:39:00 AM

this is simple but tiugh as well
Anonymous


CesarPA 7/12/2023 10:36:00 PM

questão 4, segundo meu compilador local e o site https://www.jdoodle.com/online-java-compiler/, a resposta correta é "c" !
UNITED STATES


Jeya 9/13/2023 7:50:00 AM

its very useful
INDIA


Tracy 10/24/2023 6:28:00 AM

i mastered my skills and aced the comptia 220-1102 exam with a score of 920/1000. i give the credit to for my success.
Anonymous


James 8/17/2023 4:33:00 PM

real questions
UNITED STATES


Aderonke 10/23/2023 1:07:00 PM

very helpful assessments
UNITED KINGDOM


Simmi 8/24/2023 7:25:00 AM

hi there, i would like to get dumps for this exam
AUSTRALIA


johnson 10/24/2023 5:47:00 AM

i studied for the microsoft azure az-204 exam through it has 100% real questions available for practice along with various mock tests. i scored 900/1000.
GERMANY


Manas 9/9/2023 1:48:00 AM

please upload 1z0-1072-23 exam dups
UNITED STATES


SB 9/12/2023 5:15:00 AM

i was hoping if you could please share the pdf as i’m currently preparing to give the exam.
Anonymous


Jagjit 8/26/2023 5:01:00 PM

i am looking for oracle 1z0-116 exam
UNITED STATES


S Mallik 11/27/2023 12:32:00 AM

where we can get the answer to the questions
Anonymous


PiPi Li 12/12/2023 8:32:00 PM

nice questions
NETHERLANDS


Dan 8/10/2023 4:19:00 PM

question 129 is completely wrong.
UNITED STATES


gayathiri 7/6/2023 12:10:00 AM

i need dump
UNITED STATES


Deb 8/15/2023 8:28:00 PM

love the site.
UNITED STATES