Vascular Angio

Question 0

Super selective pulmonary angiograms may be injected slowly by hand using the ____ method.

Answer 0

Balloon occlusion

Question 1

During bilateral femoral arteriography is important to minimize anterior tibial and popliteal artery overlap. How should the legs be positioned?

Answer 1

Rotate toes 30° medial

Question 2

Check the x-ray modalities used to film bilateral aorto-iliac femoral arteriograms.

Answer 2

Single long 14 x 51” film
Longboard film changer table
Stepping table with 14-14” film

Question 3

Is aortography safe in patients with aortic dissection? It generally:

Answer 3

Is safe if contrast is not injected into the false channel.

Question 4

When should the filming sequence start in a long leg bilateral arteriogram?

Answer 4

During the injection

Question 5

Contrast injections may be painful. Check the techniques used in brachiocephalic arteriography that effectively reduce pain?

Answer 5

Use reduce strength contrast
Use non-ionic contrast
Use low osmolar contrast
IV fentanyl and versed

Question 6

An otherwise healthy 70 yr old man with diabetes is suspected to have secondary hypertension. To diagnose this type of hypertension, what type of angiographic procedure would he most likely be scheduled for?

Answer 6

Renal arteriogram

Question 7

What is the best angiographic x-ray view to show the aortic arch?

Answer 7

60 degree LAO

Question 8

A patient with a resting a/b ratio of 0.4 has a blood pressure of 200/75mmHg. This means that the systolic BP in the

Answer 8

Lower leg is only 80mmHg

Question 9

Which angiographic position best delineates the origins of the celiac axis and the superior mesenteric arteries?

Answer 9

Lateral

Question 10

Check the x-ray recording chains that use an image intensifier?

Answer 10

35 mm cine film
4x4” spot film
Digital video disk or tape

Question 11

Kidney function test

Answer 11

BUN

Question 12

Artery punctured for AO-gram

Answer 12

CFA

Question 13

Feeding tube to stomach

Answer 13

NG

Question 14

Artery supplying femur

Answer 14

PFA

Question 15

How long will it take to make a contrast injection if the radiologist asks you to perform the pressure injector to “12 for 90”?

Answer 15

7.5 seconds

Question 16

To reduce the leg circulation time when doing large film from moral arteriography, blood pressure cuffs may be inflated to occlude both femoral arteries for 3 to 10 minutes. Then they are suddenly released, and the contrast is injected. The increased blood flow and reduced circulation time is due to

Answer 16

Extremity hyperemic vasodilation response

Question 17

Shows no motion but has the widest field and highest resolution

Answer 17

14 x 14” large cut film

Question 18

Shows no motion but high-resolution

Answer 18

4 x 4 inch spot film

Question 19

Motion picture film

Answer 19

35mm cine film

Question 20

Motion and post acquisition video enhancement

Answer 20

Digital video disc or tape

Question 21

In the “subclavian steal syndrome” the stenosed artery may receive collateral blood flow by stealing blood flow from the

Answer 21

Vertebral artery

Question 22

Aortography in the shallow RAO projection usually shows the ascending and descending aorta

Answer 22

Superimposed

Question 23

Iliac and femoral angiograms which show the entire leg circulation on long board type films is termed “femoral

Answer 23

Run-off films”

Question 24

Check what types of vascular procedures should be pretreated with prophylactic antibiotics

Answer 24

Biliary obstructive jaundice Urinary obstruction Tumor devascularization

Question 25

The current gold standard now used to diagnose deep vein thrombosis is

Answer 25

B-mode ultrasound (compressing veins while imaging them)

Question 26

Which class of aortic dissection originates in the descending aorta?

Answer 26

Type B of Daily

Question 27

A patient has claudication symptoms in only his left leg. To perform a unilateral left femoral arteriogram the radiologist wants to enter from the right femoral artery, and pass the catheter across the iliac bifurcation, down the left iliac artery. This is turned a

Answer 27

Contralateral

Question 28

Computerized digital x-ray imaging

Answer 28

DSA

Question 29

Thrombosis of leg veins

Answer 29

DVT

Question 30

Procedure where contrast injected IV to outline renal system

Answer 30

IVP

Question 31

Artery to front of foot

Answer 31

DP

Question 32

Artery of intestine

Answer 32

SMA

Question 33

Radioisotope scan of lung

Answer 33

V/Q

Question 34

Vascular angioplasty

Answer 34

PTA

Question 35

X-ray of abdomen showing kidneys excreting contrast

Answer 35

KUB

Question 36

Claudication is due to _____ in the _____.

Answer 36

Artherosclerosis, leg arteries

Question 37

In long film aorto-iliac-femoral bilateral arteriography film density usually increases from pelvis, to thigh, to calf. Check what techniques are used to even out the exposure of longboard films

Answer 37

Step wedge at cone of tube | Slower speed calf film

Question 38

Stepping tables for adult femoral arteriography usually step in ____ inch incriments

Answer 38

8-12

Question 39

An alternate method of vascular entry for abdominal aortography is the translumbar approach. In this method where is the translumbar puncture made?

Answer 39

Below 12 rib, 10 cm to left of the backbone

Question 40

Which medication maybe used to increase visualization of a portal venous system or during a splenic arteriogram?

Answer 40

Tolazoline

Question 41

A young woman has attacks of intermittent vasospasm in both of her hands when exposed to cold or if she becomes emotional. Her fingers become white, numb and painful. These signs and symptoms are most likely due to

Answer 41

Raynaud's disease

Question 42

Artery in the shoulder area

Answer 42

Axillary

Question 43

Artery in the humorous area

Answer 43

Brachial

Question 44

Artery in the forearm- thumb side

Answer 44

Radial

Question 45

Artery in forearm- pinkie side

Answer 45

Ulnar

Question 46

Artery in thorax- beneath clavicle

Answer 46

Subclavian

Question 47

For filming pulmonary angiograms the large cut-film method has advantages over cine-angiograms which are

Answer 47

Higher resolution | Field size can include the entire lung

Question 48

Where is the oily contrast medium used in lymphangiography eventually filtered out by the body?

Answer 48

By the lungs

Question 49

Check the angiographic features most specific to pulmonary embolism.

Answer 49

Abrupt vessel cut off | Intralumen filling defects

Question 50

A patient with an occluded rt internal common carotid artery may not have signs of a stroke or TIA because of

Answer 50

Circle of Willis arterial anastomosis

Question 51

Severe stenosis of an internal carotid artery may lead to a delayed flow through a long thin vessel. this is termed

Answer 51

String sign

Question 52

The gold standard diagnostic tool for pulmonary embolism is

Answer 52

Pulmonary angiography

Question 53

Check the hemodynamics findings associated with massive pulmonary embolism

Answer 53

IV septum bulges into LV | Reduced LV filling volume with reduced CO

Question 54

In a patient with hypertension due to pheochromocytoma, arteriography maybe used to visualize the tumor which is within the

Answer 54

Adrenal gland

Question 55

You are assisting on a long leg bilateral arteriogram on an adult patient with minimal distal occlusive disease. How would you program the injector for a Hypaque 60% injection through a six French catheter at the aortic bifurcation?

Answer 55

12/s for 80