Final Mock Exam Flashcards

1
Q

T/F The purpose of the Valsalva’s maneuver is to test the efficiency of the valves

A

true

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2
Q

T/F This can lead to varicose veins due to the increased pressure in the superficial system

A

true

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3
Q

T/F Augmentation is used to force a bolus of blood quickly up the venous tree

A

true

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4
Q

T/F If augmentation response is good, this proves the lack of occlusive obstruction between the probe and the area of squeeze(calf)

A

true

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5
Q

If the augmentation response is not adequate such as a wrap around flow pattern, which of the following statements is/are true:
A-stop the test
B-try again, you may not have squeezed with enough force
C-ask a coworker to augment with both hands-the leg may be swollen or large
D-if the compressions were not adequate due to swelling, size etc and augmentation is poor, there may be a missed DVT
Choose from:
A &D
B&C&D

A

B
C
D

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6
Q

Continuous, non-phasic flow in the CFV when the compressions did not reveal a DVT, points to what diagnosis-
A-patient is not holding their breath
B-there is a missed DVT in the femoral vein
C-there is poor augmentation
D-there is likely a DVT in the ipsilateral iliac vein

A

there is likely a DVT in the ipsilateral iliac vein

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7
Q

If the Iliacs are not seen due to pt body habitus, gas etc, how would you expand the test?
describe

A

Examine the IVC below the liver for phasicity

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8
Q

Above the renal arteries

A

Low resistant with medium pulsatility

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9
Q

Infrarenal portion and iliacs

A

High resistant,higher pulsatility

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10
Q

T/F The distal aorta and iliacs may assume a low resistant flow pattern while exercising

A

true

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11
Q

fasting state flow pattern

A

high resistant flow with low diastolic aspect

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12
Q

post prandial state flow pattern

A

low resistant flow with high PSV and high diastolic flow

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13
Q

Renal flow is normally

A

a low resistnat pattern

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14
Q

The upper limits of normal PSV for the main renal artery is

A

under 180 cm/s

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15
Q

RI is calculated using which formula

A

PSV-EDV/PSV

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16
Q

What is the normal range for Renal RI?

A

0.4-0.7

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17
Q

What is the acceptable Renal artery to Aorta ratio:

A

under 3.5

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18
Q

T/F Intrarenal tardus parvus waveform indicates a hemodynamically significant MRA stenosis

A

true

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19
Q

what is the most common cause of renal artery stenosis?

  • Fibromuscular dysplasia
  • Renal failure
  • Smoking
  • Atherosclerosis
  • Hyperlipidemia
A

atherosclerosis

20
Q
Emboli or insitu thrombus causes what condition in the kidney?
A-cyst
B-tardus parvus waveform
C-RA aneurysm
D-infarct
A

infarct

21
Q
A malformation that causes arterial pulsations within the renal venous tree is-
A-arterial venous fistula
B-tardus parvus waveform
C-duplicated renal artery
D-pseudoaneurysm
A

A-arterial venous fistula

22
Q

how may arterial venous fistulas occur?

A

congenital or aquired

  • tumour
  • trauma
  • iatrogenic
23
Q

How much flow does the portal vein supply to the liver?

A

70%

24
Q
Normal blood flow velocity of the \_\_\_\_\_   \_\_\_\_\_ is 13-23 cm/sec with an average of 18 cm/sec
 A-hepatic artery
B-portal vein
C-splenic vein
D-mesenteric artery
A

potal vein

25
Q

T/F Normal hepatic arterial PSV in a fasting adult patient is approximately 30–40 cm/sec, and EDV is 10–15 cm/sec .

A

true

26
Q

pictures on the mock exam

A

look at

27
Q

When the intimal wall pulls away from the muscular wall in an artery, this indicates which condition-

A

dissection

28
Q

Which statement regarding Paget-Schroetter syndrome is true-
A-Most common cause of upper extremity DVT
B-Seen in older adults
C-Due to effort-induced thrombosis of the Jugular vein
D-Associated with strenuous upper body exercise or repetitive movements

A

D-Associated with strenuous upper body exercise or repetitive movements

29
Q

T/F VAD’s can be a cause of upper extremity DVT-

A

true

30
Q

list 3 uses for VAD’s

A
  • chemotherapy
  • nutrition
  • other meds
31
Q

T/F Lymphedema in the arm is most commonly seen following mastectomy with removal of lymph nodes in the axilla

A

true

32
Q

T/F Right replaced hepatic artery occurs more commonly than left replaced hepatic artery-

A

true

33
Q

It arises from which artery?
A-SMA
B-left gastric artery

A

SMA

34
Q

T/F It traverses anterior to the PV

A

false

35
Q

what is the size of a normal splenic vein?

A

under 10mm

36
Q

T/F “Sinistral” is the term used for left sided-splenic vein thrombosis

A

true

37
Q

T/F A sonographic sign that is useful in determining if a DVT is chronic would be the presence of collaterals-

A

true

38
Q

Describe the sonographic appearance of chronic or “old clot”?

A

hyperechoic
calcified
thickened walls
atrophic vessel

39
Q

T/F If the D-dimer assay is negative ,it is unlikely there is a DVT

A

true

40
Q

primary varicose

A

Result of incompetent SFJ valve

41
Q

secondary varicose

A

History of DVT/obstruction or incompetent deep venous valves

42
Q

T/F Bowel disease, such as ulcerative colitis, increases your risk of DVT

A

true

43
Q
Which of the following also increases the risk of DVT?
A-Pregnancy
B-Post partum period
C-Oral contraceptives
D-Cancer
E-all of the above
A

all of the above

44
Q

T/F ABI stands for: ankle brachial index

A

true

45
Q

T/F ABI is a reliable tool for documenting the presence of lower extremity arterial disease-

A

true

46
Q

T/F An ABI of > 0.9 is indicative of no hemodynamically significant stenosis-

A

true