Basic Training Programme 16 Februrary 2018, ROTTERDAM Pre and Post-Course Test Answers Your details: Name: Conference registration number/ BT delegate number: Email address: Are you already performing ultrasound examinations on patients? If yes, do you perform these examinations unsupervised? Questionnaire Yes No Yes No 1. Which section is represented by the blue, green and red plane in the three diagrams below? Tick the correct plane Blue plane represents: Green plane represents: Red plane represents: The sagittal plane The sagittal plane The sagittal plane The coronal plane The coronal plane The coronal plane The transverse plane The transverse plane The transverse plane 2. The penetration of the sound beam through tissue is inversely proportional to: 3. Which of the following represents the pulsatility index (PI)? a. Speed of sound b. Frequency c. Resolution d. Footprint a. Resistance to flow in the vessel downstream from the sampling site b. Resistance to flow in the vessel upstream from the sampling site c. The maximum power output over each cardiac cycle d. The maximum temperature increase at the sampling site over each cardiac cycle
4. Which of the following statements is true? a. The frequency of the TV probe is generally lower than that of the TA probe b. The resolution of the TV probe is generally inferior to that of the TA probe c. The field of view of the TV probe is generally smaller than that of the TA probe d. A full bladder is a prerequisite for a TV scan 5. Time gain compensation should be set correctly for which one of the following reasons: 6. Which is the correct way to measure the uterine length? a. To reduce the power transmitted into the patient b. To improve the image quality by amplifying the echoes returning to the transducer from deeper in the body c. To reduce the effects of reverberation artefacts d. To improve the image quality by amplifying all the echoes xxxreturning to the transducer 7. What are typical ultrasound features of an endometrial polyp in a postmenopausal patient? (tick three) 8. When conducting Doppler ultrasound examination of the uterus, what are the appropriate settings regarding the pulse repetition frequency (PRF) in khz and cm/s velocity scale, respectively? a. Red line b. Yellow line c. Blue line a. Feeding vessel b. Bright edge c. Hypoechoic d. Poorly defined endometrial-myometrial border e. Regular cystic spaces f. Fan-shaped shadowing a. 0.3-0.6 khz 3-6cm/sec b. 0.6-0.9 khz 6-9 cm/sec c.1.0-1.3 khz 10-13 cm/sec d.1.4-1.7 khz 14-17 cm/sec
9. How should the endometrial thickness be measured? 10. What are typical features of adenomyosis? (tick two) 11. What type of myoma is observed in this picture when performing a saline infusion sonography? a. According to the blue line b. According to the orange line c. According to the yellow line a. Thickened endometrium b. Absent posterior sliding sign of the uterus c. Poorly defined junctional zone d. Asymmetrically enlarged uterus e. Endometrial cysts a. Grade 0 (G0): fibroid completely within the cavity, pedunculated and without intramural extension b. Grade 1 (G1): sessile fibroid, with 50% of the endocavitary portion protruding into the cavity c. Grade 2 (G2): with the endocavitary part of the fibroid <50%
12. Which of the following images is compatible with a functional ovarian cyst? A B C D A B C D 13. What is the colour score in this adnexal mass? a. Colour score 1 b. Colour score 2 c. Colour score 3 d. Colour score 4 14. What type of mass is this when using IOTA terms and definitions? a. Unilocular b. Unilocular-solid c. Multilocular d. Multilocular-solid e. Solid
15. Which of these is a solid ovarian tumor according to IOTA terms and definitions)? (more than one answer is correct) A B C D 16. When writing a gynecology ultrasound report, which of the following statements is false: A B C D a. The report should use standardized terminology wherever possible b. The report should be conclusive where possible and indicate when the appearances are consistent with a specific diagnosis c. If a large pelvic mass is noted, a transabdominal scan must be performed to fully assess the mass d. If a gynecological malignancy is suspected, it is good practice to complete a full upper abdominal survey (kidneys/ liver/ spleen/peritoneum), even if the sonologist is not qualified to do so