Ultrasound-Guided Interventional Techniques/Non Cardiac Chest

Question 1

A major advantage of ultrasound guidance is the continuous real-time visualization of the biopsy needle allows:

Answer 1

Adjustments the needle as needed during the procedure

Question 2

_______ may obscure a mass

Answer 2

Bowel gas

Question 3

The most common indication for a biopsy:

Answer 3

To confirm malignancy

Question 4

An important lab test to review prior to procedure:

Answer 4

PTT(Partial Thromboplastin Time): bleeding time

Question 5

Needle gauge corresponds to the:

Answer 5

Size/diameter

Question 6

Needle size: Higher number=

Answer 6

Smaller diameter

Question 7

A core biopsy uses an automated, spring loaded device called a:

Answer 7

Biopsy gun

Question 8

Used to guide needle placement to drain/obtain samples from as cites or pleural effusions

Answer 8

Paracentesis/thoracentesis

Question 9

Drainage of fluid/abscess collections is usually performed with/without a needle guide?

Answer 9

With

Question 10

Paracentesis/thoracentesis is usually performed with/without a needle guide?

Answer 10

Without

Question 11

Technique that doesn’t use a needle guide

Answer 11

Free hand technique

Question 12

Free hand technique is usually used for draining:

Answer 12

• ascites
• pleural fluid
• superficial lesions

Question 13

Benefit of using needle guide:

Answer 13

-faster placement of needle

Question 14

Looks at slides to determine if material/sample is diagnostic

Answer 14

Cytopathologist

Question 15

Benefits of having a cytopathologist:

Answer 15

• more successful procedures
• decrease # of passes
• reduced procedure time

Question 16

Minor biopsy complications:

Answer 16

• postprocedural pain/discomfort
• vasovagal reactions(pale, nausea, fainting)
• hematoma

Question 17

Rare, serious biopsy complications:

Answer 17

• bleeding/hemorrhage
• pneumothorax
• pancreatitis
• biliary leakage
• infection
• death

Question 18

Technology that allows side-by-side comparison and superimposition of 2 image sets:

Answer 18

Fusion technology

Question 19

Tip of the needle should appear:

Answer 19

Echogenic

Question 20

Tricks to see the needle:

Answer 20

• move needle up/down
• bob or juggle stylet
• use harmonics or compound imaging

Question 21

Fluid accumulation around the lung

Answer 21

Pleural effusion

Question 22

_____ should be evaluated for signs of pleural effusion

Answer 22

Lower chest

Question 23

Pleural effusion: Complex fluid is a sign of—

Answer 23

Malignancy, infection, or blood

Question 24

Pleural effusion is classified as _____ or ______

Answer 24

1. Transudative

2. Exudative

Question 25

pressure infiltration caused by increased hydrostatic pressure, typically from heart, liver, or renal failure

Answer 25

Transudative pleural effusion

Question 26

inflammation caused by pneumonia, cancer, or pulmonary embolism(PE)

Answer 26

Exudative pleural effusion

Question 27

Treatment of pleural effusion that determines the origin/cause of the fluid, or used for therapeutic reasons/pain relief

Answer 27

Thoracentesis

Question 28

Patient position for thoracentesis:

Answer 28

Upright

Question 29

For a thoracentesis, the fluid is accessed:

Answer 29

Posteriorly and between the ribs

Question 30

Thoracentesis: not to exceed ___ per day

Answer 30

1.5 liters

Question 31

Complication of thoracentesis: collapsed lung

Answer 31

Pneumothorax

Question 32

Pneumothorax occurs when:

Answer 32

Air leaks into the space between lung and chest wall

Question 33

Sonographically, a pneumothorax will show absence of _____

Answer 33

Lung sliding/gliding

Question 34

Treatment for pneumothorax:

Answer 34

Chest tube

Question 35

Fluid around the heart

Answer 35

Pericardial effusion

Question 36

Replacement of normal air-filled alveoli with fluid, inflammation, pus, blood, neoplastic cells

Answer 36

Lung consolidation

Question 37

Pneumothorax is diagnosed by:

Answer 37

Chest x-ray(CXR)