It's not too late to start your ultrasound detective training!

Last extension until October 20th: 30% off plus Lifetime Access to all courses!

Did you miss the crucial clue that our discount of 30% and exclusive Lifetime Access to all our courses are limited? It seems you did – so we want to give you the opportunity to still become an ultrasound detective – only if you get your course now until October 20th!
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Become a detective with our echocardiography courses!​

Do you know how to find the clues to detect pathologies, diseases, and more? With every Bachelor or MasterClass, get 2 months of free AI SonoAssistant access.


Echo MasterClass

34 CME credits

Advanced echocardiography

instead of 1,200 €

only 840 €

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TEE MasterClass

11 CME credits

Transesophageal echocardiography

instead of 840 €

only 588 €

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Echo BachelorClass

12.75 CME credits

Basic echocardiography

instead of 790 €

only 553 €

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Speckle Tracking MasterClass

12.25 CME credits

Deep knowledge of strain rate imaging

instead of 890 €

only 623 €

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Cardiac Filling MasterClass

6 CME credits

Advanced echocardiography

instead of 790 €

only 553 €

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Right Heart MasterClass

7.25 CME credits

Right heart clinical course

instead of 730 €

only 511 €

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ACHD BachelorClass

16.5 CME credits

Basics of common and (more or less) simple adult congenital heart defects

instead of 890 €

only 623 €

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HCQ MasterClass

4.75 CME credits

Guidelines of the quantification of heart chambers and walls

instead of 560 €

only 392 €

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Carotid MasterClass

10.5 CME credits

Advanced carotid and vertebral artery ultrasound

instead of 880 €

only 616 €

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Aortic Disease FocusClass

3.5 CME credits

Learn how to assess the Aorta

instead of 200 €

only 140 €

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Coronary Artery Disease FocusClass

3.25 CME credits

In-depth knowledge on this challenging topic

instead of 200 €

only 140 €

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Tumors and Masses FocusClass

1.5 CME credits

Recognise different tumors and masses

instead of 120 €

only 84 €

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Find out if you are an ultrasound detective!​

Here are two examples of an ultrasound exam performed at the emergency room!
  • Which of the statements regarding the following ultrasound loops is wrong? *

Can you detect the clues?

Here you can see four patients with different mitral valve pathologies.
  • Which of these color MMode tracings shows a patient with bileaflet mitral valve prolapse? *

Can you help this patient?

This case shows a 16-year-old patient with right flank pain, fever, and elevated CRP.
  • What do you suspect? *

If you are looking for our previous quiz questions and their answers, click here!

Final Call! Valid on all our ultrasound courses until October 20th:

30% Discount 
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Available on all our courses!

Lifetime Access
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No expiration date on your course!

30 Day Money-Back Guarantee

No questions asked. Max. 30% course progress.

Answers to our Ultrasound Quizzes!​

Answer: Which of the statements regarding the following ultrasound loops is wrong?

The correct answer is: The right side (B) shows high-grade atherosclerosis of the femoral artery.

B shows indeed a positive compression sonography: There is a thrombus in the common femoral vein that occludes the lumen. More levels should be checked (additionally check at least the popliteal vein!) and left and right side have to be compared! The left side A shows indeed a regularly compressible femoral vein! The first answer alternative is wrong: Compression sonography has nothing to do with atherosclerosis detection, even though you might find it sometimes during your scan as a secondary finding!

Compression sonography is crucial for detecting deep vein thrombosis (DVT) because it allows real-time visualization of the veins. By applying gentle pressure with an ultrasound probe, a healthy vein will collapse, while a vein with a clot will remain rigid. This quick, non-invasive test provides accurate results, helping to prevent life-threatening complications like pulmonary embolism.

Learn how to detect the clues in our Emergency and Critical Care Ultrasound Essentials!
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Answer: Which of these color MMode tracings shows a patient with bileaflet mitral valve prolapse?

The correct answer is: D.

