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Chapter 10: Ultrasonography — Worksheet Questions

Total questions: 39

Worksheet time: 20mins

Name
Class
Date
1.

Identify the primary topic of Chapter 10 shown with a veterinary professional performing a scan on a small dog using an ultrasound probe connected to a console.

a)

Radiography

b)

Ultrasonography

c)

Endoscopy

d)

Thermography

2.

Select all items listed under the learning objectives for this chapter.

a)

Real-time ultrasound imaging

b)

Artifacts and limitations of ultrasonography

c)

Transducer types and functions

d)

Image modes

e)

Clinical applications for body systems

3.

According to the applications slide with ultrasound images labeled Effusion, Spleen, and Liver, which materials or tissues are stated as visible with ultrasonography? Select all that apply.

a)

Bone

b)

Air

c)

Fat

d)

Fluid

e)

Soft tissues

4.

According to the applications slide, producing ultrasonographic images is relevant in which situation?

a)

When alternative diagnostic imaging is required

b)

Only for routine wellness examinations

c)

Exclusively during surgical procedures

d)

When radiography is unavailable and CT is contraindicated

5.

Based on the principles slide, what component generates the sound waves used for imaging?

a)

The detector array in the monitor

b)

The ultrasound probe (transducer)

c)

The system power supply

d)

The thermal printer

6.

According to the principles slide, where are the most important components of an ultrasound machine located?

a)

Inside the display unit

b)

Within the transducer

c)

In the foot pedal controls

d)

In the keyboard housing

7.

What statement from the principles slide explains why echoes return to the probe during scanning?

a)

Chemical reactions in tissues emit sound

b)

Electromagnetic radiation is absorbed by organs

c)

Sound waves are reflected back to the probe depending on various tissue densities

d)

Heat conduction moves energy toward the transducer

8.

Interpreting the dolphin diagram titled Mode of Action, what fundamental concept relevant to ultrasound imaging does the illustration depict?

a)

Continuous electrical stimulation of tissues

b)

Emission of sound waves and reflection from targets to inform detection

c)

Direct visualization of organs through transparent skin

d)

Use of magnetic fields to align hydrogen nuclei

9.

Identify the device component shown in the image: a close-up of a medical probe with a rectangular element and an orange plate, set against a mosaic background.

a)

Ultrasound transducer (probe)

b)

X‑ray tube head

c)

Flexible endoscope tip

d)

MRI surface coil

10.

According to the slide titled "The Ultrasound Machine" under Practicality, which formats are available for ultrasound machines? Select all that apply.

a)

Larger cart models

b)

Laptop units

c)

Handheld portable devices

d)

Only desktop tower systems

11.

From the Practicality considerations when selecting an ultrasound machine for a veterinary practice, which factors may vary by model? Select all that apply.

a)

Available transducer types and frequencies

b)

Computer processor speed

c)

Quality of viewing monitors

d)

Optional software applications

e)

Mandatory built‑in radiography unit

12.

Based on the Patient preparation section, which statements are required to achieve the desired imaging? Select all that apply.

a)

The animal can be examined in any position that achieves the desired imaging

b)

It is important that the patient remains still

c)

The probe must have direct contact with the skin surface

d)

The probe should hover above the skin without touching

13.

Which benefit of ultrasound is emphasized for cardiac studies on the comparison slide?

a)

Real‑time imaging

b)

Superior bone detail compared with CT

c)

Use of ionizing radiation

d)

Fixed probe position

14.

What is the term for computer reconstruction that allows visualization of the heart in a three‑dimensional format from multiple planes?

a)

Multiplanar reconstruction (MPR)

b)

Fourier transform imaging

c)

Digital subtraction angiography

d)

Tomographic attenuation correction

15.

On the comparison slide, saved video recordings can be transferred into which format that allows the area of interest to be visualized over a prolonged period?

a)

Cine loop

b)

DICOM archive only

c)

Static frame stack

d)

Raster overlay

16.

Which safety statement is correct according to the comparison slide?

a)

Safety precautions required for ionizing radiation (x‑rays) are not required when an ultrasound is in use

b)

Ultrasound requires the same radiation shielding as plain radiography

c)

Ultrasound emits ionizing radiation at lower doses than x‑rays

d)

Both ultrasound and plain radiography require dosimeter badges for probe operators

17.
Question Image

Match each cardiac abbreviation shown on the ultrasound image to its labeled structure.

a)

RV

1.

Right ventricle

b)

RA

2.

Right atrium

c)

LV

3.

Left ventricle

d)

LA

4.

Left atrium

18.

Which term describes a structure that appears completely dark or black with no internal echoes on ultrasound?

a)

Anechoic

b)

Hypoechoic

c)

Hyperechoic

d)

Isoechoic

19.

According to the echogenicity diagram, which items commonly appear hyperechoic? Select all that apply.

a)

Bone

b)

Tendon

c)

Ligament

d)

Nerves

e)

Fluid in a cyst

20.

Which progression correctly orders tissues from low density to high density as shown by the arrow on the echogenicity slide?

a)

Skin < Fat < Soft tissue << Bone

b)

Bone << Soft tissue < Fat < Skin

c)

Fat < Skin < Soft tissue << Bone

d)

Soft tissue < Fat < Skin << Bone

21.

Match each ultrasound term to its definition as listed on the Terms slide.

a)

Anechoic

1.

