Venous Duplex Imaging Flashcards

1
Q

What imaging capability is able to locate disease, determine if it is acute, chronic, partial or complete

A

Venous duplex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the patient position for a venous duplex exam

A

reverse trendelenburg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What kind of DVT is dark, dilated, and incompressible

a) acute
b) chronic

A

a) acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What kind of DVT has a larger vein size, spongy texture, and the walls are poorly attached

a) acute
b) chronic

A

a) acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a superficial vein that is thrombosed called

A

superficial thrombophlebitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

True or False

If a superficial vein is thrombosed is it considered a DVT

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What type of DVT is smaller in size, and has thicker walls

a) acute
b) chronic

A

b) chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of DVT has hyperechoic striations and linear bands scattered within the vessel

a) acute
b) chronic

A

b) chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What type of DVT does flow recanalize throughout the vessel, has patchy color flow, and is partially compressible

a) acute
b) chronic

A

b) chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

For venous insufficiency flow should augment __________ Valsalva or proximal compression

A

During

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

For venous insufficiency flow is _________ through valves during the maneuvers

A

retrograde

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Reflux lasting > ______ sec is considered valvular incompetence

A

0.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Normal valve closure time is about how many sec

A

0.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the normal flow direction for a venous duplex exam

a) superficial to deep
b) deep to superficial

A

a) superficial to deep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What color should a venous duplex exam exhibit

a) blue or negative
b) red or positive

A

a) blue or negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

During valsalva the color will turn ______ when abnormal

a) blue
b) red

A

b) red

17
Q

Where are lymph nodes usually found

A

in the groin

18
Q

Fluid found infiltrating tissue is called

A

Edema

19
Q

Fluid fond at the joint thats located anterior to the bone is called

A

Joint effusion

20
Q

A cyst filled with synovial fluid found in the medial popliteal fossa is called

A

Baker cyst

21
Q

What is the normal flow of the portal vein

A

Hepatopedal (towards the liver) and minimally phasic and continuous

22
Q

Increased pressure in the portal system most likely caused by cirrhosis of the liver and other chronic liver diseases is called

A

Portal hypertension

23
Q

What is the flow direction of the ICV and hepatic veins

A

Hepatofugal and triphasic

24
Q

Occlusion of the hepatic veins and possibly ICV is called what

A

Budd-Chiari

25
Q

Enlargement of the hepatic veins and IVC is caused by what

A

Right sided heart failure

26
Q

If you find an IVC tumor what organ do you check next

A

Kidneys

27
Q

An invasion from renal cell carcinoma would cause what type of tumor

A

IVC

28
Q

What is consistent with continuous waveform in the left subclavian vein and pulsatile in the right

a) SVC syndrome
b) congestive heart failure
c) left innominate vein obstruction
d) left internal jugular vein obstruction

A

c) left innominate vein obstruction

-A continuous waveform means there is a proximal venous obstruction. Since the waveform is only on 1 side, the obstruction is isolated just proximal to that side

29
Q

Which of the following would be a normal velocity for the portal vein

a) 5 cm/sec
b) 50 cm/sec
c) 30 cm/sec
d) 15 cm/sec

A

c) 30 cm/sec

-The normal range for the portal vein is 20-40 cm/s

30
Q

What does normal coaptation indicate

a) absence of distal obstruction
b) pulsatile and spontaneous flow
c) valvular competence
d) absence of thrombus

A

d) absence of thrombus
-coaptation means the veins fully compress. There is nothing inside them

31
Q

If the portal vein is enlarged, which other vessel may show abnormality

a) hepatic artery
b) IVC
c) hepatic vein
d) coronary vein

A

d) coronary vein

32
Q

What patient position would be most useful in a patient presenting with swelling, brawny discoloration and varicose veins

a) reverse trendelenburg
b) trendelenburg
c) limb elevated
d) tip toes

A

a) reverse trendelenburg

33
Q

What is the name of the perforating veins located in the upper thigh?

a) cocketts
b) boyd’s
c) hunterian
d) dodd’s

A

d) dodd’s

34
Q

Incompetence in this valve often leads to the entire GSV being incompetent. Name this valve?

a) external iliac valve
b) terminal valve
c) mitral valve
d) sapheno-popliteal valve

A

b) terminal valve

35
Q

With the patient standing, what time value is the threshold between normal and abnormal reflux in the deep veins?

a) 0.35 seconds
b) 0.5 seconds
c) 1 second
d) 2 seconds

A

c) 1 second

36
Q

Perforating veins should be evaluated with the patient in which of the following positions?

a) supine
b) sitting, leg dependent
c) trendelenburg
d) semi-fowlers

A

b) sitting, leg dependent

37
Q

Why is doppler angle correction not necessary in venous imaging?

a) velocity is already known
b) velocity calculation is not necessary
c) doppler angle can be at 90 degrees
d) flow direction is not important

A

b) velocity calculation is not necessary