POCUS Flashcards

1
Q

A 34-year-old woman presents to the emergency department with right upper quadrant pain. She is 6 weeks pregnant and has been vomiting for 3 days. What areas should be of particular concern to the sonographer?

A

Gallbladder disease and/or ectopic pregnancy should be ruled out.

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2
Q

A man presented to the emergency department in acute pain. He said the pain was sharp, intense (on a scale of 1 to 10, it was an 8), and radiated to the back. He has been newly diagnosed as hypotensive with cystic medial necrosis. What concerns would a sonographer have, and what is the best imaging modality for this patient?

A

Acute aortic dissection. CT is probably the most definitive and quickest imaging technique to use to visualize the entire aorta from the root to the abdominal aorta.

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3
Q

People frequently go to the emergency department for

A

Chest pain
Flank pain
Respiratory distress

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4
Q

A patient came into the emergency department with chronic renal infections. She was dehydrated, with nausea and vomiting. Why do you think an ultrasound examination was ordered?

A

An ultrasound is appropriate to rule out renal hydronephrosis and/or obstruction.

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5
Q

The complications of peritoneal lavage include

A

Bowel perforation
Bladder penetration
Vascular laceration

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6
Q

The sonographic findings in aortic dissection include

A

Echogenic membrane
Enlarged aorta
Moving echogenic flap

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7
Q

In the trauma setting, the most common finding of free fluid in the abdomen or pelvis is:

A

Hemoperitoneum

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8
Q

The most common sonographic finding of a hernia is:

A

Peristalsis of the bowel both during and after a Valsalva maneuver

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9
Q

Types of abdominal hernias include

A

Reducible hernia
Incarcerated hernia
Strangulated hernia

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10
Q

The traditional modality of choice for evaluating urolithiasis is:

A

Intravenous urography

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11
Q

For years, which techniques has been used as a surgical tool for the diagnosis of hemoperitoneum?

A

Peritoneal lavage

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12
Q

The initial survey of a FAST scan is directed to the:

A

Pericardium

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13
Q

Post trauma, the most common location for fluid to accumulate is in the ___________.

A

Morison’s pouch

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14
Q

In the early stages of testicular torsion, the echogenicity of the testis appears _____________.

A

Normal

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15
Q

Torsion of the spermatic cord occurs as a result of

A

Abnormal mobility of the testis

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16
Q

One of the most common conditions that necessitates emergent surgery is:

A

Acute appendicitis

17
Q

Sonographic findings in acute pancreatitis may include

A

Normal parenchymal texture

18
Q

Sonographic findings of acute cholecystitis include

A

Thicken gallbladder wall
Pericholecystic fluid
Immobile gallstone

19
Q

The most common cause of acute cholecystitis is:

A

Obstruction of the cystic duct

20
Q

Midepigastric pain radiating to the back is most characteristic of:

A

Acute pancreatitis

21
Q

Approximately 70% of aortic dissections occur in the:

A

Ascending aorta

22
Q

Stones as small as _____ millimeters (mm) may be visualized with ultrasound.

23
Q

A pseudodissection demonstrates

A

Turbulent blood flow pattern

24
Q

Which one is nearly always associated with aortic dissection?

A

Hypertension

25
A hernia in the bowel that cannot be reduced is a(n) ______________ hernia.
Incarcerated
26
Paraumbilical hernia occurs more often in
Female adults
27
A hernia with vascular compromise is ________________.
Physiologic nature
28
A hernia with vascular compromise is ________________.
Strangulated