doppler instrumentation & hemodynamics Flashcards

1
Q

what would be the most likely result form lowering color threshold?
increased visibility of small vessel flow in a parenchymal organ
increased color writing on the vessel or wall
decreased flash artifact
increased frame rate
improved color peneatration

A

increased color writing on vessel or cardiac wall

threshold controls brightness of shade of gray that color is allowed to overwrite

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2
Q
if you inc doppler transmit freq what will happen?
velocity will increase
penetration will increase
frame rate will increase
doppler freq shift will increase
nyquist limit will increase
A

doppler freq shift will increase

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3
Q

what would be the result from increasing the transmit freq of color doppler?
improved penetration for imaging flow in deep tissues
reduced flash artifact obscuring sm vessel flow
reduced color doppler aliasing
improved visibility of complex flow hemodynamics
improved sensitivity to flow

A

improved sensitivity to flow

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4
Q
you have inc the packet size while using color doppler to evaluate flow. what negative result will occur?
decreased frame rate
decreased penetration
decreased flow sensitivity
increased variance
increased spectral broadening
A

decreased frame rate

inc packet size inc the number of pulses per scan line

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5
Q

you measured an area reduction of 90% in this artery. this is equal to a diameter reduction of?

A

75%
area percent stenosis and diameter percent stenosis are not equal; 50% diameter stenosis = 75% area; 75% diameter = 90% area stenosis

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6
Q
when color doppler is activated; in order to maintain frame rate; what may be reduced in the b-mode image?
the number of focal zones 
scan line density
frame averaging
a&b
b& c
A

a& b

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7
Q
decreased pressure occurs in areas of high flow speeds known as:
continuity rule
bernoulli effect
reynolds number
poiseuille's law
nyquist limit
A

bernouilli effect

describes decreased pressure that occurs at a stenotic site as a result of the inc blood velocity w/in the stenosis

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8
Q
what two controls affect the spatial res of the color image?
line density and ensemble length
ensemble length and priority
freq and ensemble length
priority and freq
freq and line density
A

freq and line density

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9
Q

after a short walking exercise the venous pressure at the ankle of a standing normal subject:
is lower than the standing ankle pressure at rest
is greater than the standing ankle pressure at rest
is the same as standing ankle pressure at rest
is not affected by chronic venous insufficiency
is not affected by DVT

A

is lower than the standing ankle pressure at rest

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10
Q
what is the advantage of using high PRF doppler?
improved range res
higher frame rate
ability to measure high velocities
greater sensitivity to slow flow
improved spatial res
A

ability to measure high velocities

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11
Q
what limitation is present when you use high PRF doppler?
frame rate
spatial res
sensitivity to slow flow
range res
both c & d
A

both c & d
high pro mode increased the # of pulses per sec that any single transmit pulse have been sent out along the dopppler beam line before echoes arrive from the sample volume

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12
Q
while evaluating liver vasculature with color, you are unable to obtain signals from deeper vessels. what should you do to enhance deep flow?
decrease packet size
inc scan line density
inc wall filter
decrease u/s freq
inc prf
A

decrease u/s freq

lower freq have inc penetration compared to higher freq

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13
Q
which control optimization should you make to improve color doppler sensitivity to slow flow?
lower the packet size 
lower the wall filter 
lower the transmitted u/s freq
raise the PRF
lower threshold
A

lower the wall filter

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14
Q
what aspect of the doppler spectrum is color encoded with color doppler?
ampllitude
power
velocity
bandwidth
freq shift
A

freq shift

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15
Q
what describes the axial length of the sampling vol for a color pixel?
packet size
prf
prp
color gate
line density
A

color gate

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16
Q
a commonly used process for determining direction in a doppler instrument is?
zero crossing detecting
phase quadrature detection
autocorrelation
range gating
spectral analysis
A

phase quadrature detection

17
Q

what is likely to result from inc transmit freq of color doppler?
improved penetration for imaging flow in deep tissues
reduced flash artifact obscuring sm vessel flow
reduce color doppler aliasing
improved sensitivity to slow flow
improved visibility of complex flow hemodynamics

A

improved sensitivity to slow flow
inc color dopp transmit freq will result in lg freq shifts from slow flow & improved visibility. it will decrease penetration to flow in vessels deep in tissues

18
Q
according to the doppler eq, for any given velocity, the req shift will inc by inc the:
doppler angle
transmit freq
pulse length
prf
all of the above
A

transmit freq

19
Q
at low velocities, RBCs adhere to one another forming multicellular clumps:
rayleigh scattering
huygens principle
newtonian fluid
rouleaux formation
parabolic flow
A

rouleaux formation

20
Q

what does the doppler signal spectral display depict?
depth to ea vessel
vol flow rate
transmit freq
acoustic power
relative signal power at ea freq in doppler signal

A

relative signal power at ea freq in doppler signal

21
Q
your patient has edema involving right lower extremity caused by:
dec venous htn
dec venous hypervolemia
inc venous hypovolemia
inc intravenous pressure
inc extravascular pressure
A

inc intravenous pressure

22
Q
you inc packet size while using color dope to evaluate flow. what negative result occurs?
dec penetration
dec frame rate
dec flow sensitivity
inc variance
inc spectral broadening
A

dec frame rate

23
Q
color flash artifact is obscuring anatomy of interest in and aorta.  what can reduces the impact?
inc color gain
dec PRF
inc packet size
inc doppler transmit freq
inc wall filter
A

inc wall filter

flash artifact is high amp low freq shift signal

24
Q
reynolds number inc with inc:
flow speed
vessel diameter
blood density
blood flow viscosity
all of the above
A

all of the above

25
Q

during doppler interrogation of the carotid; you detect spectral mirroring. what causes this artifact?
doppler angle of interrogation 0 degrees
doppler angle of interrogation near 90 degrees
wall filter too high
pro too low
doppler gain too low

A

doppler angle of interrogation near 90 degrees

flow direction cannot be determined at 90 degrees; and the waveform will be seen on both sides of baseline

26
Q
what aspect of doppler spectrum is color encoded with color doppler?
amplitude
power
freq shift
velocity
bandwidth
A

freq shift

color doppler is a method of displaying avg doppler freq shifts

27
Q
the layer of vessel wall that contains smooth muscle fibers:
media
adventitia 
intima
interal elastic lamina
ext elastic lamina
A

media

28
Q
what describes the number of pulses used to determine the velocity along a color line of sight?
packet size
color gate
PRF
PD
PRP
A

packet size