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FM-quiz EEU

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Question 1 of 26

1. Question
“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
Correct

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Question 2 of 26

2. Question
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
Correct

Incorrect
Question 3 of 26

3. Question
Lung point. Explore the videos 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 4 of 26

4. Question
Free intraperitoneal fluid. Look at these 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
Correct

Incorrect
Question 5 of 26

5. Question
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
Correct

Incorrect

Question 6 of 26

6. Question

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

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

Correct

Incorrect

Question 7 of 26

7. Question
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

Incorrect
Question 8 of 26

8. Question
Intercostal view, identifying structures

In the image each letter labels a structure. Insert the correct letters for each statement and click “Next”.
- shows the pleura
  
  shows image artefacts from the echoes of the overlying skin, muscle, costae and pleural line
  
  shows rib shadow
  
  shows intercostal muscle
  
  shows the skin
  
  shows costa
Correct

Incorrect
Question 9 of 26

9. Question
Keypoints of the A4C view. The A4CH view
- The chamber with the letter A is the left ventricle
- The apical 4-chamber apical Is especially valuable in assessing a suspicion of ascending aortic aneurism
- The left ventricular myocardium is visible in the image
- Obtaining the A4C is done with the orientation marker pointing toward the patient’s left side
Correct

Incorrect
Question 10 of 26

10. Question
2D sonoanatomy of the perisplenic and perihepatic views

In the image each letter labels a structure. Insert the correct letters for each statement and click “Next”.
- shows the splenorenal recess
  
  shows the diaphragm on patient’s left side
  
  shows the diaphragm on patient’s right side
  
  shows the spleen
  
  shows Morrison’s pouch
  
  shows liver
Correct

Incorrect
Question 11 of 26

11. Question
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

Incorrect
Question 12 of 26

12. Question
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

Incorrect
Question 13 of 26

13. Question
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

Incorrect
Question 14 of 26

14. Question
Eyeballing left ventricular systolic function 2. The videos show four different hearts. Which of these statements are correct?
- A is a parasternal short axis view showing normal EF
- All views are parasternal short axis views
- D is a short axis view and shows normal EF
- Only A and B show reduced EF
- D but not A, B and C show normal systolic endocardial movement and thickening
Correct

Incorrect
Question 15 of 26

15. Question
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
Question 16 of 26

16. Question
Ascending aortic dissection 1. In a patient with relevant symptoms suggesting type A dissection of the ascending aorta
- an ascending aortic diameter of > 5 cm supports the suspicion of dissection
- an ascending aortic diameter of < 5 cm at the largest point rules out dissection
- a pericardial fluid collection supports the suspicion of dissection
- the aortic diameter is best assessed from the subcostal 4-chamber view
Correct

Incorrect
Question 17 of 26

17. Question
Ultrasound physics

Which of the following statements regarding ultrasound physics are true? Select all that apply.
- Ultrasound is low frequency sound that the human ear cannot perceive
- One of the advantages of the cardiac transducer is that it can look into small acoustic windows
- A given preset for a given examination is not necessarily the optimal preset. Different presets can be tried out to get the best image
- The advantage of the low frequency abdominal transducer is high resolution of superficial structures
- The penetration of ultrasound through the ribs is very good and a detailed image of the structures inside the bone can be obtained
- An acoustic window is a passage / "hole" into body tissues where ultrasound waves can penetrate
Correct

Incorrect
Question 18 of 26

18. Question
Ascending aortic dissection 2. In a patient with chest pain
- A causes suspicion of type A aortic dissection
- B causes suspicion of type A aortic dissection
Correct

Incorrect
Question 19 of 26

19. Question
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
Correct

Incorrect
Question 20 of 26

20. Question
Keypoints 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
Correct

Incorrect
Question 21 of 26

21. Question
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

Incorrect
Question 22 of 26

22. Question
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)
Correct

Incorrect
Question 23 of 26

23. Question
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

Incorrect
Question 24 of 26

24. Question
Perisplenic view. Which of the following statements regarding the perisplenic view are correct? Select all that apply.
- The image to the left is a perisplenic 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
Correct

Incorrect
Question 25 of 26

25. Question
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
Correct

Incorrect
Question 26 of 26

26. Question
Pelvic views. Which of the following statements regarding the pelvic views is correct?
- The same structures are seen in the pelvic views in men and women
- The image to the left is a transverse pelvic view in a woman showing the bladder, uterus and rectum
- The images to the left 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
Correct

Incorrect

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