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Abdomen ARDMS _ MOCK exam Questions
with Detailed Verified Answers (100% Correct
Answers) Already Graded A+
Progression of which of the following abnormalities flattens the portal
veins?
Ans: Biliary obstruction
The wall thickness in a normal fasting gallbladder should not exceed
Ans: 3 mm
This color Doppler sonogram is most likely demonstrating which of the
following abnormalities?
Ans: Pseudoaneurysm
This color Doppler image demonstrates turbulent swirling blood flow within
a fluid collection, classic sonographic findings of a common femoral artery
pseudoaneurysm.
A patient presents with sudden onset of upper abdominal pain. Ultrasound
demonstrates prominence in the stomach rugae. These findings are most
suspicious for which of the following conditions?
Ans: Gastritis
Prominence of the stomach rugae in a patient with upper abdominal pain is
most suspicious for gastritis. Hypervascular, thick gastric walls are
sonographic findings associated with gastric ulcers.
Which of the following is a complication of acute pancreatitis?
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Ans: Duodenal obstruction
Complications of acute pancreatitis may include abscess formation,
duodenal obstruction, hemorrhage, phlegmon, and pseudocyst formation.
Cholecystitis is a possible etiology of acute pancreatitis.
A patient presents with a history of hematuria. The findings in this duplex
image are most suspicious for which of the following pathologies?
Ans: Carcinoma
A vascular echogenic mass is identified protruding from the posterior wall
of the urinary bladder. Bladder carcinoma commonly presents with a
history of painless hematuria. Based on the clinical history, the sonographic
findings are suspicious for a malignant mass.
A sagittal sonogram medial to the porta hepatis is demonstrating which of
the following abnormalities?
Ans: Dilated common bile duct
A hypoechoic mass identified by the calipers is obstructing the common bile
duct resulting in dilatation. The mass is most likely a malignancy in the
head of the pancreas.
The pathology in this sonogram is most likely a/an
Ans: Pseudocyst
A complex fluid collection is identified posterior to the tail of the pancreas.
This is most likely a pancreatic pseudocyst. Phlegmons and islet cell tumors
appear as hypoechoic masses on ultrasound. A pancreatic hemorrhage is a
differential consideration but not the most likely pathology.
Which of the following abnormalities is demonstrated in this transverse
sonogram?
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Ans: Stones in the duct of Wirsung
Multiple stones are located in main pancreatic duct (duct of Wirsung).
Which of the following is a clinical symptom of hypothyroidism?
Ans: Muscle cramps
Muscles cramping is a symptom of hypothyroidism. Other symptoms may
include weight gain, mental and physical lethargy, arthritis, skin dryness,
feeling cold, slow metabolic rate, and decreased heart rate. Symptoms
commonly associated with hyperthyroidism include weight loss,
palpitations, nervousness, exophthalmos, constant hunger, tremors,
increased heart rate, and intolerance to heat.
A 20-year-old patient presents with a palpable left scrotal mass. The
sonographic findings are most suspicious for which of the following
pathologies?
Ans: Malignant neoplasm
A malignant neoplasm is the most likely diagnosis in a young adult
demonstrating a hypoechoic intratesticular mass. The patient is afebrile
excluding a testicular abscess from the differential considerations.
A patient presents with a history of a palpable neck mass. Which of the
following terms best describes the sonographic findings?
Ans: Heterogeneous thyroid gland
The sonographer’s technical report should describe the right thyroid lobe as
demonstrating an irregular and heterogeneous echo texture.
A patient presents with a history of cirrhosis. The arrows are identifying
the
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Exampromax – Stuvia US
Ans: coronary ligament
A hyperechoic linear structure is identified dividing the right subphrenic
space from the subhepatic space. This is consistent with the right coronary
ligament. The right coronary ligament serves as a barrier between these two
peritoneal spaces.
This color Doppler sonogram is most likely demonstrating which of the
following abnormalities?
Ans: Patent umbilical vein
The sonogram is demonstrating a patent paraumbilical vein. Note the liver
parenchyma of the left lobe superior to the patent umbilical vein. Gastric
varices are generally located to the left of midline.
Splenomegaly is a consistent finding in which of the following pathologies?
Ans: Portal hypertension
Splenomegaly is a consistent finding in cases of portal hypertension.
A duplex image of the splenic vein is demonstrating
Ans: retrograde flow.
That’s correct! The splenic vein normally flows toward the transducer,
displaying a waveform above the baseline (antegrade). In this case, the
blood is flowing away from the transducer back toward the spleen
(retrograde).
Which of the following structures separates the subphrenic space into two
compartments?
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Exampromax – Stuvia US
Ans: Falciform ligament
The falciform ligament divides the subphrenic space into right and left
compartments. The left coronary ligament suspends the left lobe of the liver
from the diaphragm.
An asymptomatic patient presents with a history of elevated liver function
tests. Based on this clinical history, the sonogram most likely demonstrates
Ans: fatty infiltration
Fatty infiltration is the most likely diagnosis in an asymptomatic patient
demonstrating diffusely echogenic liver parenchyma. In addition, the portal
veins are still clearly visible, consistent with fatty infiltration.
The subhepatic space communicates with the lesser sac through the
foramen of
Ans: Winslow
The foramen of Winslow allows communication between the subhepatic
space and lesser sac.
Which vascular structure courses posterior to the superior mesenteric
artery and anterior to the abdominal aorta?
Ans: Left renal vein
The left renal vein courses posterior to the superior mesenteric artery and
anterior to the abdominal aorta.
The celiac axis is located at