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Medicine consult POCUS quiz
Med consult POCUS quiz
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1. The internal medicine Lumify US may be lent to other departments under the following circumstances:
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a. To expedite the care of a patient
b. For emergencies only
c. To assist in discharge sensitive line placement
d. The internal medicine Lumify ultrasound cannot be lent to other services UNDER ANY CIRCUMSTANCES!
2. What cardiac window is used to obtain this image?
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A) Parasternal long axis
B) Parasternal short axis
C) Apical 4 chamber
D) Sub-Costal four chamber
3. Which of the following is NOT one of the Focused Cardiac ultrasound (or cardiac POCUS components to determine if there is severely reduced LV systolic function?
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a. Displacement of the mitral annulus toward the apex
b. LV wall thickening during systole
c. E/E’ ratio
d. LV cavity size decrease in systole
4. Which of the following is the correct ultrasound probe for use in Focused Cardiac ultrasound (Cardiac POCUS)?
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a. Low frequency phased array probe
b. High frequency linear probe
c. Low frequency curvilinear probe
d. High frequency endocavitary probe
5. Which views have NOT been validated for visual assessment of LV systolic function?
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a. Parasternal long axis
b. Parasternal short axis
c. Apical four chamber
d. Sub-costal four chamber
6. Which is the correct patient positioning for Focused Cardiac Echo (Cardiac POCUS)?
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a. Prone
b. Supine
c. Left lateral decubitus
d. Right lateral decubitus
7. In the cardiac setting, for acquisition of the apical four chamber view the probe indicator should be oriented toward:
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a. The right shoulder (10 O’clock)
b. The head (12 O’clock)
c. The left shoulder (2 O’clock)
d. The left 5th ICS mid axillary line (3 O’clock)
8. In the cardiac setting, for acquisition of the parasternal long axis view, the probe indicator should be oriented toward:
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a. The right shoulder (10 O’clock)
b. The head (12 O’clock)
c. The left shoulder (2 O’clock)
d. The left 5th ICS mid axillary line (3 O’clock)
9. In the cardiac setting, for acquisition of the parasternal short axis view, the probe should be oriented toward:
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a. The right shoulder (10 O’clock)
b. The head (12 O’clock)
c. The left shoulder (2 O’clock)
d. The left 5th ICS mid axillary line (3 O’clock)
10. In the cardiac setting, for acquisition of the parasternal views, the probe should be placed at 90 degrees on the:
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a. 2nd intercostal space left sternal border
b. 3rd intercostal space left sternal border
c. 4th intercostal space left sternal border
d. 5th intercostal space right sternal border
e. A or B
f. B or C
g. C or D
11. Which of the following structures is NOT normally visualized in the parasternal long axis view?
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a. Aortic valve
b. Mitral valve
c. Left atrium
d. Cardiac apex
e. Descending aorta
f. Ascending aorta
12. Which of the following is an indicator that severe systolic dysfunction may be present on focused cardiac ultrasound (cardiac POCUS)?
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a. Longitudinal shortening of 1.5cm
b. Anterior mitral leaflet motion in the parasternal long axis which extends past the midline of the LV cavity
c. In parasternal short axis view, thickening of the ventricular wall segments by less than 1/4 during systole.
d. In the parasternal short axis view, decrease in cavity side by more than 1/3 during systole
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