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patient accessment final
chapter 1-9
227
Medical
Professional
08/19/2009

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Term
A landmark book, the Theory of Sound, represented the beginning of the modern study of acoustics and was authored by
Definition
Lord Rayleigh
Term
Endorsement of a school or institution is the process called
Definition
credentialing
Term
In 1974, the allied helath occupation of the diagnostic Medical Sonographer was created by the
Definition
AMA
Term
An objective test is one that incorporates the following
Definition
matching, true or false, completion
Term
Early real time ultrasound systems relied on the use of
Definition
linear array transducer
Term
Apearing on a list of sonographers eligible to practice their profession defines the term
Definition
registration
Term
Bi-stable imaging systems were replaced by grayscale methods because
Definition
they failed to demonstrate subtle soft tissue interfaces
Term
Two important mental functions in effective listening are
Definition
comprehension and recall
Term
The most common form of a subjective test is
Definition
essay
Term
the 2 most critical attributes a sonographer needs to achieve a successful technical orientation are
Definition
good psychomotor skills and 3-D conceptualization
Term
the distructive nature of ultrasound on biologic organisms and living tissues was first discussed in 1927 by
Definition
woods and loomis
Term
The method of memorizing that relies on arranging lists of data in segments is called
Definition
clustering
Term
An institution or educational program must establish, maintain and promote appropriate standards of quality in order to be recognized by joint review commission for
Definition
accreditation
Term
Initially, the membership in the AIUM was only open to
Definition
physiatrists
Term
Studies have shown that people consciously pay attention to only ____ % of what they hear
Definition
25
Term
Name the physician credited as the first to establish the characteristic M-mode patterns of the mitral valve
Definition
Inge Edler
Term
The study of sound was begun in 500 B.C., when Pythagoras observed
Definition
the relationship between pitch and frequency
Term
Maintaining ARDMS registration requires evidence of _____ hours of continuing education every _____years
Definition
30/3
Term
The document specifying the role of a sonographer as a member of the health care team, acting in the best interest of the patient is called
Definition
scope of practice
Term
A study break of ______ minutes is recommended after every 50 minutes of study
Definition
10
Term
who is credited with the observation that "the angle of reflection is equal to the angle of incidence"?
Definition
Leonardo da Vinci
Term
Which of the following needs are NOT taught but are critical to becoming an excellent sonographer?
Definition

Good psychomotor skills

ability to think in 3-D

Term
Sonography is unique in the imaging profession because of
Definition
the ability to express independent judgment
Term
To remove unwanted tissue, therapeutic ultrasound relies on the following irreversible effects
Definition
mechanical stress, cavitation, localized heating
Term
The educational focus of providing a well rounded experience to serve as a springboard to advanced studies and employment in managerial or instructional positions describes a
Definition

