quiz 4

Question 1

Anterior

Answer 1

Towards the front

Question 2

Posterior

Answer 2

Towards the back

Question 3

Superficial

Answer 3

Towards the surface

Question 4

Deep

Answer 4

Away from the surface

Question 5

Ipsilateral

Answer 5

On the same side

Question 6

Contralateral

Answer 6

On the opposite side

Question 7

Transducer AKA probe

Answer 7

Device used in Ultrasound that converts electrical energy to sound energy and vice-versa
Contains a crystal that has a piezo-electric property, enabling this conversion of energy

Question 8

Linear phased array image

Answer 8

Produces a rectangular Image

Question 9

Curvilinear phased array Image

Answer 9

Produces a pie-shaped image

Question 10

Knobology examples

Answer 10

Freeze
Store
Zoom
Measure
Depth
Gain
etc

Question 11

Kidneys function

Answer 11

Maintain the body’s chemical equilibrium
balance pH levels, minerals, iron, and salt levels
Detoxification
Regulate blood pressure

Question 12

3 parts of the Kidney

Answer 12

1. Capsule (surrounds kidney)
2. Cortex (medullary pyramids are here too)
3. Renal Sinus (contains artery, vein, ureter)

Cortex plus medullary pyramids = parenchyma

Question 13

Some Indications for a Renal exam

Answer 13

Flank pain, pelvic pain
Elevated labs (BUN and Creatinine)
Painful urination
Difficulty urinating
Hematuria
Fever, chills

Question 14

Protocol for RT Kidney

Answer 14

Measurements:
Long, trans and AP
Color
Longitudinal sweep lateral to medial
Transverse sweep inferior to superior

Question 15

Is Left Kidney the same protocol as right?

Answer 15

YES
Measurements:
Long, trans and AP
Color
Longitudinal sweep lateral to medial
Transverse sweep inferior to superior

Question 16

Bladder Protocol

Answer 16

Long and trans
Check for jets

Question 17

Normal kidney measurements

Answer 17

Length: 9-12 cm
Width: 4-5 cm
A-P: 3.5-5 cm

Question 18

Kidney appearance in ultrasound

Answer 18

Mildly hypoechoic when compared to liver and spleen
Echogenic sinus surrounded by hypoechoic parenchyma

Question 19

Abdomen Exam

Answer 19

Prep: NPO 8-12 hours
Probe used: Curvilinear transducer, 3-6 MHz, vector for intercostal
Pt position: Supine, LLD, RLD

Question 20

Abdomen Complete exam includes:

Answer 20

Liver Hepatic veins
Gallbladder, CBD Portal vein
Pancreas
Aorta
IVC
Rt and Lt kidneys
Spleen

Question 21

RUQ, GLP, Abd. Limited includes:

Answer 21

Liver
Gallbladder, CBD
Pancreas

Question 22

Abdomen and Abd Limited indications

Answer 22

RUQ pain
General Abdominal pain
Nausea and vomiting
Elevated labs
Enlarged liver on physical exam
Jaundice

Question 23

Other Abdominal exams

Answer 23

Appendix
Pylorus
R/O Intussusception
R/O Hernia

Question 24

Is prep needed for the other abd exams?

Answer 24

NO prep required and exam ordered depends on symptoms

Question 25

Kidney exam

Answer 25

Prep: None Probe used: Curvilinear 3-6 MHz, Vector for intercostal Pt. position: Supine, LLD, RLD

Question 26

Kidneys indication

Answer 26

Flank pain Back pain Elevated labs Hematuria Difficulty urinating, painful urination

Question 27

Aorta Exam

Answer 27

Prep: NPO 6-8 hours Probe: Curvilinear transducer, 3-6 MHz Pt. position: Supine

Question 28

Aorta indications

Answer 28

Pulsatile abdominal mass Back pain Abdominal pain Screening at age 65

Question 29

Spleen Exam

Answer 29

Prep: None Probe: Curvilinear transducer 3-6 MHz Pt. position: Supine, RLD

Question 30

Spleen indications:

Answer 30

Trauma Monoucleosis Cirrhosis Thrombocytopenia

Question 31

Small Parts exam is what?

Answer 31

Breast Scrotum Thyroid No prep required and high frequency probe required

Question 32

Breast ultrasound indications

Answer 32

Pain Palpable mass Abnormal mammogram Dense breasts, screening Inverted nipples

Question 33

Thyroid ultrasound indications

Answer 33

Abnormal labs Enlarged gland on physical exam Weight gain, sluggishness, fatigue Rapid heart beat, weight loss, restlessness Difficulty swallowing

Question 34

Testicular ultrasounds indication

Answer 34

Pain Palpable mass Infertility Undescended

Question 35

Female pelvic Ultrasounds

Answer 35

Prep: Full bladder required for transabdominal exam (32 oz of water, 1 hour before exam, (Must not void) Empty bladder required for transvaginal exam Probe: Curvilinear transducer, 3-6 MHZ EV probe: 8-10 MHz

Question 36

Probe used in pelvic vs intra-vaginally

Answer 36

Curvilinear transducer, 3-6 MHZ EV probe: 8-10 MHz