Lesson 2D

Question 1

What are pros for a transabdominal US? (2)

Answer 1

1. Good for bladder issues

2. Global view

Question 2

What are cons for a transabdominal US? (5)

Answer 2

1. Not as good resolution
2. Patients have to hold and fill their bladder
3. Obese patients are hard to see through
4. Retroverted uterus are beyond the focal zone of the transducer
5. Not as good for adnexal masses

Question 3

What are advantages for a transvaginal US? (2)

Answer 3

1. Better resolution
   - more detail
2. Can see the ovaries

Question 4

What is a disadvantage to a transvaginal US?

Answer 4

Limited by field of view

- due to higher frequency probe

Question 5

When do we not perform a transvaginal US? (3)

Answer 5

1. When someone has a broken hip or is frail
2. Virgin
   - exception = nun
3. Not getting consent

Question 6

What are questions to ask when doing a transvaginal exam? (8)

Answer 6

1. When was your LMP?
2. Any current or prior pregnancies?
3. Are you on birth control?
4. Do you have an IUD?
5. Are you sexually active
6. Have you had a pelvic US
7. Have you had a transvaginal US
8. Any allergies

Question 7

What is a reason to do a pelvic exam?

Answer 7

Pain

Question 8

How do you get a transvaginal probe ready for the exam? (2)

Answer 8

1. Place acoustic gel within a probe cover (condom) and cover the probe
2. Use sterile gel and apply it to the outer service in order to facilitate the insertion

Question 9

How do you clean a transvaginal probe? (8)

Answer 9

1. Remove probe cover
2. Wipe off excess gel
3. Swish in enzymatic solution
4. Rinse with water
5. Soak in Cidex OPA or similar cleaner for 12 minutes
6. Rinse in 3 consecutive water containers
   - 1 minute for each container
7. Wipe off probe and check for residue
8. Place in storage area