URR 2

Question 1

State and federal regulations prohibit the use of a patient’s ____ as an identifier on imaging exams.

Answer 1

social security number

Question 2

The _____ is created by each facility to identify the specific patient

Answer 2

medical record number

Question 3

____ frequency probes are used for thinner patients and superficial vessels.

Answer 3

higher

Question 4

Extremity, neck, scrotum, and superficial exams use _____ probe

Answer 4

linear array

Question 5

Abdominal exams used ____, ____, ____ probes.

Answer 5

phased array
curved array
vector array

Question 6

Position the machine to allow your arm to be extended and abducted to a ____ degree with the wrist extended (NOT flexed)

Answer 6

minimal

Question 7

Choose a seat that allows your knees to fall below the level of your ____; this aids in proper spine positioning and posture during the exam.

Answer 7

hips

Question 8

Verify the patients ____ and ____ prior to starting the exam.

Answer 8

patient name
date of birth

Question 9

When performing exams on inpatients, use the patient _____ to verify the patient name and MRN, NOT THE CHART.

Answer 9

wrist band

Question 10

Optimal images on any type of abdominal vasculature exam require the patient to be NPO ____ prior to the exma

Answer 10

6-8

Question 11

NPO status helps with:

Answer 11

reduction of bowel gas
allows gallbladder to fill with bile
decrease peristalsis in GI tract

Question 12

10 examples of critical findings

Answer 12

emphysematous pyelonephritis

bacterial cholangitis

splenic artery aneurysm

fournier gangrene

testicular torsion

testicular rupture

aortic aneurysm >5.5 cm or suspected rupture

acute hematoma of an organ related to traumatic injury

pseudoaneurysm or active bleed

venous thrombosis or the hepatic veins, IVC, or iliac veins

Question 13

RUQ

Answer 13

right upper quadrant

Question 14

RLQ

Answer 14

right lower quadrant

Question 15

LUQ

Answer 15

left upper quadrant

Question 16

LLQ

Answer 16

left lower quadrant

Question 17

Abdomen is divided by sagittal plane crossing through:

Answer 17

midline at umbilicus

Question 18

Abdomen is divided by transverse plane crossing through the:

Answer 18

abdomen at level of umbilicus

Question 19

Addison’s nine regions

Answer 19

right hypochondrium
epigastric
left hypochondrium
Right lumbar
umbilical
left lumbar
right iliac
hypogastric
left iliac

Question 20

Right hypochondrium region contains:

Answer 20

liver, gallbladder, hepatic flexure of colon

Question 21

Epigastric region contains:

Answer 21

pancreas, stomach, transverse colon

Question 22

Left hypochondrium contains;

Answer 22

spleen, stomach, upper pole of left kidney

Question 23

right lumbar region contains:

Answer 23

right kidney, ascending colon

Question 24

Umbilical region contains:

Answer 24

transverse colon, small bowel

Question 25

Left lumbar region contains:

Answer 25

left kidney (mid/lower poles), descending colon

Question 26

Right iliac region contains:

Answer 26

ovary, seminal vesicle

Question 27

Hypogastric region contains:

Answer 27

bladder, uterus, prostate, rectum, sigmoid

Question 28

Left iliac region contains:

Answer 28

ovary, seminal vesicle

Question 29

Planes used to evaluate organs/structures

Answer 29

transverse sagittal coronal oblique

Question 30

____, ____, and ____ positions are useful in evaluating the abdominal organs, especially the gallbladder

Answer 30

decubitus, oblique, erect

Question 31

Suspected polyp in the gallbladder with patient supine, place patient in ____ position to evaluate the polyp for motion.

Answer 31

standing

Question 32

Aortic bifurcation is "gassed out" from an anterior abdominal approach, roll patient into ___ or ___ position and use a lateral probe approach to angle behind the intestinal gas to visualize the aorta

Answer 32

oblique decubitus

Question 33

Right kidney is "gassed out" from an anterior abdominal approach, roll patient into _____ position for a coronal view of the right kidney

Answer 33

left decubitus

Question 34

Suspected varicocele or inguinal hernia, ask the patient to ____ to fill the veins due to hydrostatic pressure and gravity effects on hernia

Answer 34

stand

Question 35

Pregnant patients may need to be scanned in the _____ position to prevent the uterus from compressing vascular (IVC).

