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Echocardiography and Perioperative Ultrasound
If You Don't Look, You Don't Know!

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Echocardiography and Perioperative Ultrasound
If You Don't Look, You Don't Know!

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What is FOCUS? Quiz

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Having watched the “FOCUS on POCUS” talk, let’s review a few of those critical concepts, shall we?

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Nice job, you knocked that out. If you scored less than 80%, thought, I’d strongly suggest that you circle back and watch the lecture again.

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Question 1 of 5

1. Question
(True/False) FOCUS is basically the same as limited transthoracic echocardiography.
- True
- False
Correct

Right on. FOCUS is an extension of the physical exam, performed and interpreted by the physician at the patient’s bedside. It should be considered an awesome physical exam not a bad version of an echo.

Incorrect

Nope! If you’re not clear on this please go back to the video and/or the ASE’s document. It’s critical to be clear on this distinction.
Question 2 of 5

2. Question
The concepts of FOCUS are simple. Does that make it easy?
- Absolutely. Simple and easy.
- Nope. Simple is NOT necessarily easy.
Correct

Absolutely correct! Just because something is simple doesn’t make it easy. Telling a patient to stop smoking or lose weight? Simple, but not easy!

Incorrect

Nope. Just because something is simple doesn’t make it easy. Telling a patient to stop smoking or lose weight? Simple, but not easy!
Question 3 of 5

3. Question
Is it appropriate to bill for focused ultrasound?
- Nope, it's not appropriate to bill for FOCUS.
- Yes. Show me the money!
Correct

Recognizing that there is disagreement in this area, I’m going to recommend against billing for FOCUS. This is in agreement with the ASE’s recommendation.

Incorrect

Recognizing that there is disagreement in this area, I’m going to recommend against billing for FOCUS. This is in agreement with the ASE’s recommendation. The charge for limited TTE includes things that are just not a part of FOCUS. What we need to do is advocate for a separate code that IS appropriate.
Question 4 of 5

4. Question
Which of the following IS REQUIRED for focused cardiac ultrasound?
- 2D imaging
- Color flow Doppler
- ECG synchronization
- M-mode
- Spectral Doppler
Correct

Exactly!

Incorrect
Question 5 of 5

5. Question
Which of the following IS NOT an appropriate diagnostic target for FOCUs?
- LV diastolic function
- LV size
- Global LV systolic function
- Gross signs of chronic cardiac disease
- Morphologic clues of gross valvular disease
Correct

Incorrect

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