Quiz: SDEP™ 17 Point Abdomen Manuality Progression Quiz: 20-750373

20-750373

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Quiz

The 3 basic maneuvers inherent in SDEP® manuality are(Required)

Twist, claw, and slide

Slide, push, and tilt

Twist, tilt and slide

Tether, tilt, and twist

Which of the following statements is LEAST true regarding SDEP manuality?(Required)

The sonographer should stand one arm’s length from the patient

Micro maneuvers are smaller variations of the standard maneuvers used to refine an image

Steady pressure with the claw can make an image pop

The sonographer should have their shoulder level with the hips of the patient

Which of the following statements is LEAST true regarding SDEP manuality?(Required)

Hold the probe like a tennis racket, thumb over the probe marker, forefinger over the top to cause less probe discomfort

For deeper structures, it is recommended to hold the probe like a pencil to achieve more pressure with the footprint.

The middle, ring and pinkie fingers of the hand are used to move structures and artifact out of the way

Pressure with the “claw” condenses tissue creating a higher resolution, prettier image

Which of the following statements is LEAST true regarding SDEP manuality?(Required)

Fanning involves a 3 second complete edge to edge organ coverage

Drop the tail of the probe obliquely in order to stay in line with the long axis of the organ

The function of the twist is to lengthen any organ

The slide is useful for following a long organ such as the spleen or GI

Which is the MOST true of Positions 2 and 3?(Required)

Twist to turn the C of the bladder into a V, pronate your wrist and twist to lengthen the urethra

Using significant pressure will get the best deep urethra image

The deep pelvic colon cannot be imaged in Position 3

Which is the MOST important key to imaging a nice Position 4 iliac trifurcation?(Required)

Keep the probe tilted as you jump the colon

Stay perpendicular to the spine and press against the lumbar muscles

Adjust pressure so the CVC is squeezed out of the image

Position 5 uses which approach to the left adrenal:(Required)

Twist to follow the CVC from the iliac trifurcation to the left renal artery

Twist to follow the aorta from the iliac trifurcation to the left renal artery

Twist to follow the aorta from the iliac trifurcation until you see the left kidney

The SDEP way to optimize the left adrenal is(Required)

Look cranial to the left renal artery to catch a piece of the left adrenal then micro maneuver twist to lengthen

Use the “claw” to move kidney out of the way and move the left adrenal closer to the body wall

Both A & B

Which statement is LEAST true about Position 6 left kidney?(Required)

Drop the tail of the probe to point to the left kidney

Keep the tail of the probe caudal to make both poles disappear at the same time in long axis

Fan edge to edge in both long and short axis in a 3 second clip

What is the BEST reason to add power Doppler to the splenic hilus in Position 7?(Required)

To look for directional color flow

To rule out a thrombus

To assess where the center of the spleen is located

Which BEST single view do you need to image if a splenic mass is noted?(Required)

SDEP Echo position 1, 4 chamber

SDEP Echo Position 4, apical

SDEP Echo Position 3, right auricle

Which of the following is NOT a recommended maneuver for Position 8A left pancreas?(Required)

Position stomach on the left, left kidney or colon on the right, spleen in near field

Use the “claw” to open a window for the left pancreas

Visualize the spleen and drop the tail of the probe onto the patient’s abdomen**

Which is the best view for imaging the pylorus when the patient has a full stomach?(Required)

Position 8b

Position 13

Position 11

Which is the MOST important reason to do a BIG fan in Position 8b stomach?(Required)

To image both the pylorus and gastroesophageal inlet and everything in between

To image the caudal left liver

To catch the cranial aspect of the spleen

Which of the following statements are NOT true of Position 9 left intercostal liver?(Required)

Use pressure with your fingers between the ribs and micro-maneuver to refine the “sweet spot”

Position the probe in the bottom third of the ribcage to avoid lung artifact

There is no need to fan the liver, just get a still

The goals of Position 11 are all of the following except(Required)

Get 3 seconds of liver parenchyma fanning BIG edge to edge

Change angles and twist to image and fan a long complete gallbladder

Completely image a pylorus when ingesta is in the stomach

Image in both short and long axis

In Position 12 right intercostal liver, slide ___________ to image the CVC and _____________ to image the gallbladder(Required)

Ventrally and dorsally

Dorsally and ventrally

Caudally and cranially

SDEP utilizes which position of the patient for the right intercostal liver view?(Required)

Dorsal recumbency so the probe hand has free movement

45 degree angle dropping to the top of the hand, utilizing gravity dependence

Sternal recumbency for comfort of the patient

In Position 13 right intercostal liver, slide ___________ to image the portal hilus and _____________ to image the pyloric outflow(Required)

Dorsally and ventrally

Ventrally and dorsally

Cranially and caudally

For Position 14 right kidney, which statement is generally incorrect?(Required)

Stand with your shoulder at the patient’s hip

Follow the rib arch dorsally to the notch, pointing down towards the table and scoop up

Orient the tail of the probe cranially

Pin the right kidney flat to the body wall

The right kidney/right adrenal sweep in Position 14a is all correct except(Required)

Horizontal right kidney against the body wall and maintain pressure

Raise the tail of the probe to bring in the long vena cava

Drop the tail of the probe to bring in the long vena cava and aorta

Fan between the long vena cava and aorta

The basic move of Position 14b C-Loop is(Required)

Probe marker toward the tail

From the right kidney point the probe toward the gallbladder

Draw a C along the diaphragm and end at the pylorus

What was the primary original purpose for the development of the C-Loop?(Required)

To assess the gallbladder

To examine the portal hilus for a shunt

To assess the gastroesophageal inlet

Which is NOT the purpose of Position 15-17 “Bears in the Forest”(Required)

To ensure a complete abdominal scan

To image everything that was pushed aside during Positions 1-14

A way to relax at the end of a scan

Which do you NOT do if pathology is imaged during the scan?(Required)

Finish the 17 Point and then go back to the pathology at the end

Take 4-5 different approaches on any pathology in a 3 second clip

Follow pathology to determine the source, and the transition from normal to abnormal

Stop the 17 Point immediately and image the pathology

Which organ requires the most coverage of the “geographic” area and most adaptation in order to image fully?(Required)

Liver

Spleen

Urinary bladder