community college associate degree or technical certificate program

university based baccalaureate program

Term
The father of obstetric ultrasound is the title given to
Definition
Dr Ian Donald
Term
The A-mode mapping of the human brain was pioneered by
Definition
Karl Dussik
Term
Currently successfully becoming registered in Diagnostic medical sonography is mandatory
Definition
False
Term
Fetal echocardiography is a recent specialty exam offered by SDMS
Definition
False offered by ARDMS
Term
The least understood and offen most overlook of the memory systems is the
Definition
immediate memory system
Term
The first scientist to develop intercaviary transducers for use with B-mode scnners was
Definition
John Wild
Term
The  first scientist to develop intercavitary transducers for use with B-mode scanners was
Definition
John Wild
Term
The A-mode mapping of the human brain was pioneered by
Definition
Karl Dussik
Term
SDMS was previously known as
Definition
ASUTS
Term
The "B" in ROUB, the credential awarded to ophthalmic ultrasound professionals, stands for __________
Definition
Biometrists
Term
Short term memory is a rather limited system, capable of remembering a maximum of ______ items
Definition
7
Term
Most student sonographer performance evaluations are divided into 2 categories _______ and _______
Definition
product/process
Term
What do the letters "r' and "S" stand for in the PQRST equation
Definition
re-read/state
Term
A high white blood cell count may indicate
Definition
Infection
Term
A low WBC is also knows as
Definition
Leukopenia
Term
Prothrombin time is a lab test used to determine the
Definition
clotting tendency of blood
Term
The production of PT depends on adequate intake and utilization of
Definition
vitamin K
Term
ALT is also knows as
Definition
SGPT
Term
Alkaline phosphatase or ALP is an enzyme found primarily in the
Definition
bones and liver
Term
The 2 enzymes associated with the pancrease are
Definition
amylase and lipase
Term
BID is a common medical abbreviation that stands for
Definition
twice a day
Term
the medical abbreviation for "diagnosis" is
Definition
DX
Term
The medical abbreviation for alcohol is
Definition
ETOH
Term
The root word for liver is
Definition
hepat
Term
The prefix that means fat is
Definition
lipo
Term
The medical abbreviation "LFT" stands for
Definition
Liver function tests
Term
IDDM stands for
Definition
Insulin Dependent Diabetes Mellitus
Term
Francis Fry and Elizabeth Fry are most well known for their work in
Definition
Breast Ultrasound
Term
In 1974 the allied health occupation of Diagnostic Medical Sonographer was created by
Definition
AMA
Term
One of the most common sites of sonographers pain and injury is in the
Definition
shoulder
Term
A sonographer should take a break for ____ minutes for every _____ hours of scanning according to ARDMS
Definition
10 mins for every 2 hours
Term
The ARDMS currently offers _____ specialty examinations and registrations
Definition
8
Term
Which ions are depieted by fluorescent lighting
Definition
Negative
Term
Miniscule tearing of the wrist tendons causes
Definition
musculoskeletal injuries
Term
Two important mental functions in effective listening are
Definition
recall & comprehension
Term
The ______ and _____ are the areas that musculoskeletal pain is most resistant to therapy and medication
Definition
Back and Neck
Term
The endorsement of confidence bestowed on a school or institution is called
Definition
credentialing
Term
Cumulative trauma disorders are also known as:
Definition
RSI's
Term
Studies have shown that people consciously pay attention to only ________ % of what they hear
Definition
25%
Term
To remove unwanted tissue, therapeutic ultrasound relies on the following irreversible effects:  mechanical stress, cavitation and _______________?
Definition
localized heating
Term
The two most critical attributes a sonographer needs to achieve a successful technical orientation are good psychomotor skills and _______________.
Definition
3-D conceptualization
Term
Initially, the membership in the AIUM was only open to __________________.
Definition
Physiatrists
Term
The study of sound was begun in 500 B.C. when Pythagoras observed the relationship between _______ and frequency
Definition
pitch
Term
Fluorescent lighting increases
Definition
eyestrain and fatigue
Term
Stress is a relatively modern disorder that suppresses the
Definition
immune system
Term
A document specifying the role of a sonographer as a member of the health care team, acting in the best interest of the patient is called:
Definition
the Scope of Practice
Term
NEVER drape the transducer cable over
Definition
the shoulders/neck area
Term
The A-mode mapping of the human brain was pioneered by
Definition
Karl Dussik
Term
The physican credited as the first to establish the characteristic M-mode patterns of the mitral valve was
Definition
Inge Edler
Term
The development of modern day sonar is linked to the invention of
Definition
the hydrophone
Term
The "B" in ROUB, the credential awarded to ophthalmic ultrasound professionals stands for
Definition
biometrists
Term
DeQuervain's tenosynovitis is typically associated with
Definition
neuromas
Term
The use of bulky transducers is a contributing factor to
Definition
ergonomic stress
Term
