Problem questions URR Flashcards
How will the thermal index change when increasing the overall gain to its maximum level?
a. increase
b. decrease
c. no change
d. it depends on the transmitted frequency used
c
If you increase the sector angle for 45 to 90 degrees and no other console changes are made, what happens to the frame rate?
a. it doubles
b. unchanged
c. it is reduced to 1/2 the original frame rate
d. it is reduced to 1/4 the original frame rate
c
Changing the depth on the image used for an m-mode tracing will change what characteristic of the display?
a. x-axis
b. y-axis
c. brightness
d. time
b
When Harmonic imaging is turned on, it primarily improves ______ resolution.
a. lateral
b. contrast
c. temporal
d. axial
a
Which of the following will maintain compliance with the ALARA principle?
a. reducing overall gain
b. reducing transducer frequency
c. reducing the number of images taken in standard protocol
d. minimizing the use of harmonic imaging
c
In a resting patient the highest resistance in the arterial system is in the:
a. arterioles
b. venules
c. left ventricle
d. capillaries
a
Axial resolution artifacts occur due to ______, while lateral resolution artifacts occur due to ______.
a. matching layer damage, element damage
b. short pulses, narrow beams
c. element damage, matching layer damage
d. long pulses, wide beams
d
_______ used to form the sector shaped field of view for a phased array transducer.
a. an acoustic lens
b. electronic steering
c. electronic focusing
d. the curved arrangement of the elements
b
As the element diameter decreases, the focal length ______
a. will increase
b. will remain unchanged unless the element thickness also changes
c. will decrease
d. will remain unchanged unless the frequency also changes
c
The more bits per pixel, the ______ shades of grey on the image and ______ improves.
a. less, contrast resolution
b. more, slice thickness resolution
c. more, contrast resolution
d. more, spatial resolution
c
Which of the following is correct regarding endocavity probes?
a. they most commonly incorporate a curved array of elements that are electronically steered to create an extended field of view
b. one of the main disadvantages of the tightly curved elements of the endocavity probe is decreased spatial resolution
c. endocavity probes offer improved lateral resolution at greater depths
d. they should be cleaned and soaked in a high level disinfectant at least once a day
a
For an US system to produce a real time flicker free image the minimum frame rate required is:
a. 10 Hz
b. 15 Hz
c. 60 Hz
d. 30 Hz
b
Decreasing the number of cycles in a pulse will:
a. increase the wavelength
b. improve the axial resolution of the system
c. increase the frequency of the wave
d. degrade the axial resolution of the system
b
What is the method used to estimate the ankle blood pressure in a standing patient?
a. add 100 mmHg to the diastolic blood pressure
b. systolic blood pressure x2
c. ass 100 mmHg to the systolic blood pressure
d. diastolic blood pressure x2
c
How is the detail resolution limit documented on phantom testing?
a. documenting the depth of the deepest pin that can be displayed
b. two separate pins are displayed as a single reflector on the image
c. documenting the width of the deepest pin displayed as a single reflector on the image
d. all 6 pins are displayed as a single reflector on the image
b
What change in system controls can reduce the appearance of color displayed over vessel walls?
a. decreasing color PRF
b. decreasing color priority
c. increasing color threshold
d. increasing persistence
b
The best obtainable angle of insonation for vascular evaluation that is most commonly used to provide Dopper shift information is _____ degrees.
a. 0
b. 45
c. 60
d. 90
c
_______ compares each reflected echo to the same echo from a previous US pulse to determine if motion is present.
a. quadrature detector
b. registration accuracy
c. autocorrelation
d. temporal resolution
c
Increasing the number of bits per pixel in an image memory will improve the:
A. detail resolution
b. contrast resolution
c. elevational resolution
d. temporal resolution
b
In order to assess low velocity flow, which of the following operator adjustments should be made?
