UT-15 Abdominal Vascular

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40 Questions - Developed by: Joel - Developed on: - 2.293 taken

Q banks

  • 1
    During an aortoilliac duplex exam, the distal aorta measures 2.5cm in diameter. What are these findings consistent with?
    Normal aortic dimension
    Aortic dissection
    Aortic ectasia
    Aortic aneurysm
  • 2
    You are examining a patient who presents with weight loss, postprandial pain and an abdominal bruit. Obstruction of which vessel is most likely to be at least partly responsible for these symptoms?
    Renal arteries
    Portal vein
    Splenic vein
    None of the above
    Superior mesenteric artery
  • 3
    In a patient with intestinal ischemia, the cause might be revealed by a duplex scan finding of stenosis in which of the following arteries
    Aorta and superior mesenteric artery
    Aorta and inferior mesenteric artery
    Splenic and superior mesenteric artery
    RT and LT renal arteries
    Superior and inferior mesenteric arteries
  • 4
    An aneurysm resulting from infection is termed:
  • 5
    The term "seagull sign" is used to describe which of the following vessels?
    Left and right renal arteries
    IMA and it's major branches
    Celiac, hepatic, and splenic arteries
    SMA and it's major branches
  • 6
    Which of the following is not associated with normal findings in the abdominal aorta?
    No focal dilatation
    Tortuosity near the bifurcation
    Smooth margins
    Tapering distally
  • 7
    Which of the following is the condition that occurs when the left common iliac vein is compressed between the overlying right common iliac artery and underlying vertebral body?
    May-thurner syndrome
    Arcuate ligament syndrome
    Raynaud's syndrome
    Paget-schroetter syndrome
  • 8
    Evaluation of abdominal aortic aneurysm is facilitated if the study is done:
    After lunch but before dinner
    After breakfast but before lunch
    This study does not depend on patient preparation
    After dinner
    Before breakfast
  • 9
    What is the first major branch arising from the abdominal aorta?
    Right renal artery
    Celiac artery
    Left renal artery
  • 10
    What is the most common location for AAA?
    At the level of the SMA
    Proximal aorta just as it passes through the diaphragm
  • 11
    Upon duplex evaluation of a known abdominal aortic aneurysm, homogenous echoes with smooth borders are visualized within the aneurysm sac. What are these findings most consistent with?
    Vessel dissection
    Thrombus formation
    Atherosclerotic plaque
  • 12
    What is the most common pathologic finding in the IVC and iliac veins?
    Venous dissection through the iliac veins
    Isolated thrombosis of the IVC
    Thrombus extension from DVT in the legs
    Tumor extension from renal cell carcinoma
  • 13
    What shape are most aortic aneurysms?
  • 14
    Patients being evaluated for portal hypertension may have liver dysfunction symptoms including all of the following except
    Clotting abnormalities
  • 15
    A 65 year old male presents to the vascular lab for evaluation of the abdomen after involvement in a car accident. During the duplex exam, an asymmetric outpouching is identified in the mid to distal aorta. What are these findings most consistent with?
    Aortic dissection
    Aortic stenosis
    Fusiform aneurysm
    Saccular aneurysm
  • 16
    The abdominal aorta is considered aneurysmal when the diameter measures greater than what?
    2 cm
    3 cm
    3 mm
    1 cm
  • 17
    A patient has a 7 cm abdominal aortic aneurysm. The patient elects not to have an operation, despite the surgeon's recommendation. Which of the following is false?
    The risk of death from cardiac disease is greater than the risk of death from rupture of the aneurysm
    There is little risk for aortic occlusion
    The surgeon's recommendation is sound based on the natural history of AAA
    There is little risk for distal embolization
    The mortality of rupture, even with prompt care, is at least 50%
  • 18
    On sonographic evaluation, which of the following describes the appearance of an IVC filter?
    Hyperechoic, circular rings within the ICV lumen
    Echogenic lines that converge to a point
    Hypoechoic lines that converge to a point
    Hypoechoic, circular rings within the IVC lumen
  • 19
    Your measurement of a patient's abdominal aorta gives a diameter of 6.5cm. the probable management of this patient would likely involve:
    Follow-up scan in one year
    No course of action; this finding is within normal limits
    Elective repair
