Final Quiz: Basic POCUS

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1 of 19

Question1
Key points of the abdominal aorta view

Which statements regarding this image of a cross-sectional view of the great vessels in upper abdomen are true? Select all that apply.
- The structure marked with A is the abdominal aorta
- The structure marked with B is the abdominal aorta
- The structure marked with C is the vertebral column
- The structure marked with A is the inferior vena cava
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Question
2 of 19

Question2
Perihepatic view

Which of the following statements regarding the perihepatic view are correct? Select all that apply.
- The oritentation marker should be aimed towards the patient’s feet
- It is important to visualise the tip of the liver
- The picture to the left is a perisplenic view showing the diaphragm, spleen and kidney
- Fluid often accumulates in the hepatorenal recess (Morison’s pouch)
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Question
3 of 19

Question3
Perisplenic view

Which of the following statements regarding the perisplenic view are correct? Select all that apply.
- The image is a perisplenic view showing the spleen, diaphragm and kidney
- Fluid often collects between the spleen and the diaphragm (subdiaphragmatic)
- The orientation marker should be aimed towards the patient’s head
- The perisplenic view alone is sufficient to rule out free intraperitonal fluid
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Question
4 of 19

Question4
Pelvic views

Which of the following statements regarding the pelvic views is correct?
- The same structures are seen in the pelvic view in men and women
- The image is a transverse pelvic view in a woman showing the bladder, uterus and rectum
- The image is a longitunidal pelvic view in a man showing intestines, bladder and rectum
- The pelvic view is essential in an examination of the abdominal aorta
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Question
5 of 19

Question5
Abdominal aortic aneurism and rupture

In a patient with relevant symptoms, which of the following statements are true? Select all that apply.
- A maximum abdominal aortic diameter >3.5 cm supports a suspicion of rupture
- Rupture into the retroperitoneum is easily identified using ultrasonography
- Free intraperitoneal fluid is always seen in ruptured abdominal aortic aneurism
- Free intraperitoneal fluid supports a suspicion of rupture
- A maximum abdominal aortic diameter of <5 cm rules out a ruptured abdominal aortic aneurism
- A maximum abdominal aortic diameter <3.5 reduces a suspicion of rupture
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Question
6 of 19

Question6
Free intraperitoneal fluid

Look at the images – in which of these is free intraperitoneal fluid visible?
- Free intraperitoneal fluid is visible in A
- Free intraperitoneal fluid is visible in B
- Free intraperitoneal fluid is visible in C
- Free intraperitoneal fluid is visible in D
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Question
7 of 19

Question7
Posterolateral pleural view

Which statement about the posterolateral pleural view is true?
- Lung tissue is always visible in the posterolateral pleural view
- The orientation marker should be aimed towards the patient’s head
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Question
8 of 19

Question8
“Lung sliding” and “lung pulse”

Examine the video clips and find out which one shows lung sliding and which one shows lung pulse. Select the true statement below.
- Lung sliding is seen in A, and lung pulse is seen in B
- Lung sliding is seen in B, and lung pulse is seen in A
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Question
9 of 19

Question9
Lung point

Explore the video and decide which of the following statements about lung point are true. Select all that apply.
- The lung point represents the transition zone between air-filled pleura and the reunion of the pleural blades
- B represents the area of air-filled pleura and separation of pleural blades
- B represents the area of contact between the pleural blades
- A represents the area of air-filled pleura and separation of pleural blades
- A represents the area of contact between the pleural blades
- The absence of lung-sliding, B-lines and lung pulse together with the presence of a 'lung point' is diagnostic of PTX
Correct

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Question
10 of 19

Question10
B-lines and pulmonary edema

Examine the image and consider the focused question: Are signs of pulmonary edema present or can pulmonary edema be excluded? Select the true statement below.
- If multiple B-lines in more than one view bilaterally is present, the patient undoubtedly has pulmonary edema
- If multiple B-lines are not present, the patient does not have pulmonary edema
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Question
11 of 19

Question11
Match the phrase at the top with the correct option below to form true statements by dragging the answer into the answer box.
Sort elements
- give high resolution optimal for visualisation of superficial structures
- give good penetration for visualisation of deeper structure
- is on the right side of the screen
- is on the left side of the screen
- can be established by the “finger-trick”
- is a predefined setting appropriate for a specific examination
Place your answers
- Higher frequency transducers
- Lower frequency transducers
- In cardiac ultrasonography the orientation indicator (OI)
- In all abdominal and lung ultrasonography the orientation indicator (OI)
- The relation between the orientation marker (OM) and the orientation indicator (OI)
- Preset
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Question
12 of 19

Question12
Correct orientation of the transducer

The image on the left shows correct and inverted orientation of the probe. Which of the following statements are correct? Select all that apply.
- The transducer in A is correctly oriented, and the transducer in B is incorrectly oriented
- The orientation indicator (OI) on the screen is correctly oriented in both A and B
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Question
13 of 19

Question13
Optimizing depth and gain

The picture shows two ultrasound images, where B is an optimized image of A. Which statements about B are true?
- Depth is unchanged
- Depth is decreased
- Depth is increased
- Gain is decreased
- Gain is unchanged
- Gain is increased
Correct

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Question
14 of 19

Question14
Optimizing depth and gain

The image shows two ultrasound images, where B is an optimized image of A. Which statements about B are true?
- Depth is decreased
- Depth is unchanged
- Depth is increased
- Gain is decreased
- Gain is unchanged
- Gain is increased
Correct

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Question
15 of 19

Question15
Keypoints of the S4C view

Which statements about the subcostal 4 chamber view are true? Select all that apply.
- The chamber with the letter A is the right ventricle
- The subcostal view cannot be used for assessment of left ventricle systolic function
- A deep inspiration often improves image quality
- Obtaining a S4C view is done with the orientation marker aiming towards the patient’s right shoulder
Correct

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Question
16 of 19

Question16
Keypoints of the PLAX view

Which statements about evaluating the heart by the PLAX view are true? Select all that apply.
- This is the best view for evaluating a suspicion of ascending aortic aneurism
- This is the best view for assessing a suspicion of a pulmonary embolism
- The aorta is on the right side of the screen
- The orientation marker (OM) is aimed towards the patient’s right shoulder
Correct

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Question
17 of 19

Question17
Pericardial fluid collection

The video clip shows four PLAX views. Which one of them represents pericardial fluid collection?
- A shows a pericardial fluid collection around the heart
- B shows a pericardial fluid collection around the heart
- C shows a pericardial fluid collection around the heart
- D shows a pericardial fluid collection around the heart
Correct

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Question
18 of 19

Question18
Eyeballing left ventricular systolic function 1

The videos show four different hearts. Which of the statements below are correct? Select all that apply.
- A is a subcostal 4 chamber view showing normal EF
- All views are subcostal 4 chamber views
- D shows normal EF
- A and B both show severely reduced EF
- A is a subcostal 4 chamber view showing reduced EF
- In all views the orientation indicator is placed correctly on the right side of the screen
Correct

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Question
19 of 19

Question19
Pulmonary embolism

Which of the following statements regarding assessment of pulmonary embolism are correct? Select all that apply.
- A normally sized right ventricle rules out pulmonary embolism
- The video to the left shows an enlarged right ventricle supporting a suspicion of embolism
Correct

Incorrect