POCUS Assessment
Cumulative Assessment after intro to POCUS course
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Of the following four findings, that with the highest positive predictive value for bacterial pneumonia is *
1 point
Compared to the object in the middle (third), the object with the circle around it (second) is *
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When performing an aortic ultrasound, the aorta should be followed all the way to the Iliac bifurcation. Iliac arteries should measure < ___ *
1 point
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The following probe is ____ frequency and as such creates images that are _____ resolution at _____ depth *
1 point
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Central venous pressure is a reliable predictor of fluid responsiveness (i.e patients with low central venous pressure reliably respond to IV fluids with an increase in blood pressure and cardiac output and vice versa) *
1 point
The presence of an intrauterine pregnancy in a patient with vaginal bleeding can be used to rule out the presence of an ectopic pregnancy *
1 point
The following finding, when see diffusely and bilaterally in a patient with a history of both chronic heart failure and COPD presenting with shortness of breath, an exacerbation of _____ is the most likely culprit *
1 point
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Assuming correct probe marker orientation, from which leg was this image of the saphenofemoral junction taken? *
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An example of a static (ultrasound-assisted), rather than dynamic (ultrasound-guided) procedure would be *
1 point
The aorta should be measured _____, and should be less than _____ *
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Ultrasound can tell you definitively whether this patient's erythematous/edematous leg is infectious cellulitis vs. stasis dermatitis/edema *
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When the portal triad is viewed in short-axis (Mickey-Mouse view), the common bile duct is usually _____. Anatomy may vary however, as such color doppler should be used to make sure. *
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When measuring amniotic fluid, a measured pocket must exclude the following *
1 point
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Important in prioritizing the urgency of treatment in retinal detachment, the location of this structure can be estimated by following the most direct axis of light through the mid-portion of the lens to the back of the chamber *
1 point
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At the starting point of a DVT compression exam, the Mickey Mouse view below is obtained. Identify the yellow and orange highlighted vessels *
1 point
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The IVC measurements and % collapse with inspiration is a good predictor of central venous pressure *
1 point
A kidney stone made apparent at the UVJ when color doppler is applied is known as the ______ artifact *
1 point
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Interpret the following bedside renal ultrasound image *
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Definitive evidence of an Intra-uterine pregnancy requires seeing *
1 point
The cardiac view below is a ______ and the highlighted structure is the ________ *
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An example of the ALARA principle (as-low-as-reasonably-acheivable) is *
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The fetal abdominal circumference measured here is appropriate, as it contains all of the following *
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The Intracavitary (Vaginal) ultrasound probe requires ___ level disinfection, meaning ____ *
1 point
In combination, the three following signs have the highest positive predictive value for acute cholecystitis *
1 point
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With inspiration in a mechanically ventilated patient, the inferior vena cava _______. With inspiration in a spontaneously breathing patient, the inferior vena cava *
1 point
The cardiac view below is a _____ and the highlighted structure is the ______ *
1 point
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As the inter ventricular septum bows in during diastole, the right ventricle forms this shape (highlighted) known as the _____ sign, indicating _______ *
1 point
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Gain refers to *
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The following ultrasound-guided procedure is being performed using a _____ technique *
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In this image of an ultrasound guided procedure, the needle is described as an ____ technique, and the structure of interest is being approached in ____ axis *
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When talking about ultrasound-guided procedures, in-plane and out-of-plane techniques refer to the orientation of the *
1 point
In this ultrasound image from the flank, the fact that the spine (highlighted in red) is not seen above the level of the diaphragm indicates the presence of _____ in the lung base *
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The following image displays this ultrasound mode *
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The correct formula when calculating bladder volume based on the following ultrasound measurements is *
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To avoid the possibility of measuring a falsely small diameter when performing an aortic ultrasound, the aorta should always be measured in ___ axis *
1 point
A patient presents to your office after falling off a horse. They have pain in their right flank and pain with coughing. A chest x-ray is normal. An ultrasound over the area of maximal tenderness shows ______ *
1 point
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Above this gestational age, ACOG/SMFM recommend that biometry (BPD,FL,AC,HC) be used rather than the CRL to estimate gestational age
1 point
The following normal lung ultrasound image displays ___ lines, and example of _____ artifact *
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When performing a compression DVT study, in the popliteal fossa the more anterior vessel highlighted in yellow would be the *
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The hepato-renal (Morrison's pouch) view here is *
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Assuming this procedure was correctly performed, the bright white dot in the middle of the superior vessel is the _____ in this ______ procedure technique *
1 point
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The serpentine structure seen at the back of the globe in this image is indicative of *
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A 27 year old female presents to your office with right flank pain. You perform a bedside renal ultrasound and visualize the following. What is your image interpretation? Next step in management? *
1 point
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The doppler shift principle means that angles of ___ need to be maintained when measuring blood flow velocities *
1 point
A dynamic (eye-motion) exam will confirm that this pathology tumbles around like a washing machine and is not attached to the optic nerve posteriorly *
1 point
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The USPSTF currently recommends (grade B) one time aortic aneurysm screening with ultrasound for ____ *
1 point
Both the gallstones and the vertebral body in this image are creating a ____ behind them *
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The following patient has a ____ ejection fraction *
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By convention, the probe orientation marker should be directed toward the patient's *
1 point
A retinal detachment can be distinguished from a vitreous body detachment as it is always arising from/anchored to the ______ *
1 point
When used in the patient with a positive HCG and vaginal bleeding, a positive RUQ view on the FAST scan has a >99% positive predictive value for *
1 point
To be considered pathologic, especially at the lung bases, there must be > or = ____ B-lines per intercostal space *
1 point
The following measurement should be used to date this pregnancy *
1 point
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A pseudo-gestational sac refers to *
1 point
The following image in the patient with red, hot, and swollen leg should prompt clinical concern for *
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The following sign in lung sonography is 100% specific for pneumothorax *
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In this patient with subacute vision loss, you can be reassured there is no evidence of *
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The following nerve block is being performed using an _____ technique *
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Compared to the aorta, the IVC is ___ walled and located toward the patient's ____ side *
1 point
A 27 year old female presents to your office with right flank pain. You perform a bedside renal ultrasound and visualize the following. What is your image interpretation? Next step in management? *
1 point
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The placenta in this gestation is located ______ *
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The common bile duct should be measured *
1 point
Interstitial fluid in this patient with cellulitis is described in ultrasound as *
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In a patient with an erythematous swollen arm and the following ultrasound findings, the most appropriate treatment is *
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The following lung image from a patient with shortness of breath shows ___ lines, and example of ____ artifact *
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The normal common bile duct diameter is *
1 point
The following finding, when see diffusely and bilaterally in a patient with a history of both chronic heart failure and COPD presenting with shortness of breath, an exacerbation of _____ is the most likely culprit *
1 point
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The normal thickness of the gallbladder wall (measured anteriorly) is
1 point
The biophysical profile uses the ____ to measure amniotic fluid sufficiency. The modified biophysical profile uses ______ to measure amniotic fluid sufficiency. *
1 point
Air/gas creates a _____ when ultrasounded *
1 point
The WES Sign in gallbladder sonography refers to *
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The following image is an example of which ultrasound mode *
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The shaded area of this saggital pelvic FAST scan image shows *
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An optic nerve sheeth diameter measured 3mm behind the posterior globe of greater than 5mm can be indicative of *
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When performing a compression DVT study, in the mid portion of the thigh the more anterior vessel highlighted in yellow will be the *
1 point
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Views of both the kidney or gallbladder can be improved by asking the patient to *
1 point
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