SPI Review 31-150 Flashcards
The following illustration depicts acoustic pressure vs. distance in a medium in which a sound wave is present . What sound parameter is measured by the length of the bar labeled A in the following illustration? A. Amplitude B. Wavelength C. Pressure D. Pulse repetition frequency E. Duty factor
B. Wavelength
The mass you are imaging has a diameter of 35mm. This value can also be expressed as : A. 350 cm B. .35cm C. 3.5cm D. 35m E. 3.5m
C. 3.5cm
Relative measurement of intensity based on a logarithmic scale is expressed in: A. Newton’s per centimeter squared B. Watts per centimeter squared C. Decibels D. Pascals E. Neper
C. Decibels
Which prefix equals 10^-3
A. Micro B. Milli C. Mega D. Centi E. None of the above
B. Milli
When you change the transmit frequency, which of the following is altered ?
A. Displacement amplitude of particles in the medium
B. Speed at which the sound wave propagates through the medium
C. # of cycles per second
D. Pulses transmitted per second
E. # of electric impulses applied to the transducer per second
C. # of cycles per second
While performing Doppler ultrasound examination, you adjust the pulse repetition frequency to 12 kHz. This can also be expressed as : A. .12Hz B. 1200 Hz C. 1.2 MHz D. 12,000 Hz E. 120 MHz
D. 12,000 Hz
In sound wave propagation, a region of elevated pressure is termed : A. Compression B. Demodulation C. Rarefraction D. Period E. Resonance
A. Compression
When you switch from a 2.5 MHz to a 5.0 MHz transducer, the sound wavelength: A. Doubles B. Quadruples C. Halves D. Quarters E. Is unaffected
C. Halves
Wavelength depends on a what two factors? A. Frequency and amplitude B. Amplitude and propagation speed C. Period and frequency D. Frequency and propagation speed E. Amplitude and intensity
D. Frequency and propagation speed
Which of the following human tissues has the highest rate of attenuation of an ultrasound wave? A. Liver B. Fat C. Fluid D. Lung E. Blood vessels
D. Lung
The propagation speed for sound is lowest in which of the following biological tissues? A. Fat B. Blood C. Muscle D. Bone E. Liver
A. Fat
Which of the following factors does NOT affect impedance? A. Stiffness B. Density C. Propagation speed D. Frequency E. All of the above affect impedance
D. Frequency
You are imaging a structure containing two media having the same acoustic impedance. What will occur at the boundary of the two structures?
A. All of the sound will be transmitted
B. All of the sound will be reflected
C. Some of the sound will be refracted
D. Some of the sound will be reflected and some of the sound will be transmitted
E. Most of the sound will be absorbed at the media boundary
A. All of the sound will be transmitted
What is the purpose of the gel coupling between the transducer and the skin?
A. To reduce heating of the epidermis caused by sound absorption and friction
B. To soften the skin and soothe the patient
C. To provide a medium for sound transmission, since ultrasound does mot propagate through air
D. To reduce the impedance differences between the transducer and the skin
E. To lessen refraction of the sound at the skin surface and improve sound transmission
C. To provide a medium for sound transmission, since ultrasound does mot propagate through air
The unit of impedance is the: A. Joule B. Rayl C. Watts /cm2 D. Newton’s E. Watts /cm
B. Rayl
With absorption, acoustic energy is converted to : A. Heat B. Microbubbles C. Kinetic energy D. Decibels E. Potential energy
A. Heat
The intensity transmission coefficient at the interface between two structures equals 1/100. What is the intensity reflection coefficient? A. 0/100 B. 99/100 C. 1/100 D. 100/100 E. 49/100
B. 99/100
Which of the following is an example of a Rayleigh scatter? A. Renal capsule B. Arterial wall C. Red blood cell D. Bowel gas E. Femur
C. Red blood cell
Which of the following sound interactions produced the shadows indicated by the arrows on this image ? (Page 11) A. Reflection B. Diffraction C. Diffusion D. Rayleigh scattering E. Refraction
E. Refraction
In order to display a structure on your sonographic image, the sound beam must be reflected at the interface. What is required for sound reflection at the interface of two structures?