Plantar fasciitis is related to
Definition
being overweight and results from overuse and repeated stress of the foot.
Term
Internally generated stress is a major factor in the development of ______________.
Definition
burnout and
compassion fatigue
Term
Name 2 actions recommended to successfully cope with stress
Definition
awareness and avoidance
Term
The phenomenon of piezoelectricity was discovered by
Definition
Curie Brothers
Term
A technique or system for improving memory by the use of certain formulas is called:
Definition
mnemonics
Term
A two-dimensional presentation of echo-producing interfaces that is also known as brightness modulation is called:
Definition
b-mode
Term
Pertaining to the liver is called
Definition
hepato
Term
A digestive enzyme  of the pancreas that is necessary for the breakdown of long-chain carbohydrates is called
Definition
amylase
Term
A main enzyme of the pancreas that is responsible for breaking down fats in the human digestive system is called
Definition
lipase
Term
AST is also known as
Definition
sgot
Term
AAA stands for
Definition
abdominal aortic aneurysm
Term
BUN stands for
Definition
blood urea nitrogen
Term
Hx stands for
Definition
History
Term
Chole- or chol is a medical term root word that means
Definition
Bile
Term
The landmark book, The Theory of Sound, represented the beginning of the modern study of acoustics and was authored by
Definition
Lord Rayleigh
Term
The major limitation of bi-stable imaging was its
Definition
storage phosphor cathode ray tube
Term
Floyd Firestone is credited with inventing a(n):
Definition
flaw detector
Term
Bi-stable imaging systems were replaced by grayscale methods because
Definition
they failed to demonstrate subtle soft tissue interfaces
Term
Who was the first person to use the sound analogy of a pebble dropped into a calm body of water
Definition
Boethius
Term
The observation of bats navigating in the dark produced the idea that sound above the range of human hearing might exist.  This concept was first expressed by:
Definition
Lazzaro Spallanzani
Term
Appearing on a list of sonographers eligible to practice their profession defines the term
Definition
registration
Term
Deductive reasoning relies on the ability to
Definition
draw conclusions,
recover facts,
logically manipulate information
Term
Reading only titles, subtitles and words in italics represents the ________ approach to study
Definition
preview
Term
As the 21st century began, what percentage of sonographers were estimated to be scanning with pain/injury
Definition
75%
Term
Early real time ultrasound systems relied on the use of
Definition
linear array transducers
Term
An objective situational test in which only one answer is correct, unless instructed otherwise, describes the
Definition
multiple choice test
Term
The have-or-have-not function involving memory is
Definition
recall
Term
Sonography is unique in the imaging professions because of
Definition
the ability to express independent judgment
Term
Because not all ultrasound examinations have a positive outcome, it is important that sonographers possess:
Definition
emotional stability
Term
Evaluation and recognition of a school or institution for demonstrating ability in a specialty area is the process of
Definition
accreditation
Term
Maintaining ARDMS registration requires evidence of ______ hours of continuing education every _____years
Definition
30/3
Term
Reading to comprehend is a complex and intellectual activity that can be achieved only through
Definition
anticipation,
evaluation
Term
Longer study periods are best suited to
Definition
outlining
writing papers
organizing relationships
organizing concepts
Term
The educational focus of providing a well rounded experience to serve as a springboard to advanced studies and employment in managerial or instructional positions describes a
Definition
university based baccalaureate program
community college associate degree or technical certificate program
Term
Upper extremity MSI seen in sonographers is most often associated with
Definition
transducer design and manipulation
Term
Resource inadequacy results from
Definition
being denied access to training
Term
Carpal tunnel syndrome is caused by
Definition
compression of the median nerve
Term
The design and implementation of student clinical activities is heavily governed by
Definition
institutional regulations
government and legal regulations
ethical regulations
Term
Membership in a professional ultrasound organization offers members to
Definition
networking
legislative representation
publications
continuing educational activities
Term
Who first originated the concept that sound travels in waves
Definition
da Vinci
Term
Who is credited with the observation that "the angle of reflection is equal to the angle of incidence"
Definition
da Vinci
Term
Fetal echocardiography is a recent specialty exam offered by
Definition
ARDMS
Term
SDMS was previously known as
Definition
ASUTS
Term
Prothrombin time is a lab test used to determine
Definition
the clotting tendency of blood
Term
Alkaline phosphatase or ALP is an enzyme found primarily in the
Definition
liver and bones
Term
"bid" is a common medical abbreviation that stands for
Definition
"twice a day"
Term
New demands placed on modern day sonographers includes
Definition

