Mcq Vascular

8/12/2019 Mcq Vascular

1/23

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Vascular Technology Test #1

Question #1Although useful to identify a significant stenosis, color

Doppler is not useful to_________stenosis.

A quantitate

B quintate

C quarry

D qualify

Question #2

The most common congenital abnormality of Circle of Willis

A Aneurysm of Berri

B Absence of one or more communicating arteries

C Hypoplasia of communicating arteries

D B&C

Question #3Evaluation of the brachialcephalic, subclavian and proximal

portion of the axillary vein should include .

A spectral Doppler waveforms demonstrating phasic flow

B appropriately compressed veins with the transducer

C spectral and color Doppler analysis with a 90 degree

angle to assess patency

D gray scale analysis for phasic, continuous respiratoryflow

Copyright 2013 Phillip Crooms


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Question #4Blindness in one half of the visual field in one or both

eyes is:

A Myopia

B Horner syndrome

C Amaurosis fugax

D Hemianopsia

Question #5

Plaque with complex, mixed echo pattern and focal areas ofsonolucence and hyperechoic areas can be described as:

A Heterogeneous

B Irregular

C Ulcerative

D Homogeneous

Question #6A patient with arm and hand ischemia associated with

symptoms of nerve root compression. The correct examination

would be:

A Thoracic outlet examination

B Palmar arch examination

C Cold sensitivity

D Upper extremity venous exam



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Question #7

In this diagram, identify the vessel labeled 13:

O Left inguinal artery

O Splenic artery

C Left renal artery

O Inferior mesenteric artery

Question #8Turbulent blood flow is usually present just distal to a

60% or greater stenosis in the internal carotid artery,

appearing as_______________________in the Doppler display.

A spectral broadening

B residual lumen filling

C gray scale echogenicity

D Doppler spectral window



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Question #9

In this diagram, identify the vessel labeled 8:

A Portal vein

B Proper hepatic artery

C Gastroduodenal artery

D Right hepatic artery



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Question #10

In the following diagram, identify the vessel labeled 17:

A Portal vein

B Proper hepatic artery

C Inferior mesesnteric artery

D Right renal artery

Question #11Toe pressures greater than ______ mm/Hg predict ulcer

healing.

A 30

B 20

C 60

D 40



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Question #12A measurement used to define the extent of

atherogenesis in its early phase is:

A Intraluminal thrombus

B Intima media thickness

C Intima externa thickness

D Intimal flap

Question #13

The dampened waveform corresponds with the:

A Normal artery

B Post moderate stenosis

C Post mild stenosis

D Post severe stenosis or occlusion

Question #14When obtaining a peak systolic velocity measurement using

duplex techniques,the angle cursor should be

adjusted__________________ to the vessel wall.

A perpendicular

B parallel

C oblique

D transverse



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Question #15A TCD examination is performed on a 60-year-old patient,

revealing antegrade flow in the middle cerebral artery.

This is displayed:

A Below the baseline

B Above the baseline

C Bi-directional

Question #16The recommended Doppler carrier frequency for an

extracranial exam is:

A 2.5 MHz

B 4-5 MHz

C 3 MHz

D 7 MHz

Question #17During evaluation of a brachial artery to antecubital vein

dialysis graft, the venous anastomosis is evaluated

revealing a PSV ratio of 3.0. Which of the following

statements is true:

A The velocity is too low, re-evaluate the area with a

steep angle

B The Doppler angle should be reduced to bring the velocity

to within the 100-200

cm/sec normal range

C High-grade stenosis

D Peak systolic velocity ratio is normal



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Question #18Dialysis grafts are placed to allow access for dialysis.

