Ch. 5 (Tempkin)

Question 1

Retroperitoneum

Answer 1

portion of abdominopelvic cavity posterior to the peritoneal sac

Question 2

The IVC ascends through the _____

Answer 2

retroperitoneum

Question 3

The IVC is the ….

Answer 3

inferior portion of the body’s largest vein

Question 4

The IVC consists of how many muscle layers?

Answer 4

3

Question 5

What are the three muscle layers?

Answer 5

Intima, media, adventitia

Question 6

Intima

Answer 6

innermost

Question 7

Media

Answer 7

middle layer

Question 8

Adventitia

Answer 8

outer

Question 9

IVC physiology…

Answer 9

returns deoxygenated blood from the tissues to the heart for oxygenation and recirculation

Question 10

Valsalva maneuver

Answer 10

exhaling with airways closed-mouth shut, nose pinched shut

Question 11

IVC appearance…

Answer 11

Anechoic lumen surrounded by bright, echogenic walls

Question 12

Proximal IVC

Answer 12

the common iliac veins to the area just inferior to the renal vein tributaries

Question 13

Mid portion IVC

Answer 13

level of the renal vein tributaries, posterior to the head of the pancreas

Question 14

Distal IVC

Answer 14

just superior to the renal vein tributaries to the right atrium of the heart

Question 15

IVC tributaries routinely visualized with ultrasound include…

Answer 15

• 3 hepatic veins
• 2 renal veins
• 2 common iliac veins

Question 16

Patient should fast before exam for __ to __ hours

Answer 16

6-8 hours

Question 17

Breathing technique for IVC scan…..

Answer 17

normal respirations or deep, held respiration

Question 18

Patient position

Answer 18

Supine

or left/right lateral decubitis, left/right posterior oblique, sitting semierect or erect as needed

Question 19

The lie of the IVC within the body is

Answer 19

superior to inferior

Question 20

The long axis of the IVC is seen from a

Answer 20

sagittal or coronal scanning plane

Question 21

Longitudinal views of the renal vein tributaries are seen in a

Answer 21

transverse scanning plane

Question 22

Axial views of the renal vein tributaries are seen in a

Answer 22

sagittal or coronal scanning plane

Question 23

The IVC…

Answer 23

passes through a deep fossa on the posterior surface of the liver between the caudate lobe and bare area

Question 24

The size of the IVC is normal up to

Answer 24

4 cm

Question 25

The proximal IVC is the portion

Answer 25

that extends superiorly from the common iliac veins to just below the level of the renal veins

Question 26

The mid portion of the IVC is

Answer 26

posterior to the head of the pancreas at the level of the renal veins

Question 27

The distal IVC is the portion

Answer 27

that extends superior to the renal veins to the right atrium of the heart

Question 28

Beginning posteriorly, and in correct order by the location in the body, the IVC is

Answer 28

anterior and just to the right of the spine, anterior to the right renal artery, posterior to the head of the pancreas, gastroduodenal artery, portal splenic confluence, and the liver

Question 29

The left renal vein has a _____ course compared with the right renal vein

Answer 29

longer

Question 30

All of the following are IVC tributaries except the: a) hepatic veins b) right renal vein c) superior mesenteric vein d) left renal vein

Answer 30

superior mesenteric vein

Question 31

The primary function of the IVC is to

Answer 31

carry deoxygenated blood to the heart

Question 32

The right and left common iliac veins are _____ the right and left common iliac arteries

Answer 32

posterior to

Question 33

The IVC is medial to all of the following except the: a) right adrenal gland b) caudate lobe c) right kidney d) right ureter

Answer 33

caudate lobe

Question 34

The IVC is anterior to all of the following except the: a) transverse duodenum b) right crus of the diaphragm c) right adrenal gland d) psoas major muscle

Answer 34

transverse duodenum

Question 35

The IVC is right lateral to all of the following except the: a) aorta b) caudate lobe c) left renal vein d) portal splenic confluence

Answer 35

caudate lobe

Question 36

The IVC is posterior to all of the following except the: a) uncinate process b) spine c) hepatic veins d) common bile duct

Answer 36

spine

Question 37

the IVC passes through a deep fossa on the posterior surface of the liver between the _____ and _____

Answer 37

caudate lobe; bare area

Question 38

Normally, the diameter of the IVC will _____ during the Valsalva maneuver or inspiration

Answer 38

increase

Question 39

The orientation of the IVC within the body is _____

Answer 39

vertical

Question 40

Which of the following blood vessels runs posterior to the IVC? a) left renal vein b) right hepatic artery c) right renal artery d) left renal artery

Answer 40

right renal artery

Question 41

The IVC lies along the posterior surface of what lobe of the liver?

Answer 41

caudate