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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
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?
- 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
