Station #4 US Questions

[1]. What is the proper relationship between probe frequency and ultrasound depth of penetration and image resolution?

[2]. What cardiac metric is one ultimately interested in obtaining by performing velocity-time-integral (VTI) measurements?

[3]. A 40yo female patient with multiple abdominal surgeries presented with severe abdominal pain. You suspect that she has an SBO and performed an abdominal POCUS. What is the classic ultrasound finding that is relatively specific for SBO?

[4]. 54yo female presents with visual disturbance that you gathered was monocular. You performed an ocular ultrasound and found out that she may have this finding.

[5]. An elderly male 72 years of age came to the ED with tachycardia with a heart rate of 150. Even though he is uncomfortable, he is conscious and talking to you. What rhythm is he in?

[6]. A older than stated aged 43yo male came to the ED with hypoxia and shortness of breath. You performed a POCUS scan of his right thorax at the PLAPS point. You see the "Jelly fish sign". What is the jelly fish and what type of fluid is it swimming in?

[7]. A 54yo sedentary COPD patient came to the ED with chest pain, tachypnea and hypoxia. He has a large right calf due to his sedentary nature. You performed a bedside cardiac US and surmised that he may have a large PE. What is the ultrasound finding that you observed?

[8]. An 79yo female presents to the ED 5 days after a left heart cath due to worsening swelling and pain in her right groin, where the puncture site was located. The groin was not cyanotic and red. She was slightly hypotensive and has a hemoglobin of 9. You performed a bedside US on her right groin and suspect an expanding hematoma. What is the US finding?

Station #4 Challenge Scenario

Covered in sweat and struggling to breathe, the woman can barely utter two words: “Help me.” You found a handheld ultrasound machine and evaluated her at the bedside. Evaluate the following two videos.

Video Clip #1: The elderly patient, who was running for her life, is presently tachypneic. You placed an ultrasound probe on her chest.

Video Clip #2: You then moved on to assess her cardiac function... What is the contractility of heart heart? Hypokinetic, Hyperkinetic or normal?

Challenge Question

Choose the drawer that contains the most appropriate treatment regimen. Completing this challenge question correctly will help you correctly select the fourth digit for the antidote's lockbox code, concealed within the medication cart. The time is ticking, and this elderly woman's health is hanging in the balance, along with the fate of the ship. Your actions are crucial to ensure her survival.