Color M-Mode can also be utilized in the four-chamber view, providing valuable insights into the timing of events, such as the onset of mitral regurgitation (MR). Spectrum D demonstrates an MR jet occurring from mid to late systole, which is typical for bileaflet mitral valve prolapse. Spectrum A shows a patient with functional holosystolic MR, while Spectrum B displays trivial MR, and Spectrum C depicts turbulent inflow in a patient with mitral stenosis.

Do you want to learn how to detect these clues? You can do so in our Echo MasterClass  or Echo BachelorClass – both available within our offer!
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Answer: What do you suspect?

The correct answer is: Renal abscess.

The patient has a renal abscess in the right kidney. The combination of hypo- and anechoic lesions, along with hyperechoic areas indicative of a pseudocapsule, strongly supports the diagnosis of a renal abscess. This finding is further corroborated by the clinical context of inflammation, including fever, elevated CRP levels, and localized pain.

We will teach you how to see these clues quickly in our Abdominal Ultrasound BachelorClass!
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Find the clues in our specific ultrasound courses!

Do you want to learn how to detect the clues in specific areas? Then choose one of the courses below and become an ultrasound detective – swipe for more!

Abdominal US BachelorClass

10 CME credits

Detect abdominal pathologies with ultrasound

instead of 730 €

only 511 €

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Thyroid US MasterClass

10.5 CME credits

Basics and advanced techniques of thyroid ultrasound

instead of 790 €

only 553 €

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Neonatal & Pediatric US BachelorClass

4.75 CME credits

Ultrasound knowledge and skills specific to neonates and infants

instead of 790 €

only 553 €

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Lung Ultrasound MasterClass

6.5 CME credits

Basic and advanced lung ultrasound

instead of 710 €

only 497 €

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Vascular Lower Extremity BachelorClass

9.5 CME credits

Non-invasive vascular ultrasound

instead of 730 €

only 511 €

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OB/GYN Ultrasound BachelorClass

7 CME credits

Basics of gynecology & obstetrics

instead of 800 €

only 560 €

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Ultrasound Guided Regional Anaesthesia

 

Expertise in regional anaesthesia techniques

instead of 670 €

only 469 €

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Pediatric Ultrasound BachelorClass

4.75 CME credits

Diagnose pediatric patients through ultrasound

instead of 730 €

only 511 €

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OB/GYN POCUS FocusClass

2 CME credits

Knowledge and skills on how to do an ultrasound examination in OB/GYN

instead of 400 €

only 280 €

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Become an MSK ultrasound detective!

From basics to advanced and specialised musculoskeletal ultrasound, learn to detect the clues with us! Swipe to see more courses!

Musculoskeletal Ultrasound BachelorClass

19.75 CME credits

Foundations of MSK ultrasound

instead of 944 €

only 661 €

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MSK Guided Injections US MasterClass

4.75 CME credits

Advanced MSK ultrasound

instead of 730 €

only 511 €

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MSK Foot & Ankle Ultrasound BachelorClass

11.5 CME credits

Basics of MSK US of the foot and ankle joint

instead of 660 €

only 462 €

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Bone Fracture FocusClass

2.5 CME credits

Ultrasound knowledge and skills specific to fracture sonography

instead of 286 €

only 200 €

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Neuromuscular US Essentials

8.5 CME credits

Diagnose conditions and injuries not visible through other imaging methods

instead of 600 €

only 420 €

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MSK Ultrasound of the Shoulder Joint

20 European CME credits

Ultrasound knowledge and skills specific to shoulder joint sonography

instead of 777 €

only 544 €

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Emergency Icon

Find the clues in emergencies and point-of-care situations!

Be prepared for emergencies at all times by knowing where to find the clues to detect potential life-threatening pathologies and save critical time!

Point-of-Care US FocusClass

6 CME credits

Primary care ultrasound

instead of 790 €

only 553 €

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Emergency & Critical Care US Essentials

 

Essentials of emergency ultrasound

instead of 749 €

only 524 €

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Emergency US MasterClass

5.25 CME credits

Advanced emergency ultrasound

instead of 730 €

only 511 €

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Emergency US BachelorClass

 

Basic emergency ultrasound

instead of 660 €

only 462 €

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Become an ultrasound detective yourself!

Our courses will guide you how to detect the clues in your patient's ultrasound images for enhanced patient care!