Answer 35

left lateral decubitus

Question 36

Administration of ____ can be used to reduce gas in the stomach and the duodenum while providing an acoustic window to better visualize the pancreas and surrounding structures.

Answer 36

water

Question 37

ultrasound evaluation used to enhance patient care during a specific encounter or procedure

Answer 37

point of care ultrasonography

Question 38

focused evaluation used to answer a specific question

Answer 38

point of care ultrasonography

Question 39

FAST evaluation

Answer 39

focused assessment with sonography in trauma

Question 40

used to evaluate the abdomen for fluid or blood in trauma patients in the emergency room

Answer 40

FAST evaluation

Question 41

FAST evaluation of heart probe placement

Answer 41

subxiphoid or parasternal

Question 42

FAST evaluation of RUQ probe placement

Answer 42

midaxillary line between 8th and 12th rib

Question 43

FAST evaluation of LUQ probe placement

Answer 43

midaxillary line between 8th and 12th rib

Question 44

Cardiac POCUS evaluates for:

Answer 44

pericardial fluid and impaired function cardiac motion with pulseless electrical activity

Question 45

Severe fluid collection around heart can lead to _____ which requires immediate intervention

Answer 45

cardiac tamponade

Question 46

Thorax POCUS is preferred over chest x-ray for diagnosis of:

Answer 46

pneumothorax

Question 47

Normal pleural layers _______ during respiration

Answer 47

slide back and forth over each other

Question 48

The ___ sign or ____ sign should be easily visible in normal patients

Answer 48

gliding sliding

Question 49

_____ artifacts should be visualized at the pleural interface and move with respiration

Answer 49

comet tail

Question 50

Seashore sign

Answer 50

normal sliding during respiration gives the appearance of a sandy beach with rolling waves on M-mode

Question 51

absent sliding causes parallel lines on M-mode that do not change with respiration indicative of pneumothorax and is the ____ sign

Answer 51

barcode

Question 52

Vascular POCUS of aorta

Answer 52

aneurysm assessment

Question 53

Vascular POCUS IVC

Answer 53

dilatation, respiratory collapse

Question 54

Vascular POCUS helps show placement of:

Answer 54

vascular catheter

Question 55

Vascular POCUS of extremity veins

Answer 55

thrombosis

Question 56

A sonographer can discuss the patient exam results with: A. the patient B. the patient's caregiver C. the patient's spouse D. none of these

Answer 56

D

Question 57

Which of the following patients should be NPO for their exam? A. thyroid biopsy B. renal duplex examination C. Scrotal ultrasound D. Breast biopsy

Answer 57

B

Question 58

What is the proper order for putting on PPE?

Answer 58

gown, mask, goggles, gloves

Question 59

What is the proper order for removing PPE?

Answer 59

gloves, goggles, gown, mask

Question 60

MRSA requires _____ precautions and tuberculosis requires ____ precautions

Answer 60

contact, airborne

Question 61

What is the purpose of HIPAA?

Answer 61

to require the protection and confidential handling of protected health information

Question 62

An air-filled structure on a CT exam will be represented by what color on the image?

Answer 62

black

Question 63

A bony structure on a CT exam will be represented by what color on the image?

Answer 63

white

Question 64

Which of the following must be performed at the start of any procedure or ultrasound exam? a. enter the patient's social security number into the imaging equipment b. ask the patient to sign an informed consent form for complications c. ask the patient to wash their hands d. confirm the patient identity

Answer 64

d

Question 65

A hot nodule of nuclear medicine means:

Answer 65

the nodule demonstrated a rapid uptake of the radioactive tracer

Question 66

If a stenosis is present on an angiography exam, how will it be displayed on the image?