Which of the following is not a type of graft used:

A Looped synthetic

B Autologous vein

C Straight synthetic

D Porcine vein

Question #19A sonolucent region, without flow, within the plaque, which

can be referred to as an "eggshell" appearance may

represent:

A Ulceration

B Intraplaque hemorrhage

C Platelet aggregation

D Occlusive plaque

Question #20Average cardiac output for an adult is

A 3 L/min

B 5-6 L/min

C 4 L/min

D 2 L/min



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Question #21A pat i ent pr esent s wi t h arm and hand i schemi a associ atedwi t h symptoms of ner ve r oot compressi on. The properexami nat i on woul d be:

A Pal mar arch exami nat i on

B Thor aci c out l et exami nat i on

C Upper ext r emi t y venous examD Col d sensi t i vi t y

Question #22To evaluate triphasic color flow, the best settings are:

A Low frame rate and high color velocity range

B High frame rate and low color velocity range

C High frame rate and high color velocity range

D Low frame rate and low color velocity range

Question #23The veins which can be used for grafting include all of the

following except:

A Greater saphenous vein

B Cephalic vein

C Subclavian vein

D Basilic vein

E Lesser saphenous vein



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Question #24A patient with a palpable cord in the medial thigh,

localized pain and erythemia. What condition is

the patient symptomatic of?

A Superficial thrombophlebitis

B Chronic deep vein thrombosis

C Acute deep vein thrombosis

D Acute arterial obliterans

Question #25Blood is transported from the liver to the IVC via the:

A Hepatic ducts

B Hepatic artery

C Portal veins

D Hepatic veins

Question #26A patient is referred with ischemic rest pain in the feet,

a non-healing wound on multiple digits of the lower

extremity, and gangrene of one digit. A segmental arterialstudy is ordered. The expectation of the findings from the

examination would be:

A Moderate disease

B Mild arterial disease

C Severe disease

D Normal



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Question #27Appropriate measurements of an abdominal aortic aneurysm

would include:

A Outer dimensions and inner residual lumen

B Length x width x height

C Lumen diameter

D Outer dimension

Question #28A patient is referred for symptoms of facial edema,

dilation of face veins and bilateral arm swelling. The

symptoms are consistent with:

O Inferior Vena Cava syndrome

O PICC line placement

O Superior Vena Cava syndrome

O Paget-Schotter syndrome

Question #29A type of graft with the proximal and distal ends

anastomosed to the artery post-valvulotomy:

A In situ vein graft

B Harvested vein graft

C Reversed vein graft

D Synthetic vein graft

Question #30If a surgeon uses the greater saphenous vein for an

arterial conduit. This is a:

A Reversed vein graft

B Synthetic graft

C In situ

D Arteriovenous graft



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Question #31

During renal artery Doppler exam, the sonographer notices

the upper pole and the lower pole have different amplitude

signals. All of the following may contribute to this

finding except:

A Accessory or multiple renal artery

B Renal artery occlusion

C Renal artery stenosis

D Renal vein occlusion

Question #32The Doppler obtained from the abdominal aorta above the

level of the SMA would normally reveal:

A Triphasic

B Multiphasic waveform

C Sharp rise to systole, rapid deceleration, with a small

amount of diastolic flow

D Monophasic waveform

Question #33With deep inspiration, flow in the IVC

A increases flow

B becomes pulsatile

C temporarily suspends flow



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Question #34The_______________provides blood supply to the small

intestines and portions of the large bowel.

A celiac trunk

B gastropeolic

C SMA

D IMA

Question #35A young man with decreased lower extremity pulses, and

hypertension comes to your lab. A preliminary diagnosis

most likely is:

A Atherosclerosis

B Coarctation

C Budd-Chiari syndrome

D Claudication



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Question #36

A

In this diagram, identify the vessel labeled B:

A Anterior communicating artery

B Internal carotid artery

C Posterior communicating artery

D Anterior cerebral artery

Question #37The window most useful to sample the carotid siphon and the

opthalmic artery for a TCD study is the:

A Transforminal

B Transorbital

C Transtemporal

D Suboccipital



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Question #38

In regards to these pictures of an AV fistula, which

of the following would you expect?

A The arteries supplying the fistula would have

decreased peak systolic and end diastolic velocitieswith low resistive indices

B The arteries supplying the fistula would have

increased peak systolic and end diastolic velocities

with high pulsatility indices

C The arteries supplying the fistula would have

D decreased peak systolic and end diastolic velocities

with high resistive indices

E The arteries supplying the fistula would have

increased peak systolic and end diastolic velocities

with low pulsatility indices

Question #39Pallor with limb elevation would indicate disease.

