Alternate Testing and Treatment

Question 1

Ionizing radiation to visualize contrast material injected into vessels describes

Answer 1

Angiography

Question 2

For an angiography the catheter is most likely inserted into which artery

Answer 2

Common femoral

Question 3

Name 2 contraindications for angiography

Answer 3

1) allergy to contrast
2) poor renal function

Question 4

Hematomas, nerve damage, pseudos, and AVF are complications of what

Answer 4

Angiography

Question 5

Pinching or narrowing is a sign of what filling defect

Answer 5

Stenosis

Question 6

Missing vessels, or a blunted loss of dye is a sign of what filling defect

Answer 6

Occlusion

Question 7

String of beads is a filling defect sign of what

Answer 7

fibromuscular dysplasia (FMD)

Question 8

Radio frequency energy and magnetic fields producing multiplanar views describes

Answer 8

MRI/MRA

Question 9

This shows cerebral infarction

Answer 9

MRI

Question 10

This is in cerebro and requires contrast

Answer 10

MRA

Question 11

This uses ionizing radiation to produce cross sectional images

Answer 11

CT/CTA

Question 12

______ requires contrast

Answer 12

CTA

Question 13

What is the gold standard for acute stroke patients

Answer 13

CT

Question 14

What is the treatment standard for acute stroke patients

Answer 14

IV tPA

Question 15

What does a thrombolytic do

Answer 15

Breaks down the clot

Question 16

Name the antiplatelet drug that reduces thrombotic activity

Answer 16

Aspirin

Question 17

The removal of plaque and intimal lining describes what surgical therapy treatment

Answer 17

Endarterectomy

Question 18

What would be the most appropriate treatment in the presence of a >70% diameter reduction of the ICA in the symptomatic patient

a) bypass
b) stenting
c) atherectomy
d) endarterectomy

Answer 18

d) endarterectomy

• Carotid endarterectomy is the most common type of treatment for stenotic disease in the ICA

Question 19

What is removed during carotid endarterectomy

a) medial layer
b) intimal layer
c) intimal and medial layer
d) plaque only

Answer 19

b) intimal layer

Question 20

If a patient has a total occlusion what would be the course of treatment

a) nothing
b) stenting
c) bypass
d) endarterectomy

Answer 20

a) nothing
-in cases of chronic occlusion generally collaterals are already in place and become functional