knowledge of pathophysiology

increased patient care  
computer literacy
Term
Short term memory is dependent on
Definition
immediate memory
Term
Short term memory is a rather limited system, capable of remembering a maximum of ______ item(s) at a time
Definition
7
Term
Lack of eye contact is associated with
Definition
anxiety
depression
embarassment
low self esteem
Term
To avoid vena cava hypotension in pregnant patients, the sonographer should place the patient in the __________ position.
Definition
lateral decubitus
Term
Statutory law differs from common law because it
Definition
is written by federal and state legislatures
Term
Patients who are hearing impaired may
Definition
avoid social situations
control conversations
interrupt others while speaking
Term
Which basic human need is the most essential
Definition
physical
Term
QA testing of sonographic equipment tests
Definition
photography
sensitivity
vertical and horizontal measuring devices
Term
Which of the following conditions make it more difficult to obtain satisfactory images of the abdominal and pelvic organs?
Definition
barium contrast material
Term
Which of the following statements correctly describes a tort
Definition
Torts are a civil wrong
Term
Which laboratory tests is associated with the digestive tract
Definition
serum amylase
ALT
bilirubin
AST
Term
To communicate effectively, you should
Definition
be brief
be specific
be concise
give only facts
Term
When a patient has a speech problem, the patient should ask the sonographer
Definition
to repeat or rephrase
Term
Which of the following tasks is associated with QA testing
Definition
vertical measurement accuracy
instrument sensitivity evaluation
horizontal measurement accuracy
photographic image uniformity
Term
Flank pain is most commonly associated with
Definition
renal calculi
Term
Which of the following descriptions of body language is (are) incorrect?
Definition
maintaining silence
Term
To communicate with a depressed patient, you should
Definition
remain silent when the patient is quiet
Term
Implied consent is used when a patient is
Definition
unconscious but in need of care
Term
To facilitate communication, it may be helpful to employ (a):
Definition
communication triad
Term
Duty, breach, cause and injury are subjects that civil proceedings must address in order to
Definition
establish negligence
Term
Color doppler images of the splenic vein and artery as well as the renal veins and arteries should be used to demonstrate blood flow patency and _________.
Definition
direction
Term
Failure to remove patient identification from scans used for classroom lectures, formal speaking engagements or publication constitutes:
Definition
invasion of privacy
Term
What is the proper way to communicate with a non-English speaking patient?
Definition
through an interpreter
through an English speaking family member
Term
Which of the following stages of dying describes the realization that there will NOT be enough time to do everything that had been planned?
Definition
acceptance
Term
A sonographer's report should NOT include
Definition
tissue diagnoses
Term
A sonographer's report should include
Definition
organ measurements
technical difficulties
echogenicity of target studied
finding of free fluid
Term
Which of the following statement are true
Definition
Only the physician named on the form may perform the procedure
Only parents or legal guardians may sign for a minor
Patients may sign the form after an explanation of the procedure has been given
A witness must give his or her full name and title
Term
examples of non-verbal communication
Definition
presenting an approachable demeanor
exhibiting a puzzled facial expression
smiling at the patient
maintaining eye contact with the patient
Term
patient-sonographer interactions that are true
Definition
touch is commonly used to express concern and support for patients
in Maslow's hierarchy of needs, patients cannot satisfy the need for love and belonging before satisfying the need for safety and security
a sonographer's personal appearance does not reflect on his or her diagnostic abilities
patients experiencing the stage of anger assign blame to everyone around them
Term
A computer assisted program that electronically stores, manages, distributes and allows the viewing of images is called?
Definition
PACS
Term
The supine position is also known as
Definition
dorsal recumbent position
Term
A communication triad is contraindicated in employer/employee situations if
Definition
it would breach confidentiality
employee anxiety level is too high
Term
A family member repeatedly addresses you as "nurse" or "doctor".  You do NOT correctly identify yourself.  This is an example of:
Definition
fraud
Term
Which term describes a patient's injury through NO fault of their own, while in the care of a sonographer
Definition
res ipsa loquitur
Term
statements concerning the nondiagnostic use of ultrasound which are correct
Definition
using an ultrasound device without a physician's order may violate state or local laws
nothing should appear on the patient's hardcopy images that did not appear on the diagnostic images
the AIUM is not in favor of this practice
patients should be denied their images if any abnormality is found or suspected
Term
The use of reality orientation is a technique indicated in dealing with
Definition
confused patients
Term
Competent sonographers are expected to have an excellent understanding of common _________ and to recognize any situation that calls for unusual _____ or patient __________.
Definition
diseases; views, preparations
Term
The type of policy that covers you for lawsuits made against you while the policy was in force is called
Definition
claims-made
Term
Communicating professionally and effectively with coworkers requires
Definition
good listening skills
praise for a job well done
being friendly and helpful
withdrawing from gossipy conversations
Term
The prep for an abdominal ultrasound is
Definition
NPO for 8-12 hours
Term
A powerful solution used to disinfect transducers, especially vaginal transducers,  is called
Definition
glutaraldehyde
Term
A court document that requires a witness to appear and testify or produce documents/papers pertinent to a pending controversy is called
