ARDMS ABDOMEN CH 9
The diameter of the IVC should never exceed
2.5cm
All of the following are branches of the celiac axis except; A. R gastric artery B. Hepatic artery C. Splenic artery D. Left gastric artery
A. R gastric artery
Which of the following vessel show a different flow pattern after eating?
SMA
The most common shape of an AAA is
fusiform
Which of the following would have a pulsatile triphasic blood flow pattern?
hepatic veins
The hepatic artery should demonstrate
low resistance flow
The IVC terminates at the
right atrium
Condition resulting in interruption or reduction of the blood supply to the small intestines
small bowel ischemia
The main portal vein is created by the union of the
splenic vein and superior mesenteric vein
The outer wall layer of a vessel is the
tunica adventitia
The inner wall layer of a vessel closest to the passing blood is the
tunica intima
Enlargement of the diameter of the of abdominal aorta to greater than 3 cm
Abdominal aortic aneurysm
An AAA is present when the diameter of the abdominal aorta exceeds:
3 cm
Any dilation of a blood vessel whether focal or defuse
Aneurysm
An outpatient with a history of back pain and hypertension presents to the ultrasound department for an abdominal aortic sonogram. Sonographically , you visualize a 6cm infrarenal aortic aneurysms with an echogenic linear structure noted gently swaying in the aortic lumen. What is most likely the diagnosis ?
Aortic dissection
Which of the following is not true about the abdominal aorta? A. The abdominal aorta 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 3rd major branches of the abdominal aorta are the renal arteries
B. The proximal aorta is situated more anterior than the distal aorta
Occlusion of the hepatic vein describes
Budd-chiari syndrome
Which of the following statements about the IVC is not true? A. The dilation of 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.
The first main visceral branch off the abdominal aorta is the
Celiac artery
What branch and it's tributary's of the abdominal aorta appears as a seagull in the transverse plane?
Celiac artery
Clinical findings of an AAA include all of the following except ; A. Lower extremity pain B. Back pain C. Abdominal bruit D. Elevated hematocrit
Elevated hematocrit
A blockage caused by an abnormal mass Within the bloodstream that hinder circulation downstream to tissue damage
Embolism
Non-surgical method for treating abdominal aortic aneurysm's
Endovascular aortic stent graft repair
A contained rupture of a blood vessel that is most likely secondary to the disruption of one or more layers of that vessel wall
False aneurysm
What flow pattern would the post prandial SMA healed in small bowel ischemia?
High resistance
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 , echo most likely represents ?
Intimal flap
What vessel can be often noted coursing between the SMA and the abdominal aorta in the transfer scan plane?
Left renal vein
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
Marfan syndrome
Blood clot that has traveled to the lungs and is obstructing the pulmonary arterial circulation most often the result of a deep venous thrombosis
Pulmonary embolus
Which vessel would be the shortest in length? A. RRV B. RRA C. LRV D. LRA
RRV
In the sagittal plane, you recognize a circular, anechoic vascular structure posterior to the IVC. Which of the following would this structure be ?
Right renal artery
The second main branch of the abdominal aorta is the
SMA
A disease characterized by the accumulation of plaque within the walls of the arteries
atherosclerosis
Which of the following would most likely yield a high resistance flow pattern ?
common iliac artery
What abnormality would the failure of an EVAR to isolate an aneurysm from circulation most likely result in?
endoleak
The residual channel of a vessel created by the accumulation of a clot within that vessel
false lumen
Which of the following vessels would most likely yield a high resistance flow pattern?
fasting SMA
The veins seen attaching to the IVC just below the diaphragm are the
hepatic veins
What vessel may attach to the splenic vein before reaching the portal confluence?
inferior mesenteric vein
Observation of the intimal layer of a vessel as a result of a dissection
intimal flap
The left gonadal vein drains directly into the :
left renal vein
What vessel travels directly anterior to the left renal artery?
left renal vein
The aorta originates at the
left ventricle
What should the postprandial flow pattern be within the SMA
low resistance
An aneurysm associated with infection is termed
mycotic
Which vascular structure may be confused for the main pancreatic duct?
splenic artery
Which of the following statements about them abdominal aorta is not true? A. Most aneurysms located within 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 within the abdominal aorta are false aneurysms.
A patient presents with unexplained abdominal pain for a vascular assessment of the SMA. Sona graphically you notice the patient's SMA yields a persistent high resistive flow pattern this is indicated of
Small bowel ischemia
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
