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精準覆蓋的AB-Abdomen權威認證|高通過率的考試材料|快速下載AB-Abdomen:Abdomen Sonography Examination
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最新的 ARDMS RDMS AB-Abdomen 免費考試真題 (Q80-Q85):
問題 #80
Which technique may provide better visualization of the common bile duct in a patient with hepatic steatosis?
- A. Increase dynamic range
- B. Scan patient after a fatty meal
- C. Decrease transducer frequency
- D. Decrease overall gain
答案:C
解題說明:
In hepatic steatosis (fatty liver), increased echogenicity can obscure visualization of deeper structures like the common bile duct. Lowering the transducer frequency increases sound wave penetration, allowing better visualization of deep structures despite increased liver echogenicity. Decreasing gain or increasing dynamic range primarily adjusts image brightness and contrast but does not improve penetration.
According to Rumack's Diagnostic Ultrasound:
"Lower frequency transducers are used to improve penetration and visualization of deeper structures in patients with fatty liver." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for the Performance of Abdominal Ultrasound Examinations, 2020.
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問題 #81
A patient presents with ampulla of Vater obstruction, distention of the gallbladder, and painless jaundice.
Which condition is most likely associated with these findings?
- A. Choledochal cyst
- B. Porcelain gallbladder
- C. Courvoisier sign
- D. Mirizzi syndrome
答案:C
解題說明:
Courvoisier sign describes the clinical finding of painless jaundice combined with a palpable, distended gallbladder. This typically results from obstruction at the distal common bile duct, often due to pancreatic head carcinoma or cholangiocarcinoma, leading to bile accumulation and gallbladder distention. In contrast, Mirizzi syndrome involves compression of the common hepatic duct by an impacted stone in the cystic duct.
According to Rumack's Diagnostic Ultrasound and standard clinical references:
"Courvoisier sign refers to a palpable, enlarged gallbladder due to obstruction of the distal bile duct, often from malignancy." 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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問題 #82
Which sonographic finding is associated with normal postprocedural Doppler of a transjugular intrahepatic portosystemic shunt (TIPS)?
- A. Hepatofugal flow in the intrahepatic portal venous branches
- B. Hepatopetal flow in the intrahepatic portal venous branches
- C. Triphasic flow throughout stent
- D. Low-velocity flow throughout stent
答案:B
解題說明:
After successful TIPS placement, the intrahepatic portal venous branches continue to exhibit hepatopetal (toward the liver) flow, while the stent itself shows continuous, relatively high-velocity monophasic flow.
Hepatofugal flow in intrahepatic branches may indicate shunt dysfunction.
According to Zwiebel's Introduction to Vascular Ultrasound:
"Normal post-TIPS Doppler shows hepatopetal flow in the intrahepatic portal veins and continuous high- velocity flow within the stent." Reference:
Zwiebel WJ, Pellerito JS. Introduction to Vascular Ultrasound. 6th ed. Elsevier, 2019.
AIUM Practice Parameter for the Performance of Portal Venous Ultrasound, 2020.
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問題 #83
Which abnormality is the most common adult adrenal tumor?
- A. Pheochromocytoma
- B. Neuroblastoma
- C. Adenoma
- D. Adrenal cortical carcinoma
答案:C
解題說明:
Adrenal adenomas are the most common adrenal tumors in adults. They are often discovered incidentally (adrenal incidentalomas) and are usually nonfunctioning, though some may secrete cortisol or aldosterone.
Neuroblastoma is common in children, pheochromocytomas are rarer catecholamine-producing tumors, and adrenal cortical carcinoma is malignant but much less common than adenomas.
According to Rumack's Diagnostic Ultrasound:
"Adrenal adenomas are the most common adrenal masses in adults, frequently identified incidentally on imaging studies." Reference:
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
ACR Incidental Findings Committee Guidelines for Adrenal Masses, 2017.
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問題 #84
Which renal finding is often present in patients with tuberous sclerosis?
- A. Sinus lipomatosis
- B. Angiomyolipoma
- C. Multilocular cystic nephroma
- D. Renal cell carcinoma
答案:B
解題說明:
Angiomyolipomas are benign renal tumors composed of fat, smooth muscle, and blood vessels. They are strongly associated with tuberous sclerosis and may be multiple and bilateral in these patients. While RCC may occur, angiomyolipomas are much more characteristic.
According to Rumack's Diagnostic Ultrasound:
"Angiomyolipomas are frequently multiple and bilateral in patients with tuberous sclerosis." 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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問題 #85
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