Chapter 9 (abdominal vasculature)

11. The second main branch of the abdominal aorta is the : a . SMA b . Celiac artery c . Renal arteries d . Hepatic artery

A

14. What flow pattern would the postprandial SMA yield in small bowel ischemia ? a . High resistance b . Low resistance

A

22. The main portal vein is created by the union of the : a . Splenic vein and superior mesenteric vein b . Superior mesenteric vein and inferior mesen teric vein c . Splenic vein and inferior mesenteric vein d . Splenic vein and gastroduodenal vein

A

32. What vessel travels directly anterior to the left renal artery ? a . Left renal vein b . Hepatic artery c . Right renal vein d . Superior mesenteric vein

A

33. What abnormality would the failure of an EVAR to isolate an aneurysm from circulation most likely results in ? a . Endoleak b . Aortic dissection c . Pulmonary embolism d . Deep venous thrombosis

A

35. Which vessel would be the shortest in length ? a . Right renal vein b . Right renal artery c . Left renal vein d . Left renal artery

A

4. What vessel can be often aorta in and the abdominal noted coursing the transverse scan plane between the sma ? a . Left renal vein b . Left renal artery c . Right renal vein d . Right renal artery

A

40. Which of the following statements about the abdominal aorta is not true ? a . Most aneurysms located within the abdomi nal aorta are false aneurysms . b . The abdominal aorta is located just left of the midline . c . The most common location of an AAA is infrarenal . d . The abdominal aorta is considered to be ret roperitoneal in location .

A

8. All of the following are branches of the celiac axis except : a . Right gastric artery b . Hepatic artery c . Splenic artery d . Left gastric artery

A

10. What should the postprandial flow pattern be within the SMA ? a . High resistance b . Low resistance

B

20. The IVC terminates at the : a . Common iliac veins b . Right atrium c . Left atrium d . Left ventricle

B

25. Which of the following is not a section of the IVC ? a . Postrenal b . Pancreatic c . Prerenal d . Hepatic

B

26. The hepatic artery should demonstrate : a . High - resistance flow b . Low - resistance flow

B

3. The inner wall layer of a vessel , closest to the passing blood , is the : a . Tunica media b . Tunica intima c . Tunica rugae d . Tunica adventitia

B

30. Which of the following would most likely yield a high - resistance flow pattern ? a . Celiac artery b . Common iliac artery c . Splenic artery d . Right renal artery

B

31. What vessel may attach to the splenic vein before reaching the portal confluence ? a . Left renal vein b . Inferior mesenteric vein c . Right renal vein d . Celiac vein

B

34. A patient presents to the sonography department with a history of Marfan syndrome . The sonographic evaluation reveals a linear echo within the aortic lumen that extends from the celiac axis to the iliac arteries . Color Doppler reveals flow throughout the aorta on both sides of the linear echo . The patient has had no surgeries , and there is no AAA . What does the linear echo most likely represent ? a . Calcific thrombus b . Intimal flap c . EVAR d . Aortic filter

B

37. Which of the following would have a pulsatile , triphasic blood flow pattern ? a . Renal veins b . Hepatic veins c . Gonadal veins d . Common iliac veins

B

38. The diameter of the IVC should never exceed : a . 1.5 cm b . 2.5 cm c . 3.5 cm d . 8 mm

B

5. The first main visceral branch of the abdominal aorta is the : a . SMA b . Celiac artery c . Renal arteries d . Hepatic artery

B

7. Which of the following is not true about the abdominal aorta ? a . The abdominal bifurcates into the common iliac arteries . b . The procimal aorta is situated more anterior than the distal aorta c . The aorta has a thicker tunica media than the ivc d . The third major branches of the abdominal aorta are the renal arteries

B

1. In the sagittal plane , you recognize a circular , Which of the following would this anechoic vascular structure posterior to the IVC . structure be most likely ? a . Abdominal aorta b . Left renal vein c . Right renal artery d . SMA

C

15. An AAA is present when the diameter of the abdominal aorta exceeds : a . 10 mm b . 2.5 mm c . 3 cm d . 2 mm

C

18. What branch and its tributaries of the abdominal aorta appears as a " seagull " in the transverse plane ? a . SMA b . Hepatic artery c . Celiac artery d . Common iliac artery

C

2. A disorder of the connective tissue characterized by tall stature and aortic and mitral valve insufficiency is : a . Wilms syndrome b . Meckel - Gruber syndrome c . Marfan syndrome d . Kleinman syndrome

C

23. The veins seen attaching to the IVC just below the diaphragm are the : a . Renal veins b . Superior mesenteric vein c . Hepatic veins d . Celiac axis

C

24. The aorta originates at the : a . Left atrium b . Right atrium c . Left ventricle d . Right ventricle

C

28. An outpatient with a history of back pain and hypertension presents to the ultrasound department for an abdominal aortic sonogram . Sonographically , you visualize a 6 cm infrarenal aortic aneurysm with an echogenic linear structure noted gently swaying in the aortic lumen . What is the most likely diagnosis ? a . Aortic rupture b . Chronic aortic aneurysm c . Aortic dissection d . Aortic rupture

C

29. The left gonadal vein drains directly into the : a . IVC b . Superior mesenteric vein c . Left renal vein d . Left iliac vein

C

39. Which of the following statements about the IVC is not true ? a . The diameter of the IVC is variable . b . Respiration can affect the size of the IVC . c . The IVC is located to the left of the abdominal aorta . d . The IVC is considered retroperitoneal in location .

C

12. Which of the following vessels show a different flow pattern after eating ? a . Celiac artery b . Splenic artery c . Renal artery d . SMA

D

13. Which of the following vessels would most likely yield a high - resistance flow pattern ? a . Celiac artery b . Common hepatic artery c . Renal artery d . Fasting SMA

D

16. Occlusion of the hepatic veins describes : a . Marfan syndrome b . Klinefelter syndrome c . Morrison syndrome d . Budd - Chiari syndrome

D

17. The most common shape of an AAA is : a . Saccular b . Bulbous c . True d . Fusiform

D

19. Which vascular structure may be confused for the main pancreatic duct ? a . Hepatic artery b . Left gastric artery c . SMA d . Splenic artery

D

21. A patient presents with unexplained abdominal pain for a vascular assessment of the SMA . Sonographically , you note that the patient's SMA yields a persistent high - resistive flow pattern . This is indicative of : a . Crohn disease b . Intussusception c . Bowel obstruction d . Small bowel ischemia

D

27. Clinical findings of an AAA include all of the following except : a . Lower extremity pain b . Back pain c . Abdominal bruit d . Elevated hematocrit

D

36. Enlargement enlargement of the hepatic veins , is seen in of the IVC , with subsequent cases of : a . Budd - Chiari syndrome b . Marfan syndrome c . Left - sided heart failure d . Right - sided heart failure

D

6. An aneurysm associated with infection is termed : a . Recanalized b . Saccular c . Fusiform d . Mycotic

D

9. The outer wall layer of a vessel is the : a . Tunica media b . Tunica intima c . Tunica rugae d . Tunica adventitia

D