Definition
subpoena
Term
Regarding the use of patient restraints
Definition
a physician must order the use of restraints
Term
Centesis means
Definition
puncture
Term
t.i.d. means
Definition
3 times a day
Term
Spoken defamation is called
Definition
slander
Term
BUN is a waste product excreted by
Definition
kidneys
Term
A surplus of RBC's occurs in a disease called
Definition
polycythemia vera
Term
Causative agents for STD's may be
Definition
herpes simplex virus, candidiasis and trichomoniasis
Term
"ectomy"  means
Definition
surgical removal
Term
"TVS" stands for
Definition
transvaginal scan
Term
"viscer" means
Definition
organ
Term
"hs" stands for
Definition
at bedtime
Term
Patients who are hearing impaired may
Definition
interrupt others while speaking
control conversations
Term
Which of the following statements correctly describes a tort
Definition
A tort is a civil wrong
Term
Which of the following tasks are associated with QA testing
Definition
photographic image uniformity
horizontal measurement accuracy
instrument sensitivity evaluation
Term
Implied consent is used when a patient is
Definition
unconcious but in need of care
Term
Failure to remove patient identification from scans used for classroom lectures, formal speaking engagements or publication constitutes
Definition
invasion of privacy
Term
Which of the following statements is NOT true
Definition
Patients may sign the form before an explanation of the procedure has been given
Term
The supine position is also known as
Definition
dorsal recumbent position
Term
statements concerning the nondiagnostic use of ultrasound
Definition
Patients should be denied their images if any abnormality is found or suspected
Nothing should appear on the patient's hardcopy images that did not appear on the diagnostic images
Using an ultrasound device without a physician's order may violate state or local laws
Term
Communicating professionally and effectively with coworkers requires all of the following
Definition
being friendly and helpful
withdrawing from gossipy conversations
praise for a job well done
good listening skills
Term
Regarding the use of patient restraints
Definition
A physician must order the use of restraints
Term
Before sonography can be recognized as a profession, it will have to develop
Definition
autonomy
Term
The two most common ethical theories are
Definition
teleology and deontology
Term
States are powerless to prohibit abortion EXCEPT
Definition
during the 3rd trimester
Term
To avoid vena caval hypotension in pregnant patients, the sonographer should place the patient in the ________ position
Definition
lateral decubitus
Term
Patient transference can best be avoided by sonographers
Definition
maintaining professional distance
Term
QA testing of sonographic equipment tests all of the following items
Definition
sensitivity
vertical and horizontal measuring devices
photography
Term
In making ethical decisions, it is very important NOT to
Definition
listen to hearsay or gossip
Term
To communicate effectively, you should do all of the following
Definition
be concise
give only facts
be brief
be specific
Term
The key to developing professionalism is
Definition
understanding
Term
Which of the following statements about providing fetal keepsakes to parents are correct
Definition
The supervising physician should review the images first
The keepsake should not demonstrate anything not seen on the diagnostic study
The supervising physician should deny the tape if abnormalities are found
A written policy should be in place before offering fetal keepsakes
Term
Which of the following descriptions of body language is (are) incorrect
Definition
maintaining silence
Term
Professionalism in sonographers is based on all of the following
Definition
honesty
integrity
compassion
competency
Term
Which of the following statements best describes teleology
Definition
consequence based
Term
Duty, breach, cause and injury are subjects that civil proceedings must address in order to
Definition
establish negligence
Term
An example of healthcare professionals who have achieved autonomy are
Definition
social workers
Term
Which of the following stages of dying describes the realization that there will NOT be enough time to do everything that had been planned
Definition
acceptance
Term
statements about ethics and professionalism that are TRUE
Definition
Sonographers are not free to share a diagnosis with a patient
Information confided to a physician is legally privileged
Patients must sign consent forms before sedation is given
A patient's right to die is supported by a durable power of attorney for healthcare
Term
patient-sonographer interactions that are TRUE
Definition
In Maslow's hierarchy of needs, patients cannot satisfy the need for love and belonging before satisfying the need for safety and security
Patients experiencing the stage of anger assign blame to everyone around them
Touch is commonly used to express concern and support for patients
A sonographer's personal appearance does not reflect on his or her diagnostic abilities
Term
Sonographers have a duty to be truthful.  Which of the following describes truthfulness
Definition
veracity
Term
A family repeatedly addresses you as "nurse" or "doctor".  You do NOT correctly identify yourself.  This is an example of
Definition
fraud
Term
The Ultrasound Practitioner is a healthcare professional with the autonomy to
Definition
interpret diagnostic ultrasound images
Term
Competent sonographers are expected to have an excellent understanding of common _____ and to recognize any situation that calls for unusual _____ or patient _______.
Definition
diseases, views and preparations
Term
The personnel elements of medical sonography examination include
Definition
patient
sonographer
physician
Term
A powerful solution used to disinfect transducers, especially vaginal transducers, is called:
Definition
glutaraldehyde
Term
Sonographers acting as patient advocates should report their concerns to
Definition
quality assurance department
risk management department
department supervisor
supervisor of nursing
Term
Which of the following terms best defines the term "values"
Definition
worth
Term
Before deciding to become a "whistle blower", a sonographer should
Definition
keep a journal

