chapter 1

Question 1

Assessment notes

Answer 1

results of the physical examination, including a listing of the patient’s symptoms.

Question 2

Differential diagnoses

Answer 2

Multiple pathologic conditions that may be indicated by the ultrasound findings and reported as such by the interpreting physician

Question 3

Electronic medical record (EMR)

Answer 3

A computer-based version of a patient’s medical information

Question 4

Hepatitis B Virus (HBV)

Answer 4

Bloodborne pathogen that requires standard precautions to reduce exposure risk. Health care workers can protect themselves with the hepatitis B Vaccine which requires three shots over 6 months and is offered at most healthcare facilities.

Question 5

Occupational Safety and Health Administration (OSHA)

Answer 5

An agency within the United States Department of Labor. OSHA standards are designed to protect healthcare workers from major bloodborne diseases

Question 5

Human Immunodeficiency Virus (HIV)

Answer 5

Bloodborne pathogen that rewuires standard precautions to reduce exposure risk. Virus may lead to AIDS, a deficiency of the autoimmune system that in many cases is terminal

Question 5

Interpretive Report (final report)

Answer 5

Sonologists (radiologists, physicians) formal, legal interpretive reports of the ultrasound findings.

Question 6

Patient chart

Answer 6

compilation of patient’s information including medical history, results of physical examination, patient symptoms, and laboratory results.

Question 7

Sonographer

Answer 7

Ultrasound professional, responsible for performing and recording ultrasound studies for physician interpretation.

Question 8

Sonologist/ Radiologist

Answer 8

Physician, responsible for providing the final, legal, interpretive report (which may include differential diagnoses) of ultrasound findings.

Question 9

Standard Precautions

Answer 9

Treating all patients as if they may have HBV/HIV or other bloodborne or infectious diseases, means that engineering, workplace, and housekeeping controls are in place to ensure safety

Question 10

Technical Observation/Comments

Answer 10

Sonographer’s written comments and summary of ultrasound findings using sonographic terminology. Never to be considered a final diagnosis, because it is not considered justified (level of education, training, experience) or legal.

Question 11

Ultrasound Request Form

Answer 11

Sent digitally or as a paper or faxed copy to include the patient’s identification data, clinical symptoms, the examination requested, and the reason why.