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DBS 560 Final Review

Total questions: 69

Worksheet time: 2hrs 1mins

Name
Class
Date
1.

Draw & label the 3 branches of the aortic arch.

2.

What artery is the continuation of the ATA at the ankle?

(a)  

3.

The CFV is located ______ to the CFA.

4 lines
4.

Changing which of the following has the greatest affect on blood flow?

a)

length of the vessel

b)

blood viscosity

c)

radius of the vessel

d)

the pressure gradient

5.

You can use color Doppler to categorize the severity of a stenosis.

a)

True

b)

False

6.

What are the 3 rules for measuring velocity using spectral Doppler?

4 lines
7.

The temporal tap will show changes in the waveform of which vessel?

a)

ICA

b)

ECA

c)

CCA

d)

vertebral

8.

Finding this waveform in the distal ICA indicates what?

4 lines
9.

A waveform taken immediately after a stenosis will display

(a)  

10.

What percentage of neck bruits are due to a stenosis in the ICA?

a)

25%

b)

33%

c)

50%

d)

67%

11.

TIA symptoms last

a)

< 24 hours

b)

24-48 hours

c)

permanently

12.

What phenomenon can be described as latent, hesitant, partial, or complete?

(a)  

13.

How is the ICA:CCA ratio calculated?

4 lines
14.

What is responsible for this forward flow in diastole?

4 lines
15.

Which type of arteritis usually affects young women?

a)

Giant cell

b)

Takayasu

c)

RIAI

16.

What is most likely represented in this image?

4 lines
17.

Dissections found in the common carotid usually originate in the

a)

aortic arch

b)

subclavian

c)

vertebral

d)

ICA

18.

What is the 1st branch of the ICA?

4 lines
19.

What is the 1st branch of the ECA?

4 lines
20.

The vertebrals join to form the (a)   artery

21.

Fibromuscular dysplasia demonstrates which sonographic sign?

4 lines
22.

What is the most common pitfall for lower extremity arterial scans?

(a)  

23.

What is the lowest velocity ultrasound can detect?

4 lines
24.

Restenosis occuring one month after a CEA or within 2 years is caused by

a)

atherosclerotic disease

b)

fibromuscular dysplasia

c)

neointimal hyperplasia

25.

What are the 5 P's of acute arterial ischemia?

4 lines
26.

Using a pressure cuff too large for the patient's limb will result in

a)

inaccurately high pressure reading

b)

normal pressure reading

c)

inaccurately low pressure reading

27.

This type of aneurysm is the result of an infection.

a)

pseudoaneurysm

b)

mycotic aneurysm

c)

enteric aneurysm

28.

What is the rule of 6's used to determine?

4 lines
29.

What is seen in this image?

4 lines
30.

Testing for which of the following involves putting the patient's upper extremities in a variety of positions?

a)

Reynaud's

b)

TOS

c)

Incomplete palmer arch

d)

Buerger's

31.

What is considered a positive result when performing indirect testing for TOS?

a)

Increased amplitude

b)

Dampened waveform

c)

Flatline waveform

d)

Symptoms present

32.

Which of the following involves injury to the ulnar artery?

a)

hypothenar hammer syndrome

b)

TOS

c)

popliteal entrapment

33.

Which of the following involves compression by the head of the gastrocnemius muscle?

a)

Buerger's

b)

TOS

c)

popliteal entrapment

d)

hypothenar hammer syndrome

34.

What will the sonographer see in the case of popliteal entrapment?

4 lines
35.

What velocity ratio in a lower extremity arterial exam indicates a >70% stenosis?

(a)  

36.

Which window used in TCD scanning requires reduction of the output power?

a)

transtemporal

b)

transcoccipital

c)

transorbital

d)

submandibular

37.

The top portion of this TCD exam is displaying ​ (a)   and monitoring for ​ (b)  

Choose from the below words
M-mode
Spectral Doppler
microemboli
increased velocities
38.

What is the term used for the lines displayed in the top portion of the TCD?

(a)  

39.

The ICA terminates into which two branches in the circle of Willis?

4 lines
40.

Left sided paralysis indicates a problem where in the extracranial vessels?

4 lines
41.

The ICA lies (a)   to the ECA.

42.

The (a)   procedure involves inflating a balloon tipped catheter inside the vessel.

43.

When should the flow return to normal after an angioplasty has been performed?

a)

immediately

b)

within 24 hours

c)

within 3 days

44.

How is ABI calculated?

4 lines
45.

What ABI result means the artery is too calcified?

4 lines
46.

What ABI result is classified as tissue threatening?

4 lines
47.

With an in situ vein graft what is the risk if a branch is left patent?

4 lines
48.

What type of waveform will be seen in an artery proximal to an AV fistula?

a)

high resistive

b)

low resistive

49.

Does a reversed vein graft need the valves to be stripped?

a)

YES

b)

NO

50.

What type of waveform should be seen after a successful balloon angioplasty in the lower extremity?

4 lines
51.

What is the major difference between a hemodialysis graft and a hemodialysis fistula?

4 lines
52.

What two vessels are connected with a Brescia-Cimino dialysis fistula?

a)

Cephalic vein

b)

Basilic vein

c)

Ulnar artery

d)

Radial artery

53.

What is the advantage of the four-cuff method vs the three-cuff method when taking segmental pressures?

4 lines
54.

The (a)   test shows whether there is a dominant artery feeding the fingers.

55.

What types of stroke symptoms are classified as vertebrobasilar?

4 lines
56.

Match the following stroke symptom to its most likely source.

a)

Drop Attack

1.

Vertebrobasilar

b)

Amaurosis fugax

2.

Ipsilateral ICA

c)

Hemiplagia

3.

Contralateral ICA

57.

Buerger's affects which vessels?

a)

arteries of the hands and feet

b)

aortic arch

c)

superficial temporal artery

58.

Which of the following is correct regarding Buerger's?

a)

Affects smokers

b)

Affects males more than females

c)

Affects females more than males

d)

Symptoms are reversible

59.

Which type of Reynaud's feature digital arteries that appear normal?

a)

Primary

b)

Secondary

60.

What is the correct order of color changes in patients with Reynaud's?

4 lines
61.

An aneurysm is diagnosed when the focal enlargement increases (a)   from the normal diameter.

62.

During an ABI, you notice the left brachial pressure is 22mmHg lower than the right. What is the most likely cause?

4 lines
63.

During a PVR exam, why does the cuff only inflate to 55-65 mmHg?

4 lines
64.

When a patient complains of claudication, where is the problem in relation to their symptoms?

a)

proximal

b)

distal

c)

at the same level

65.

This waveform would be described as

(a)  

66.

Pressure cuffs should be how much wider than the limb?

(a)  

67.

What is demonstrated in this image?

4 lines
68.

What is seen in this image?

4 lines
69.

What is most likely being demonstrated in these images?

4 lines