Ultrasound FAST Exam Flashcards

1
Q

What is frequency?

A

the number of cycles per second

units = hertz

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2
Q

What is the wavelength?

A

the length of one complete cycle

if frequency is high, wavelength is short

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3
Q

What part of the US machine does the ultrasound transmission and reception?

A

the transducers

use piezoelectric units for US transmission

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4
Q

Describe what happens in pulsed-echo mode?

A

the transducer makes a pulse of US, then listens for the echo

99% of the time is spent listening

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5
Q

Which will penetrate better, higher frequency or lower frequency?

A

lower frequency - the wavelenth is longer so it can penetrate better

(think of whales vs dolphins)

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6
Q

What will have higher resolution? Higher frequency or lower frequency?

A

Higher frequency will have better resolution because there’s more “listening” time

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7
Q

What happens to the ultrasound signal as it propagates?

A

weakens (reflections, scatters, absorption)

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8
Q

Which will have better transmission of sound: high density or low density?

A

higher density - so liver is better at it than lungs

lungs will look balck

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9
Q

Which will have better transmission of sound: flexible tissue or stuff tissue?

A

flexible - so liver is better than bone

bone will just look black

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10
Q

What are hte two scanning formats?

A

linear and sector

linear is straight down, sector spans out

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11
Q

What would you want to use when locating a blood vessel - high frequency or low frequency?

A

high frquency - it only needs to penetrate a couple inches and will give better resolution

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12
Q

Do you use high frequency or low frequency for the FAST exam? why?

A

low frequency because you need to be able to penetrate down further

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13
Q

To compensate for signal attentuation, the system will amplify the ultrasound signal through what?

A

gain - it’s the amount of amplification added to the signal coming from the transducer to the screen

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14
Q

What does hyperechoic mean and what is an example of something that would look that way?

A

something that blocks any further signal, so it looks like a shadow below it

a gallstone would do this because it’s calcified

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15
Q

What are some organs that will look medium gray-scale?

A

organs like the liver and spleen

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16
Q

What are the two image format options?

A

B mode and M mode

17
Q

What is B mode?

A

brightness mode - used for images like FAST

18
Q

What is M mode?

A

It’s motion mode - they only look at one x-ray beam over a period of time to see movement

19
Q

What happens with the mirror artifact near the liver?

A

Above the liver i slung, so you’d expect to see black, but you don’t

instead, the diaphragm reflects back the liver so you see just darker gray above it

20
Q

How can the mirror artifact be useful diagnostically?

A

You should see gray, so if you see black, you know there’s something wrong with the pleural cavity - potentially a hemothorax or effusion

21
Q

What are three tips for US technique?

A

approach from the same side always
dim the lights
lots of goop