Ultrasound/Central Lines (Kane) Final Exam Flashcards

1
Q

Who is credited with the early idea of using sound waves for “seeing” in nature; ie Bats and Dolphins?

A) Leonardo da Vinci
B) Lazzaro Spallanzani
C) Alexander Graham Bell
D) Thomas Edison

A

B) Lazzaro Spallanzani
1974

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2
Q

In which decade did ultrasound become popular in medicine?

A) 1930s
B) 1940s
C) 1950s
D) 1960s

A

C) 1950s

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3
Q

Ultrasound in the military is primarily associated with __________.

A) radar
B) satellites
C) submarines
D) aircraft

A

C) submarines

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4
Q

One major advantage of ultrasound in medicine is that it involves no __________ radiation.

A) ionizing
B) electromagnetic
C) thermal
D) nuclear

A

A) ionizing

Not exposing people to unecessary radiation

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5
Q

Advantages of using ultrasound include:
Select 3

A) Identifying anatomical structures
B) Increasing the complexity of procedures
C) Increasing accuracy of needle placement
D) Relationship of needle to tissues

A

A) Identifying anatomical structures
C) Increasing accuracy of needle placement
D) Relationship of needle to tissues
Visualizing “seeing” the spread of local anesthetic around the nerve sheath

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6
Q

Ultrasound waves travel at a frequency range of __________.

A) 2-20 Hz
B) 20-20,000 Hz
C) 2-20 MHz
D) 20-200 MHz

A

C) 2-20 MHz

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7
Q

The frequency range of audible sound is __________.

A) 2-20 Hz
B) 20-20,000 Hz
C) 2-20 MHz
D) 20-200 MHz

A

B) 20-20,000 Hz

Those are some big ears

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8
Q

When ultrasound waves encounter a surface, they can be:

A) Transmitted
B) Reflected
C) Radiate
D) Scattered

A

A) Transmitted -When an ultrasound beam passes through body tissues
B) Reflected -the return of the sound wave energy back to the transducer
D) Scattered -When an ultrasound wave changes direction in a less orderly manner

*Kane- Waves leave the probe, get sent out and they either get absorbed by a structure, pass by the structure and miss it totally or get reflected back and that is what we see on the ultrasound screen. *

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9
Q

Ultrasound waves that are __________ back to crystals create __________ recorded by the computer.

A) transmitted; image
B) reflected; impulses
C) absorbed; sound
D) reflected; data

A

B) reflected; impulses

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10
Q

Match the type of sound wave with their medium and the definitions of what they look like on an ultrasound

A

A. Transmitted through - 3. Fluid - i. No signal = anechoic = dark
B. Between - 1. Soft tissue/tendon/muscles/fat - iii. Iso/hypo = shades of gray
C. Reflected - 2. Bones/stones - ii. Lots of signal = hyperechoic = bright

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11
Q

What term describes tissues that reflect more sound waves and appear bright on an ultrasound?

A) Anechoic
B) Hypoechoic
C) Isoechoic
D) Hyperechoic

A

D) Hyperechoic

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12
Q

What term describes tissues that reflect fewer sound waves and appear dark on an ultrasound?

A) Anechoic
B) Hypoechoic
C) Isoechoic
D) Hyperechoic

A

B) Hypoechoic

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13
Q

True or False

Echogenesis refers to the property of tissues to reflect sound waves during an ultrasound examination.

A

True - It determines how different tissues appear on an ultrasound image based on their ability to reflect or transmit sound waves. The concept of echogenesis helps in differentiating various types of tissues and structures within the body.

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14
Q

Which one is a Solid mass or a Cystic mass?

A

A. Solid Mass
B. Cystic Mass

Telling between these can tell doctors if its sebacious, malignant… can help determine what the surgeons will do

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15
Q

Where are piezoelectric crystals located in an ultrasound transducer?

A) In the power supply
B) Inside the head of the transducer
C) In the computer system
D) In the ultrasound gel

A

B) Inside the head of the transducer

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16
Q

Piezoelectric crystals change shape with __________ impulse and generate __________ waves.

A) electric; light
B) chemical; electrical
C) thermal; sound
D) electrical; sound

A

B) electrical; sound

This is an actual image of a piezoelectric crystal

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17
Q

The __________ transducer is best for __________ due to its high frequency (7-15 MHz) and better resolution.

A) linear array; superficial depth imaging
B) curved array; deep tissue imaging
C) phased array; large area imaging
D) linear array; deep tissue imaging

A

A) linear array; superficial depth imaging

Mostly flat - the circled part on the transducer is the indicator

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18
Q

The __________ transducer, with low frequency (2-5 MHz)
, is ideal for __________.

A) linear array; superficial structures
B) phased array; echocardiography
C) curved array; deep tissue imaging
D) sector array; vascular imaging

A

C) curved array; deep tissue imaging

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19
Q

The __________ transducer uses the __________ frequency (1-3 MHz) and is best for smaller areas.

A) linear; highest
B) curved; lowest
C) phased array; lowest
D) phased array; highest

A

C) phased array; lowest

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20
Q

Match the Transducer and it’s primary use

A

A. Linear array - 3. IJ, A-line, PIV
B. Curved array - 1. Kidney, liver, spleen, bladder, assess NPO status
C. Phased array - 2. Echocardiography, TEE pictures, subxiphoid, through ribs

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21
Q

Label the picture.
Axial
Saggital
Coronal

A

A. Coronal - divides the body into anterior and posterior parts
B. Saggital -plane that divides the body into right and left halves
C. Axial - * plane that divides the body into upper and lower parts*

Slide 11

22
Q

True or False

The dot or indicator on the ultrasound screen is on the same side or orientation of the patient. If the dot is on the right side, that is the patient’s right side.

A

True!

Slide 11

23
Q

On an ultrasound image, everything at the top of the image is __________ in the picture.

A) shallower
B) deeper
C) to the left
D) to the right

A

A) shallower

Kane - The ultrasound on your skin is going to encounter what it sees on the top of the image first.
Everything below that is deeper in the picture

Slide 11

24
Q

In the __________ approach, the ultrasound is used to identify and mark the target vessel, but cannulation is performed __________.

A) dynamic; in real-time
B) static; blindly
C) dynamic; blindly
D) static; in real-time

A

B) static; blindly

The static approach is for assessing patency and marking an appropriate insertion site
The ultrasound is NOT used in real time during cannulation

Slide 12

25
Q

The __________ approach involves viewing the needle puncturing the vessel wall in real-time with the ultrasound.

A) static
B) dynamic
C) blind
D) pre-procedure

A

B) dynamic

Slide 12

26
Q
A
27
Q
A
28
Q

Advantages of using ultrasound in needle placement can:

A) Decrease the time
B) Decrease complications
C) Increase complications
D) Decrease the accuracy

A

A) Decrease the time required for needle placement -when you have experience
B) Decrease complications of needle placement -if you can see the needle better it prevents multiple attempts and potential damage to structure from digging around

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