UTC Treatment Planning & Management 2

Question 1

When performing a pre-procedure ultrasound for a liver biopsy, which finding would most likely prompt the sonographer to alert the physician before proceeding?

Accepted Answer

Ascites surrounding the liver

Answer

Ascites increases the risk of bleeding and complicates needle trajectory, requiring physician assessment before biopsy.

Question 2

A patient is scheduled for ultrasound-guided fine-needle aspiration (FNA) of a thyroid nodule. Which patient preparation step is most critical?

Accepted Answer

Discontinuation of anticoagulants per physician order

Answer

Anticoagulants increase bleeding risk during FNA, and their discontinuation must be ordered by the physician prior to the procedure.

Question 3

During follow-up imaging of a patient with a treated renal cell carcinoma, ultrasound shows a new hypoechoic lesion in the contralateral kidney. What is the most appropriate next action?

Accepted Answer

Report findings immediately to the referring physician

Answer

A new suspicious lesion in a patient with known malignancy must be communicated immediately to the referring physician for urgent clinical decision-making.

Question 4

Which measurement is most critical to document when performing serial ultrasounds to monitor response to chemotherapy for a hepatic mass?

Accepted Answer

Maximum diameter in at least two planes

Answer

RECIST criteria require maximum diameter measurements in standardized planes to objectively assess tumor response to therapy.

Question 5

A patient with ovarian cancer is undergoing ultrasound to assess for ascites prior to paracentesis. Which finding best indicates a sufficient fluid pocket for safe drainage?

Accepted Answer

A pocket depth of at least 2 cm free of bowel loops

Answer

A minimum pocket depth of 2 cm free of intervening bowel loops is required to safely guide paracentesis needle placement.

(UTC) Ultrasound Technologist Certification Practice Test

(UTC) Ultrasound Technologist Certification Practice Test

UTC Treatment Planning & Management 2