Journal of Medical Ultrasound (2017) 25, 190
Available online at www.sciencedirect.com
ScienceDirect
Chinese Taipei Society of
Ultrasound in Medicine
journal homepage: www.jmu-online.com
CME Test
1. What are the shortcomings of liver biopsy for diagnosis
of liver fibrosis?
A. Sampling error
B. Intra- or inter-observation variations
C. Possible procedure-related complications
D. All of the above
2. What are the diagnostic tools for liver fibrosis?
A. Liver biopsy
B. Tissue elastography (TE)
C. ARFI (acoustic radiation force impulse)
D. All of the above
3. What is the clinical application of ultrasound-based
elastography for assessment of liver fibrosis?
A. Diagnosis of significant fibrosis (METAVIR system:
F S 2)
B. To predict prognosis of those who have liver cirrhosis
C. To evaluate the degree of liver fibrosis for chronic
hepatitis, nonalcoholic fatty liver disease, and
alcoholic liver diseases
D. All of the above
4. In comparison tissue elastography (TE) with acoustic
radiation force impulse (ARFI), which one of the
statement is false?
A. Both TE and ARFI have a comparable diagnostic
accuracy for liver cirrhosis
B. TE has a better diagnostic accuracy than ARFI for
cirrhotic patients with obesity or ascites
C. Both TE and ARFI have a better diagnostic accuracy
for significant fibrosis (METAVIR system: F S 2) or
liver cirrhosis (F4) than no fibrosis (F0) and mild
cirrhosis (F1)
D. All of the above
5. In comparison tissue elastography (TE) with acoustic
radiation force impulse (ARFI), which one of the
statement is correct?
A. ARFI use in conjunction with conventional ultrasound
and shear wave velocity to gauge liver stiffness.
B. The performed procedures are similar in ARFI and TE.
C. The roughly optimal cutoff for ARFI to diagnose liver
fibrosis in patients with chronic hepatitis were
F2 (1.34 m/s), F3 (1.55 m/s), and F4 (1.80 m/s).
D. All of the above
http://dx.doi.org/10.1016/j.jmu.2017.09.002
0929-6441
6. The prevalence of TAPVC ( total anomalous pulmonary
venous connection ) is :
A. 7e9 per 100 live births
B. 7e9 per 1,000 live births
C. 7e9 per 10,000 live births
D. 7e9 per 100,000 live births
7. The fetal cardiovascular system is the first embryoni-
cally developed organ, which begins to develop at :
A. the gestational age of 10 weeks
B. the gestational age of 8 weeks
C. the gestational age of 6 weeks
D. the gestational age of 3 weeks
8. According to Darling’s classification, which is the most
common type of TAPVC :
A. Supracardiac type
B. Cardiac type
C. Infracardiac type
D. Mixed type
9. Which of the description of TAPVC is wrong?
A. Poor prognostic factors of TAPVC include hetero-
taxy syndrome, a single functional ventricle,
obstructed PVs, pulmonary atresia and younger age
at surgery
B. Approximately 30% TAPVC cases are associated
with heterotaxy syndrome and TAPVC commonly
observed in cases of left atrial isomerism
C. Postnatal ultrasound diagnosis has a sensitivity and
specificity of >97% whereas prenatal diagnosis is
more challenging
D. TAPVC is the fifth common cause of cyanotic heart
disease
10. Which of follows is the characteristic of TAPVC in
prenatal ultrasonography :
A. Failure to identify a normal pulmonary vein
connection to the left antrum
B. Demonstration of the vertical vein and the
confluent vessel
C. Longer-than-usual distance between the left
antrum and aorta
D. All of above