URR 71

Question 1

___ mass = high frequency transducer

Answer 1

superficial

Question 2

Renal biopsy on obese patient = ____ transducer

Answer 2

low frequency curvilinear

Question 3

The transducer needs to be able to penetrate well enough to see the mass, while still providing ___

Answer 3

acceptable resolution

Question 4

The highest frequency that provides the necessary ___ and ___ should be used

Answer 4

penetration
far field size

Question 5

Primary purpose of preliminary scan before invasive procedure

Answer 5

identify the target and its relationship to surrounding structures

Question 6

Identifying the target and its relationship to other structures is used to determine ___, ___, ___, and ___

Answer 6

needle choice (length and gauge)
skin entry point
needle trajectory
tracking technique

Question 7

After an invasive procedure, discard needles and biopsy device in ___

Answer 7

biohazardous receptacle

Question 8

After an invasive procedure, soak the transducer in ____ solution for the manufacturer recommended amount of time

Answer 8

glutaraldehyde

Question 9

1 advantage of sonography guided biopsy

Answer 9

real time visualization of needle passing through AOI

Question 10

Advantages of Sonography Guided biopsy

Answer 10

minimally invasive
no radiation
accurate diagnosis in 95% cases
cost effective
prevents surgical removal of tissue
allows for multiple patient positions and approaches
portabl

Question 11

disadvantages of sonography guided biopsy

Answer 11

isoechoic lesions
sound attenuation when evaluating deep masses in obese patients
unable to evaluate GI tract or bone lesions

Question 12

situations which makes a particular treatment or procedure absolutely inadvisable

Answer 12

absolute contraindications

Question 13

Contraindications for sonography guided procedures

Answer 13

known allergy to injectate
lack of appropriate equipment or skill to complete procedure
unsafe biopsy route
uncooperative patient
unmanageable coagulopathy

Question 14

Uncontrolled movement by the patient during a procedure can result in ___ or ___

Answer 14

laceration
hemorrhage

Question 15

a condition which makes a particular treatment or procedure possibly inadvisable

Answer 15

relative contraindications

Question 16

use of blood thinners, aspirin, or antibiotics

Answer 16

coagulotherapy

Question 17

When ___ must be injected, it can raise blood sugar levels; can be a contraindication for patients with diabetes mellitus

Answer 17

corticosteroids

Question 18

Risk for complications with invasive procedures increases with ____ and ___

Answer 18

increased needle size
highly vascular organs

Question 19

most common major complication of biopsy of a solid abdominal organ

Answer 19

hemorrhage

Question 20

complications from invasive procedure

Answer 20

hemorrhage
pain
vasovagal response
hematoma formation
swelling
peritonitis
biloma, urinoma, or lymphocele
pneumothorax
infection
needle track seeding
death

Question 21

when a tissue sample is removed, tumoral cells can be released into the blood or lymphatic system causing the formation of satellite tumors and/or metastasis

Answer 21

needle track seeding

Question 22

All require the use of sterile technique and administration of local anesthetic at the puncture site

Answer 22

FNA
fine needle capillary technique
core biopsy
percuteaneous aspiration/drainage

Question 23

small needle used with a syringe to draw out cells or fluid from a superficial mass; much less risk of complication than core biopsy

Answer 23

fine needle aspiration

Question 24

With FNA, samples are evaluated by ___

Answer 24

cytology

Question 25

needle is moved in and out of tissue to obtain cells; aspirates a smaller, but more concentrated sample of cells than FNA

Answer 25

fine needle capillary technique

Question 26

uses automated device with hollow core needle; removes a core sample of tissue within the hollow needle

Answer 26

core biopsy

Question 27

Core biopsy samples are evaluated by:

Answer 27

histology

Question 28

___ helps to maintain a constant path for the needle but limits the choice of biopsy path/needle angle

Answer 28

Needle guide

Question 29

Core biopsy requires the assessment of __ and __ levels prior to the procedure

Answer 29

PT INR

Question 30

uses a fine needle for serous fluid; catheter for thicker, loculated fluid and abscesses

Answer 30

percutaneous aspiration/drainage

Question 31

__, __, and __ cyst drainage usually performed for symptom relief due to size

Answer 31

liver renal ovarian

Question 32

A catheter can be left in for many weeks to drain an abscess but requires ___ 3 to 4 times a day to prevent clogging of the catheter

Answer 32

saline irrigation

Question 33

Ultrasound can be used to assess progress of abscess drainage through serial exams every __-__ days

Answer 33

3 4

Question 34

Primary course of treatment for a pyogenic liver abscess, not utilize for amebic and hydatid abscesses

Answer 34

percutaneous aspiration/drainage

Question 35

used to drain renal abscesses >3cm

Answer 35

percutaneous aspiration/drainage

Question 36

percutaneous aspiration/drainage requires assessment of __ and __ levels prior to the procedure

Answer 36

PT INR

Question 37

___ must be used to put the sterile sheath on the probe

Answer 37

sterile gloves

Question 38

___ gel should be used during procedure

Answer 38

sterile

Question 39

If the Sonographer is scanning during the procedure, the must be wearing _____; someone else who is not sterile must be __

Answer 39

sterile gloves and gown operating machine

Question 40

In sonography guided ultrasound, us is used to ___ and ___ of the needle

Answer 40

locate real time location movement