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Vascular Ultrasound Principles and Techniques, Exams of Nursing

Various topics related to vascular ultrasound, including the correct order of taking blood pressure measurements, characteristics of vascular claudication, assessment of the radial palmar arch, interpretation of ankle-brachial index calculations, evaluation of laminar flow, diagnosis of pseudoaneurysms, and the use of ultrasound in endovascular repair of abdominal aortic aneurysms. The document also discusses flow patterns in dialysis access grafts, the impact of cooling on arterial waveforms, and the evaluation of arterial steal syndrome. Overall, the document provides a comprehensive overview of vascular ultrasound principles and techniques that are essential for healthcare professionals involved in the diagnosis and management of vascular diseases.

Typology: Exams

2024/2025

Available from 09/14/2024

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CCI RVS New 2024/ 2025 Test Questions and
Verified Answers| 100% Correct- A Grade
QUESTION
Regardless of the method, what is the correct order of taking the blood pressure measurements?
-brachial, ankle, calf, above the knee, high thigh (if 4 cuff)
-ankle, calf, thigh (if 3 cuff), brachial
-brachial, high thigh (if 4 cuff), above the knee, calf, ankle
-thigh (if 3 cuff), calf, ankle, brachial
Answer:
brachial, ankle, calf, above the knee, high thigh (if 4 cuff)
QUESTION
Which of the following is NOT true of vascular claudication?
-pain with exercise for predictable distance
-pain relieved only if rest is non weight bearing
-relieved by rest
-always reproducible
Answer:
pain relieved only if rest is non weight bearing
QUESTION
Occasionally these two arteries have a common trunk ___________ & ____________
-common iliac and superior mesenteric
-hepatic and inferior mesenteric
-external iliac and distal renal
-celiac and superior mesenteric
Answer:
celiac and superior mesenteric
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Download Vascular Ultrasound Principles and Techniques and more Exams Nursing in PDF only on Docsity!

CCI RVS New 2024/ 2025 Test Questions and

Verified Answers| 100% Correct- A Grade

QUESTION

Regardless of the method, what is the correct order of taking the blood pressure measurements?

  • brachial, ankle, calf, above the knee, high thigh (if 4 cuff)
  • ankle, calf, thigh (if 3 cuff), brachial
  • brachial, high thigh (if 4 cuff), above the knee, calf, ankle
  • thigh (if 3 cuff), calf, ankle, brachial Answer: brachial, ankle, calf, above the knee, high thigh (if 4 cuff)

QUESTION

Which of the following is NOT true of vascular claudication?

  • pain with exercise for predictable distance
  • pain relieved only if rest is non weight bearing
  • relieved by rest
  • always reproducible Answer: pain relieved only if rest is non weight bearing

QUESTION

Occasionally these two arteries have a common trunk ___________ & ____________

  • common iliac and superior mesenteric
  • hepatic and inferior mesenteric
  • external iliac and distal renal
  • celiac and superior mesenteric Answer: celiac and superior mesenteric

QUESTION

Which of the following is least likely to occur with thoracic outlet syndrome (TOS)?

  • the majority of the symptoms are related to compression of the vasculature
  • it can cause numbness/tingling the of the arm
  • exercise/upward positions increase the symptoms
  • it may result in pain/aching of the shoulder/forearm Answer: the majority of the symptoms are related to compression of the vasculature

QUESTION

Claudication limited to the lower calf, ankle and foot typically implies?

  • aortoiliac occlusive disease
  • common femoral artery disease
  • superficial femoral and popliteal disease
  • distal external iliac disease Answer: superficial femoral and popliteal disease

QUESTION

The most common location for an arterial aneurysm is?

  • thoracic aorta
  • infrarenal aorta
  • common femoral artery
  • internal carotid artery Answer: infrarenal aorta

QUESTION

A patient with rest pain would most likely have the following ankle/brachial index:

  • <0.
  • 0.8-0.
  • 0.5-0.
  • 0.9-1. Answer: <0.

QUESTION

A patient has a sudden onset of painful, blue toes bilaterally, persisting 2 days. Digit PPG tracing are abnormal with poor pressures in the great toes. ABI's are 1.0 bilaterally. Of the following, what do these findings most likely suggest?

  • the presence of an abdominal aortic aneurysm
  • thromoangitis obliterans
  • acute deep venous thrombosis
  • chronic arterial occlusive disease Answer: the presence of an abdominal aortic aneurysm

QUESTION

Which of the following will not cause vasodilation of a high resistance bed?

  • body heat
  • exercise
  • hyperventilation
  • stenosis Answer: hyperventilation

QUESTION

While completing an Allen test, flow to the right index finger becomes absent during manual compression of the radial artery. What is this finding most consistent with?

