Q.1
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Email
Q.2
Which of the following can soft tissue ultrasound NOT identify?
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Abscess
Cellultitis
Necrotizing Fasciitis
Foreign Bodies
All of the Above
Q.3
What is the best treatment for the pathology shown in the image?
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Take the patient to the OR for immediate debridement
Incision and drainage
Antibiotics alone
Nothing, the image above is completely normal
Q.4
What is the best treatment for the pathology shown in the image above?
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Take the patient to the OR for immediate debridement
Incision and drainage
Antibiotics alone
Nothing, the image above is completely normal
Q.5
4.Distinguishing an abscess from cellulitis by physical exam alone can be misleading. What percent of physicians change their management strategy (I&D v. antibiotics alone) of a soft tissue infection after ultrasound is performed?
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< 10%
25-30%
> 50%
100%
Q.6
Which of the sonographic sign is incorrectly matched with its pathology?
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Cellulitis: cobble stoning
Abscess: posterior acoustic enhancement
Abscess: anechoic pocket with “pus-stalsis”
Necrotizing Fasciitis: twinkle artifact
Necrotizing fasciitis: gas shadowing
Q.7
All of the following are reasons to use ultrasound in evaluation of soft tissue infections EXCEPT:
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It’s a more efficient use of healthcare resources (ultrasound cost less than CT)
To save the cellulitis patient from a painful and unnecessary procedure (I&D)
To prevent providing an ineffective treatment to the abscess patient (antibiotics alone)
You may save the life of a necrotizing fasciitis patient.
All of the above are great reasons to use ultrasound to evaluate soft tissue infections
Q.8
Which of the following foreign body materials is difficult to see on xray, but can be seen with bedside ultrasound?
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Glass
Metal
Wood
None of the above
Q.9
Which of the following about soft tissue ultrasound is true?
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Because most structures are superficial a high frequency transducer should be selected
Because most structures are superficial a low frequency transducer should be selected
Step off pads and water baths do not improve image resolution when scanning superficial structures
To optimize your image adjust your depth, so the area of interest is located at the top of the screen (in the near field)
Q.10
Which of the following about soft tissue ultrasound is false?
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You should scan a suspected abscess in several planes to assess the volume of the pocket and determine the best location for incision
You can insert needle to drain an abscess under direct visualization using ultrasound guidance
Cobble stoning is the seperation of hyperechoic fat lobules by hypoechoic fluid fluid
Cobble stoning is specific for cellulitis
Q.11
Which is of the following could be mistaken for an abscess?
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Ganglion cyst
Lymph node
Pseudoaneurysm
All of the above