Tests

Question 1

Which artery is the left branch of the celiac trunk?

Answer 1

Splenic

Question 2

The splenic, common hepatic, and left gastric arteries arise from which abdominal artery?

Answer 2

Celiac

Question 3

Because of the location of the inferior vena cava, the left renal vein crosses where?

Answer 3

Anterior to the aorta inferior to the left renal artery

Question 4

Gastroduodenal artery is the branch of the superior mesenteric artery?

Answer 4

False

Question 5

Gastroduodenal artery is the branch of the superior mesenteric vein????

Answer 5

False

Question 6

Describe the anatomy of capillaries.

Answer 6

Made only of basement / endothelial cells and measure approx 8 microns in diameter

Question 7

The smallest vessels in the body are????

Answer 7

Capillaries

Question 8

Regarding capillaries, which statement is false?

Answer 8

They have only intima and adventitia layers

Question 9

The superior mesenteric artery typically originates from the ?????

Answer 9

Aorta between the celiac trunk and the renal arteries

Question 10

A false aneurysm occurs when a hole in the arterial wall permits the escape of blood

Answer 10

True

Question 11

An aorta is considered aneursymal when its diameter equals or exceeds…..

Answer 11

3 cm

Question 12

What is the condition where blood enters the media of the vessel through rent and then flow along the length of the artery?

Answer 12

Arterial dissection

Question 13

Describe a saccular AAA

Answer 13

Lesser common type of aneurysm (bump coming out of the top of a vessel)

Question 14

Describe a fusiform AAA

Answer 14

The most common type of aneurysm (bump coming out of top/bottom of vessel)

Question 15

Normal aorta taper below the renal vessels (T/F?)

Answer 15

True

Question 16

What is RCIA?

Answer 16

Right Common Iliac Artery

Question 17

Postoperative evaluation of an endovascular graft placed into AAA, Color, Doppler should detect a blood flow within the graft and outside the graft (T/F?)

Answer 17

True

Question 18

Which endoleak originates at the proximal or distal stent attachment site?

Answer 18

One

Question 19

Which endoleak originates from a branch vessel (possible lumbar artery)?

Answer 19

Two

Question 20

Which endoleak includes transgraft flow or flow that fills the aneurysm sac due to porosity of the graft?

Answer 20

Four

Question 21

What is the most common complication after endovascular graft repair?

Answer 21

Endoleak

Question 22

AAA size 3.5 cm is an indication for AAA graft repair (T/F?)

Answer 22

False (5 cm)

Question 23

What is the most common site for AAA?

Answer 23

Infrarenal

Question 24

Endovascular graft deformation (twisting, torsion, kinking) can lead to stenosis or thrombosis on the distal portion of the graft limb (T/F?)

Answer 24

True

Question 25

The abdominal artery that normally demonstrates higher DIASTOLIC flow postprandially is....

Answer 25

SMA (more than pre-prandial)

Question 26

Normal mesenteric-aortic ratio is......

Answer 26

1.0

Question 27

The range of normal blood velocity in the celiac artery is......

Answer 27

98-105 cm/sec

Question 28

The abdominal artery that normally demonstrates higher DIASTOLIC flow postprandially is....

Answer 28

SMA (pre-prandial is minimal)

Question 29

What is median artery ligament syndrome?

Answer 29

Compression of the celiac artery

Question 30

In the vessel with 70% of the stenosis, the highest peak systolic velocity will be where?

Answer 30

At the point of the most narrowing of the vessel

Question 31

Is turbulence most prominent after stenosis?

Answer 31

Yes

Question 32

Do all mesenteric, splanich, veins originate from the aorta?

Answer 32

No

Question 33

What comprises the portal triad?

Answer 33

Hepatic Artery, CBD, and Portal Vein

Question 34

What makes up the dual liver vascular supply?

Answer 34

80% portal vein, 20% hepatic artery

Question 35

Patients who are evaluated for portal hypertension may have liver dysfunction symptoms include......?

Answer 35

Jaundice, clotting abnormalities, malnutrition, and claudication (not ascites which indicates cirrhosis)

Question 36

What is the portal vein diameter?

Answer 36

13 (quiet respiration) -16 mm (deep inspiration)

Question 37

What do you call splenic vein flow?

Answer 37

Hepatopedal

Question 38

Hepatic artery demonstrates high resistance flow with no diastolic flow (T/F?)

Answer 38

False (continuous) / low resistant

Question 39

What do you call hepatic vein flow?

Answer 39

Hepatofugal

Question 40

The pressure in the portal system normally does not exceed.......

Answer 40

7 mmHg

Question 41

What do you call portal vein flow?

Answer 41

Hepatopedal

Question 42

What happens with portal hypertension?

Answer 42

Pressure in the portal system increases

Question 43

What is the normal waveform for portal vein?

Answer 43

Continuous with respiratory changes

Question 44

What is the splenic vein waveform direction?

Answer 44

Hepatopedal

Question 45

What is the normal size for spleen?

Answer 45

No more than 13 cm

Question 46

Normal velocity through the liver shunt is less than 30 cm/sec (T/F)?

Answer 46

False (50-120/90-120 normally)

Question 47

What is the paraumbilical vein a remnant of?

Answer 47

Umbilical cord/vein

Question 48

What is RAR?

Answer 48

Renal aortic ratio

Question 49

What is the normal renal artery velocity?

