WorksheetsBMET Course 105 Q2
Total questions: 64
Worksheet time: 1hrs 4mins
What are the four fetus blood vessels assessed when using color ultrasound?
Umbilica Artery
Aorta
Middle Cerebral Arteries
Uterine Arteries
Superior Vesical Artery
What are the five waveform parameters associated with sound waves
Period
Amplitude
Wavelength
Frequency
Velocity
Single Wave Cycle
Period
Amplitude
Wavelength
Frequency
Velocity
- Peak Pressure or "height" of wave
- Represents the "loudness" of the wave
Period
Amplitude
Wavelength
Frequency
Velocity
Distance traveled during a single cycle
Period
Amplitude
Wavelength
Frequency
Velocity
- Number of times the wave is repeated per second
- Expressed in Hertz
Period
Amplitude
Wavelength
Frequency
Velocity
- Speed of the wave
- 1540 m/sec in soft tissue
- Determined by density/temperature
Period
Amplitude
Wavelength
Frequency
Velocity
Velocity speed is
1540 m/s in soft tissue
15.4 m/s in soft tissue
1.54 m/s in soft tissue
154 m/s in soft tissue
Frequency is
Number of times the wave is repeated per second
Expressed in Hertz
Single Wave Cycle
Temperature of material
Speed of the wave
Advantages of using ultrasound
non-invasive
affordance
Bone and Air penetration limitation
Must look for acoustic window
Disadvantages of using ultrasound
non-invasive
affordance
Bone and Air penetration limitation
Must look for acoustic window
Four laws of physics that are similar to light
Absorbed
Reflected
Refracted
Attenuation
Attrition
energy in sound beam is absorbed by the tissue
Absorbed
Reflected
Refracted
Attenuation
Attrition
Redirection of a portion of the beam back toward the source
Absorbed
Reflected
Refracted
Attenuation
Attrition
Encounters irregularities smaller than the sound beam
Absorbed
Reflected
Refracted
Attenuation
Attrition
The Progressive weakening of sound as it progresses through the medium
Absorbed
Reflected
Refracted
Attenuation
Attrition
Resistance that matter presents to the ultrasound beam
Acoustic Impedance
Acoustic Interface
Point of contact between two materials with different acoustic impedance
Acoustic Impedance
Acoustic Interface
Selectively process signals corresponding to motion TOWARD or AWAY from the transducer
Directional
Ranged
Allows the operator to select distances from trnasducer from which signals will be processed.
Directional
Ranged
Types of fetal heart monitors
Antepartum Monitors
Intrapartum Monitors
Electro Cardiogram Monitors
Antipartum Monitors
- Used conception to before delivery
- Has only external monitoring capabilities
- Used to assess fetal O2 levels
- Used to assess maternal-fetal exchange
Antepartum Monitors
Intrapartum Monitors
Characteristics of Antepartum Monitors:
Used to measure uterine contractions
Used to assess maternal-fetal exchange
Used conception to before delivery
Has only external monitoring capabilities
Used to assess fetal O2 levels
- Used during labor and delivery
- Same capabilities as the other monitor and additional
- Used in labor and delivery to monitor Uterine Contractions
Antepartum Monitors
Intrapartum Monitors
Characteristics of Intrapartum Monitors:
Used during labor and delivery
Same capabilities as the other monitor and additional
Used in labor and delivery to monitor Uterine Contractions
Has only external monitoring capabilities
Used to assess fetal O2 levels
Additional capabilities of intrapartum monitors include
Internal FECG
Abdominal ECG and Maternal ECG
Phonocardiography
Internal Pressure
Telemetry
FHR average is:
140 bpm
120-160 bpm
>160 bpm
<120 bpm
FHR normal range is:
140 bpm
120-160 bpm
>160 bpm
<120 bpm
FHR Tachycardia is:
140 bpm
120-160 bpm
>160 bpm
<120 bpm
FHR Bradycardia is:
140 bpm
120-160 bpm
>160 bpm
<120 bpm
Uterine Contractions Duration:
30 to 60 seconds
3 to 5 minutes
50 to 75 mmHg
8 to 12 mmHg
Uterine Contractions Frequency:
30 to 60 seconds
3 to 5 minutes
50 to 75 mmHg
8 to 12 mmHg
Uterine Contractions intensity:
30 to 60 seconds
3 to 5 minutes
50 to 75 mmHg
8 to 12 mmHg
Uterine Contractions resting tone (pressure between contractions):
30 to 60 seconds
3 to 5 minutes
50 to 75 mmHg
8 to 12 mmHg
External FHR monitor methods
Doppler
Phono cardiography
Abdominal ECG
Pressure Monitor - Tocotransducer
Pressure Monitor - Intrauterine Catheter
Internal FHR monitor methods
Doppler
Phono cardiography
FHR - Spiral Electrode
Pressure Monitor - Tocotransducer
Pressure Monitor - Intrauterine Catheter
Ext Monitoring characteristics:
- most common
Doppler ultrasound
Phono cardiography
FHR - Spiral Electrode
