FM-quiz CUGVA

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1 of 12

Question1
Preparations

Which of the following statements regarding preparations are correct? Select all that apply.
- In order to maintain a sterile field an assistant is required
- It is a prerequisite to find all necessary effects before putting on the sterile gown
- It is recommended to organise the table in order to have all equipment ready when needed
- All the necessary effects can be found in the central venous catheterisation kit
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Question
2 of 12

Question2
Facts about IJV catheterisation

Which of the following statements regarding IJV catheterisation are correct? Select all that apply.
- It is preferable to use the left IJV if possible
- The carotid artery lies anterior and slightly lateral to the IJV.
- In more than 50% of patients the IJV overlays the CA.
- The probe should be placed just superior to the clavicle at the insertion of the heads of the sternocleidomastoid muscle.
- A potential benefit of a neutral head position is that the internal jugular vein assumes a more lateral position to the carotid artery.
- The orientation indicator should be orientated towards the legs when visualising the IVJ in longitudinal view.
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Question
3 of 12

Question3
Subclavian vein (SV) catheterisation

Which of the following statements regarding subclavian vein catheterisation are correct? Select all that apply.
- The typical position of the SV is just superior and posterior to the subclavian artery (SA)
- The in-plane approach is not recommended
- Generally the supraclavicular technique is recommended
- It is recommended to stand on the contralateral side of the patient
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Question
4 of 12

Question4
Facts about femoral vein catheterisation

Which of the following statements regarding femoral vein catheterisation are correct? Select all that apply.
- The probe should be placed a few centimeters proximal to the inguinal ligament
- The long-axis of the probe must be orientated parallel to the inguinal ligament
- The femoral vein is found medially to the artery
- In 25% of patients the FV and FA overlap in the anterior-posterior plane
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Question
5 of 12

Question5
Facts about PICC

Which of the following statements regarding PICC lines are correct? Select all that apply.
- It is generally not recommended to use the brachial vein due to its deep location
- The median cubital vein lies just laterally to the basilic vein and has a more variable course
- The basilic vein is relatively superficial and it offers the straightest route
- Most medially in the antecubital space is the cephalic vein
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Question
6 of 12

Question6
The transducer

Which of the following statements regarding the transducer are correct? Select all that apply.
- A 1.5-4.5 MHz transducer is the most appropriate
- If the transducer is pressed too hard against the skin the underlying vessels will be squeezed
- The OI always corresponds to the right side of the screen
- It is generally recommended to hold the transducer with the non-dominant hand
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Question
7 of 12

Question7
Summary of the subclavian vein

Match the phrase at the top with the correct option below to form true statements by dragging the answer into the answer box.
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- the axillary vein close to the first rib and it extends to its junction with the IJV
- less uncomfortable for the patient and leaves the most space to introduce the needle
- in a Trendelenburg position
- important structures such as the lung, pleura, plexus brachialis and the SA
- visualise the SV in a short-axis view
- the out-of-plane approach is recommended
Place your answers
- The SV originates from
- The infraclavicular technique is
- It is recommended to place the patient
- Anatomically, the SV lies close to
- The infraclavicular and the supraclavicular techniques
- For both techniques
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Question
8 of 12

Question8
Summary of the femoral vein

Match the phrase at the top with the correct option below to form true statements by dragging the answer into the answer box.
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- the FV and FA overlap in the anterior-posterior plane
- a few centimeters distal to the inguinal ligament
- is found medially to the artery
- is improving transducer contact
- lies just in the middle between the anterior superior iliac spine and the pubic tubercle
- must be orientated parallel to the inguinal ligament
Place your answers
- In 65% of patients
- The probe should be placed
- The femoral vein
- Distension of the skin
- In most patients the FA
- The long axis of the transducer
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Question
9 of 12

Question9
Summary of PICC lines

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- is the most optimal for PICC placement
- is orientated orthogonally to the axis of the arm
- lies closely to the brachial artery and the median nerve
- is reducing the risk of air embolism
- in order to avoid the mechanical problems associated with arm bending
- and the out-of-plane approach is recommended
Place your answers
- The basilic vein usually
- The long-axis of the transducer
- The brachial vein
- Distension of the veins
- The transducer is placed just above the antecubital space
- The veins are visualised in a short axis view
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Question
10 of 12

Question10
Equipment and optimisation

Match the phrase at the top with the correct option below to form true statements by dragging the answer into the answer box.
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- no colour Doppler signal is seen
- temporal and lateral resolution is improved
- can make image content impossible to visualise
- deeper anatomical structures will be visualised
- gain should be decreased
- by visualising vessels in the tissue and discriminate between arteries and veins
Place your answers
- When blood is moving perpendicular to the transducer
- By decreasing the depth
- Undergain as well as overgain
- By increasing the depth
- When the image appears too bright
- Colour Doppler can assist the sonographer
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Question
11 of 12

Question11
Learning objectives. Select true or false for the statements below
- US guided central vascular access is not recommended in children and neonates
- US guided needle tip control is easy and can be mastered by everyone without any training
- US guidance of CVC placement should reduce the number of attempts and complication rates
- US guided CVC placement should primarily be trained in patients who need a CVC catheter
- Needle tip control is crucial during the entire US guided procedure
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Question
12 of 12

Question12
Visualising vessel and needle

Which of the following statements regarding needle guidance are correct? Select all that apply.
- The ultrasound signal is reflected strongest when the probe is pointed perpendicularly to the needle
- It is always recommended to have the target in the middle of the screen
- Generally, mechanical guides are recommended
- To visualise the needle it is advantageous to point the probe slightly towards yourself
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