Upgrade to remove ads
Only $35.99/year

DSVT 1200 Final

Terms in this set (124)

What vessel is indicated by the number 1?
A. Right Subclavian
B. Right Innominate
C. Right Common Carotid Artery
D. Right Vertebral Artery
C. Right Common Carotid Artery
true/false- The arterial flow to the calf muscles are high resistive at rest.
True
The sonographic appearance of a common carotid artery may be described as:
anechoic lumen within parallel hyperechoic walls.
The vertebal artery may be identified by locating the following landmark.
transverse processes of the cervical spine
What is the first branch of the ECA?
Superior thyroid artery
8 branches of ECA
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occipital
Posterior auricular
Maxillary
Superficial temporal
What is the first branch of the ICA?
Opthalmic artery
Which of the following best describes the position of the ICA in the neck?
A. It lies more posterior to the ECA.
B. It's situated lateral to the CCA.
C. It lies in the far-field of the ultrasound image.
D. It appears in the near field of the ultrasound image.
A. It lies more posterior to the ECA.
The carotid arteries may be scanned with the sonographer sitting behind the patients head. T/F
TRUE
Which normal cerebrovascular vessel demonstrates the highest flow resistance?
External carotid artery
Which of the following statements is true about the brachiocephalic artery?
A. It divides into the right CCA and right subclavian artery.
B. The right brachiocephalic artery is larger than the left brachiocephalic artery.
C. it is approximately 1-2 cm in length
D. it divides into the left CCA and left subclavian artery.
A. It divides into the right CCA and right subclavian artery.
Which statement is true about basilar artery?
A. part of the vertebrobasilar circulation
B. supplies blood to the frontal lobe of the brain
C. part of the anterior circulation
D. terminates into the right and left vertebral arteries
A. part of the vertebrobasilar circulation
What vessel is indicated by the letter B?
A. aortic arch
B. thoracic aorta
C. transverse aorta
D. all of the above
D. all of the above
Which of the following statements is false?
A. Veins have valves, arteries do not
B. arteries have a thicker media layer
C. the vaso vasorum are located in the tunica adventitia
D. arteries have valves at their bifurcations
D. arteries have valves at their bifurcations
The vertebral arteries are part of the ________________________ circulation which supplies blood to the brain stem, cerebellum, back and undersurfaces of the cerebral hemispheres.
posterior
The principle branches of the Rt Subclavian artery are the right vertebral artery, the thyrocervical artery, the internal mammary artery and the costocervical artery. T/F
TRUE
A common incidental finding on a carotid exam is a thyroid nodule. This would be located __________ to the CCA.
Medial
All of the following are true about the ICA except:
A. obtains 70% of its flow from the CCA
B. posterior lateral to the ECA
C. supplies blood to majority of cerebral hemispheres
D. low resistance WF
A. obtains 70% of its flow from the CCA
Another name for the carotid bulb is the carotid sinus. T/F
TRUE
The CCA bifurcates at _______________________.
C-4
The aortic arch originates at the base of the right ventricle. T/F
FALSE
The function of arteries include all of the following except:
A. carry blood away from the heart
B. supply gases/nutrients to tissues
C. regulate blood flow by increasing blood velocity
D. regulate blood flow by contracting and relaxing
C. regulate blood flow by increasing blood velocity
Identify the vessel labeled "4"
Left common carotid artery
The vessel labeled "1" in this diagram has a __________________________ waveform.
low resistance
The vessel labeled "c" in the diagram has a ______________________________ waveform.
low resistant until it is distal to the renal arteries
What type of waveform is shown here?
high resistance
What clues in the waveform above help you differentiate what type of waveform it is?
A. There is a sharp upstroke
B. The diastolic flow is close to the base line
C. It has a high velocity
D. It crosses the baseline 3 times
B. The diastolic flow is close to the base line
Average velocity of CCA?
80-100 cm/sec
The rt. CCA proximally has a ________waveform.
low resistance
Which of the following is not a common anatomical anomaly?
A. a common origin of the right and left CCA
B. right brachiocephalic and left CCA originating together
C. left vertebral originates from the aortic arch
D. left vertebral originating from right vertebral
D. left vertebral originating from right vertebral
A 42 y/o male has an order for a Carotid sonogram. This diagnosis is dizziness. The exam shows a bifurcation with the ECA and the ICA being parallel to each other and similar in size. What other parameter could be used to differentiate between the ICA and the ECA?