30% Discount
​

Available on all our courses!

Lifetime Access
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No expiration date on your course!

30 Day Money-Back Guarantee

No questions asked. Max. 30% course progress.

Get your course now!

This offer expires for good on October 20th, 2024.

Previous detective questions!​​

Look at these loops and answer our first question!

  • Which patient has normal filling pressure? *

Ready for the next question on abdominal ultrasound?

Look at this ultrasound image of an obese male patient with fatigue, muscle weakness and hypertension.

  • What is the problem here? *

Can you answer this next question?

Look at these loops and answer our next question!

  • Which syndrome do you suspect? *

Check out this next case!

You are doing a carotid ultrasound exam on a 40-year-old female with a headache and joint pain. She does not have cardiovascular risk factors.

  • Which suspicion would you have based on this Carotid ultrasound exam? *

Can you see the clues in emergencies?

The ambulance is called to a patient with chest pain. Can you solve this critical case?

  • Which coronary artery is occluded? *

Next quiz on Thyroid Ultrasound!

In this case, you see a follow up study of a patient with thyroid hormone replacement therapy.

  • Which conclusion can you draw from this ultrasound image of the neck? *

Can you get this next question right?

A 67-year-old female with left shoulder pain and stiffness for 4 months, unresponsive to exercise, was diagnosed with moderate glenohumeral osteoarthritis based on an X-ray. She agreed to an ultrasound-guided cortisone injection. The ultrasound revealed mild bicep tendon sheath effusion with the rotator cuff intact.

  • How can you make sure that the cannula tip is placed correctly when doing injections into the glenohumeral joint? *

Another emergency is waiting for you!

A 55-year-old man was found unconscious at home, with a fever of 38.5°C and low blood pressure. His CT scan showed a stroke. A TTE was performed. Additionally, a transesophageal echocardiogram (TEE) was done.

  • What are the TTE and TEE findings? *

Here is your next emergency question!

Can you detect the clues fast when necessary? Here we have a patient with a hypertensive emergency!

  • What do you suspect? *

Can you see the clues?

Look at this patient after aortic valve surgery and answer our quiz!

  • What pathology is seen in this 3D image? *

Here is another echo question for you!

Look at this case of a healthy young man with good image quality!
  • Can you identify the structure? *

Can you solve this case?

Look at this image and answer the question below!
  • What do Mick Jagger and MSK ultrasound of the glenohumeral joint have in common? *

Do you know this answer?

Check out this incidental finding in a 45-year-old patient with occasional ectopic beats.
  • What is your diagnosis? *

Can you solve this OB/GYN case?

A 37 year old woman comes to the emergency department with massive cramps in her lower abdomen. Her period started two days ago. It is not unusual for her to have severe pain during her menstruation. However, this time it is even more intense and resistant to all kinds of pain medication.
  • Can you tell what the problem is on this transvaginal ultrasound performed by a gynecologist? *

Can you solve this problem?

Look at this ultrasound image of a patient with aortic valve replacement and answer the question below.
  • What is the problem with this prosthetic aortic valve? *

Can you see the differences?

A slim patient presents with confusion and diffuse abdominal pain. Initially, she is suspected of anorexia, but you do abdominal ultrasound to confirm your suspicion.
  • What do you suspect? *

Look closely on this one!

Look at these images of four different patients.
  • Which of the following images is from a patient with normal left ventricular function? *

Answers to our Ultrasound Quizzes!

Answer: Which patient has normal filling pressure?

The correct answer is D.

Watch this answer video for a detailed explanation!

Answer: What is the problem here?

The correct answer is: Adrenal tumor

The image shows a 2.5 cm hypoechoic structure located cranially to the right kidney, consistent with an adrenal adenoma. Adrenal adenomas are common, benign tumors of the adrenal gland, often found incidentally during imaging studies. They typically appear as well-defined, homogeneous, hypoechoic masses on ultrasound. While most adrenal adenomas are non-functioning, some can secrete hormones, leading to clinical syndromes such as Cushing's syndrome or hyperaldosteronism.

Answer: Which syndrome do you suspect?

