Question Bank – FAST/EFAST (Basic)

The randomized controlled trial published by Melniker et al. in the Annals of Emergency Medicine published in 2006 suggested which of the following?

What focused questions are answered by the FAST exam?

The focused questions answered by the E-FAST exam are which of the following?

A 24 year old female was involved in a motor vehicle accident and has bruising and pain in her abdomen. You perform the FAST exam and see the following.

How do you interpret this exam?

A 23 year female presents to you complaining of abdominal pain and vaginal bleeding.  She has no significant past medical history.  She has no history of trauma.  Her pregnancy test is positive.  her ultrasound shows the following.

What is your next step in management?

A 15 year old male fell off of his bicycle at a very slow speed. He is brought in to the emergency department because his abdomen hurts and he scraped his knee. His vital signs are normal and he has no contusions or tenderness of the abdomen. He has no other associated injuries or signs of head/neck/chest trauma.

Your FAST exam in the RUQ reveals the following:

What conclusion can you draw from this image?

The landmark article published by Plummer et al. in 1992 in the Annals of Emergency Medicine came to what conclusions?

In the right upper quadrant, where do you have to evaluate for free fluid in the abdomen?

To evaluate for a pneumothorax in the E-FAST exam, the sonographer below should change what aspect of the scan?

A 30 year old female fell off her bicycle and is complaining of severe pain in her abdomen.  Her pregnancy test is negative.  You perform a FAST exam and see the following.

What conclusion can you draw?

While performing the FAST exam, you obtain the following image. What machine settings can you adjust to most improve the quality of your image?

A 35 year old male is involved in a high speed motor vehicle accident with multiple contusions to the abdomen and thorax. The following is a clip from the RUQ of his E-FAST exam.

What 2 findings are visible in this view of the right upper quadrant?

The review paper published in 2017 by Savatmongkorngul et al. suggests what range in the sensitivity and specificity of the FAST exam across several studies?

What views comprise the FAST exam?

The image above is in M-Mode and draws what conclusion based on the focused questions of the E-FAST exam?

A 40 year old male falls off his scooter and is complaining of pain in his ribs and difficulty breathing.

You perform the E-FAST exam and visualize the following:

What conclusion can you draw?

What focused questions are answered by the Focused Assessment with Sonography For Trauma exam?

What focused questions are answered by the extended FAST exam?

A 46 year old female is involved in a motor vehicle accident.  She was rear ended and hit her chest on the steering wheel.  She was wearing a seatbelt.  She is complaining of pain over the ribs.  Her Xray shows no signs of rib fracture.

What conclusion can be drawn from the following ultrasound?

A 35 year old female fell off of her bicycle and is complaining of abdominal pain.  She has bruising throughout her abdomen and has significant pain in the left upper part of the abdomen.  Her FAST exam shows the following:

What conclusion can be drawn?

T/F.  In the FAST exam, it is sufficient to evaluate the pelvic view in the transverse plane.

T/F.  In the FAST exam, it is sufficient to evaluate the RUQ view between the liver and kidney (Morrison’s pouch).

A 21 year old male falls off of his roller skates while going down hill.  He presents with over his clavicle and is found to have a fracture.  An extended FAST exam is performed.

What conclusion can be drawn based on this ultrasound in the right lung apex?

A 42 year old female fell off her bike on her way to work.  She has abrasions on her arms and legs and across her chest.  She is complaining of pain in her ribs and shortness of breath.

An ultrasound of her lungs showing the following:

Right Mid-Clavicular Line

Left Mid-Clavicular Line

A 57 year old male involved in a high speed motor vehicle accident on the highway.  He is brought to the emergency department with multiple contusions to the chest and shortness of breath.  An extended FAST exam is performed.  What conclusion can be drawn based on the following finding:

Right Costophrenic Angle

Left Costophrenic Angle

With no knowledge of this clip being taken from the RUQ or the LUQ, the location this fluid has collected in first suggests that the clip is taken from the:

A 32 year old female presents to the emergency department with pelvic pain and spotting, vital signs are stable. FAST scan reveals the following. The next best step in management includes:

A FAST scan is performed in a 52 year old male who is 10 days status post bowel resection with abdominal pain and vomiting. What is the next best step in management?

The following patient undergoes liver biopsy for fibrosis assessment. They present with abdominal pain and are found to have a hemoglobin of 9 gm/dl with pre-op levels of 11.1 gm/dl. What does the scan show?

The following FAST scan is?

A 53 year old male with hepatitis C presents to clinic with abdominal distension. A FAST scan is performed to rule out ascites. What is the next best step in management? 

A 53 year old male with hepatitis C presents to clinic with abdominal distension. A FAST scan is performed to rule out ascites. What is the next best step in management? 

52 year old male with history of cirrhosis due to hepatitis B infection presents to the ER after motor vehicle accident. Vital signs are stable. He has mild abdominal pain. With this FAST scan result, what is the next best step in management? 

A 38 year old male presents 24 hours after a motor vehicle accident when his abdominal pain worsens instead of improves. What does the following FAST scan show? 

This transverse pelvic FAST view in a male patient is:

This sagittal pelvic FAST view in a male patient is:

A 22 year old male presents after a fight with a penetrating stab wound to the right lower armpit. The following FAST scan is:

What is the highlighted/colorized structure in this clip?

A 25 year old male presents after a restrained motor vehicle accident. He has stable vital signs and tenderness in his abdomen. The following is his LUQ FAST exam. What is the next best step in management? 

A 38 year old male presents 24 hours after a motor vehicle accident when abdominal pain worsens instead of improves. What does his FAST scan show? 

This RUQ FAST scan view is:

A 48 year old male with no known PMH presents to the ER with abdominal pain after a fall from a ladder. His RUQ FAST scan is:

A 53 year old female patient with hepatitis C presents to your  clinic with abdominal distension. A FAST scan is performed to rule out ascites. What is the next best step in management?

A 25 year old male presents after a restrained motor vehicle accident. He has stable vital signs and tenderness in his abdomen. The following RUQ FAST scan is:

Left upper quadrant view in this patient status post motor vehicle accident can be interpreted as?