    Percutaneous angioplasty
  • 20
    Demonstration of vein wall coaptation of the subclavian vein is best performed with:
    Firm arm compression
    The subclavian vein cannot be assessed for vein wall coaptation
    Valsalva maneuver
    The patient taking a quick, deep breath
    Probe compression
  • 21
    The abdominal vessel that is most commonly compromised by compression of the median arcuate ligament of the diaphragm is the:
    LT gastric artery
    Celiac artery
    None of the above
  • 22
    Which of the following is the term for a focal dilatation of an artery involving all three layers of the vessel wall that exceeds the normal diameter by more than 50%?
    AV fistula
  • 23
    Patients with significant mesenteric artery obstructive disease generally have symptoms of:
    Postprandial pain
    Preprandial pain, relieve by eating
    Preprandial bloating, relieved by eating
    Postprandial syncope
    Postprandial hypertensive state
  • 24
    Because of the abdominal pain associated with chronic mesenteric ischemia, patients often experience which of the following?
    Overeating and weight gain
    Fear of exercise
    Nausea and vomitting
    Fear of food and weight loss
  • 25
    Which of the following patients would be suspected of fibromuscular dysplasia in the renal artery?
    A 66 year old female with history of well-controlled hypertension and smoking
    A 24 year old male with chronic asthma
    A 32 year old female with poorly controlled hypertension
    A 85 year old male diabetic
  • 26
    When viewing the abdominal aorta in transverse, which dimension provides the most accurate diameter measurement?
    Right to left lateral
    Anterior to posterior
    All are equally accurate
    Superior to inferior
  • 27
    Popliteal aneurysms are associated with abdominal aortic aneurysms at about what rate?
  • 28
    In duplex assessment of the portal vein, flow is:
    Minimally altered during portal hypertension
    Normally continuous with respiration
    Normally phasic with respiration
    Minimally diverted from the liver with portocaval shunt
    Minimally modulated by abdominal pressure
  • 29
    A patient with advanced chronic mesenteric ischemia will most likely be:
    In arterial fibrillation
    Free of discernable symptoms
  • 30
    Where does the left sided IVC in a duplicate system typically terminate?
    Right renal vein
    Left renal vein
    Splenic vein
  • 31
    To evaluate blood flow within the splanchnic arteries, you should examine the following vessels:
    Main portal vein, right portal vein, left portal vein
    Right and left common iliac and external iliac arteries
    Right and left renal arteries and veins
    Celiac artery, SMA, IMA
    All of the above
  • 32
    What is a filter placement in the IVC designed to prevent?
    Thrombus extension from the intraphepatic IVC
    Pulmonary embolus
    Thrombus extension from the lower extremities
    Tumor extension from the renal veins
  • 33
    Many patients feel abdominal pain in association with chronic mesenteric ischemia. When does this pain typically occur?
    With aerobic exercise
    In a fasting state
    Constantly (fasting and nonfasting)
    After eating
  • 34
    In which of the following patients would an abdominal aortic aneurysm most likely be found?
    69 yr old male
    75 yr old female
    37 yr old male
    28 yr old female
  • 35
    The abdominal artery that normally demonstrates higher diastolic flow postprandially is:
    Common hepatic
    Superior mesenteric
    Celiac axis
  • 36
    What is the external iliac vein a continuation of?
    Common iliac vein
    Great saphenous vein
    Common femoral vein
  • 37
    What should doppler waveforms obtained from the celiac, splenic, and hepatic arteries demonstrate?
    High resistance flow
    Low resistance flow
    Prolonged systolic upstrokes
    Mixed high and low resistance flow
  • 38
    During doppler evaluation of the abdominal aorta, two flow channels are noted. What is this finding most consistent with?
    Aortic dissection
    Fusiform aneurysm
    Aortic stenosis
    Saccular aneurysm
  • 39
    What landmark is used to determine the end of the common iliac artery and the beginning of the external iliac artery?
    Inguinal ligament
    Iliac crest
    Origin of the internal iliac artery
  • 40
    With a patient in a fasting state, what should the SMA exhibit?
    Respiratory phasic flow pattern.
    High resistance flow pattern
    Mixed high and low resistance flow pattern
    Low resistance flow pattern

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