A. Oblique incidence at the interface boundary
B. Temperature differences between the two media
C. A difference in the acoustic impedance of the media
D. Different media diameters
E. Different attenuation coefficients
C. A difference in the acoustic impedance of the media
An example of a specular reflector is: A. Pericardium B. Liver parenchyma C. Red blood cells D. Ascites E. Hematoma
A. Pericardium
What system control can you adjust to compensate for the effect of sound attenuation in the body?
A. TGC B. Dynamic range C. Frame averaging (persistence) D. Depth E. Line density
A. TGC
While imaging a cyst, you notice shadowing posterior to each lateral border of the cyst. What is the source of the shadows ?
A. Redirection of the sound beam at an interface with different propagation speeds and a curved surface
B. Bending of the sound beam due to different media propagation speeds
C. Increased attenuation of the sound beam at the borders of the cyst
D. Lateral misregristration of the cyst due to a multipath artifact
E. Diffraction of the sound beam resulting in a weakened signal at the lateral borders of the cyst
B. Bending of the sound beam due to different media propagation speeds
While imaging a cyst, you notice shadowing posterior to each lateral border of the cyst. What is the source of the shadows ?
A. Redirection of the sound beam at an interface with different propagation speeds and a curved surface
B. Bending of the sound beam due to different media propagation speeds
C. Increased attenuation of the sound beam at the borders of the cyst
D. Lateral misregristration of the cyst due to a multipath artifact
E. Diffraction of the sound beam resulting in a weakened signal at the lateral borders of the cyst
B. Bending of the sound beam due to different media propagation speeds
The algebraic summation of waves leading to patterns of minima and maxima is called A. Scattering B. Interference C. Absorption D. Refraction E. Diffusion
B. Interference
An interaction of echoes that leads to reinforcement rather than to partial or total cancellation is known as: A. Constructive interference B. Refraction C. Destructive interference D. Autocorrelation E. Rarefraction
A. Constructive interference
Which phenomenon is associated with a pattern produced by a sound beam after passing through a small aperture? A. Scattering B. Absorption C. Diffraction D. Interference E. Diffuse reflection
C. Diffraction
What sound parameter is determined only by the medium? A. Frequency B. Period C. Intensity D. Propagation speed E. None of the above
D. Propagation speed
Snell’s law describes:
A. The percentage of reflection at an interference with normal incidence and different densities
B. The angle of sound transmission at an interference between media having different propagation speeds
C. The amount of attenuation of sound in tissue with depth
D. The amount of backscatter from a diffuse reflector
E. The angle of sound reflection at an interface with oblique incidence and nonspecular reflection
B. The angle of sound transmission at an interference between media having different propagation speeds
As general observation about media in diagnostic sonography, sound propagates faster in material with greater: A. Compressibility B. Acoustic impedance C. Stiffness D. Refractive index E. All of the above
C. Stiffness
During the performance of a sonographic examination you would be most likely to encounter refraction in this view:
A. Specular reflector
B. Curved interference
C. Perpendicular incidence
D. Rayleigh scatterer
E. Refraction is not encountered during an abdominal sonographic exam
B. Curved interference
You may observe sound attenuation by all of the following EXCEPT: A. Reflection B. Scattering C. Conversion of sound to heat D. Absorption E. Compression
E. Compression
When you image sound reflected from a large, smooth interface, you are observing results of : A. Rayleigh scattering B. Diffraction C. Specular reflection D. Diffusion E. Refraction
C. Specular reflection
During a sonographic examination of a large vessel, a 45* beam-to-vessel angle would be called: A. Normal incidence B. Oblique incidence C. Perpendicular incidence D. Snell’s incidence E. None of the above
B. Oblique incidence
What occurs when you image a structure with oblique incidence?
A. A very strong reflection will occurs since this is the optimal angel for imaging
B. All of the sound will be reflected due to the poor scanning angle
C. All of the sound will be transmitted due to poor scanning angle
D. The angle of reflection will be oriented away from the transducer, resulting in decreased visualization of the structure
E. The amount of scattering will be reduced artifactual echoes
D. The angle of reflection will be oriented away from the transducer, resulting in decreased visualization of the structure
The shadow depicted in this image of a renal stone is primarily a result of the following sound tissue interaction: (page 15) A. Reflection B. Refraction C. Destructive interference D. Cavitation E. Diffraction
A. Reflection
Which of the following statements regarding the effect of frequency on Rayleigh scattering is TRUE?
