Ch. 9 Vascular Quiz Flashcards

1
Q

_________ is the largest artery in the abdomen.

A

aorta

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2
Q

The aorta increases with age. (T/F)

A

true

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3
Q

The first anterior branch of the aorta is __________.

A

celiac axis

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4
Q

The lateral branches off the aorta just below the SMA are __________.

A

renal arteries

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5
Q

Name one limitation that can occur while scanning the aorta & what can be done about it.

A

bowel gas; move the transducer to the left and angle to the midline

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6
Q

What is the most accurate measurement when documenting an AAA?

A

AP transverse

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7
Q

Name a landmark that helps us determine where to measure the aorta at each location:
Prox ________________
Mid ________________
Distal ________________

A
Prox = left lobe of the liver/esophageal junction
Mid = below the SMA, above the renal arteries
Distal = above bifurcation
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8
Q

Name two clinical indications for an aorta exam.

A

abdominal pain radiating to the back, pulsating abdominal mass

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9
Q

When is surgery considered for a AAA, what measurment?

A

over 5 cm

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10
Q

Why is it important to document the relationship between a AAA and the renal arteries?

A

pressure on the renal arteries could restrict blood flow to kidneys causing ischemia

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11
Q

At what size do we consinder an enlarged portion of the aorta a AAA?

A

increase in diameter of greater than 1.5 times its normal

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12
Q

The portal vein is formed by _________________ vessels and carries ___________ rich blood to the liver.

A

SMV, IMV, splenic vein; nutrient

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13
Q

Name two reasons we use Doppler when evaluating vessels. (What info. we gather from Doppler)

A

presence of flow and direction of flow

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14
Q

The SMA waveform changes depending on the patient status, fasting vs. non-fasting. Please describe the waveform for each.

A

Fasting: high resistive, low end diastolic

Non-fasting: low resistive, high end diastolic

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15
Q

Thrombosis of the hepatic vein is called

A

budd-chiari syndrome

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16
Q

Name two changes in the PV that can occur with portal HTN

A

low velocity & obstruction of PV

17
Q

______________ is diagnosed when you have continuation of the left portal vein and visualize that vessel extending down the anterior abdominal wall to the umbilicus.

A

paraumbilical vein

18
Q

How does cavernous transformation appear sonographically?

A

multiple tubular structures in the porta hepatis

19
Q

What abnormality can cause IVC dilation to occur?

A

Rt sided heart failure

20
Q

What forms the IVC?

A

Rt/Lt iliac vessels