Lacking internal echoes; appears very dark to almost black

b)

Hyperechoic

2.

Reflects more intense sound waves and appears brighter than surrounding tissues

c)

Hypoechoic

3.

Reflects fewer sound waves with less intensity; appears darker than surrounding tissues

d)

Isoechoic

4.

Two structures have relatively similar echogenicity toward each other

e)

Attenuation

5.

Loss of sound wave energy as it traverses tissue due to absorption, reflection, or scattering

22.

Which statement best defines reverberation according to the Terms slide?

a)

Repeated reflection of a sound wave between two highly reflective surfaces, such as air and the ultrasound probe

b)

Loss of sound wave energy due to absorption in soft tissue

c)

Appearance of two structures with similar echogenicity

d)

Artifact caused by probe overheating

23.

Which description correctly identifies the near field?

a)

The area of a structure of interest that is closest to the probe

b)

The area of a structure of interest that is farthest from the probe

c)

The region beyond the focal zone only

d)

The area outside the frame of view

24.

Which description correctly identifies the far field?

a)

The area of a structure of interest that is farthest from the probe

b)

The area of a structure of interest that is closest to the probe

c)

The probe housing immediately around the transducer

d)

The acoustic coupling gel layer

25.

Echogenicity: Examples — What term would we use to describe this image? The ultrasound shows a fluid-filled, uniformly dark region with posterior acoustic enhancement compared to surrounding tissues.

a)

Anechoic

b)

Hypoechoic

c)

Isoechoic

d)

Hyperechoic

26.

Echogenicity: Examples — What term would we use to describe this image? The ultrasound shows a focal region that appears darker than the adjacent liver parenchyma, indicated by an arrow.

a)

Hyperechoic

b)

Isoechoic

c)

Hypoechoic

d)

Anechoic

27.

Echogenicity: Examples — What term would we use to describe this image? The ultrasound shows a solid-appearing focus that is brighter than surrounding tissues, indicated by a bold arrow.

a)

Hypoechoic

b)

Hyperechoic

c)

Isoechoic

d)

Anechoic

28.

Echogenicity: Structures — Which items are classified as echogenic on ultrasound imaging?

a)

Calcification

b)

Gas

c)

Fluid

d)

Fat

29.

Echogenicity: Structures — Which description best characterizes fluid on ultrasound?

a)

Anechoic to hypoechoic

b)

Hyperechoic only

c)

Uniformly isoechoic

d)

Highly reflective causing shadowing

30.

Echogenicity: Structures — In the dark regions within the displayed ultrasound images, which echogenicity category most commonly applies?

a)

Echogenic

b)

Variable echogenicity

c)

Anechoic to hypoechoic

d)

Hyperechoic

31.

Modes in Ultrasound Imaging — What does B mode represent and primarily display?

a)

Brightness; a 2D grayscale image classifying pixels as hyperechoic or hypoechoic

b)

Motion; a time–depth trace of tissue movement

c)

Flow; color-coded velocity maps

d)

Attenuation; tissue stiffness quantification

32.

Modes in Ultrasound Imaging — Which statements describe M mode? Select all that apply.

a)

Represents motion

b)

Uses a cursor line set over an area seen in B mode

c)

Simultaneously displays a B-mode image while showing tissue motion

d)

Focuses solely on 3D volumetric rendering

33.

Modes in Ultrasound Imaging — In the M-mode display shown, what does the horizontal axis represent?

a)

Time

b)

Image depth

c)

Ultrasound frequency

d)

Gain settings

34.

Modes in Ultrasound Imaging (Cont.) — What is the primary purpose of the Doppler modality?

a)

To image the flow of blood and other liquids while measuring their velocity

b)

To classify pixels as hyperechoic or hypoechoic

c)

To create three-dimensional reconstructions

d)

To measure tissue elasticity

35.

Modes in Ultrasound Imaging (Cont.) — Which are Doppler techniques? Select all that apply.

a)

Color Doppler

b)

Power Color Doppler

c)

Pulse Wave Doppler

d)

Continuous Wave Doppler

e)

Brightness (B) mode

36.

Based on the slide showing modes in ultrasound imaging, which mode helps to decrease ultrasound artifacts in very large or obese patients?

a)

Harmonic mode

b)

Multiplanar reconstruction

c)

Three-dimensional/four-dimensional modes

37.

According to the description provided, what do multiplanar reconstruction (MPR) studies involve?

a)

Reconstructing images from various planes to allow simultaneous visualization on the monitor

b)

Reducing artifacts in very large or obese patients

c)

Primarily imaging human fetal, obstetrical, and cardiac valves

38.

Select all statements that are accurate about three-dimensional and four-dimensional ultrasound modes as presented.

a)

Used primarily for human fetal, obstetrical, and cardiac valve imaging

b)

Not commonly used in veterinary medicine

c)

Designed to decrease artifacts in obese patients

d)

Primarily reconstruct images from various planes for simultaneous visualization

39.
Question Image

Match each ultrasound control with its function as shown on the Knobology slide.

a)

Gain

1.

Affects the brightness of the image

b)

Depth

2.

Each transducer type has set maximum and minimum depth at which it can send and receive sound waves

c)

Time gain compensation

3.

Allows the operator to selectively adjust the gain at various depths while they are already there

d)

Presets

4.

Preinstalled settings programmed by the manufacturer