Answer 49

50-100 cm/sec

Question 50

How do the renal arteries arise from the aorta?

Answer 50

Laterally

Question 51

In a cross section of the aorta and surrounding regions, the vein that is visualized superficial to the aorta and the origins of the right and left mesenteric artery is....?

Answer 51

Left renal vein

Question 52

A noninvasive diagnosis of renal artery stenosis can be made by B-mode images of....?

Answer 52

A duplex system with spectral signal analysis

Question 53

Describe normal arterial waveforms in the hilum.

Answer 53

Low resistance in character

Question 54

When is renal artery stenosis greater than 60% diagnosed?

Answer 54

When systolic renal / aortic ratio is great than 3.5

Question 55

While scanning a kidney transplant, you find that the renal artery and vein are patent, but the arteries of the transplanted kidney do not have diastolic flow.....is this normal?

Answer 55

No, they should have diastolic flow

Question 56

What is the echogenicity of testicles?

Answer 56

Isoechoic with moderate echogenicity

Question 57

How is venous drainage of the testes?

Answer 57

Left testicular vein drains into the left renal vein

Question 58

How does the affected testicles appear with acute torsion?

Answer 58

Increased in size and hypoechoic

Question 59

During acute complete testicular torsion how is blood flow?

Answer 59

No blood flow detected

Question 60

What is varicocele a dilation of?

Answer 60

Pampiniform plexus

Question 61

How can hematoma be diagnosed with doppler?

Answer 61

No blood flow within hematomas

Question 62

Are most extratesticular masses benign or malignant?

Answer 62

Benign

Question 63

Most intratesticular masses benign (T/F)?

Answer 63

False

Question 64

Varicocele usually present in the right side of the scrotum (T/F)?

Answer 64

False

Question 65

What is the uterine artery a branch of?

Answer 65

Ovarian artery

Question 66

What abnormality results from the ovary twisting on its mesenteric connection?

Answer 66

Ovarian torsion

Question 67

What term describes an artifact that is produced by a strong reflector and results in a copy of the anatomy being placed deeper than the correct location?

Answer 67

Mirror image

Question 68

The left ovarian vein drains directly into what?

Answer 68

Left renal vein

Question 69

The ovary is supplied blood by what?

Answer 69

Ovarian and uterine arteries

Question 70

Describe normal ovarian flow.

Answer 70

High resistance during menstruation and low resistant at the time of ovulation

Question 71

Retained products of conception (RPOC) show the blood flow in doppler (T/F)?

Answer 71

True

Question 72

Hemorrhagic cyst shows the blood flow within the cyst during the doppler exam (T/F)?

Answer 72

False

Question 73

How is the portal vein formed?

Answer 73

The junction of the SMV and SV

Question 74

What is endovascular leak?

Answer 74

Flow outside the graft that perfuses and pressures the aneurysm sac.

Question 75

In a patient with portal hypertension, what would be the most likely result of increased portal venous pressure?

Answer 75

Enlarged coronary artery

Question 76

In the US, what is the most common cause of portal hypertension?

Answer 76

Cirrhosis

Question 77

To evaluate the flow within the splanich arteries, what vessels should you examine?

Answer 77

Celiac, SMA, IMA

Question 78

The patient with advanced chronic mesenteric ischemia appears how?

Answer 78

Malnourished

Question 79

What is a common manifestation of portal hypertension?

Answer 79

Bleeding esophageal varices

Question 80

The patient has enlarged coronary vein with retrograde flow which diagnoses what?

Answer 80

Portal hypertension

Question 81

A patient with intestinal ischemia will have a duplex on which arteries?

Answer 81

Superior Mesenteric Artery and Celiac Trunk (?!?!?)

Question 82

In duplex assessment of the portal vein, flow is....?

Answer 82

Normally continuous with respiration

Question 83

What is the normal spectral waveform for hepatic veins?

Answer 83

Triphasic

Question 84

What will be a normal finding in a patient who has a transjugular intrahepatic portosystemic shunt (TIPS)?

Answer 84

Hepatopedal flow in the main portal vein

Question 85

Which disorder necessitates TIPS?

Answer 85

Cirhossis

Question 86

Which system disease has symptoms of post-prandial pain, fear of food, recent weight loss?

Answer 86

Mesenteric arteries

Question 87

What does mesenteric ischemia relate to?

Answer 87

Acute of chronic compromise of blood supply to the small and large intestine

Question 88

What is the normal velocity in the portal vein?

Answer 88

15-28 cm/sec

Question 89

What is the most common site for liver TIPS?

Answer 89

Portal vein and hepatic vein (connection)

Question 90

What are symptoms of intussusception?

Answer 90

Intermittent, severe abdominal pain, vomiting, palpable abdominal mass and red currant jelly stool

Question 91

What are normal measurements for pylorus?

Answer 91

17 mm in length, 3 mm wall thickness

Question 92

Where is appendix located?

Answer 92

Within the right lower quadrant, at the level of the ceceum

Question 93

What is normal appendix diameter?

Answer 93

Up to 7 mm

Question 94

What are symptoms for appendicitis?

Answer 94

RLQ pain, tenderness, leukocytosis and possible palpable mass

Question 95

Gastrointestinal tract is located extraperitoneal (T/F)?

Answer 95

False (most intraperitoneal) except ascending and sigmoid (?????)

Question 96

What is another term for decreased blood flow?

Answer 96

Ischemia