URR 75 Flashcards
(100 cards)
In patients with primary hyperparathyroidism, levels of parathyroid hormone will increase and:
a. serum calcium levels will decrease
b. T3 levels will increase
c. serum calcium levels will increase
d. T4 levels will increase
c
Which of the following lists an advantage of fine needle capillary technique over a fine needle aspiration technique?
a. FNC does not require local anesthetic and FNA does
b. FNC aspirates a smaller but more concentrated sample of cells than FNA
c. FNC collects a tissue core while FNA collects a small amount of cells
d. FNC is less traumatic to the tissues than FNA
b
The informed consent form is required to include all of the following except:
a. possible complications that the patient may experience
b. signature line to indicate patient consent
c. percentage of patients that have experienced complications after the same procedure at the facility
d. description of the procedure
c
If a varicocele is identified on the left side:
a. the porta hepatis should be evaluated for cavernous transformation
b. the IVC should be evaluated for a Greenfield filter
c. the left kidney should be evaluated for renal artery stenosis
d. the left kidney should be evaluated for mass formation
d
A patient presents for a thyroid biopsy with a script that states “US guided biopsy, cold nodule”. The patient does not have the report with them but they do have a copy of the NM exam. What are you looking for on the NM exam to locate the nodule to be biopsied?
a. bright red areas of increased accumulation of the radioactive isotope
b. darker areas of increased accumulation of the radioactive isotope
c. white/light areas with absence of accumulation of the radioactive isotope
c
Which of the following is true regarding the difference between the sample obtained from a fine needle aspiration and a core biopsy sample taken from the liver?
a. the needle used for the FNA is usually much larger than the biopsy needle
b. the cytology lab evaluates the sample obtained from the FNA. The histology lab evaluates the same obtained from the needle biopsy.
c. FNA procedures are more traumatic to the tissues than needle biopsy procedures
d. Core needle biopsies are more commonly performed for liver masses than to assess parenchymal liver disease
b
What transducer would be preferred for the evaluation of sialothiaisis on an average sized patient?
a. 10-12 MHz linear
b. 3-5 MHz sector
c. 3-5 MHz curvilinear
d. 5-7 MHz linear
a
When evaluating a patient with a complete thyroidectomy, what is the best way to differentiate level VI nodes from level III/IV nodes?
a. turn the neck to a neutral position and document lymph node position relative to the carotid artery
b. hyperextend the neck and rotate until the chin touches the contralateral shoulder to document lymph node position relative to the carotid artery
c. turn the neck to a neutral position and document lymph node position relative to the angle of the mandible
d. hyperextend the neck and rotate until the chin touches the contralateral shoulder to document lymph node position relative to the hyoid bone
a
An area of plaque or thrombus in an artery will be demonstrated as ___ on angiography.
a. a highly reflective area within the vessel
b. a dark black area within the vessel
c. an area of increased concentration of contrast material
d. an area of absence of contrast material
d
Which of the following lymph node chains should be evaluated for related metastasis with thyroid cancer?
a. supraclavicular
b. internal mammary
c. axillary
d. pectoral
a
A 30 year old presents with history of a normal clinical exam of the scrotum and infertility? What is the referring doctor expecting to find on the US exam?
a. acute epididimymitis
b. varicocele
c. seminoma
d. torsion
b
Patients diagnosed with a multinodular goiter will also have:
a. increased T3 and T4, normal TSH
b. increased TSH, Normal T3 and T4
c. Decreased T3 and T4. normal TSH
d. increased TSH, decreased T3 and T4
d
Which of the following will help the radiologist select the correct biopsy needle size/length for the biopsy of a mass in the posterior right liver?
a. using color Doppler to locate surrounding vascularity
b. usually the sonographer opens multiple sizes of core biopsy needles and places them on the sterile procedure tray in case they are needed
c. measuring the wide of the mass in the liver
d. measuring the depth of the mass within the liver
d
which of the following is a violation of HIPAA policies?
a. discussing exam results with the patient’s physician
b. discussing exam results with the patient
c. sharing an anonymized image from an exam with your Sonography class
d. posting patient symptoms and demographics with an anonymous ultrasound image on social media
d
A 65 year old female presents for a neck ultrasound with a script that states hypophophatemia and hypercalcemia. What do you expect to find on the exam?
a. atrophied thyroid gland
b. papillary thyroid cancer
c. medullary thyroid cancer
d. enlarged parathyroid glands
d
What is a Point of Care Ultrasound?
a. focused evaluation used to answer a specific question
b. ultrasound exam performed on the same day as the clinical evaluation
c. follow up exam on a known abnormality
d. ultrasound exam performed at the office of the referring physician
a
Hypertension, nephrolithiasis, osteopenia, weakness, and malaise are common symptoms of:
a. hyperthyroidism
b. hypoparathyroidism
c. hypothyroidism
d. hyperparathyroidism
d
Which of the following scrotal abnormalities would be better displayed if the patient performed the Valsalva maneuver?
a. varicocele and scrotoliths
b. inguinal hernia and adenomatoid tumors
c. testicular torsion and inguinal hernia
d. varicocele and inguinal hernia
d
Which of the following commonly leads to acute scrotal pain?
a. epididymitis
b. microlithiasis
c. tubular ectasia
d. seminoma
a
Which type of thyroid cancer is associated with elevated calcitonin levels?
a. papillary
b. anaplastic
c. medullary
d. follicular
c
You are performing a parathyroid ultrasound and cannot locate a known adenoma. Which of the following would be most helpful in locating the mass?
a. use IV contrast to locate the blood supply of the mass
b. ask the patient to swallow
c. give the patient oral contrast to outline the trachea
d. report the mass as unidentifiable so that a CT scan can be performed instead
b
Which of the following is related to renal failure and vitamin D deficiency?
a. hyperthyroidism
b. nephrocalcinosis
c. pulmonary HTN
d. secondary hyperparathyroidism
d
Iodine deficiency is a primary cause of:
a. hypothyroidism
b. sialolithiasis
c. cirrhosis
d. renal calculi
a
Sjogren syndrome is an immune system disorder that commonly affects the:
a. bile ducts
b. thyroid
c. adrenal glands
d. salivary glands
d