The sonographic diagnosis of cardiac tamponade requires?
A. Large pericardial effusion and right heart systolic collapse
B. Moderate pericardial effusion or larger and left heart diastolic collapse
C. Moderate pericardial effusion
D. Pericardial effusion and diastolic right heart collapse
A 23 year old female presents in shock after fainting. Her bedside urine pregnancy test is negative. Pelvic US reveals an empty uterus and large free fluid. What echocardiographic findings support the diagnosis of hypovolemic shock?
A. Depressed EF and plethoric IVC
B. Hyperdynamic EF and collapsed IVC
C. Hyperdynamic EF and plethoric IVC
D. Normal EF and collapsed IVC
Which ultrasound views are a part of the standard RUSH protocol?
A. Aorta, Heart, Morison's Pouch
B. Aorta, Kidneys, Morison' Pouch
C. Aorta, Heart, Ocular Nerve Sheath Diameter
D. Heart, Kidneys, Morison's Pouch
A 67 year old male with history of renal failure arrives to the Emergency Department with systolic blood pressure of 70 and a heart rate of 135 even after 1 liter of IVFs. You are performing your RUSH exam and you notice a fluid collection anterior to the aorta on you parasternal long view. You see anterior extension of the fluid and diastolic right heart collapse. What should you do next?
A. Call cardiology fellow to come and perform a formal echo
B. Continue RUSH exam and order CXR to confirm pleural effusion
C. Immediate pericardiocentesis
D. Rush pt to CT to confirm pulmonary embolism
When performing thoracic ultrasound, the bright white line that recurrs at equal distances below the pleura is known as?
A. A Line
B. B Line
C. Pleural Line
D. Reverberation Line
A 19-year old female is brought in by ambulance after an high speed MVC with a prolonged extracation. EMS intubated the patient in the field. On arrival, VS are BP 100/60, HR 104, Pulse Ox 70% despite bagging at 15 per minute. A quick look reveals that the ET tube is in the trachea. Breath sound are present in the right but dimished in the left. There is no JVD. Thoracic US reveals a seashore sign at the right apex, and a bar code sign on the left. The most appropriate next step is to.
A. Advance the ET tube and reassess
B. Needle the left chest
C. Needle the right chest
D. Pull back the ET tube and reassess
Compression US for DVT is best initially performed with?
A. Curvilinear probe, patient sitting upright at 30 degrees, leg externally rotated
B. Curvilinear probe, patient in trendelenberg, leg internally rotated
C. Linear probe, patient sitting upright at 30 degrees, leg externally rotated
D. Linear probe, patient in trendelenberg, leg internally rotated
A 35 year old female taking oral contraceptive pills presents to the emergency department with left lower extremity swelling. Which findings are most indicative of acute deep venous thrombosis?
A. Compressibility of both the femoral and popliteal veins
B. Echogenic thrombus and loss of compressibility in the femoral vein
C. Echogenic thrombus and loss of compressibility in the lesser saphenous veins
D. Echogenic thrombosis and compressibility in the popliteal veins
You are caring for a 64 yo female with sepsis. She is hypotensive and you would like to place a central line using ultrasound guidance. Which of the following is not an absolute contraindication to performing the procedure?
A. Infection over insertion site
B. IJ venous thrombus seen on US
C. Abnormal anatomic anomaly
D. Patient is thromocytopenic
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