a. decrease wall filter settings and compression
b. increase scale setting
c. decrease compression
d. decrease the rejection and wall filter setting
d
The sonographer may avoid aliasing by altering the:
a. transmit gain
b. image depth
c. increase the sample volume length
d. increasing the frequency
b
Which of the following correctly describes how to avoid underestimation of a peak velocity measurement on a faint Doppler waveform?
a. increase the gain until the spectral window is filled in completely, then reduce slightly
b. increase the gain until all waveforms in the tracing are adequately displayed
c. increase the gain until speckle artifact is displayed across the screen, then reduce slightly
d. increase the gain until the waveform contour is smooth throughout the cardiac cycle
c
A 5 MHz transducer has a PRF of 6 kHz and is being used to produce a wave with a 0.6 mm wavelength and 3mm spatial pulse length. What is the axial resolution of this system/
a. 2mm
b. 1.2mm
c. 1.5mm
d. 1mm
c
______ is defined as the ratio of particle pressure to particle velocity at a given point within the US beam.
a. dynamic range
b. rarefaction
c. compression
d. impedance
d
When the color scale is increased, what other setting automatically increases along with it?
a. Doppler gain
b. wall filter
c. color threshold
d. persistence
b
_______ increases the strength of all of the reflected signals, regardless of reflector depth.
a. swept gain
b. TGC
c. transmit gain
d. overall gain
d
Which of the following requires a Doppler cursor angle of 60 degrees of less for accurate reporting of numerical values?
a. pulsatility index
b. resistive index
c. S/D ratio
d. peak systolic velocity
d
Mispositioned focal zones can lead to excessive ______
a. lobe artifact
b. volume averaging artifact
c. beam intensity
d. attenuation artifact
b
Which of the following bioeffects refers to the formation of microbubbles that burst and cause damage to tissues?
a. stable cavitation
b. mechanical index
c. transient cavitation
d. thermal energy
c
As the pulse repetition period decreases, ______.
a. the imaging depth increases
b. amplitude increases
c. the imaging depth decreases
d. the pulse repetition frequency decreases
c
Refractions occurs when a sound wave passes through an interface between two media at an oblique angle. If the propagation speed in medium 2 is greater than in medium 1, the transmitted angle of the pulse will _____.
a. increase
b. decrease
c. remain unchanged
d. change only if the interface is between air and tissue
a
Which of the following artifacts cause the appearance of false echoes beside the actual structure on the image?
a. refraction artifacts and mirror image artifacts
b. lobe artifacts and mirror image artifacts
c. speckle artifacts and twinkle artifacts
d. lobe artifacts and refraction artifacts
d
Which transducer component improves elevational resolution?
a. pulser
b. acoustic lens
c. damping layer
d. matching layer
b
Changing the color flow Doppler velocity scale alters the:
a. pulse repetition frequency
b. sample volume size
c. dopper shift
d. packet size
a
If a sound beam moves from air into soft tissue at an incident angle of 60 degrees, how will the angle of the transmitted wave change?
a. increase
b. unable to determine
c. decrease
d. remains constant
a
When a patient stands up, what is the hydrostatic pressure at the ankles?
a. 0 mmHg
b. 140 mmHg
c. 100 mmHg
d. 50 mmHg
c
While using the same type of ultrasound system, a 5MHz CW and 5 MHz PW transducer are used at the same time to evaluate blood flow in the same artery. Which transducer will produce a display of the spectral tracing first?
a. they will both produce the waveform at the same time
b. pulsed wave
c. continuous wave
d. depends on the depth of the artery
a
Greater than 90% of the US beam will be reflected at an interface between _____.
a. gas and tissue
b. fat and liver
c. peritoneum and muscle
d. muscle and fat
a
Increasing the transducer frequency will reduce the appearance of ______, while increasing the appearance of ______ on Doppler evaluation.
a. range ambiguity, aliasing
b. aliasing, blooming
c. aliasing, range ambiguity
d. clutter, ghosting
a
Which of the following describes a normal result for uniformity testing of the ultrasound system?