Answer 66

an area of absence of contrast

Question 67

Which of the following is a critical finding on an ultrasound exam? a. fundal gallstone b. 3cm AAA c. testicular torsion d. chronic cholecystitis

Answer 67

c

Question 68

Which of the following exams would be improved by scanning the patient in the standing position? a. scrotal varicocele b. possible impacted gallstone c. inguinal hernia d. all of the above

Answer 68

d

Question 69

Which of the following patients would benefit from a FAST examination? a. patient with history of RUQ pain after eating b. patient with abdominal bruit, weight loss, and post prandial pain c. patient with history of abdominal pain after a fall from a ladder yesterday d. patient with suspected prostate cancer

Answer 69

c

Question 70

elements are arranged in a linear pattern; timing of the electrical pulse to each element is used to create, focus and steer the ultrasound beam; CANNOT produce trapezoidal image

Answer 70

sequential linear array transducer

Question 71

groups of elements are fired at varied times to produce, focus, and steer the ultrasound beam; can produce trapezoidal FOV

Answer 71

Phased linear array

Question 72

A _____ transducer provides a wide FOV in a rectangular shape

Answer 72

phased linear array

Question 73

used for scrotal, breast, thyroid, extremity, musculoskeletal, and superficial structure evaluation

Answer 73

phased linear array

Question 74

can be helpful for evaluation of superficial liver lesions and liver surface nodularity

Answer 74

phased linear array

Question 75

also known as convex array

Answer 75

curvilinear phased array

Question 76

The curvilinear phased array transducer contains a large number of linearly arranged piezoelectric elements (___-____)

Answer 76

120 250

Question 77

produces curved/blunted sector image with a larger near field footprint

Answer 77

curvilinear phased array

Question 78

A curvilinear phased array used ____ focusing and steering.

Answer 78

electronic

Question 79

can be used for abdominal, obstetrical, gynecological, and small parts imaging

Answer 79

curvilinear phased array

Question 80

contains a large number of linearly arranged rectangular piezoelectric elements

Answer 80

sector phased array

Question 81

The sector phased array transducer has a small footprint with ___-___ elements

Answer 81

100-300

Question 82

acoustic lines are transmitted at an angle that is different from that of the previous acoustic line

Answer 82

sector phased array transducer

Question 83

With a sector phased array transducer, the distance between individual acoustic lines in the far field is ____ than in the near field

Answer 83

greater

Question 84

The sector phased array uses ____ focusing

Answer 84

variable

Question 85

A ___ or ____ FOV is created by _____ steering with a sector phased array transducer

Answer 85

electronic

Question 86

Most limited field of view in the near field compared to all transducer types

Answer 86

sector phased array

Question 87

Has greater field of view in the far field than a linear image

Answer 87

sector phased array transducer

Question 88

A sector phased array is electronically focused and steering by firing groups of elements to produce one pulse at a time, this is known as _____

Answer 88

transmit focusing

Question 89

used for echocardiography, abdominal, pelvic, vascular, transcranial, and neonatal brain imaging

Answer 89

sector phased array transducer

Question 90

combine sequenced linear array and phased array techniques to provide a trapezoidal imaging format

Answer 90

vector array

Question 91

The _____ transducer has a slightly larger footprint than a sector phased array transducer

Answer 91

vector array

Question 92

Sector image has a flat top with a wider field of view in the near field

Answer 92

vector array transducer

Question 93

Vector array transducers employ ____ steering and focusing

Answer 93

electronic

Question 94

used to echocardiography, abdominal, pelvic, vascular, transcranial, and neonatal brain imaging

Answer 94

vector array

Question 95

most commonly use tightly curved phased array transducers

Answer 95

endocavity probes

Question 96

Endocavity probes can incorporate ___ array, ____ array, or _____ array transducers

Answer 96

curved phased annular

Question 97

Endocavity proves are limited by degraded _____ resolution at greater depths

Answer 97

lateral

Question 98

The advantage of endocavity probes is increased ____

Answer 98

FOV

Question 99

digital imaging and communication in medicine

Answer 99

DICOM images

Question 100

standard image format for the medical community

Answer 100

DICOM