Study guide test 4

Question 1

What is the primary advantage of an US guided intervential procedure?

Answer 1

provides for continuous real time visualization of the biopsy

Question 2

What is the common indication for a biopsy?

Answer 2

confirm a malignancy in a mass

Question 3

What are some contraindications for biopsies?

Question 4

What lab test is used to evaluate the effects of heparin antihistamines on the blood clotting process?

Answer 4

PTT

Question 5

National safety patient standards mandate a time out be performed before beginning any procedure, why?

Question 6

What are post biopsy complications?

Answer 6

heart failure

Question 7

A higher percentage of positive cells is observed in what portion of a thyroid mass?

Answer 7

small calcifications

Question 8

What is the best way to recognize the tip of a needle with US?

Answer 8

tip appears as a hyperechoic area

Question 9

Which part of the kidney is typically biopsied in a renal transplant procedure?

Answer 9

upper pole

Question 10

What are advantages of using US guided procedures?

Answer 10

fixed angles when using needle guides

Question 11

What are the limitations of US guided procedures?

Question 12

International normalized ratio (INR) was developed because of the variable results of what lab test?

Answer 12

PT

Question 13

What needle gauge is used for FNA’s?

Answer 13

20-25

Question 14

What biopsy uses an automatic spring loaded device?

Answer 14

core biopsy

Question 15

What is the role of cytopathology team?

Answer 15

minimize the number of core samples, ensure enough diagnostic tissue is obtained, increase the percentage of biopsies

Question 16

The wait time after discontinuing the use of aspirin before a procedure:

Answer 16

5-7 days

Question 17

Preprocedural image should document the patient’s name and what?

Answer 17

time, date, and needle path

Question 18

What is the most common organ biopsy?

Answer 18

liver

Question 19

What is the reason for doing a renal parenchymal biopsy?

Answer 19

proteinuria

Question 20

When we do a renal parenchymal biopsy, what part of the kidney are we biopsying?

Answer 20

lower pole

Question 21

What complication of a renal biopsy (specific to above)?

Answer 21

hematuria

Question 22

What is the position for a patient undergoing a thoracentesis?

Answer 22

sitting

Question 23

What do biopsies of the spleen carry an increased risk for?

Answer 23

hemorrhage

Question 24

What patient position is commonly used for a prostate biopsy?

Answer 24

left lateral decubitus

Question 25

Which laboratory test would indicate a liver lesion?

Answer 25

Alpha-fetoprotein (AFP)

Question 26

A bursa provides what function?

Answer 26

provides fluid protection to areas subject to friction

Question 27

If you see a baker's cyst, what would that be an example of?

Answer 27

communicating bursa

Question 28

Infringement of the median nerve in the wrist results in what disorder?

Answer 28

carpal tunnel syndrome

Question 29

What tendon is responsible for dorsal and plantar flexion of the foot?

Answer 29

achilles tendon

Question 30

What type of tendonitis causes pain over the lateral wrist?

Answer 30

De Quervain tendonitis

Question 31

Complete tear of the muscle with straight forward appearance of a retracted hyperechoic muscle surrounded by a hematoma is called:

Answer 31

the clapper and the bell

Question 32

Support and strength of a joint resolve from what structure?

Answer 32

ligament

Question 33

Whencompared with muscle, a normal nerve is what type of sonographic appearance?

Answer 33

hyperechoic

Question 34

Artifacts in musculoskeletal US include what?

Answer 34

reverbation, shadowing, anistroph (not mirror image)

Question 35

Achilles tendon is at an increased risk for injury because of why?

Answer 35

limited blood supply

Question 36

Indications for risked sonography include what?

Answer 36

swelling, foreign body, tinels sign (not thompson sign)

Question 37

Acute rotator cuff tear may be caused by what?

Answer 37

bicep tendon rupture, fall, shoulder dislocation ## Footnote (not yrs of playing tennis)

Question 38

Proximal portion of a muscle?

Answer 38

origin

Question 39

Tendonitis is seen more often in shoulder, wrist, and what other joint?

Answer 39

elbow

Question 40

What is the easiest tendon to image with sonography in the adult shoulder?

Answer 40

biceps

Question 41

What is the most common site for achilles tendon tear?

Answer 41

distal

Question 42

What is the largest tendon in the body?

Answer 42

achilles

Question 43

Patients with carpal tunnel syndrome, when they are experiencing pain, its called a certain sign?

Answer 43

tinels sign

Question 44

What is the sonographic normal appearance of muscles?

Answer 44

homogeneous

Question 45

What is the hypoechoic halo around a tendon called?

Answer 45

normal synovial sheath