Test yourself
Five checks before every scan
5 questions. Pick an answer to see whether you are right and why. Your score appears at the end.
Question 1You scan the right upper quadrant for free fluid. Which probe do you choose?
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Answer c. The curvilinear probe uses a low frequency, so it reaches deep abdominal structures with a wide field of view. The linear probe gives high resolution but does not reach far enough. A phased array reaches deep but with a narrow near field, and the cardiac preset flips the orientation marker. Endocavity probes are for internal use.
Question 2Your target sits in a small area at the top of the screen with a large dark area below it. What do you change first?
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Answer b. Too much depth shrinks the target and wastes the screen. Reduce the depth so the structure fills the middle two thirds, while keeping enough depth to see fluid behind it. Gain changes brightness, not size. The focal zone belongs at the level of the target.
Question 3A full bladder looks grey and speckled instead of black. What is the most likely cause?
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Answer d. Simple fluid should look black. Excess gain adds false echoes, so fluid turns grey. Reduce the overall gain, then use the time gain compensation sliders to even out near and far field. Too little gain makes the whole image dark, including soft tissue.
Question 4Where do you set the focal zone?
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Answer d. The ultrasound beam is narrowest at the focal zone, so lateral resolution is best there. Place it at the depth of the structure you are assessing. Most machines show it as a small arrow or marker on the depth scale.
Question 5You scan the abdomen with the cardiac preset still selected. What problem does this cause?
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Answer b. Cardiac presets place the orientation marker on the right of the screen, while abdominal presets place it on the left. Scanning the abdomen in a cardiac preset reverses the anatomy on screen and leads to errors. Choose the preset for the examination before you start.
Practise it with us
Four or five delegates per instructor, FAMUS-accredited faculty and long, supervised time on the probe.
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