Cornell
HM-POCUS

Hospital Medicine Point of Care Ultrasonography

Question 1: Which of the following statements is TRUE on the parasternal long axis view of the heart:

A moderate right pleural effusion may be visualized deep to the heart.
The scan plane is between the right shoulder and the left hip with the probe marker pointed to the patient’s right shoulder.
It is one of the preferred views to assess the right ventricular size and function.
Right atrium and intra-atrial septum are well visualized in this view.

Question 2: In a parasternal short axis view of the heart, the probe marker is pointed to the patient’s left shoulder. With sweeping, 5 levels identified from the apex to the base are:

Apex --> Papillary Muscle --> Mitral Valve -->Aortic Valve -->Pulmonic Valve
Apex --> Papillary Muscle --> Mitral Valve --> Pulmonic Valve --> Aortic Valve
Apex --> Papillary Muscle --> Tricuspic Valve --> Aortic Valve --> Pulmonic Valve
Apex --> Papillary Muscle --> Mitral Valve --> Aortic Valve --> Tricuspid Valve

Question 3: In an apical 4-chamber view of the heart, both the right and the left ventricles are visualized. Which of the following is useful in distinguishing the right ventricle from the left?

The presence of the moderator band.
The tricuspid valve is positioned closer to the atria.
More extensive apical trabeculations.
A & B & C
A & C only

Question 4: In a subcostal 4-chamber view of the heart, the probe is placed in the subxiphoid window with the probe marker pointed to the patient’s left. Which of the following statements is TRUE:

In order to obtain longitudinal IVC view, the probe marker should be rotated to 9 O’clock.
Only a right sided pleural effusion can be visualized in this view.
The sonographic window for this view is the liver.
Of the two ventricles, in this view the RV appears closer to the bottom of the screen.

Question 5: Which of the following statements is TRUE in distinguishing pericardial from pleural effusion on the parasternal long axis view of the heart:

It is impossible to distinguish the two unless both are present.
Free flowing pericardial effusion will have its largest diameter near the aorta and the left atrium.
Free flowing pleural effusion will have its largest diameter near the mid and apical portions of the left ventricle.
Pericardial effusion extends between the posterior wall of the left atrium and the descending aorta.