The correct answer is C) Shone Complex.

Watch this answer video to get a detailed explanation!

Answer: Which suspicion would you have based on this Carotid ultrasound exam?

The correct answer is: Vasculitis.

The image shows a carotid ultrasound with marked wall thickening (2.1 mm), suggestive of vasculitis. The absence of luminal obstruction, confirmed by color duplex, along with the lack of cardiovascular risk factors, further supports the diagnosis of an inflammatory process rather than atherosclerotic disease, which typically presents with plaque formation and luminal narrowing. Vasculitis is characterized by diffuse, concentric wall thickening, often referred to as the 'halo sign' on ultrasound.

Get the Carotid US MasterClass
Answer: Which coronary artery is occluded?

The correct answer is: Circumflex.

Watch this answer video to get a detailed explanation!

If you want to learn how to see these clues and save medical mysteries, get access to our echocardiography or emergency ultrasound courses now for our offer conditions! 
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Answer: Which conclusion can you draw from this ultrasound image of the neck?

The correct answer is: The patient most likely had an operation done.

The ultrasound image shows the thyroid of a female patient with a small right lobe and an absent left lobe, consistent with a previous hemithyroidectomy performed several years ago for the removal of cancerous nodules.

Learn to see these clues now in our Thyroid Ultrasound MasterClass!
Get Thyroid US MasterClass
Answer: How can you make sure that the cannula tip is placed correctly when doing injections into the glenohumeral joint?

The correct answers are: Making sure to keep the cannula tip in the imaging plane with subtle transducer movements & Visualization of the injectant spreading laterally in the joint space. The spread inside the joint capsule can usually be well visualized with ultrasound.

Palpating the coracoid process and the humeral head helps locate landmarks to guide needle insertion, but it does not confirm cannula placement. The anterior approach can be used, however it does no guarantee correct placement. In this video, for example, a posterior approach is used. Keeping the cannula tip in the imaging plane ensures you can track its progress and confirm its position relative to the joint. Subtle movements of the transducer allow for continuous visualization. Visualization of the injectant spreading in the joint space is the most definitive way to confirm the cannula tip placement – it also confirms that the medication is being delivered into the correct location. Also you will see a "flash" at the end of the injection!

By the way, this video shows an example of a posterior approach (medial to lateral). Even though this is a very common approach, there are other ones – All of them can be done with ultrasound-guidance!
Get MSK US Guided Injections MasterClass
Answer: What are the TTE and TEE findings?

The correct answer is: Destruction of the aortic valve with mobile structure

The TEE revealed a destruction of the aortic valve, along with a mobile structure likely indicating vegetations (infected masses). The aortic valve was also associated with a drained abscess and massive aortic regurgitation, where blood flowed backward through the valve. These findings are characteristic of infective endocarditis, where infection damages the valve and can lead to severe complications such as septic emboli. In this case, the patient had a stroke, likely due to septic embolism traveling to the brain.

Learn more about how to see the clues in emergencies like this with our Emergency & Critical Care Ultrasound Essentials!
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Answer: What do you suspect?

The correct answer is: Old inferior myocardial infarction

This patient exhibits wall motion abnormalities in the inferior regions of the myocardium. The hyperechogenic (bright) and thin appearance of the wall suggests an old infarct (scar). The patient has normal left ventricular function (LVF), making heart failure unlikely. Additionally, the normal appearance of the right heart reduces the likelihood of pulmonary embolism. 

Could you see the clues to make this diagnosis? Learn more in our POCUS FocusClass!
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Answer: What pathology is seen in this 3D image?

The correct answer is: Pseudoaneurysm of the intervalvular fibrose

This echo shows a pseudoaneurysm (PSA) of the intervalvular fibrosa in a 3D TEE. A pseudoaneurysm of the intervalvular fibrosa is a condition characterized by the formation of a pulsatile cavity located between the aortic and mitral valves (intervalvular fibrosa). This cavity forms due to blood flow entering and exiting the pseudoaneurysm (PSA), creating a pulsating structure. Pseudoaneurysms in this region are often associated with native or prosthetic valve endocarditis and commonly occur in the context of infective endocarditis. 