  • documents a patent radial palmar arch
  • radial artery is the only resource of flow to the digits
  • ulnar artery is predominate source of flow to the hand
  • flow to the digits is within normal limits Answer: radial artery is the only resource of flow to the digits

QUESTION

Using the 4 cuff method, the high thigh pressure should normally be:

  • equal to the highest brachial pressure
  • equal to the lowest brachial pressure
  • 30 mmHg than the highest brachial pressure

  • within 30 mmHg of the highest brachial pressure Answer:

30 mmHg than the highest brachial pressure

QUESTION

Which of the following is least associated with Buerger's disease?

  • patients present with history of smoking
  • lesions are commonly distal to ankle and/or wrist
  • ABI may be normal
  • affects the large arteries of the extremities Answer: affects the large arteries of the extremities

QUESTION

Which of the following is not true about laminar flow?

  • layers of fluid particles are moving against one another
  • fastest flow is in the center stream
  • a stationary layer is at the wall
  • flow patterns have a flattened profile Answer: flow patterns have a flattened profile

QUESTION

A disadvantage of the 3 cuff segmental pressure method is?

  • falsely elevated thigh high pressure readings
  • cannot differentiate between aortoiliac disease and femoral artery disease
  • falsely decreased thigh pressure reading
  • cannot efficiently diagnose the presence of arterial disease Answer: cannot differentiate between aortoiliac disease and femoral artery disease

QUESTION

The most important differential diagnostic parameter for pseudoaneurysm is:

  • presence of thrombus
  • swirling blood flow
  • communication tract between artery and aneurysm
  • flow where there should not be flow Answer: communication tract between artery and aneurysm

QUESTION

Thromboangitis obliterans (TAO) is also known as?

  • primary Raynaud's
  • secondary Raynaud's
  • claudication
  • Buerger's disease Answer: Buerger's disease

QUESTION

Doppler evaluation of a stenosis in a native artery finds a pre stenotic velocity of 100 cm/sec and a velocity of 275 cm/sec at the narrowing. What is the estimated degree of stenosis?

  • need ankle pressure data to determine
  • 75%

  • <50%
  • 50 - 75% Answer: 50 - 75%

QUESTION

Following endovascular repair of an AAA, the most common abnormality detectable with ultrasound would be:

  • endoleak
  • graft occlusion
  • migration of the graft
  • pseudoaneurysm at the femoral access Answer: endoleak

QUESTION

Which of the following is the formula used to calculate volume flow:

  • unchanged Answer: falsely low

QUESTION

Arterial ulcers are most prominently noted?

  • posterior on the calf
  • anterior on the thigh
  • medially on the ankle
  • at the toes Answer: at the toes

QUESTION

The toe pressure should be what % of the ankle pressure:

  • 90 - 100%
  • 40 - 50%
  • 60 - 80%
  • 20 - 30% Answer: 60 - 80%

QUESTION

Which of the following describes the flow direction in the normal portal vein?

  • away from the liver
  • toward the IVC
  • hepatopetal
  • hepatofugal

Answer: hepatopetal

QUESTION

Which of the following terms most accurately describe flow patterns in a normal dialysis access graft?

  • low flow state and high resistance
  • high flow state and high resistance
  • high flow state and low resistance
  • low flow state and low resistance Answer: high flow state and low resistance

QUESTION

After completing the exercise study, you believe the patient has multi level arterial disease. What is that conclusion based on?

  • recovery to the resting levels takes <2 minutes
  • the patient takes 2-6 minutes to return to his pre exercise pressures
  • recovery time is 6-12 minutes
  • the patient takes <4 minutes to return to his pre exercise levels Answer: recovery time is 6-12 minutes

QUESTION

How does secondary Raynaud's differ from primary Raynaud's?

  • secondary Raynaud's is only associated with exposure to cold
  • ischemia is intermittent in secondary Raynaud's
  • in secondary Raynaud's, the patient has fixed arterial disease as well
  • secondary Raynaud's includes aneurysmal changes Answer:

QUESTION

How could a cold exam room affect pulsatility changes/pulsatile flow patterns on your patients?

  • it results in higher resistance flow patterns
  • cooling decreases pulsatility seen on an arterial waveform
  • it results in lower resistance quality
  • pulsatile flow patterns become less pronounced Answer: it results in higher resistance flow patterns

QUESTION

Toe raises are substituted for exercise testing in patients with symptomatic cardiac conditions. True or false Answer: True

QUESTION

After completing exercise, a patient's ankle pressures decrease, and the ABI returns to normal after 5 minutes. What is this suggestive of?

  • normal response to exercise testing
  • single level disease
  • multi level disease
  • critical ischemia Answer: single level disease

QUESTION

What is the least likely complication following arteriography?

