Final Mock Exam

Question 1

T/F The purpose of the Valsalva’s maneuver is to test the efficiency of the valves

Answer 1

true

Question 2

T/F This can lead to varicose veins due to the increased pressure in the superficial system

Answer 2

true

Question 3

T/F Augmentation is used to force a bolus of blood quickly up the venous tree

Answer 3

true

Question 4

T/F If augmentation response is good, this proves the lack of occlusive obstruction between the probe and the area of squeeze(calf)

Answer 4

true

Question 5

If the augmentation response is not adequate such as a wrap around flow pattern, which of the following statements is/are true:
A-stop the test
B-try again, you may not have squeezed with enough force
C-ask a coworker to augment with both hands-the leg may be swollen or large
D-if the compressions were not adequate due to swelling, size etc and augmentation is poor, there may be a missed DVT
Choose from:
A &D
B&C&D

Answer 5

B
C
D

Question 6

Continuous, non-phasic flow in the CFV when the compressions did not reveal a DVT, points to what diagnosis-
A-patient is not holding their breath
B-there is a missed DVT in the femoral vein
C-there is poor augmentation
D-there is likely a DVT in the ipsilateral iliac vein

Answer 6

there is likely a DVT in the ipsilateral iliac vein

Question 7

If the Iliacs are not seen due to pt body habitus, gas etc, how would you expand the test?
describe

Answer 7

Examine the IVC below the liver for phasicity

Question 8

Above the renal arteries

Answer 8

Low resistant with medium pulsatility

Question 9

Infrarenal portion and iliacs

Answer 9

High resistant,higher pulsatility

Question 10

T/F The distal aorta and iliacs may assume a low resistant flow pattern while exercising

Answer 10

true

Question 11

fasting state flow pattern

Answer 11

high resistant flow with low diastolic aspect

Question 12

post prandial state flow pattern

Answer 12

low resistant flow with high PSV and high diastolic flow

Question 13

Renal flow is normally

Answer 13

a low resistnat pattern

Question 14

The upper limits of normal PSV for the main renal artery is

Answer 14

under 180 cm/s

Question 15

RI is calculated using which formula

Answer 15

PSV-EDV/PSV

Question 16

What is the normal range for Renal RI?

Answer 16

0.4-0.7

Question 17

What is the acceptable Renal artery to Aorta ratio:

Answer 17

under 3.5

Question 18

T/F Intrarenal tardus parvus waveform indicates a hemodynamically significant MRA stenosis

Answer 18

true

Question 19

what is the most common cause of renal artery stenosis?

• Fibromuscular dysplasia
• Renal failure
• Smoking
• Atherosclerosis
• Hyperlipidemia

Answer 19

atherosclerosis

Question 20

Emboli or insitu thrombus causes what condition in the kidney?
A-cyst
B-tardus parvus waveform
C-RA aneurysm
D-infarct

Answer 20

infarct

Question 21

A malformation that causes arterial pulsations within the renal venous tree is-
A-arterial venous fistula
B-tardus parvus waveform
C-duplicated renal artery
D-pseudoaneurysm

Answer 21

A-arterial venous fistula

Question 22

how may arterial venous fistulas occur?

Answer 22

congenital or aquired

• tumour
• trauma
• iatrogenic

Question 23

How much flow does the portal vein supply to the liver?

Answer 23

70%

Question 24

Normal blood flow velocity of the \_\_\_\_\_   \_\_\_\_\_ is 13-23 cm/sec with an average of 18 cm/sec
 A-hepatic artery
B-portal vein
C-splenic vein
D-mesenteric artery

Answer 24

potal vein

Question 25

T/F Normal hepatic arterial PSV in a fasting adult patient is approximately 30–40 cm/sec, and EDV is 10–15 cm/sec .

Answer 25

true

Question 26

pictures on the mock exam

Answer 26

look at

Question 27

When the intimal wall pulls away from the muscular wall in an artery, this indicates which condition-

Answer 27

dissection

Question 28

Which statement regarding Paget-Schroetter syndrome is true- A-Most common cause of upper extremity DVT B-Seen in older adults C-Due to effort-induced thrombosis of the Jugular vein D-Associated with strenuous upper body exercise or repetitive movements

Answer 28

D-Associated with strenuous upper body exercise or repetitive movements

Question 29

T/F VAD’s can be a cause of upper extremity DVT-

Answer 29

true

Question 30

list 3 uses for VAD's

Answer 30

- chemotherapy - nutrition - other meds

Question 31

T/F Lymphedema in the arm is most commonly seen following mastectomy with removal of lymph nodes in the axilla

Answer 31

true

Question 32

T/F Right replaced hepatic artery occurs more commonly than left replaced hepatic artery-

Answer 32

true

Question 33

It arises from which artery? A-SMA B-left gastric artery

Answer 33

SMA

Question 34

T/F It traverses anterior to the PV

Answer 34

false

Question 35

what is the size of a normal splenic vein?

Answer 35

under 10mm

Question 36

T/F “Sinistral” is the term used for left sided-splenic vein thrombosis

Answer 36

true

Question 37

T/F A sonographic sign that is useful in determining if a DVT is chronic would be the presence of collaterals-

Answer 37

true

Question 38

Describe the sonographic appearance of chronic or “old clot”?

Answer 38

hyperechoic calcified thickened walls atrophic vessel

Question 39

T/F If the D-dimer assay is negative ,it is unlikely there is a DVT

Answer 39

true

Question 40

primary varicose

Answer 40

Result of incompetent SFJ valve

Question 41

secondary varicose

Answer 41

History of DVT/obstruction or incompetent deep venous valves

Question 42

T/F Bowel disease, such as ulcerative colitis, increases your risk of DVT

Answer 42

true

Question 43

``` Which of the following also increases the risk of DVT? A-Pregnancy B-Post partum period C-Oral contraceptives D-Cancer E-all of the above ```

Answer 43

all of the above

Question 44

T/F ABI stands for: ankle brachial index

Answer 44

true

Question 45

T/F ABI is a reliable tool for documenting the presence of lower extremity arterial disease-

Answer 45

true

Question 46

T/F An ABI of > 0.9 is indicative of no hemodynamically significant stenosis-

Answer 46

true