a. all images in a randomly selected exam demonstrate a constant thermal index
b. all images in a randomly selected exam demonstrate a constant mechanical index
c. images taken of the same structure with different probes of the same frequency demonstrate uniform echo amplitude between the compared images
d. TGC set to produce an image with equal echo amplitude across the screen and then when the TGC function is turned off, the echoes in the far field are reduced in amplitude
d
Which of the following will increase spectral broadening on the image?
a. increased sample volume size
b. increased PRF
c. increased wall filter
d. more laminar flow
a
Which of the following console controls can be used to increase the number of scan lines used in a color image?
a. rejection
b. overall gain
c. output power
d. persistence
d
The number of red blood cells in a Doppler sample is directly related to:
a. peak velocity of the flow
b. size of the spectral window
c. amount of stenosis present at the sample site
d. brightness of the waveform displayed
d
As the cross sectional area of a blood vessel increases, what happens to the velocity of the blood flow?
a. increases
b. remains constant
c. increases only if a stenosis is present
d. decreases
d
Increasing the number of pulses in a color packet will:
a. increase frame time
b. increase color priority
c. decrease color sensitivity
d. increase frame rate
a
Which of the following is an abnormality that would lead to an increase in the Reynolds number?
a. occlusion of an artery
b. tortuous vessel
c. thrombosis of a vein
d. stenosis of the vessel
d
The direction of the Doppler shift determines:
a. the color Doppler hue
b. the peak velocity of the flow
c. the average velocity of the flow
d. the color Doppler luminance
a
What system control can reduce the appearance of clutter on a color Doppler image?
a. decreasing color priority
b. decreasing color scale
c. increasing persistence
d. increasing color threshold
a
When evaluating a suspected arterial stenosis, a Doppler angle of ___ degrees will produce the most accurate flow velocity.
a. 0
b. 30
c. 60
d. 90
a
When the color scale is increased, what other setting automatically increases along with it?
a. color threshold
b. wall filter
c. Doppler gain
d. persistence
b
While scanning the carotid artery, you obtain a Doppler tracing and obtain the peak velocity. Before recording the image, you decrease the cursor angle from the last sample taken and record the new image. How will this change affect the peak velocity displayed from the new sample?
a. no change
b. decrease
c. no change unless stenosis is present
d. increase
b
Which of the following will increase the display of Color Doppler information on the image of a superficial mass?
a. decreased threshold
b. decreased sensitivity
c. increased probe frequency
d. increased rejection
c
Which of the following will lead to more color displayed in real time in the abdominal aorta?
a. decrease color threshold
b. increase frame rate
c. decrease color gain
d. increase sample size
B
Which of the following correctly describes a variance color map?
a. flow that demonstrates a Reynolds number greater than 2000 on color Doppler will most likely be displayed as a green color with the variance map
b. variance color maps are only used in cardiac imaging
c. the variance map replaces the blue color used in the velocity map and normal flow is displayed as a bright green color
d. variance and velocity maps are easily differentiated when evaluating normal and abnormal flow velocities
a
Which of the following will lead to more color displayed in real time in the abdominal aorta?
a. decrease color gain
b. increase sample size
c. decrease color threshold
d. increase persistence
d
Which of the following is a variable necessary to quantify the Doppler shift?
a. sine of the Doppler angle
b. transducer frequency
c. speed of sound in blood
d. all of the above are necessary for calculation of the Doppler shift
b
Which of the following is described as the time from pulse transmission to the time of the Doppler sample detecting the first shift?
a. spatial pulse length
b. pulse duration
c. pulse repetition period
d. packet size
c
Tissue Doppler imaging uses _____ settings than PW Doppler.
a. higher frequencies
b. higher filter
c. lower frequencies
d. lower filter
d
Which color Doppler control helps to find a balance between the accuracy of the color displayed and the temporal resolution of the image?
a. electronic steering
b. packet size
c. beam focusing
d. variance color map
b