A. The ICA is continuous with the CCA.
B. The ECA has a low resistance waveform.
C. The ICA has branches.
D. The ICA has intermittent flow with color Doppler.
A. The ICA is continuous with the CCA.
What forces cause fluid to flow?
pressure and energy
The following vessels are all part of the deep venous system:
common femoral, profunda, femoral, anterior tibials
The deep and superficial venous systems are connected by:
perforators
Why is Doppler angle correction not necessary in venous imaging?
Velocity calculation is not necessary.
One way to distinguish deep from superficial veins in the upper extremity is to look for:
corresponding artery
All of the following are true about the popliteal vein except:
a. pop on top
b. runs through the Archer's canal
c. becomes the femoral vein at the Adductor Hiatus
d. formed by the junction of ATV's & TP trunk
b. runs through the Archer's canal
The trifurcation can include which of the following:
Peroneal, PTV's, ATV's
The saphenofemoral junction (SFJ), the saphenopopliteal junction and the perforators in the medial calf are all:
connections between the deep and the superficial venous systems
The following statements are true about veins except:

a. veins have a thin media layer which makes them more pliable and distendable
b. venous valves are also called semilunar or bicuspid
c. valves are a direct extension of the adventitia layer
d. valves co-apt
c. valves are a direct extension of the adventitia layer
An easy way to remember the location of the small saphenous is to think of a:
seamed stocking
One reason there is less incidence of DVT in the upper extremity is:
UE veins have many collateral pathways
All of the following are true about the peroneal veins except:

a. joins the ATV's to form the tibeo-peroneal trunk
b. runs along the lateral aspect of the calf
c. adjacent to the fibula
d. empties the lateral portion of the leg
a. joins the ATV's to form the tibeo-peroneal trunk
The Superior Vena Cava is the union of the right innominate and the left subclavian veins. T/F
FALSE
All of the following are TRUE about the posterior tibial veins except:

a. drain the plantar venous arch, the superficial venous network of the foot and the posterior portion of the leg
b. run parallel to the paired posterior tibial arteries
c. joins the peroneals to form the tibio-peroneal trunk
d. runs posterior to the tibia
b. run parallel to the paired posterior tibial arteries
The Dorsalis Pedis veins become the Anterior Tibial veins at the ankle joint. T/F
TRUE
Venous valves have ________ cusps?
2
Scarpa's Triangle includes:
CFV, CFA, nerves
The phrase used to remember the location of the popliteal vein is POP ON TOP. T/F
TRUE
The greatest # of valves would be found in the:
Small saphenous vein
Functions of the venous system.
Carries blood towards the heart.
Acts as a blood reservoir.
Carries away waste products.
The most important function of the soleal veins is:
to serve as a temporary reservoir
The confluence of the axillary and cephalic veins form the following:
Subclavian
The Internal Iliac vein is also known as the Hypogastric vein. T/F
TRUE
The IVC is formed by the union of the:
R and L common iliac veins
If the veins are bifid of trifid there will often be one of the veins which is more dominant. T/F
TRUE
Superficial veins are found in the subcutanous fat within __________ of the skin surface.
1-2 cm
The superficial veins of the upper extremity include:
cephalic vein, basilic vein, median cubital vein
All of the following are true about the Internal Jugular vein except:
a. located anterior and medial to the carotid artery
b. joins the subclavian vein to form the inominate vein
c. empties blood from the brain, superficial parts of the face and the neck
d. has one valve
a. located anterior and medial to the carotid artery
The following are all paired veins except:
a. deep digital vein/s
b. radial vein/s
c. basilic vein/s
d. ulnar vein/s
c. basilic vein/s
Paired veins include all of the following except:
a. radial, ulnar, brachial
b. cephalic, basilic, brachial
c. gastrocnemius, peroneal, tibials
d. posterior tibial, anterior tibial, dorsalis pedis
b. cephalic, basilic, brachial
A common location for a PICC line is the ___________ vein.
basilic
May Thurner syndrome is the result of the left common illiac artery crossing over and compressing the right internal illiac vein. T/F
FALSE
The longest vein in the lower extremity is the _______________________.
Greater saphenous vein
The cephalic and the basilic veins are connected distally by which of the following veins?
median cubital
Which vessel/s would be seen 3-4 cm distal to the saphenofemoral junction
Greater saphenous vein, femoral vein, deep femoral vein, femoral artery, deep femoral artery
What is another name for an abnormal popliteal structure containing synovial fluid?
Baker's cyst
The gastrocnemius veins drain into what deep vein?
popliteal vein
A palpable subcutaneous "cord" in the arm may be an indication for an upper extremity venous Doppler. T/F
true
The small saphenous vein usually drains into which of the following veins?
popliteal
A 54 y/o male arrives for a venous Doppler exam. What position is he placed in to optimally image the vessels?
Reverse Trendelenburg, hips rotated outwards, legs slightly bent at knees
An 88 y/o female comes in for a venous Doppler exam. What is the best position to optimize imaging while allowing for patient comfort?
Patient rotated onto hip with knee slightly bent, towel can be used to support knee
At what location is a proximal compression done when assessing valve competency of the Common Femoral Vein?
common iliac vein
Superficial venous system of legs include:
GSV, LSV
The anagram to remember the order of the structures that run through the femoral sheath is ________________________.
NAVL
What is the arrow pointing to?
Left innominate vein
Morphology of the blood flow in the vessel pointed out in diagram is:
multiphasic, pulsatile
the innominate veins join to become the:
superior vena cava
The ECA is usually________ to the ICA
anterior medial
The __________ causes sawtooth waveform on the ECA.
Temporal tap
The ECA has a _________ AP diameter than the ICA.
smaller
The ECA has a _______ waveform with a _________upstroke, and ____________.
high resistance, sharp, prominent dichrotic notch
The left and right vertebral arteries converge to become the___________.
Basilar artery
What are the terminal branches of the ICA?
ACA and MCA
Name a common aortic arch anatomical variant
Common origin of the right and left common carotids.
What is the first branch of the Aortic arch?
coronary arteries
The ECA is continuous with the CCA? T/F
False
The popliteal vein courses proximally behind the knee and passes anteromedially in the distal thigh through the_____________canal at which point it is called the FV.
Hunters canal/ adductor hiatus
The superficial vein that drains into the POP V is called the_____________.
lesser saphenous vein.
In the proximal thigh, the FV and the DFV converge to form the_____________________.
Common femoral vein.
The CFV passes upward above the inguinal canal to become the____________.
Iliac vein
In the lower leg, three pairs of deep veins exist: The ATV's drain the ________ of the foot, the PTV's drain the _________aspect of the foot, and the peroneal veins drain the ________ aspect of the foot.
dorsum, medial/posterior, lateral
The two veins that make up the tibioperoneal trunk are the _________________&_________________.
peroneal veins & posterior tibial veins
The 'trifurcation' is located caudal to the __________ vein and is made up of 3 vessels: ____,________,_________
popliteal, ATV, PTVs, peroneal veins
superficial veins serve as a conduit to pass blood centrally and eventually into the deep venous system. Which superficial vein is located dorsal calf and runs from the ankle to the knee?
lesser saphenous vein.
What is the name of the superficial vein that runs medially and usually runs from the ankle to the groin?
greater saphenous vein
Name the superficial vein that runs medially in the arm and is often used for a PICC line?
basilic vein
Name the superficial vein that runs along the lateral aspect of the arm from wrist to axilla and unites with the axillary vein?
cephalic vein
The axillary vein becomes the:
subclavian vein
The basilic vein courses along the medial aspect of the arm and converges either with the _____________ or directly into the _______.
brachial veins, axillary vein.
What vein is named for its location, coursing under the clavicle?
subclavian vein.
t/f: The cephalic and basilic veins originate at the antecubital fossa and course superiorly draining into their respective deep veins.
false
Where do the cephalic and basilic veins originate from?
The wrist.
The subclavian vein and the internal jugular vein converge to form the___________. This vessel is also known as:________________.
brachiocephalic vein; innominate vein
The external jugular vein is located _____ to the internal jugular vein.
lateral
The branches of the celiac trunk (axis) are:
left gastric artery, common hepatic artery, splenic artery
Post prandially, the superior mesenteric artery's velocity should not exceed _______________ & the waveform characteristic is described as ________________.
275 cm/sec, low resistance
The first branch off the abdominal aorta is the:
celiac trunk (axis)
Flow direction into the liver is called:
Hepatopetal flow.
An artery that runs parallel with the portal vein and supplies blood to the liver.
Hepatic artery
Multiple collaterals formed around and through the portal vein after portal vein thrombosis. This is called:
Cavernous transformation
Which of the transducer is generally used to interrogate abdominal vessels in an adult?
3 MHz
Which of the following statements is true?

