Deck 18: Ultrasound-Guided Interventional Techniques

Question 1

Advantages of using ultrasound guidance include all of the following except:

A) lack of radiation.
B) reduced risk of complications.
C) variable patient positions.
D) fixed angles when using needle guides.

Answer 1

D

Question 2

A preprocedural image should document the patient's name and the:

A) date, needle path, and sonographer's initials.
B) time, date, and needle path.
C) time, date, and examination description.
D) date, needle depth, and needle position.

Answer 2

B

Question 3

The common indication for a biopsy is to:

A) confirm a malignancy in a mass.
B) define the amount of fluid in a mass.
C) define the size of the drainage tube needed to drain the mass.
D) confirm whether the mass is a simple cyst.

Answer 3

A

Question 4

Which type of biopsy uses an automatic spring-loaded device to provide tissue for analysis?

A) Fine-needle aspiration
B) Free-hand biopsy
C) Core biopsy
D) Needle-guided biopsy

Question 5

In a renal transplant procedure, which part of the kidney is typically biopsied?

A) Lower pole
B) Mid-lower pole
C) Mid-upper pole
D) Upper pole

Question 6

What needle gauge is typically used in a fine-needle aspiration?

A) 14 to 20
B) 20 to 25
C) 16 to 18
D) 10 to 23

Question 7

Postbiopsy complications may include all of the following except:

A) pain or discomfort.
B) vasovagal reactions.
C) hematomas.
D) heart failure.

Question 8

A higher percentage of positive cells are observed in the _____________ of a thyroid mass.

A) center
B) complex portion
C) anechoic portion
D) small calcifications

Question 9

The national patient safety standards mandate that a "time-out" be performed before beginning any procedure, which means all of the following except the:

A) patient's name is recited by a team member.
B) patient's name is recited by the patient.
C) patient's identification number is confirmed.
D) type and location of the procedure are confirmed.

Question 10

Renal parenchymal biopsies are most commonly requested for patients with:

A) hypertension.
B) diabetes mellitus.
C) proteinuria.
D) pyelonephritis.

Question 11

Contraindications for a biopsy include all of the following except:

A) uncorrectable bleeding disorder.
B) lack of a safe needle path.
C) dehydration.
D) uncooperative patient.

Question 12

The wait time after discontinuing the use of aspirin is:

A) 4 to 6 hours.
B) 3 to 4 days.
C) 5 to 7 days.
D) 1 to 2 days.

Question 13

In a renal parenchymal biopsy, which part of the kidney is typically biopsied?

A) Lower pole
B) Mid-lower pole
C) Mid-upper pole
D) Upper pole

Question 14

The role of the cytopathology team is to:

A) ensure enough diagnostic tissue is obtained.
B) increase the percentage of successful biopsies.
C) minimize the number of core samples.
D) provides all of the above roles.

Question 15

The test used to evaluate the effects of heparin, aspirin, and antihistamines on the blood-clotting process is:

A) Coumadin.
B) PTT.
C) AFP.
D) PSA.

Question 16

The most common organ biopsied is the:

A) kidney.
B) liver.
C) thyroid.
D) lung.

Question 17

The international normalized ratio (INR) was developed because of the variable results of _________ among laboratories.

A) PT
B) AFP
C) PTT
D) PSA

Question 18

The primary advantage of an ultrasound-guided procedure is:

A) marks the spot for biopsies or fluid taps.
B) provides for continuous real-time visualization of the biopsy needle.
C) drains abscess collections.
D) places drainage tubes.

Question 19

The best ways to recognize the tip of the needle with ultrasound include all of the following except:

A) the needle tip appears as an echogenic dot.
B) the needle tip appears as a hypoechoic area.
C) the needle tip may be seen as it advances into the area.
D) the needle tip may be seen with a small amount of saline injection.

Question 20

Limitations of ultrasound guidance include all of the following except:

A) bowel gas.
B) isoechoic masses.
C) inexperienced ultrasound personnel.
D) shorter procedure times.

Question 21

Biopsies of the spleen carry an increased risk for:

A) capsule rupture.
B) pneumothorax.
C) hemorrhage.
D) infection.

Question 22

Which one of the following laboratory tests could indicate a liver lesion?

A) Prothrombin time
B) Alpha-fetoprotein (AFP)
C) Partial thromboplastin time
D) Liver-specific antigen

Question 23

A specific complication of a renal biopsy is:

A) infection.
B) hypertension.
C) hematuria.
D) hypotension.

Question 24

The _______________ patient position is most commonly used in a prostate biopsy.

A) supine
B) prone
C) left lateral decubitus
D) semi-erect

Question 25

In which of the following positions is a patient placed for a thoracentesis?

A) Prone
B) Supine
C) Sitting
D) Decubitus