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Medical knowledge
UT-15 Abdominal Vascular
40 Questions - Developed by:
Joel
- Updated on:
2014-03-15
- 4,612 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 aneurysm
Aortic ectasia
Aortic dissection
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?
Splenic vein
Portal vein
None of the above
Superior mesenteric artery
Renal arteries
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 inferior mesenteric artery
Superior and inferior mesenteric arteries
Splenic and superior mesenteric artery
Aorta and superior mesenteric artery
RT and LT renal arteries
4
An aneurysm resulting from infection is termed:
Saccular
Fusiform
Ectatic
Mycotic
Septic
5
The term "seagull sign" is used to describe which of the following vessels?
SMA and it's major branches
Celiac, hepatic, and splenic arteries
IMA and it's major branches
Left and right renal arteries
6
Which of the following is not associated with normal findings in the abdominal aorta?
No focal dilatation
Smooth margins
Tapering distally
Tortuosity near the bifurcation
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?
Raynaud's syndrome
Arcuate ligament syndrome
Paget-schroetter syndrome
May-thurner syndrome
8
Evaluation of abdominal aortic aneurysm is facilitated if the study is done:
This study does not depend on patient preparation
Before breakfast
After lunch but before dinner
After breakfast but before lunch
After dinner
9
What is the first major branch arising from the abdominal aorta?
Left renal artery
SMA
Celiac artery
Right renal artery
IMA
10
What is the most common location for AAA?
Infrarenal
Proximal aorta just as it passes through the diaphragm
At the level of the SMA
Suprarenal
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?
Calcification
Atherosclerotic plaque
Thrombus formation
Vessel dissection
12
What is the most common pathologic finding in the IVC and iliac veins?
Tumor extension from renal cell carcinoma
Isolated thrombosis of the IVC
Venous dissection through the iliac veins
Thrombus extension from DVT in the legs
13
What shape are most aortic aneurysms?
Mycotic
Saccular
Fusiform
Dissecting
14
Patients being evaluated for portal hypertension may have liver dysfunction symptoms including all of the following except
Jaundice
Claudication
Malnutrition
Clotting abnormalities
Ascites
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?
Fusiform aneurysm
Aortic stenosis
Saccular aneurysm
Aortic dissection
16
The abdominal aorta is considered aneurysmal when the diameter measures greater than what?
1 cm
2 cm
3 cm
3 mm
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?
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%
The risk of death from cardiac disease is greater than the risk of death from rupture of the aneurysm
18
On sonographic evaluation, which of the following describes the appearance of an IVC filter?
Echogenic lines that converge to a point
Hypoechoic, circular rings within the IVC lumen
Hyperechoic, circular rings within the ICV lumen
Hypoechoic lines that converge to a point
19
Your measurement of a patient's abdominal aorta gives a diameter of 6.5cm. the probable management of this patient would likely involve:
Endarterectomy
Follow-up scan in one year
No course of action; this finding is within normal limits
Percutaneous angioplasty
Elective repair
20
Demonstration of vein wall coaptation of the subclavian vein is best performed with:
The subclavian vein cannot be assessed for vein wall coaptation
The patient taking a quick, deep breath
Valsalva maneuver
Firm arm compression
Probe compression
21
The abdominal vessel that is most commonly compromised by compression of the median arcuate ligament of the diaphragm is the:
SMA
Celiac artery
LT gastric artery
None of the above
IVC
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%?
Endoleak
AV fistula
Aneurysm
Dissection
Pseudoaneurysm
23
Patients with significant mesenteric artery obstructive disease generally have symptoms of:
Preprandial pain, relieve by eating
Postprandial hypertensive state
Preprandial bloating, relieved by eating
Postprandial pain
Postprandial syncope
24
Because of the abdominal pain associated with chronic mesenteric ischemia, patients often experience which of the following?
Fear of exercise
Nausea and vomitting
Fear of food and weight loss
Overeating and weight gain
25
Which of the following patients would be suspected of fibromuscular dysplasia in the renal artery?
A 24 year old male with chronic asthma
A 32 year old female with poorly controlled hypertension
A 85 year old male diabetic
A 66 year old female with history of well-controlled hypertension and smoking
26
When viewing the abdominal aorta in transverse, which dimension provides the most accurate diameter measurement?
Superior to inferior
Anterior to posterior
All are equally accurate
Right to left lateral
27
Popliteal aneurysms are associated with abdominal aortic aneurysms at about what rate?
50%
30%
20%
0%
10%
28
In duplex assessment of the portal vein, flow is:
Normally phasic with respiration
Minimally diverted from the liver with portocaval shunt
Minimally modulated by abdominal pressure
Minimally altered during portal hypertension
Normally continuous with respiration
29
A patient with advanced chronic mesenteric ischemia will most likely be:
Hyperactive
Malnourished
Obese
In arterial fibrillation
Free of discernable symptoms
30
Where does the left sided IVC in a duplicate system typically terminate?
SMV
Right renal vein
Splenic vein
Left renal vein
31
To evaluate blood flow within the splanchnic arteries, you should examine the following vessels:
Celiac artery, SMA, IMA
Right and left renal arteries and veins
All of the above
Main portal vein, right portal vein, left portal vein
Right and left common iliac and external iliac arteries
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
After eating
Constantly (fasting and nonfasting)
34
In which of the following patients would an abdominal aortic aneurysm most likely be found?
69 yr old male
37 yr old male
28 yr old female
75 yr old female
35
The abdominal artery that normally demonstrates higher diastolic flow postprandially is:
Common hepatic
Celiac axis
Superior mesenteric
Renal
36
What is the external iliac vein a continuation of?
Common iliac vein
Common femoral vein
IVC
Great saphenous vein
37
What should doppler waveforms obtained from the celiac, splenic, and hepatic arteries demonstrate?
Prolonged systolic upstrokes
Mixed high and low resistance flow
Low resistance flow
High 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
Saccular aneurysm
Aortic stenosis
39
What landmark is used to determine the end of the common iliac artery and the beginning of the external iliac artery?
Iliac crest
Origin of the internal iliac artery
Inguinal ligament
Umbilicus
40
With a patient in a fasting state, what should the SMA exhibit?
High resistance flow pattern
Respiratory phasic flow pattern.
Mixed high and low resistance flow pattern
Low resistance flow pattern
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