A venous

B arterial



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Question #40A condition common with diabetes causing extremity pain

which may not be vascular related is:

A Neuropathy

B Hypertensive

C Raynaud's disease

D Peripheral occlusive disease

Question #41A______________ waveform is usually seen distal to the site

of a stenosis

A aliased

B slow upstroke, low amplitude

C low resistance, without a dichrotic notch

D tardus parvus

Question #42The STOP trial developed a protocol to indicate which

children were at higher risk for stroke due to stenosis.

Which condition does the STOP trial pertain to?

A Cerebrovascular Accident

B Sickle Cell Anemia

C Creutzfeldt-Jakob disease

D Encephalitis

Question #43PRF and wall filter should be _________ for arterial flow

and __________for venous flow.

A low; high

B high; low



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Question #44The vessel located between the first portion of the

duodenum and the anterior surface of the head of the

pancreas is the:

A Celiac artery

B Common hepatic artery

C Gastroduodenal artery

D Left gastric artery

Question #45Above the umbilicus, all paired arteries course _________to

their related veins.

A lateral

B medial

C posterior

D anterior

Question #46The prep recommended for aorta and iliac arteries is

A 12 hours NPO except clear liquids and medication

B Full breakfast

C 8 hours NPO except clear liquids and medication

D Clear liquids and medication



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Question #47Pulsatility index is a formula used to calculate:

A velocity

B cycles per second

C resistance

D Pressure

Question #48A variety of symptoms produced by an obstruction of blood

supply and increased pressure in the calf, due to blood or

fluid is:

A Collagen vascular disease

B Vasculitis

C Compartment syndrome

D Compression syndrome

Question #49The radial artery has advantages over the saphenous vein

with all of the following except:

A Appropriate caliper

B Thicker wall

C Often a bifed system

D Better availability



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Question #50A digital plethysmography exam was done on a patient. The

waveforms have a slow rise to systole, loss of the

dichrotic notch with the downslope bowed away from the

baseline. The waveforms are consistent with the diagnostic

criteria of:

A Normal

B Moderately abnormal

C Severely abnormal

D Mildly abnormal

Question #51

The treatment of smoking cessation, control of HTN,diabetes and dyslipidemia and weight control with a low-

cholesterol, diet is likely for:

A Aortic dissection

B Arterial occlusive disease

C Venous occlusion

D Carotid occlusion



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Test 1 Test 2 Test 3 Test 4

A C B DD

A B D AA

D C C BB

A A B DD

D A D CC

A A C BB

A C C AA

C D B CC

A A D DD

B D C AA

C A B AAA E B AA

B B D DD

D A C BB

B A D CC

B D B CC

B A B BB

C D B DD

D B B BB

B E E AA

B D B AA

B A B AA

B B A BB

C B A BB

A A D BB

D A A AA

C A C DD

A C B DD

C A A CC

A B C CC

C D A BB


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D A C BB

C D C AA

C D C DD

C C C CC

B B C AA

D B D BB

B A D BB

B A A DD

B C A AA

A A A AA

D B B DDB A D AA

B A B DD

C A C DD

C B C BB

C D A CC

C A A BB

C A B DD

C C C AA

B A A BB

B C B BB

C C C DD

D C B CC

B C A AA

C D D AA

D D D CC

F B C BB

A C C DD

B A D BB

A D B BB

C E D AA


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B A A AA

A C A AA

A A D CC

B C A AA

D A C AA

B D B CC

A D B CC

C B C AA

B A D CC

B B A AA

B C A AAB B C CC

D B C CC

C B A EE

C B C CC

C E A BB

A A C BB

C E D BB

A D C BB

D A D BB

A A C DD

C A A CC

A D C BB

C B C DD

A A B BB

A C A DD

D A B DD

A B C BB

A D A AA

E A E DD

C C A DD


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D D D BB

C C A DD

B A B AA

C A C AA

B C C DD

A D C AA

C A A CC

B A A CC

B B A DD

A B C BB

C A A DDB B A CC

C A B CC

A C A BB

A D C AA

A B A CC

B C C CC

B D E BB

B B B AA

A B C BB

B A A AA

C A B EE

B B A AA

B B A DD

C D C AA

E C A CC

C D A AA

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