Pressure Monitor - Tocotransducer
Pressure Monitor - Intrauterine Catheter
Ext Monitoring characteristics:
- involves direct detection of sounds emitted by the fetal heart
- Acoustically sensitive microphone
Doppler ultrasound
Phono cardiography
FHR - Spiral Electrode
Pressure Monitor - Tocotransducer
Pressure Monitor - Intrauterine Catheter
Ext Monitoring characteristics:
- Large (maternal) and small (fetus) signals
- Good only 60% of the time
Doppler ultrasound
Phono cardiography
Abdominal ECG
Pressure Monitor - Tocotransducer
Pressure Monitor - Intrauterine Catheter
Ext Monitoring characteristics:
- used to detect the uterine contractions
- senses the hardening of the uterine muscle
- not accurate
Doppler ultrasound
Phono cardiography
Abdominal ECG
Pressure Monitor - Tocotransducer
Pressure Monitor - Intrauterine Catheter
Very rapid (150 - 250 / min) electrical discharge and contraction of the upper chambers of the heart
Atrial Flutter
Biphasic
Cardiogenic Shock
Cardioversion
having two phases
Atrial Flutter
Biphasic
Cardiogenic Shock
Cardioversion
shock resulting from the diminishment of cardiac output
Atrial Flutter
Biphasic
Cardiogenic Shock
Cardioversion
the restoration of the sinus rhythm by electrical shock
Atrial Flutter
Biphasic
Cardiogenic Shock
Cardioversion
electrical termination of fibrillation
Defibrillation
Dysrhythmia
Fibrillation
Joule
Any variation from the normal rhythm of the heart beat
Defibrillation
Dysrhythmia
Fibrillation
Joule
irregular, totally disorganized electrical activeity of the atria or ventricles or both
Defibrillation
Dysrhythmia
Fibrillation
Joule
- watt second
- unit of calibration
- 1 amp flowing for 1 second through 1Ω
Defibrillation
Dysrhythmia
Fibrillation
Joule
having one phase
Monophasic
Myocardial
Stored Energy
Synchronous
Death of the heart muscle tissue
Monophasic
Myocardial
Stored Energy
Synchronous
The energy stored within the defibrillator by the capacitor
Monophasic
Myocardial
Stored Energy
Synchronous
Occurring at the same time
Monophasic
Myocardial
Stored Energy
Synchronous
Types of defibrillators
Manual External Defib
Manual Internal Defib
Automated External Defib
Monophasic
Biphasic
Manual External Defib characteristics
2000 to 4000 volts
delivered for less than 20 msec
used primarily in the operating room during open heart procedures
Output is limited to 50 joules to prevent injury to the exposed heart
used by HCP in conjunction with ECG to determine the voltage and timing of electrical shock
Manual Internal Defib characteristics
2000 to 4000 volts
delivered for less than 20 msec
used primarily in the operating room during open heart procedures
Output is limited to 50 joules to prevent injury to the exposed heart
used by HCP in conjunction with ECG to determine the voltage and timing of electrical shock
Automated External Defib characteristics
2000 to 4000 volts
delivered for less than 20 msec
used primarily in the operating room during open heart procedures
Output is limited to 50 joules to prevent injury to the exposed heart
Do not require a HCP to determine whether or not a rhythm is shockable
Monophasic Defib characteristics
One pulse of electricity
One direction of current flow between the paddles
High amount of energy needed
Output is limited to 50 joules to prevent injury to the exposed heart
Do not require a HCP to determine whether or not a rhythm is shockable
Biphasic Defib characteristics
two directions of flow
Current reverses by changing the polarity of the electrodes in the later part of the shock delivered
High amount of energy needed
Output is limited to 50 joules to prevent injury to the exposed heart
Uses smaller amounts of energy
________ is the progressive weakening of sound waves as it passes through a medium
Reflection
refraction
absorption
attenuation
During syncro-cardioversion, what is the max amount of joules that can be delivered to a PT?
25 J
50 J
100 J
360 J
Which of the following is used as a reference when using a spiral tip electrode?
Metal plate attached to maternal thigh
Rubber plate attached to maternal thigh
Inner plastic tube that penetrates fetal skin
Wound wires attached at the base of the probe
which type of ESU allows for better current control?
monopolar
beam coagulation
bipolar
argon plasma
Which of the following monitoring methods process 2 ECG signals to extract the FHR
Abdominal ECG
Pressure monitoring
Doppler ultrasound
phonocardiography
when are intrapartum monitors used
before delivery
during delivery
after delivery
