1
RPhS CERTIFICATION AND
PRACTICE 2024/2025 QUESTIONS
WITH CORRECT ANSWERS
1. What is the most ergonomic position for a sonographer to be in: -
ANS ✔Sitting w elbow close to the body and wrist in a neutral position
This position will help to decrease muscle fatigue and injury.
2. When lifting heavy objects: - ANS ✔Keep your back straight and lift w
your knees
3. What document should be available to all office staff that details
hazardous materials: - ANS ✔MSDS
The MSDS should be in a location for all employees to access. This binder
should not be confused w the Exposure Control Plan
4. An informed consent should: - ANS ✔Detail all risks, benefits and
alternatives
RPhS CERTIFICATION AND PRACTICE QUESTIONS
, 2
5. Medical records should be maintained: - ANS ✔In accordance w
State and Federal guidelines
If specific Medicare guidelines are not listed, default to state or federal
guidelines
6. What is the greatest risk to a patient if the txd probe is cracked: -
ANS ✔Electrical shock
7. What is the minimum PPE (personal protective equipment)
indicated for a patient w an active weeping ulcer: - ANS ✔Non-
sterile gloves
8. What is the BEST way to clean a txd probe: - ANS ✔Antibacterial
solution
9. Hazards associated w ultrasound include: - ANS ✔Electrical
Fire
Bio-effects
RPhS CERTIFICATION AND PRACTICE QUESTIONS
, 3
10. The calf muscle pump is responsible for ejecting what
percentage of lower extremity venous volume: - ANS ✔60%
11. Ankle flexion helps to: - ANS ✔Activate the calf muscle pump
Weight bearing motions will empty the foot. Ankle flexions will activate
the calf muscle pump
12. Primary dysfunction of the calf muscle pump is most likely
related to: - ANS ✔Muscle wasting
13. Stremmer's sign is used to dx: - ANS ✔Lymphedema
Stremmer's sign is a thickened fold of skin at the base of the 2nd toe or
second finger that can be gently pinched and lifted. The presence of this
sign is most often an early dx indication of primary lymphedema;
however, it can also develop later in secondary lymphedema
14. What is the normal ratio of sclerosant to air for creation of
foam ST: - ANS ✔1:4
RPhS CERTIFICATION AND PRACTICE QUESTIONS
, 4
Most practitioners will use an air to sclerosant ratio of anywhere
between 3:1 and 5:1
15. A perforating vein is responsible for connecting: - ANS ✔GSV
to posterior tibial vein
A perforator vessel is responsible for communication between the
superficial and deep venous systems. Tributaries communicate w in the
same system
16. How long is the Closure Fast catheter's heating element: - ANS
✔7 cm
There is a 3 mm heating tip now available
17. How hot does the Closure Fast catheter become: - ANS ✔120 °
C
18. How long is each cycle of the Closure Fast treatment: - ANS
✔20 seconds
RPhS CERTIFICATION AND PRACTICE QUESTIONS
RPhS CERTIFICATION AND
PRACTICE 2024/2025 QUESTIONS
WITH CORRECT ANSWERS
1. What is the most ergonomic position for a sonographer to be in: -
ANS ✔Sitting w elbow close to the body and wrist in a neutral position
This position will help to decrease muscle fatigue and injury.
2. When lifting heavy objects: - ANS ✔Keep your back straight and lift w
your knees
3. What document should be available to all office staff that details
hazardous materials: - ANS ✔MSDS
The MSDS should be in a location for all employees to access. This binder
should not be confused w the Exposure Control Plan
4. An informed consent should: - ANS ✔Detail all risks, benefits and
alternatives
RPhS CERTIFICATION AND PRACTICE QUESTIONS
, 2
5. Medical records should be maintained: - ANS ✔In accordance w
State and Federal guidelines
If specific Medicare guidelines are not listed, default to state or federal
guidelines
6. What is the greatest risk to a patient if the txd probe is cracked: -
ANS ✔Electrical shock
7. What is the minimum PPE (personal protective equipment)
indicated for a patient w an active weeping ulcer: - ANS ✔Non-
sterile gloves
8. What is the BEST way to clean a txd probe: - ANS ✔Antibacterial
solution
9. Hazards associated w ultrasound include: - ANS ✔Electrical
Fire
Bio-effects
RPhS CERTIFICATION AND PRACTICE QUESTIONS
, 3
10. The calf muscle pump is responsible for ejecting what
percentage of lower extremity venous volume: - ANS ✔60%
11. Ankle flexion helps to: - ANS ✔Activate the calf muscle pump
Weight bearing motions will empty the foot. Ankle flexions will activate
the calf muscle pump
12. Primary dysfunction of the calf muscle pump is most likely
related to: - ANS ✔Muscle wasting
13. Stremmer's sign is used to dx: - ANS ✔Lymphedema
Stremmer's sign is a thickened fold of skin at the base of the 2nd toe or
second finger that can be gently pinched and lifted. The presence of this
sign is most often an early dx indication of primary lymphedema;
however, it can also develop later in secondary lymphedema
14. What is the normal ratio of sclerosant to air for creation of
foam ST: - ANS ✔1:4
RPhS CERTIFICATION AND PRACTICE QUESTIONS
, 4
Most practitioners will use an air to sclerosant ratio of anywhere
between 3:1 and 5:1
15. A perforating vein is responsible for connecting: - ANS ✔GSV
to posterior tibial vein
A perforator vessel is responsible for communication between the
superficial and deep venous systems. Tributaries communicate w in the
same system
16. How long is the Closure Fast catheter's heating element: - ANS
✔7 cm
There is a 3 mm heating tip now available
17. How hot does the Closure Fast catheter become: - ANS ✔120 °
C
18. How long is each cycle of the Closure Fast treatment: - ANS
✔20 seconds
RPhS CERTIFICATION AND PRACTICE QUESTIONS
