Carotid Proficiency

Question 1

Patient prep

Answer 1

remove jewelry and tight clothing from neck area
interview patient to obtain pertinent past medical and surgical history and any current signs or symptoms
vascular interventions
palpatation of pulses for strength and symmetry
auscultation with a stethoscope for bruits

Question 2

Proper transducer

Answer 2

12-3 MHz linear array

Question 3

Contraindications

Answer 3

none

Question 4

Indications

Answer 4

asymptomatic neck bruit
hemispheric cerebral or ocular TIAs
history or stroke
screening before major cardiac, peripheral vascular, or other surgery
follow up after CEA or CAS

Question 5

origin of the right CCA

Answer 5

brachiocephalic artery

Question 6

origin of the left CCA

Answer 6

directly off aortic arch

Question 7

origin of the vertebral artery

Answer 7

superior aspect of the subclavian artery

Question 8

origin of the basilar artery

Answer 8

from the union of the two intracranial vertebral arteries at or very near the junction of the medulla oblongata and pons

Question 9

Branches of the CCA

Answer 9

ICA and ECA

Question 10

Branches of the ECA

Answer 10

superior thyroid artery
ascending pharyngeal artery
lingual artery
facial artery
occipital artery
posterior auricular artery
superficial temporal artery
maxillary artery

Question 11

Branches of the ICA

Answer 11

posterior communicating artery
anterior choroidal artery
anterior cerebral artery
middle cerebral artery