Clinical #2 Flashcards
Which of the following arteries are evaluated during a penile duplex exam for erectile dysfunction?
dorsal
cavernosal
urethral
ventral
cavernosal
A patient presents for an extremity ultrasound to evaluate the bicep tendon for tendonitis. The following image was obtained on the symptomatic left arm. All of the following would improve the tendon evaluation, EXCEPT:
rock the transducer back and forth to ensure the transducer face is perpendicular to the tendon
the right bicep tendon should be evaluated to provide comparison views
power Doppler should be applied to assess any increased vascularity associated with inflammation
ask the patient to hold a 5lb weight and reassess the thickness of the tendon
ask the patient to hold a 5lb weight and reassess the thickness of the tendon
A patient presents with a history of Addison disease. Which of the following hormone levels will be increased?
cortisol
aldosterone
ACTH
epinephrine
ACTH
When removing a protective gown:
untie the strings, pull the gown forward from the shoulders using the neck strings to turn it inside out as it is removed, remove your gloves, wash your hands
remove your glove, untie the strings, pull the gown forward from the center of the front of the gown to remove it with the exposed side out, roll it into a ball, wash your hands
remove your gloves, untie the strings, pull the gown forward from the shoulder using the neck strings, grab the inside shoulder seams to pull it off the arms and turn it inside out as it is removed, wash your hands
untie the strings, roll the gown from the bottom edge to turn it inside out, pull it from the shoulder and off the arms, remove your gloves, wash your hands
remove your gloves, untie the strings, pull the gown forward from the shoulder using the neck strings, grab the inside shoulder seams to pull it off the arms and turn it inside out as it is removed, wash your hands
When the prostate is enlarged, what other structures should be evaluated for related findings?
PV for thrombosis
RVs for Nutcracker syndrome
kidneys for hydronephrosis
RAs for thrombosis
kidneys for hydronephrosis
Chest sonography is a valuable tool that can be used to evaluate all of the following EXCEPT:
pleural effusion
pneumothorax
pulmonary sequestration
the number of lobes in each lung
the number of lobes in each lung
A patient presents with a history of Conn syndrome. Which of the following hormone levels will be increased?
epinephrine
aldosterone
ACTH
cortisol
aldosterone
A patient presents for a neck ultrasound due to swelling under the angle of the jaw and anterior to the ear. She also complains of a dry mouth, dry cough, and dry eyes. These clinical findings are most suggestive of:
Hashimoto thyroiditis
Graves’ disease
sjogren syndrome
hemolytic anemia
sjogren syndrome
A 40 year old male presents for an abdominal ultrasound exam with a history of anxiety, headaches, and excessive sweating. His current BP is 175/90mmHg with a pulse of 102bpm. What is the referring doctor expecting to find?
pheochromocytoma
adenoma
aortic aneurysm
Budd Chiari
pheochromocytoma
A pituitary tumor that is causing Cushing syndrome will cause what lab value(s) to be increased?
aldosterone only
ACTH only
ACTH and cortisol
cortisol only
ACTH and cortisol
Which of the following prostate abnormalities most significantly elevates the amount of serum prostate specific antigen in lab testing?
carcinoma
prostatitis
abscess
BPH
carcinoma
causes increased PSA levels usually much more significantly than BPH
Prostatic Acid Phosphatase (PAP) levels are increased with:
prostate carcinoma
BPH
prostate calcifications
prostatitis
prostate carcinoma
Which of the following is a symptom of Addison disease?
hypernatremia
weight gain
hyperkalemia
hypertension
hyperkalemia
The image displayed is an infant hip ultrasound with measurements added. Which letter indicates where the alpha angle is measure?
B
C
D
none of the above
C
measured between the yellow and red lines
formed by the acetabular roof to the vertical cortex of the iliac bone
normal = greater or equal to 60 degrees
less than 60 degrees = dysplasia, subluxation, dislocation
A patient presents with a history of Cushing syndrome and an adrenal tumor. What lab results are expected in the clinical findings?
elevated cortisol levels in the urine
elevated epinephrine levels in the urine
elevated serum levels of cortisol and ACTH
elevated serum levels of aldosterone
elevated cortisol levels in the urine
no pituitary gland involvement = normal ACTH
A positive Tinel sign indicates:
pyloric stenosis
ruptured Achilles’ tendon
carpal tunnel syndrome
patellar tendonosis
carpal tunnel syndrome
Internal rotation of the arm is preferred for evaluation of the ___ tendon, while external rotation of the arm is preferred for evaluation of ___ tendon.
long bicep, short bicep
flexor, biceps
supraspinatus, subscapularis
subscapularis, supraspinatus
supraspinatus, subscapularis
Which of the following is not a common indication for a chest ultrasound in adults?
evaluate a superficial mass seen on chest CT
evaluate PICC line placement
suspected mass in the thymus
suspected pneumothorax
suspected mass in the thymus
All of the following are common symptoms of colitis, EXCEPT:
bloody diarrhea
hemoptysis
watery diarrhea
low grade fever
hemoptysis = coughing up bloody septum from the lungs
Which of the following structures can be used as an acoustic window when evaluating the pediatric mediastinum?
thymus
lung pleura
thyroid
diaphragm
thymus
Which of the following chest masses would be most easily be evaluated with ultrasound?
a mass located between the bronchial tubes
a mass located in the posterior lobes
a mass located between the pleura and chest wall
a mass located in the central portion of the lung
a mass located between the pleura and chest wall
no air to obscure the image
Which of the following describes the proper technique for visualization of the bicep tendon?
oblique probe position with the notch turned 30 degrees medially; placed on the posterior upper arm, just proximal to the elbow joint
scanning with the US beam as perpendicular to the tendon as possible to improve visualization
oblique probe position with the notch turned 60 degrees medially; placed on the anterior upper arm, just proximal to the elbow joint
longitudinal probe position on the posterior upper arm, just proximal to the elbow joint
scanning with the US beam as perpendicular to the tendon as possible to improve visualization
You are providing instructions for a patient that needs a core needle biopsy. Which of the following medications should be taken as initially prescribed until the day of the procedure?
aspirin
hypertension medication
ibuprofen
lovenox
hypertension medication
What clinical symptoms are common with adrenal hemorrhage?
nausea and vomiting
jaundice and low hematocrit
hyperkalemia and dysuria
weight loss and edema
jaundice and low hematocrit
Which of the following are clinical findings related to a pheochromocytoma?
hirsutism and bilateral pedal edema
palpitations and skin discoloration
bradycardia and fatigue
increased adrenaline and anxiety
increased adrenaline and anxiety
Excessive androgen production is commonly associated with adrenal hyperplasia, adrenal cortical cancer, and polycystic ovarian disease. How will these increased androgen levels present as a clinical finding?
pedal edema
hirsutism
excessive nausea and vomiting
alopecia
hirsutism
A mother presents with her 3 month infant due to excessive vomiting and crying for 3 days. The referring physician suspects a lactobezoar may be the problem. Where will you look for this abnormality?
anywhere along the digestive tract
appendix
gallbladder
urinary bladder
anywhere along the digestive tract
Red currant jelly stool is a common clinical finding associated with:
appendicitis
pyloric stenosis
intussusception
mesenteric ischemia
intussusception