Abdomen 2 final Chest review

Question 1

Which of the following is an advantage of interventional and intraoperative procedures?
a. nonvisualization of needle placement
b. needle or tube tracking
c. need for ionizing radiation
d. limited to biopsies

Answer 1

b

Question 2

Intraoperative ultrasound is NOT limited by:

Answer 2

the need for ionizing radiation

Question 3

A biopsy site is scanned before the biopsy to determine the best point of entry with the shortest distance and the:

Answer 3

smallest angle

Question 4

During an ultrasound-guided aspiration, _____

Answer 4

any change in the shape or size of a fluid filled structure can be visualized

Question 5

Ultrasound is used during _____ to determine accurate needle placement for tissue sampling.

Answer 5

percuteaneous biopsies

Question 6

True or False

Percuteaneous aspirations obtain tissue samples by applying suction through a needle attached to a syringe

Answer 6

true

Question 7

True or false

Ultrasound-guided biopsies use ultrasound to determine accurate needle placement for fluid suction.

Answer 7

false

Question 8

true or false

An option for a sterile transducer sheath during interventional ultrasound is an alcohol bath

Answer 8

false

Question 9

true or false

Ultrasound-guided aspirations assist needle placement for small organ or stone extraction

Answer 9

false

Question 10

true or false

Chorionic villus sampling is considered a percuteaneous biopsy procedure

Answer 10

true

Question 11

value used to standardize prothrombin time results between institutions

Answer 11

international normalized ratio

Question 12

collection of air or gas in the pleural cavity between the lung and chest wall that creates pressure on the lung

Answer 12

pneumothorax

Question 13

complication that can occur after cardiac catheterization or angioplasty in which a hematoma is formed by a leakage of blood from a small hole in the femoral artery

Answer 13

pseudoaneurysm

Question 14

a defect in the body’s mechanism for blood clotting

Answer 14

coagulopathy

Question 15

lab value that can indicate the presence of prostate conditions such as prostate cancer, BPH, and prostatitis

Answer 15

prostate-specific antigen

Question 16

PT; lab test used to evaluate for blood clotting abnormalities; the time it takes the blood to clot after thromboplastin and calcium are added to the sample

Answer 16

prothrombin time

Question 17

procedure that uses a hollow core biopsy needle to remove a sample of tissue

Answer 17

core biopsy

Question 18

PTT; laboratory test used to evaluate for blood clotting abnormalities

Answer 18

partial thromboplastin time

Question 19

A form of blood plasma that contains all of the clotting factors except platelets that is used to treat patients with a coagulopathy prior to the interventional procedures

Answer 19

fresh frozen plasma

Question 20

A procedure that uses a small needle attached to a syringe; a vacuum is created and sample cells are aspirated for evaluation

Answer 20

fine-needle aspiration

Question 21

Which of the following is NOT a contraindication to needle biopsy?
a. uncooperative patient
b. lesion deeper than 5 cm
c. uncorrectable coagulopathy
d. unsafe biopsy rate

Answer 21

b

Question 22

Which of the following is NOT included in a coagulation study?
a. PT
b. INR
c. WBC
d. PTT

Answer 22

c

Question 23

Which test standardizes the results of the other coagulation studies as it adjusts for variations in processing and is expressed as a number?

Answer 23

INR

Question 24

Which of the following CANNOT cause a coagulopathy?
a. blood thinners
b. aspirin use
c. certain antibiotics
d. vitamin K

Answer 24

d

Question 25

Which of the following is a procedure that uses a 20- to 27-gauge needle attached to a syringe to obtain a sample of cells for cytologic examination? a. core biopsy b. nephrostomy c. fine-needle aspiration d. paracentesis

Answer 25

c

Question 26

Which of the following needle gauges will produce the largest specimen size? a. 14 G b. 16 G c. 22 G d. 27 G

Answer 26

a

Question 27

Which of the following statements regarding needle visualization is FALSE? a. larger caliber needles are more readily visualized than smaller caliber needles b. the needle may appear as a dot or a line depending on the image plane c. the needle and transducer should be in the same plane to produce the best visualization d. the more parallel the needle is to the transducer, the easier it is to visualize

Answer 27

d

Question 28

What is the purpose of the time-out during a procedure?

Answer 28

verify the correct patient is present and confirm the procedure and procedure site

Question 29

Which of the following is NOT one of the most common complications to occur following a biopsy? a. infection b. pain c. vasovagal reaction d. hematoma

Answer 29

a

Question 30

which of the following procedures is performed to remove an accumulation of serous fluid in the peritoneal cavity? a. thoracentesis b. abscess drainage c. nephrostomy d. paracentesis

Answer 30

d

Question 31

What is the greatest advantage of sonography-guided biopsy procedures over other imaging modalities?

Answer 31

real-time visualization of the needle tip

Question 32

What is a contraindication to needle biopsy?

Answer 32

unsafe biopsy route

Question 33

What laboratory test should be documented prior to biopsy procedure?

Answer 33

coagulation study

Question 34

What is the range of needle gauges used for a core biopsy?

Answer 34

14 G to 16 G

Question 35

What determines if the sonographic appearance of a needle is a hyperechoic line or a hyperechoic dot?

Answer 35

imaging plane

Question 36

What procedure is used to remove infected fluid?

Answer 36

abscess drainage

Question 37

What sonography-guided biopsy procedure is easier to complete using a transhepatic approach?

Answer 37

right adrenal gland

Question 38

What condition is an indication for the patient to have a prostate biopsy?

Answer 38

palpable nodule

Question 39

What can occur when an arterial puncture site fails to seal?

Answer 39

pseudoaneurysm

Question 40

Where does prostate cancer occur most frequently?

Answer 40

peripheral zonej

Question 41

Where does prostate cancer occur most frequently?

Answer 41

peripheral zone

Question 42

what is the term used to describe fluid collection around the lung?

Answer 42

pleural effusion

Question 43

What procedure is performed to remove an accumulation of serous fluid in the peritoneal cavity?

Answer 43

paracentesis

Question 44

A biopsy site is scanned before the biopsy to determine the best _____ with the shortest _____ and the ____ angle.

Answer 44

point of entry, distance, least

Question 45

the term percuteaneous means

Answer 45

to perform through the skin

Question 46

ultrasound guided aspirations assist needle placement for

Answer 46

fluid sampling

Question 47

a percuteaneous cholangiogram is an ultrasound-guided procedure for

Answer 47

bile drainage

Question 48

endoluminal ultrasound is

Answer 48

used to evaluate vessels and grafts during surgery

Question 49

the optimal transducer to use during introoperative ultrasound when the near field is the area of interest is a

Answer 49

linear array probe

Question 50

What is an advantage of interventional and introperative procedures

Answer 50

needle or tube tracking

Question 51

intraoperative ultrasound is NOT limited by

Answer 51

the need for ionizing radiation

Question 52

a biopsy site scanned before the biopsy to determine the best point of entry with the shortest distance and the ______

Answer 52

smallest angle

Question 53

During an ultrasound guided aspiration

Answer 53

any change in the shape or size of a fluid filled structure can be visualized

Question 54

ultrasound is used during _____ to determine accurate needle placement for tissue sampling

Answer 54

percuteaneous biopsies

Question 55

True or False Percuteaneous aspirations obtain tissue samples by applying suction through a needle attached to a syringe

Answer 55

true