Chapter 9 Abdominal Vasculature Flashcards

1
Q
A disorder of the connective tissue characterized by tall stature and aortic and mitral valve insufficiency is:
A. Wilm's syndrome
B. Meckel-Gruber syndrome
C. Marfan syndrome
D. Kleinman syndrome
A

C. Marfan syndrome

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2
Q
The inner wall layer of a vessel, closest to the passing blood is the:
A. Tunica media
B. Tunica intima
C. Tunica rugae
D. Tunica adventitia
A

B. Tunica intimia

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3
Q
The first main visceral branch of the abdominal aorta is the:
A. Superior mesenteric artery
B. Celiac
C. Renal
D. Hepatic
A

B. Celiac

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4
Q
An aneurysm associated with infection is termed:
A. Recanalized
B. Saccular
C. Fusiform
D. Mycotic
A

D. Mycotic

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5
Q
All of the following are branches of the celiac axis except:
A. Right gastric
B. Hepatic
C. Splenic
D. Left gastric
A

A. Right gastric

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6
Q
The outer wall layer of a vessel is the:
A. Tunica media
B. Tunica intima
C. Tunica rugae
D. Tunica adventitia
A

D. Tunica adventitia

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7
Q

What should the postprandial flow pattern be within the superior mesenteric artery?
A. High resistance
B. Low resistance

A

B. Low resistance

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8
Q
The second main branch of the abdominal aorta is the:
A. Superior mesenteric
B. Celiac
C. Renal
D. Hepatic
A

A. Superior mesenteric

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9
Q
Of the following, which vessel will show a different flow pattern after eating?
A. Celiac
B. Splenic artery
C. Renal artery
D. SMA
A

D. SMA

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10
Q

In small bowel ischemia, the postprandial superior mesenteric artery will yield what flow pattern?
A. High resistance
B. Low resistance

A

A. High resistance

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11
Q
An abdominal aortic aneurysm is present when the diameter of the abdominal aorta exceeds:
A. 10 mm
B. 2.5 mm
C. 3 cm
D. 2 mm
A

C. 3 cm

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12
Q
Occlusion of the hepatic veins describes:
A. Marfan syndrome
B. Klinefelter syndrome
C. Morrison syndrome
D. Budd-Chiari syndrome
A

D. Budd-Chiari

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13
Q
The most common shape of an abdominal aortic aneurysm is:
A. Saccular
B. Bulbous
C. True
D. Fusiform
A

D. Fusiform

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14
Q
Which vascular structure may be confused for the main pancreatic duct?
A. Hepatic artery
B. Left gastric artery
C. SMA
D. Splenic artery
A

D. Splenic artery

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15
Q
The IVC terminates at the:
A. Common iliac veins
B. Right atrium
C. Left atrium
D. Left ventricle
A

B. Right atrium

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16
Q
The main portal vein is created by the union of the:
A. Splenic and SMA
B. SMV and IMV
C. Splenic and IMV
D. Splenic and gastroduodenal
A

A. Splenic and SMA

17
Q
The veins seen attaching to the IVC just below the diaphragm are the:
A. Renal
B. SMV
C. Hepatic
D. Celiac
A

C. Hepatic

18
Q
The aorta originates at the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
A

C. Left ventricle

19
Q

The hepatic artery should demonstrate:
A. High resistance flow
B. Low resistance flow

A

B. Low resistance flow

20
Q
Clinical findings of an abdominal aortic aneurysm include all of the following except:
A. Lower extremity pain
B. Back pain
C. Abdominal bruit
D. Neck pain
A

D. Neck pain

21
Q
An outpatient with a history of back pain and hypertension presents to the ultrasound department for an abdominal aortic sonogram. Sonographically, you visualize a 6 cm infrarenal aortic aneurysm with an echogenic linear structure noted gently swaying in the lumen. What is the most likely diagnosis?
A. Aortic rupture
B. Chronic aortic aneurysm
C. Aortic dissection
D. Aortic rupture
A

C. Aortic dissection

22
Q
What vessel travels posterior to the superior mesenteric artery and anterior to the abdominal aorta?
A. Left renal vein
B. Left renal artery
C. Right renal vein
D. Splenic vein
A

A. Left renal vein

23
Q
Which of the following would most likely have a high resistance flow pattern?
A. Celiac artery
B. Common iliac artery
C. Splenic artery
D. Right renal artery
A

B. Common iliac artery

24
Q
What vessel travels anterior to the left renal artery?
A. Left renal vein
B. Hepatic artery
C. Right renal vein
D. SMV
A

A. Left renal vein

25
Q
From the list below, which vessel would be the shortest in length?
A. Right renal vein
B. Right renal artery
C. Left renal vein
D. Left renal artery
A

A. Right renal vein

26
Q
Enlargement of the IVC, with subsequent enlargement of the hepatic veins, is seen in cases of:
A. Budd-Chiari
B. Marfan
C. Left sided heart failure
D. Right sided heart failure
A

D. Right sided heart failure

27
Q
Which of the following would have a pulsatile triphasic blood flow pattern?
A. Renal veins
B. Hepatic veins
C. Gonadal veins
D. Common iliac veins
A

B. Hepatic veins

28
Q
The diameter of the IVC should never exceed:
A. 1.5 cm
B. 2.5 cm
C. 3.5 cm
D. 8 mm
A

B. 2.5 cm

29
Q

Which of the following statement about the IVC is not true?
A. The diameter of the IVC is variable
B. Respiration can affect the IVC
C. The IVC is located to the left of the aorta
D. The IVC is considered retroperitoneal

A

C. The IVC is located to the left of the aorta

30
Q

Which of the following statements about the aorta is false?
A. Most aneurysms located within the abdominal aorta are false aneurysms
B. The aorta is located to the left of midline
C. The most common location of an AAA is infrarenal
D. The aorta is retroperitoneal

A

A. Most aneurysms are false