Daily Challenge

Daily Challenge

Wednesday, May 20

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Abdominal

Abdominal Ultrasound

What is the double-barrel shotgun sign?

intermediate
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Small Parts

Small Parts Ultrasound

What is the taller-than-wide criterion in thyroid nodule assessment?

intermediate
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Pelvic/Gyn

Pelvic/Gynecologic Ultrasound

What is the normal endometrial thickness in the secretory phase?

intermediate
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OB 1st Tri

1st Trimester Obstetric

What is the normal gestational age range for 1st trimester anatomy survey?

beginner
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OB 2nd/3rd

2nd/3rd Trimester Obstetric

A 34-week pregnant patient with a history of gestational diabetes presents for a growth ultrasound. Fetal biometry shows an estimated fetal weight (EFW) at the 97th percentile, with an abdominal circumference (AC) measuring significantly larger than expected for gestational age. The head circumference (HC) is appropriate. What is the most likely diagnosis?

intermediate
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Fetal Echo

Fetal Echocardiography

A 22-week fetal echocardiogram is performed due to a family history of congenital heart disease. The four-chamber view appears normal, and the great arteries show normal crossover. However, on evaluation of the aortic arch, the ductus arteriosus is noted to arise from the descending aorta, but the left subclavian artery originates directly from the ductus arteriosus, rather than the aortic arch. What is the most likely diagnosis?

intermediate
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Breast

Breast Ultrasound

During a breast ultrasound, a sonographer identifies a 1.2 cm hypoechoic mass with irregular margins, posterior acoustic shadowing, and microcalcifications. Color Doppler shows internal vascularity. What is the most appropriate management recommendation based on these findings?

intermediate
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Vascular

Vascular Duplex

What is the vertebral artery steal syndrome?

advanced
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MSK

Musculoskeletal Ultrasound

What is the De Quervain tenosynovitis on MSK ultrasound?

intermediate
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POCUS

Point-of-Care Ultrasound

During an eFAST examination of a trauma patient, you identify an anechoic stripe between the liver and the right kidney in Morison's pouch. What is the most appropriate next step in management?

intermediate
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Physics

Ultrasound Physics

What is the comet-tail artifact?

intermediate
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