Deliver high voltage/high frequency sine wave
If that's for a single pulse, you can use off-the-shelf components. As a pulser, you could use:


NMT0572SC for high voltage generation from 5V
TC6320TG for pulse production (you still need to supply it with High Voltage), using a MD1213 for control
Protect the rest of the design with a MD0100


And you have yourself a nice pulser board!