A. The amount of scattering is not affected by frequency
B. Scattering intensity doubles if frequency is doubled
C. Doubling the frequency results in having the scattering intensity
D. Doubling the frequency results in quartering the scattering intensity
E. Scattering intensity is proportional to frequency raised to the fourth power
E. Scattering intensity is proportional to frequency raised to the fourth power
What term describes the hyperechoic region (arrow) seen beneath this complex structure? Pg 16 A. Acoustic enhancement B. Acoustic shadowing C. Reverberation D. Refraction E. Acoustic impedance
A. Acoustic enhancement
The hyperechoic region in the previous illustration results from:(pg 16)
A. Increased acoustic velocity through a fluid-filled structure
B. Decreased attenuation through a fluid-filled structure
C. Decreased sound absorption in the region distal to the fluid-filled structure
D. A high acoustic impedance mismatch between the cyst and adjacent tissue
E. Bending of the sound beam due to oblique incidence
B. Decreased attenuation through a fluid-filled structure
What determines acoustic impedance?
A. Frequency and propagation
B. Frequency and interface size
C. Density and propagation speed of the medium
D. Angle of incidence and media propagation speed
E. Frequency and media density
C. Density and propagation speed of the medium
Diagnostic ultrasound is limited in its diagnostic application to the adult brain because:
A. The speed of sound in the brain is much faster than that in soft tissue, resulting in a range artifact
B. Nearly all of the sound is transmitted at the interface between bone and soft tissue with no reflection to create an image
C. Diffraction of the sound beam occurs because of the irregular surface of the brain , resulting in little transmission of sound through the cranial interface
D. Bending of the sound beam due to refraction results in a multipath artifact that distorts the image, making it nondiagnostic at high frequencies
E. The great acoustic impedance mismatch between the cranium and soft tissue causes most of the sound to be reflected at the interface
E. The great acoustic impedance mismatch between the cranium and soft tissue causes most of the sound to be reflected at the interface
Which of the following describes diffuse reflection?
A. The reflected beam is scattered in various directions
B. The reflected frequency is altered by the Doppler effect
C. The reflected beam is amplified by the focusing effect of scatters
D. The reflected beam is weakened by the large acoustic impedance mismatch at the tissue interface
E. There is no reflection at a tissue interface because of a disorganized transmit beam
A. The reflected beam is scattered in various directions
According to Snell’s Law, the angle of transmission is related to the incident beam angle and:
A. The amount of acoustic impedance mismatch at an interface
B. The change in frequency that occurs at an interface
C. One-half the angle of incidence
D. The relative speeds of sound in the two media
E. The percentage of diffraction distal to the interface
D. The relative speeds of sound in the two media
Which of the following interactions of sound and tissue decreases the intensity of the transmitted beam? A. Absorption B. Reflection C. Scattering D. Conversion of sound to heat E. All of the above
E. All of the above
What is the relationship of frequency to absorption?
A. If frequency is halved, absorption is doubled
B. If frequency is doubled, absorption is doubled
C. If frequency is doubled, absorption is halved
D. If frequency is halved, absorption is quartered
E. The rate of sound absorption is not frequency-dependent
B. If frequency is doubled, absorption is doubled
What term is used to describe the reduction in the intensity of sound as it propagates through tissue? A. Diffraction B. Refraction C. Reflection D. Absorption E. Attenuation
E. Attenuation
Another term for nonspecular reflection is: A. Destructive interference B. Refraction C. Diffraction D. Scattering E. Absorption
D. Scattering
While performing a sonographic exam, you encounter the following interfaces. Which will produce the weakest reflected signal ? A. Organ parenchyma/fluid B. Organ parenchyma/air C. Organ parenchyma/ organ parenchyma D. Organ parenchyma/bone E. Organ parenchyma/ligament
C. Organ parenchyma/ organ parenchyma