A. The portal venous system is made up of the main portal vein, the splenic vein, the superior mesenteric vein and the inferior mesenteric vein.
B. The portal venous system drains deoxygenated blood from the intestines, spleen, stomach, gallbladder and pancreas.
C. The confluence of the splenic and inferior mesenteric veins forms the main portal vein.
D. Blood is drained from the spleen, left kidney and stomach into the splenic vein.
A. The portal venous system is made up of the main portal vein, the splenic vein, the superior mesenteric vein and the inferior mesenteric vein.
Where does the SVC drain into?
right atrium
The SMA has a ___________ waveform preprandial and a ______________________________waveform postprandial.
high resistive, low resistive
The blood flow in the abdominal aorta is _______________________ proximal to the renal arteries and ____________________ distal to the renal arteries.
low resistant, higher resistant
With greyscale imaging one way to differentiate the IVC from the Aorta is _________________________________________.
The IVC varies with respiration.
The waveform in a normal portal vein can be best described as ___________________________________________________.
continuous with mild phasicity
The velocity in a normal celiac artery is _______________________.
<200 cm/sec
The preprandial SMA and IMA will display an end diastolic velocity which is _________________________________.
close to the baseline
Which of the following statements is TRUE about the renal arteries?

A. The LT renal artery is shorter than the RT renal artery
B. The RT renal artery is shorter than the LT renal artery
C. The proximal main renal artery originates at the renal hilum
D. The LT renal artery runs posterior to the IVC
A. The LT renal artery is shorter than the RT renal artery
The upper limits of normal for portal vein diameter is _________________.
13mm
A TIPS is commonly placed between which 2 vessels?
RHV, and RPV
The doppler signor of the RHV is best described as_______________.
multiphasic
Sets found in the same folder