Learn more about how to see the clues in your patients ultrasound images in our echocardiography courses! This topic is discussed in our TEE MasterClass, Aortic Disease FocusClass, Endocarditis FocusClass, Echo MasterClass, and Echo BachelorClass!
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Answer: Can you identify the structure?

The correct answer is: Sup. vena cava

Watch the video for a detailed explanation! If you want to learn more about how to see these clues, this topic is covered in our Echo BachelorClass and Echo MasterClass!
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Answer: What do Mick Jagger and MSK ultrasound of the glenohumeral joint have in common?

The correct answer is: There is a certain position that has to be adopted by your patients to get the best possible view on the superior labrum glenoidale for detailed assessment

Adopting the so-called Mick Jagger position stretches the biceps tendon and aligns it horizontally. We are using the tiny acoustic window between the clavicle and the coracoid process to optimally visualize the intra-articular biceps tendon (right underneath the supraspinatus tendon (SSP), as well as the labrum glenoidale (marked with *) and its attachment to the glenoid (Gle).
Learn more about MSK ultrasound in our MSK BachelorClass!
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Answer: What is your diagnosis?

The correct answer is: Ruptured sinus valsalva aneurysm

The image demonstrates an outpouching from the right coronary sinus of Valsalva, which is characteristic of a sinus of Valsalva aneurysm. Color Doppler imaging shows a moderate shunt flow from the aneurysm into the right ventricle (RV), confirming the rupture of the aneurysm. A ruptured sinus of Valsalva aneurysm is a rare but serious condition where the aneurysmal dilation of the sinus of Valsalva ruptures, typically into a cardiac chamber, such as the RV or right atrium.

Learn more about this in our Adult Congenital Heart Disease BachelorClass!
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Answer: Can you tell what the problem is on this transvaginal ultrasound performed by a gynecologist?

The correct answers are: I see a negative sliding sign upon applying pressure and the patient most likely has endometriosis, which has already caused adhesions.

When the gynecologist applies pressure to the probe, the ovary does not slide back and forth, but remains in the center. The ovary appears to be stuck to the uterus. This is called a “negative sliding sign”. It indicates the presence of adhesions due to inflammatory processes and is an indication of intraperitoneal endometriosis in the pelvis. The diagnosis of endometriosis is made on the basis of the ultrasound examination, the medical history and the severe pain. Further examinations will help to confirm the diagnosis and draw up a treatment plan.

Learn more in our OB/GYN Ultrasound BachelorClass – now available for our offer conditions!
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Answer: What is the problem with this prosthetic aortic valve?

The correct answer is: Endocarditis.

This TEE study reveals the characteristic features of aortic prosthetic valve endocarditis, including tissue surrounding the valve indicative of an abscess. A vegetation is also visible on the occluder. Additionally, early signs of valve dehiscence and pseudoaneurysm formation are evident. The patient has a history of Staphylococcus aureus sepsis.

Do you want to learn how to detect these clues? You can do so in our Endocarditis FocusClass, TEE MasterClass or Echo MasterClass – all available within our offer!
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Answer: What do you suspect?

The correct answer is: Liver metastasis.

The image shows liver metastases as a result of breast cancer. Metastases often appear as multiple hypoechoic (darker) lesions on ultrasound, as shown in the image. However, liver metastases can present with various imaging characteristics, including hyperechoic (brighter) lesions, peripheral halos, poorly defined borders, or even cystic or calcified appearances. It's important to consider the full spectrum of imaging possibilities to accurately assess and diagnose liver metastases.

We will teach you how to see these clues quickly in our Abdominal Ultrasound BachelorClass!
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Answer: Which of the following images is from a patient with normal left ventricular function?

The correct answer is: C.

The M-mode of the aorta shows normal excursions of the aortic root, suggesting normal left ventricular function (LVF). In Patient A, the MR signal reflects dilated cardiomyopathy with low contractility, indicated by a reduced dP/dt. Example B shows reduced global longitudinal strain, while Example D depicts a patient with low cardiac output. Both findings are indicative of poor LVF.

Learn how to detect the clues in our Echo MasterClass!
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