Penny: Chapter 9 Abdominal Vasculature

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

Which of the following would most likely have a high resistance flow pattern? a. celiac artery b. common iliac artery c. splenic artery d. right renal artery

b. common iliac artery

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

The inner wall 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

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

c. left ventricle

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

d. Budd-Chiari syndrome

Of the following, which vessel will show a different flow pattern after eating? a. celiac axis b. splenic artery c. renal artery d. SMA

d. SMA

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

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

From the list below, which vessel would be the shortest in length? a. RRV b. RRA c. LRV d. LRA

a. RRV

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

a. SMA

What vessel travels 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

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 abdominal aortic aneurysm is infrarenal d. the abdominal aorta is considered to be retroperitoneal in location

a. most aneurysms located within the abdominal aorta are false aneurysms

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

The main portal vein is crated 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. splenic vein and superior mesenteric vein

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

b. low resistance flow

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. aortic dissection

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

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. marfan syndrome

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

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

b. right atrium

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

d. mycotic

In small bowel ischemia, the postprandial superior mesenteric artery will yield what flow pattern? a. high resistance b. low resistance

a. high resistance

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

What vessel travels posterior to the SMA and anterior to the abdominal aorta? a. left renal vein b. left renal artery c. right renal vein d. splenic vein

a. left renal vein

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

b. celiac artery

What should the postprandial flow pattern be within the SMA? a. high resistance b. low resistance

b. low resistance

Clinical findings of an abdominal aortic aneurysm include all of the following except: a. lower extremity pain b. back pain c. abdominal pain d. neck pain

c. abdominal pain

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

d. fusiform

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

d. tunica adventitia