Chapter 1 Key Terms

Question 1

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

Answer 1

Assessment Notes

Question 2

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

Answer 2

Differential Diagnoses

Question 3

A compurter-based version of a patients medical information.

Answer 3

Electronic Medical Record (EMR)

Question 4

Bloodborne illness that requires standard precautions to reduce exposure through vaccination.

Answer 4

Hepatitis B virus (HBV)

Question 5

Bloodborne pathogen 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.

Answer 5

Human Immunodeficiency Disease (HIV)

Question 6

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

Answer 6

Interpretive Report (Final Report)

Question 7

An agency within the United States Department of Labor that protect healthcare workers from major bloodborne diseases.

Answer 7

Occupational Safety and Health Administration (OSHA)

Question 8

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

Answer 8

Patient Chart

Question 9

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

Answer 9

Sonographer

Question 10

Physician responsible for providing the final, legal, interpretative report of ultrasound findings.

Answer 10

Sonologist/Radiologist

Question 11

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

Answer 11

Standard Precautions

Question 12

Sonographer’s written comment and summary of ultrasound findings using sonographic terminology. Never to be considered a final diagnosis.

Answer 12

Technical Observation/Comments

Question 13

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

Answer 13

Ultrasound Request Form

Question 14

List the information that should be on the ultrasound request form.

Answer 14

1. Patient identification data
2. Clinical symptoms
3. Type of examination requested
4. Reason for the examination