Abdominal Vasculature ch 9

33. What abnormally 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. Endoleak

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

a. High Resistance

4. What vessel can be often noted coursing between the SMA and the abdominal aorta in the transverse scan plane? a. Left Renal Vein b. Left Renal Artery c. Right Renal Vein d. Right Renal Artery

a. Left Renal Vein

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. Left renal vein

40. Which of the following statements about the abdominal aorta is not true? a. Most aneurysms located w/in the abdominal 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 retroperitoneal in location

a. Most aneurysms located w/in the abdominal aorta are false aneurysms

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. Right Gastric Artery

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. Right Renal Vein

11. The second main brain of the abdominal aorta is the: a. SMA b. Celiac Artery c. Renal Arteries d. Hepatic Artery

a. SMA

22. The Main Portal Veins created by the union of the: a. Splenic Vein & Superior Mesenteric Vein b. Superior Mesenteric Vein & Inferior Mesenteric Vein c. Splenic Vein & Inferior Mesenteric Vein d. Splenic Vein & Gastroduodenal Vein

a. Splenic Vein & Superior Mesenteric Vein

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. 2.5 cm

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. Common Iliac Artery

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. Hepatic Veins

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. Inferior Mesenteric Vein

34. A patient presents to the sonography department w/ 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, & there's no AAA. What does the linear echo most likely represent? a. Calcific Thrombus b. Intimal Flap c. EVAR d. Aortic Filter

b. Intimal Flap

10. What should be Postprandial Flow pattern be w/in the SMA? a. High Resistance b. Low Resistance

b. Low Resistance

26. The Hepatic Artery should demonstrate: a. High Resistance Flow b. Low Resistance Flow

b. Low Resistance Flow

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

b. Pancreatic

20. The IVC terminates @ the: a. Common Iliac Veins b. Right Atrium c. Left Atrium d. Left Ventricle

b. Right Atrium

7. Which of the following is not true about the abdominal aorta? a. The abdominal bifurcates into the common iliac arteries b. The proximal 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. The proximal aorta is situated more anterior than the distal aorta

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. Tunica Intima

5. The first main visceral branch of the abdominal aorta is the: a. superior mesenteric artery b. celiac artery c. renal arteries d. hepatic artery

b. celiac artery

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) 3 cm

28. An outpatient with a history if back pain & hypertension presents to the uls department for an abdominal aortic sonogram. Sonograically, you visualize a 6cm infrarenal aortic aneurysm w/ an echogenic linear structure noted gently swaying in the aortic lumen. What's the most likely diagnosis? a. Aortic Rupture b. Chronic Aortic Aneurysm c. Aortic Dissection d. Aortic Rupture

c. Aortic Dissection

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. Celiac Artery

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. Hepatic Veins

29. The left gonadal vein drains directly into the: a. IVC b. Superior Mesenteric Vein c. Left Renal Vein d. Left Iliac Vein

c. Left Renal Vein

24 The Aorta originates at the: a. Left Atrium b. Right Atrium c. Left Ventricle d. Right Ventricle

c. Left Ventricle

2. A disorder of the connective tissue characterized by tall stature & Aortic & Mitral Valve insufficiency is: a. Wilms Syndrome b. Meckel- Gruber Syndrome c. Marfan Syndrome d. Kleinman Syndrome

c. Marfan Syndrome

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

c. Right Renal Artery

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. The IVC is located to the left of the abdominal aorta

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

d. Elevated hematocrit

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. Fasting SMA

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

d. Fusiform

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

d. Mycotic

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. SMA

21. A patient presents w/ 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. Small Bowel Ischemia

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. Splenic Artery

9. The outer wall layer of a vessel is the: a. Tunica Media b. Tunica Intima c. Tunica Rugae d. Tunica Adventitia

d. Tunica Adventitia

16. Occlusion of the hepatic veins describes: a. marfan syndrome b. klinefelter syndrome c. morrison syndrome d. budd-chiari syndrome

d. budd-chiari syndrome

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

d. right sided heart failure