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Vimeo AEUS - Transvaginal US
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Which of the following is NOT an indication for transvaginal ultrasound in the ED setting?
1 point
To evaluate for etiologies for vaginal bleeding in early pregnancy
To confirm early intra-uterine pregnancy (IUP) when transabdominal US is not adequate
To evaluate etiologies for pelvic pain in early pregnancy
To provide dates for the fetus in utero
To evaluate acute pelvic pain in women
Clear selection
When using the endocavitary probe to obtain a sagittal view of the pelvis, which of the following is correct?
1 point
You should be able visualize the long axis of the endometrial stripe
The probe indicator should be pointing towards the patient's back
When looking at the screen => the superior part of the pelvis is demonstrated at the top of the ultrasound screen and the inferior aspect is seen on the bottom of the screen
The pouch of Douglas should be seen at the top of the ultrasound screen
The decompressed bladder should be visualized anterior and inferior to the uterus
Clear selection
Which of the following is NOT true regarding evaluation of the ovaries by TVUS?
1 point
The healthy ovary can be described as resembling a chocolate chip cookie
The most common ultrasound finding in ovarian torsion is lack of doppler flow to ovary
The ovaries are located medial to the iliac vessels
Ovarian torsion can occur up to 25% of the time in normal ovaries
Corpus luteum cysts and hemorrhagic cysts are the most common ovarian cysts
Clear selection
Which of the following is NOT true when evaluating for intra-uterine pregnancy (IUP) on ultrasound?
1 point
The gestational sac should have at least 8 mm of myometrium around it
The "double decidual sign" can be used alone to diagnose an IUP
A "pseudosac" may be present in early pregnancy or in ectopic pregnancy
Free fluid and an empty uterus in a hcg positive woman should be consider an ectopic pregnancy until proven otherwise
There should be a gestational sac seen in the uterus, with either a yolk sac or a fetal heart beat.
Clear selection
Which of the following is MOST consistent with a non-definitive IUP (NDIUP)?
0 points
A pseudosac in early pregnancy
Gestational sac > 10 mm with no evident yolk sac
No fetal heart rate with crown-rump length of 3 mm
A "bagel sign" near the right ovary, free fluid in the abdomen, and a positive hcg test
A hcg level of 800 with a gestational sac seen in the uterus
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