Vascular Quiz (Ch. 11 & 12)

If the peak systolic velocity in the region of stenosis is measured at 300 cm/sec, what would the prestenotic PSVs have to be for this stenosis to be considered over or equal to 75 percent diameter reduction? a. 200 cm/sec b. 75 cm/sec c. 150 cm/sec d. 400 cm/sec

75 cm/sec

A patient with severe bilateral iliac artery disease is most likely to receive which type of lower extermity bypass? a. Aorto-bifemoral bypass b. Femoral to femoral bypass c. Axillary-bifemoral bypass d. Femoral popliteal bypass

Aorto-bifemoral bypass

he most clinically significant complication associated with a periperal aneurysm is a. Dissection b. Embolism c. Infection d. Rupture

Embolism

Blue toe is a classic sign of a. Raynaud's Syndrome b. Popliteal entrapment syndrome c. Embolus d. Compartment Syndrome

Embolus

Which one of the following is not a potential complication of a reversed femoro-popliteal vein graft? a. Graft kink b. Fistula via non-ligated perfoator vein c. Graft aneurysm d. Neointimal hperplasia

Fistula via non-ligated perfoator vein

The most common vein used for '' in situ'' bypass graft is a. Cephalic vein b. SSV c. Basilic vein d. GSV

GSV

In which bypass graft procedure is a vlvulotome used a. Aorto-bifemoral b. In situ vein graft c. RSVG (Reversed Saphenous Vein Graft)t d. Radial artery harvest

In situ vein graft

What is the most common cause of in situ vein bypass graft stenosis? a. Intimal hyperplasia b. Atherosclerosis c. Collagen vascular disease d. Arteritis

Intimal hyperplasia

The yin-yang sign indicates bidirectional flow due to the swirling of blood and to and fro waveform seen within the a. Neck of pseudoaneurysm b. Body of pseudoaneurysm c. Head of pseudoaneurysm d. Tail of pseudoaneurysm

Neck of pseudoaneurysm

If the peak systolic velocities are over 400 cm/sec in the superficial femoral artery the probable diameter reduction is a. Over or equal to 60% b. Over or equal to 50% c. Less or equal to 75% d. Over or equal to 75%

Over or equal to 75%

A PPG tracing on the 5th hand digit (small finger) that goes from normal to flat line with radial artery compression indicates which of the following a. Patient has disease in digital arteries b. Patient has a radial artery dominance c. Patient has radial artery stenosis d. Patient has ulnar artery perfusion dominance

Patient has a radial artery dominance

Which of the following may be used to diagnosis the severity of a stenotic lesion with duplex? a. Ankle-brachial index b. Peak systolic velocity c. Pulsatility index d. Resistive index

Peak systolic velocity

During arterial mapping of the radial artery, you should do all of the following except a. Check for stenosis b. Measure the diameter of the vessel c. Perform reactive hyperemia on the arm d. Determine if there is a calcified wall

Perform reactive hyperemia on the arm

A 35 years old male respresents to your diagnostic facility to evaluate pain in his right calf while jogging. His risk factors include hypertension and hyperlipidemia. He has a history of 15 years of smoking as well. what do you suspect is the most likely basis of his symptoms? a. Cystic adventitial disease b. Popliteal artery entrapment c. Atherosclerosis d. An embolic process

Popliteal artery entrapment

Which syndrome causes displacement and compression of the vessels due to the medial head of the gastrocnemius muscle? a. Popliteal entrapment syndrome b. Compartment Syndrome c. Thoracic outlet syndrome d. Buerger's syndrome

Popliteal entrapment syndrome

A high- pressure extravasation of blood out of an artery and into the surrounding tissue is called a (n) a. True aneurysm b.Pseudo-aneurysm c. Arterial-venous fistula d. A-V malformation

Pseudo-aneurysm

You are completing an abdominal ultrasound evaluation on a patient following endovascular repair of an abdominal aortic aneurysm. If you were to dectect flow in the aneurysmal sac at the distal/inferior attachment site, what type of problem would you have identified? a. Type 3 Endoleak b. Type 2 Endoleak c. Type 1 Endoleak d. Flow through the inferior mesentric artery

Type 1 Endoleak

What is the syndrome that produces a mass effect on the osteofacial compartments on an extermity resulting in a decrease in blood flow and is often caused by truama? a. Raynaud's syndrome b. Compartment Syndrome c. Subclavian steal syndrome d. Thoracic outlet syndrome

Compartment Syndrome

Your next patient is also status-post endovascular repair of an abdominal aortic aneurysm. As you scan, color flow Doppler documents flow into the aneurysmal sac, which appears to be coming from a lumbar artery. You also document to-fro flow in that vessel. What is the significance of this finding? a. This is a normal finding b. This is suggustive of Type 2 endoleak c. This represents Type 3 endoleak d. Expected finding with collateralization

This is suggustive of Type 2 endoleak

As you evaluate flow patterns in a patient, you document a peak systolic velocity of 105 cm/sec at the distal aorta, 218 cm/sec at the takeoff of the left CIA, and 226 cm/sec right CIA. What would your preliminary report include? a. These flows are within normal limit b. Your patient has over 75% of diameter reduction bilaterally c. Your patient has less than 50% diameter reduction bilaterally d. Your patient has over 50% of diameter reduction of the CIAs bilaterally

Your patient has over 50% of diameter reduction of the CIAs bilaterally