gather relevant data

go through the "channels"
Term
When family members are very demanding and angry with your department's staff, the cause of their behavior is most likely
Definition
fear over their relative's condition
Term
What, more than anything else in the last part of the 20th century, has given rise to the most basic ethical questions and concerns?
Definition
managed care
Term
A sonographer's obligation toward the sonography profession includes all of the following
Definition
actively seeking to become proficient
pursuing continuing education
supporting the activities of a professional organization
realizing that sonography is more than just a job
Term
Which of the following conditions make it more difficult to obtain satisfactory images of the abdominal and pelvic organs
Definition
barium contrast material
Term
Flank pain is most commonly associated with
Definition
renal calculi
Term
Which term describes a patient's injury through NO fault of their own, while in the care of a sonographer
Definition
res ipsa loquitur
Term
If a sonographer innocently commits an error as a result of following a physician’s orders, the physician may be held responsible according to the
Definition
doctrine of respondeat superior
Term
Why is professional accountability an important concept in the profession of sonography
Definition
All health care professionals are legally and ethically responsible for their own actions
Term
When testifying at a trial, a sonographer should NOT
Definition
helpfully introduce additional information
Term
Which basic human need is the most essential
Definition
physical
Term
Why is it important to make eye contact with patients when they are describing their pain?
Definition
to make the patient feel that what he or she is saying is important
Term
It is important to treat geriatric patients as mature adults because it
Definition
preserves their self image
increases their cooperation
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