Scanning Techniques Test 1

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Anonymous
ID:
236640
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Scanning Techniques Test 1
Updated:
2013-09-23 23:30:11
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dorkfork ultrasound sonography scanning
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Description:
Med Sono Abdomen
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  1. Describe the patient preparation, patient positions for the liver examination.
    • Patient prep: NPO 8 hrs
    • Patient position: supine
  2. Describe the standard protocol for the liver examination.
  3. List the hepatic venous tributaries that merge with the IVC.
    • Right
    • Middle
    • Left
  4. List the hepatic arterial tributaries starting at the celiac axis or trunk.
    • Common hepatic artery to the proper hepatic artery to the right, middle, and left hepatic arteries.
    • Inferiorly the gastroduodenal artery feeds the pancreas.
  5. Name the ligament that lies on the anterior surface of the liver that is not seen sonographically in normal patients.
    falciform ligament
  6. Name the ligament that divides the left lobe from the caudate lobe.
    ligamentum venosum
  7. Name the ligament that is the remnant of the fetal umbilical vein.
    ligamentum teres
  8. List the initial tributaries of the MPV.
    • Right
    • Left
  9. List the vessels that form the MPV.
    • SMV
    • Splenic vein
  10. List the initial tributaries of the LPV.
    • Lateral
    • Medial
  11. List the inital tributaries of the RPV.
    • Anterior
    • Posterior
  12. List the three lobes in the segmental anatomy system.
    • Left
    • Right
    • Caudate
  13. The RHV divides what?
    Right lobe into anterior and posterior segments
  14. The MHV divides what?
    Right and left lobes
  15. The LHV divides what?
    Left lobe into lateral and medial segements
  16. The ligamentum teres divides what?
    Left lobe into lateral and medial segments
  17. THe gallbladder and the IVC fossa divide what?
    The live into right and left lobes
  18. The main lobar fissure divides what?
    The liver into right and left lobes
  19. Describe the sonographic features associated with the hepatic veins.
    • Thin, anechoic walls
    • Get larger with inspiration
    • Largest in diameter at the superior, posterior aspect of the liver (near the IVC)
  20. Describe the sonographic features associated with the portal veins.
    • Thick echogenic walls
    • Largest in diameter @ the level of the porta hepatis
  21. List the triad of vessels that course parallel throughout the liver parenchyma.
    • Portal veins
    • Hepatic arteries
    • Bile ducts
  22. List and describe the typical transducer types and frequencies used for the liver examination.
    • Sector or Curvilinear
    • Use the highest clinically appropriate frequency (between 2 & 5 MHz)
  23. List and describe the patient preparation and patient positions for the biliary system (gallbladder).
    • Patient preparation: NPO 8 hrs
    • Patient positions: supine and decubitus (to note stone movement)
  24. Describe the standard scanning protocol for the pancreas.
  25. Describe the standard scanning protocol for the gallbladder.
  26. The _______ ducts merge to form the common hepatic duct.
    hepatic
  27. The _________ and the ______ ducts merge to form the common bile duct.
  28. Normal measurement for the gallbladder wall?
    ≤3mm
  29. Normal measurement for the gallbladder (AP and length)
    • GB length: ≤5-7cm
    • GB AP: ≤3-4cm
  30. Normal measurement of the common duct at the level of the porta hepatis
    ≤4-5mm
  31. Normal measurement of the distal common bile duct
    ≤6-8mm
  32. List and describe the patient preparation and patient positions along with transducer placement for the pancreas.
    • Patient preparation: NPO 8 hrs
    • Patient position: supine
    • Transducer placement: angled forward towards feet. Scan long to organ
  33. The splenic vein is located _______ in relation to the body of the pancreas.
    posterior
  34. The SMA is located _______ in relation to the splenic vein.
    posterior
  35. The LRV is located _______ in relation to the SMA.
    posterior
  36. The RRA is located ________ in relation to the IVC.
    posterior
  37. The GDA is located ________ in relation to the pancreatic head.
    anterior
  38. The CBD is located ________ in relation to the pancreatic head.
    posterior
  39. List the three tributaries of the celiac trunk.
    • Common hepatic artery
    • Splenic artery
    • Left gastric artery
  40. List the five anatomic divisions of the pancreas.
    • 1 head
    • 2 neck
    • 3 uncinate
    • 4 body
    • 5 tail
  41. The main pancreatic duct is termed ______________ and enters the duodenum via the ____.
    duct of Wirsung/ CBD
  42. The SMV is located _____ in relation to the uncinate process.
    anterior

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