abdominal vasculature PRACTICE QUIZ

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

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

the IVC terminates at the: a. common iliac veins b. right atrium c. left atrium d. left ventricle

b

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

b

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 branch of the abdominal aorta are the renal arteries

b

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

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

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

an outpatient with history of back pain and hypertension presents to the ultrasound department for an abdominal aortic sonogram. Sonographically, you visualize a 6 cm infrarenal 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

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

the aorta originates at the: a. left atrium b. right atrium c. left ventricle d. right ventricle

c

the left gonadal vein drains directly into the a. ivc b. smv c. left renal vein d. left iliac vein

c

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

a patient presents with unexplained abdominal pain for a vascular assessment of the sma. Sonographically, you note that the patients 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

clinical findings of an AAA include all of the following expect a. lower extremity pain b. back pain c. abdominal bruit d. elevated hematocrit

d

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

d

which of the following vessels show a different flow pattern after eating a. celiac artery b. splenic artery c. renal artery d. SMA

d

which vascular structure may be confused for the main pancreatic duct a. hepatic artery b. left gastric artery c. SMA d. splenic artery

d

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

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

b

the veins seen attaching to the IVC just below the diaphragm are the: a. renal veins b. superior mesenteric veins c. hepatic veins d. celiac axis

c

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

the main portal vein is created by the union of the: a. splenic vein and superior mesenteric vein b. superior mesenteric vein and inferior mesenteric vein c. splenic vein and inferior mesenteric vein d. splenic vein and gastroduodenal vein

a

what flow pattern would the postprandial SMA yield in small bowel ischemia? a. high resistance b. low resistance

a

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

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

which of the following statements about the 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

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

the hepatic artery should demonstrate: a. high-resistance flow b. low-resistance flow

b

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

b

what vessel may attach to the splenic vein before reaching the portal confluence a. left renal vein b. imv c. right renal vein d. celiac vein

b

which of the following is not a section of the ivc a. postrenal b. pancreatic c. prerenal d. hepatic

b

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

c

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

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 second main branch of the abdominal aorta is the: a. SMA b. celiac artery c. renal artery d. hepatic artery

a

all of the following are branches of the celiac axis except a. right gastric artery b. hepatic c. splenic artery d. left gastric artery

a

An aneurysm associated with infection is termed: a. recanalized b. saccular c. fusiform d. mycotic

d

the most common shape of an AAA is a. saccular b. bulbous c. true d. fusiform

d

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

d