Ultrasound: Indications for Ultrasound

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Question 1 of 10

1. Question
The two key principles of EMUS are which of the following?
- Ruling in pathology and focused
- Focused and ruling out pathology
- Competency-based and ruling in pathology
- Core skills for all and workplace assessment
- Ruling in pathology and competency-based
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Question 2 of 10

2. Question
The process of training in emergency medicine ultrasound (EMUS) is best described by which of the following?
- Learning theory, practical training followed by logged scans, then a workplace assessment
- An attachment for practical input and logging 50 scans
- Attendance on a course, then logging 50 scans
- There is no process, provided the trainee’s scan quality is good
- Asking a colleague to sign a grandfather clause
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Question 3 of 10

3. Question
You are a fully ‘core skills signed’ competent in EMUS, and are asked by a junior to look for pathology in a shocked young woman with right iliac fossa pain. Which of the following statements describes your response?
- Consider that an ectopic pregnancy may have ruptured and agree to look for free fluid only
- Refuse on the basis that it does not fall into an area of your competence
- Agree to scan and try to look for an adnexial mass
- Agree to scan but look strictly for a right iliac aneurysm
- Always scan a patient that a junior asks you to
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Question 4 of 10

4. Question
You have completed theory training and have had one training afternoon of focussed assessment using sonography in trauma (FAST), and an abdominal aortic aneurysm (AAA) practice. You see an elderly patient during the night with abdominal pain, back pain and collapse. You scan the patient as an unsupervised logged scan and believe that you see a 6.5 cm diameter AAA. The correct action to take is which of the following?
- Discuss your scan with the vascular team, stressing that further collaboration must be obtained
- Call the vascular team and tell them you have found an AAA which has ruptured
- Take no action as a result of the scan, but proceed on a strictly clinical basis
- Book a CAT scan
- Call your consultant at home and ask for advice
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Question 5 of 10

5. Question
Which of the following statements describes when triggered assessment can take place?
- At the end of the training process when the trainee feels competent
- Once, for all areas of competence
- At any stage of training
- For the core skills areas of gall bladder, renal and early pregnancy assessment
- Only within a radiology department
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Question 6 of 10

6. Question
The Royal College of Radiology’s view of emergency medicine ultrasound is summed up by which of the following statements?
- Approved within various defined levels
- Acceptable provided a consultant radiologist supervises scans during training
- Acceptable if within NICE guidelines
- Not supportive except to help guide central access
- Acceptable provided the trainee is assessed and signed off by a consultant radiologist
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Question 7 of 10

7. Question
The College of Emergency Medicine’s (CEM) view of emergency medicine ultrasound is summed up by which of the following statements?
- The training process consists of the acquisition of theoretical knowledge, skills training with a period of supervised practice, then a workplace assessment
- It is a mandatory skill for all emergency medicine consultants and SpRs/ST4-ST6 trainees
- Acceptable but only through courses approved by the Royal College of Radiologists
- Self declaration of competence by the trainee is regarded as final
- Assessment must take place with an FCEM OSCE
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Question 8 of 10

8. Question
Competence in emergency medicine ultrasound involves which of the following?
- Logging nominally 50 scans, but this may be less or more provided competency is demonstrated
- Logging a minimum of 150 scans in total
- Logging a minimum of 100 scans in total
- Logging a minimum of 50 scans in total
- Logging a minimum of 25 scans in total
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Question 9 of 10

9. Question
Which of the following should be done when scanning a patient?
- Always explain your scanning limitations, and the potential need for further expert imaging
- Always obtain written consent as you are not an expert
- Always interpret fluid as blood for safety
- Either tell the patient the result or write it in the notes
- Always print out a scan copy
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Question 10 of 10

10. Question
Core skills emergency medicine ultrasound practice includes which of the following?
- Central venous access, pericardial and pleural scans
- Gall bladder, foreign body and AAA scans
- FAST, pleura, foreign body and AAA scans
- Abscess detection, foreign body, FAST and AAA scans
- FAST, AAA and gall bladder scans
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Ultrasound: Indications for Ultrasound – Post Test

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