  • hematoma
  • compartment syndrome
  • pseudoaneurysm
  • arterial occlusion Answer: compartment syndrome

QUESTION

Routine treadmill exercise testing consists of:

  • having the patient walk for up to 5 minutes
  • having the patient walk for up to 30 minutes
  • having the patient sprint for up to 5 minutes
  • having the patient sprint for up to 30 minutes Answer: having the patient walk for up to 5 minutes

QUESTION

Which of the following statements is false regarding segmental pressures?

  • large thigh girth may give falsely elevated pressures
  • they can differentiate vascular symptoms from musculoskeletal disorders
  • they are used to distinguish between a stenosis and an occlusion
  • it aids in the prediction of wound healing Answer: they are used to distinguish between a stenosis and an occlusion

QUESTION

How is an ABI calculated?

  • lowest ankle pressure/lowest brachial pressure
  • ankle pressure/brachial pressure of the same side
  • highest ankle pressure (PTA or DPA)/highest brachial pressure
  • highest PTA pressure only/highest brachial pressure
  • assume the patient's symptoms are not related to arterial disease
  • warn the patient that the doctor will probably order an invasive study next
  • just discharge the patient from your department after the segmental pressure is done
  • determine whether the patient can safely walk on a treadmill and complete the exercise test Answer: determine whether the patient can safely walk on a treadmill and complete the exercise test

QUESTION

When evaluating pressures obtained from the upper extremities, a drop of ______ mmHg or more between the right and left arms is considered significant.

  • 15 - 20
  • <
  • 10 - 15 Answer: 15 - 20

QUESTION

A decrease in pressure of ___ mmHg between two consecutive levels in the lower extremities is considered significant for disease.

Answer:

QUESTION

A patient is suspected of having a >70% stenosis of the SMA. Which of the following PSV would be expected in this situation?

  • 150 cm/sec
  • 125 cm/sec
  • 275 cm/sec
  • 200 cm/sec Answer: 275 cm/sec

QUESTION

What is the significance of blood flow below the baseline in a triphasic Doppler arterial signal?

  • represents the closure of the aortic valve
  • signifies late systole and early diastole
  • suggests low peripheral resistance
  • indicated positive pressure gradient moving blood distally Answer: signifies late systole and early diastole

QUESTION

Intermittent digital ischemia caused by prolonged digital vasospasm from exposure to cold, nicotine, or vibration injury that usually effects young women?

  • primary Raynaud's
  • secondary Raynaud's
  • polyarteritis
  • TAO Answer: primary Raynaud's

QUESTION

What is the standard of practice in naming a bypass graft?

  • The first part of the name refers to the proximal anastomosis, the last past is the location of the blockage
  • flow through the communication is very accelerated and turbulent
  • if you close to the heart, it can result in right sided heart failure
  • reduced flow distal to it can result in ischemia Answer: high resistance flow is expected proximal to it

QUESTION

Mrs.Darling is scheduled for a lower extremity arterial study. As you go over her previous medical history, you know that the following sign/symptom is unlikely to be associated with peripheral arterial disease (PAD)?

  • 2 day history of a cyanotic great toe
  • 6 month history of lower extremity swelling
  • 4 month history of ulcer formation over a bony prominence
  • Sudden onset of a cold, painful, pale lower extremity. Answer: 6 month history of lower extremity swelling

QUESTION

Which of the following is not true about a hemodynamically significant stenosis?

  • There is a notable reduction in volume flow
  • A notable reduction in pressure is evident
  • A 75% diameter reduction is equivalent to a 50% area reduction
  • Distal effects may only be detectable following stress Answer: a 75% diameter reduction is equivalent to a 50% area reduction

QUESTION

The great vessels of the aortic arch include all of the following except?

  • Innominate
  • Right subclavian artery
  • Left common carotid artery
  • Left subclavian artery Answer: right subclavian artery

QUESTION

With the 3-cuff method, how should the thigh pressure compare to the brachial pressures in the following situations?

  • You would expect the thigh pressures to be lower than the brachial pressures to exclude proximal disease
  • Thigh pressures are expected to be at least 30 mmHg higher than the brachial pressures to indicate the absence of in-flow disease
  • Thigh pressures are expected to be similar to the brachial pressures in the absence of AIOD
  • The 3 cuff method is not accurate in the evaluation of proximal disease Answer: thigh pressures are expected to be similar to the brachial pressures in the absence of AIOD

QUESTION

A patient has below the knee pressure of 124 mmHg on the right and 94 on the left. What is the significance of this?

  • Hemodynamically significant lesion of the left tibial arteries
  • Hemodynamically significant lesion of the left popliteal artery
  • Hemodynamically significant lesion of the right popliteal artery
  • Patient has an occlusion of the left tibial arteries Answer: hemodynamically significant lesion of the left popliteal artery

QUESTION

Ms. Q suffers from uncontrolled diabetes, hyperlipidemia, and hypertension. Her doctor has ordered a lower arterial ABI study for leg pain. Her right brachial pressure is 124. Her left