Chapter 1 - Before And After The Ultrasound Examination

Question 1

Assessment notes

Answer 1

Results of the physical examination, including a list of the patient’s symptoms

Question 2

Differential Diagnoses

Answer 2

Multiple pathological 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 patients medical information

Question 4

Hepatitis B (HBV)

Answer 4

Blood borne pathogen that requires Standard Precautions to reduce exposure risk. Health care workers can protect themselves with the hepatitis B vaccine, which requires 3 shots over 6 months and is offered at most health care facilities.

Question 5

Human Immunodeficiency Virus (HIV)

Answer 5

Blood borne pathogens that requires Standard Precautions to reduce exposure risk. Virus may lead to AIDS, a deficiency of the autoimmune system that in many cases is terminal.

Question 6

Interpretive Report (Final Report)

Answer 6

Sonologist’s ( radiologist, physician) formal, legal interpretive report of the ultrasound findings.

Question 7

Occupational Safety and Health Administration (OSHA)

Answer 7

An agency within the United States Department of Labor. OSHA standards are designed to protect health care workers from major blood borne diseases.

Question 8

Patient chart

Answer 8

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

Question 9

Sonographer

Answer 9

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

Question 10

Sonologist/Radiologist

Answer 10

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

Question 11

Standard Precautions

Answer 11

Treating all patients as if they may have HBV/HIV or other blood borne disease, meaning that engineering, workplace, and housekeeping controls are in place to ensure safety.

Question 12

Technical Observation

Answer 12

Sonographer’s written summary of ultrasound findings using Sonographic terminology. Never a diagnosis, as it is not considered justified (level of education, training, experience) or legal.

Question 13

Ultrasound Request Form

Answer 13

Patient identification data, clinical symptoms, the examination requested, and the reason why.