RPHS CERTIFICATION ACTUAL EXAM
QUESTIONS WITH VERIFIED ANSWERS
What is the most ergonomic position for a sonographer to be in:
Sitting w elbow close to the body and wrist in a neutral position
This position will help to decrease muscle fatigue and injury.
When lifting heavy objects:
Keep your back straight and lift w your knees
What document should be available to all office staff that details hazardous materials:
MSDS
The MSDS should be in a location for al employees to access. This binder should not be
confused w the Exposure Control Plan
An informed consent should:
Detail all risks, benefits and alternatives
Medical records should be maintained:
In accordance w State and Federal guidelines
If specific Medicare guidelines are not listed, default to state or federal guidelines
What is the greatest risk to a patient if the txd probe is cracked:
Electrical shock
What is the minimum PPE (personal protective equipment) indicated for a patient w an
active weeping ulcer:
Non-sterile gloves
What is the BEST way to clean a txd probe:
Antibacterial solution
Hazards associated w ultrasound include:
Electrical
Fire
Bio-effects
The calf muscle pump is responsible for ejecting what percentage of lower extremity
venous volume:
,60%
Ankle flexion helps to:
Activate the calf muscle pump
Weight bearing motions will empty the foot. Ankle flexions will activate the calf muscle pump
Primary dysfunction of the calf muscle pump is most likely related to:
Muscle wasting
Stremmer's sign is used to dx:
Lymphedema
Stremmer's sign is a thickened fold of skin at the base of the 2nd toe or second finger that can be
gently pinched and lifted. The presence of this sign is most often an early dx indication of
primary lymphedema; however, it can also develop later in secondary lymphedema
What is the normal ratio of sclerosant to air for creation of foam ST:
1:4
Most practitioners will use an air to sclerosant ratio of anywhere between 3:1 and 5:1
A perforating vein is responsible for connecting:
GSV to posterior tibial vein
A perforator vessel is responsible for communication between the superficial and deep venous
systems. Tributaries communicate w in the same system
How long is the ClosureFast catheter's heating element:
7 cm
There is a 3 mm heating tip now available
How hot does the ClosureFast catheter become:
120 ° C
How long is each cycle of the ClosureFast treatment:
20 seconds
How long would it take to treat a 28 cm vein length w ClosureFast?
80 seconds
,How much distance is needed between the heating element and skin to avoid thermal
complications during EVTA?
1 cm
Having less than 1 cm buffer zone increases the risk of thermal burn to the cutaneous tissues
What stocking has the highest resting pressure:
Long stretch
Which stocking has the highest working pressure:
No stretch
NO stretch garments have the highest working pressure as the garment will not stretch against
expansion of the lower extremity muscle during contraction
Which stocking has the highest pressures while walking:
No stretch
NO stretch garments have the highest working pressure as the garment will not stretch against
expansion of the lower extremity muscle during contraction
How should a patient be positioned for SSV ablation:
Prone
Which of the following would be a contraindication to compression stockings:
ABI <0.5
What are the contraindications to stocking wear:
Severe CHF
Septic Phlebitis
ABI <0.5
How much distance is required between the catheter tip and the SFJ:
2 cm
The catheter tip should also be distal to the superficial inferior epigastric vein. Pay close
attention to how the question is asked
What is the best way to localize the catheter tip of a laser fiber:
PW ultrasound
What is the best dx tool for lymphedema?
, Lymphoscintigraphy
Sentinel lymphnode mapping is an imaging technique used to identify the lymph drainage basin,
determine the number of sentinel nodes, differentiate sentinel nodes from subsequent nodes,
locate the sentinel node in an unexpected location and mark the sentinel node over the skin for
bx
Stripping of the saphenous vein in the distal leg can result in damage to the:
Saphenous nerve
Distal SSV ablation can damage the:
Sural nerve
Which vessels are likely responsible for issues around the lateral subdermic plexus of
Albanese:
Reticular vein & perforators
Transcranial doppler txd (TCD) may be a tool used during what treatment:
Foam sclerotherapy
Calculate the ABI of the left leg given the following information: Left DP pressure = 80,
Left PT pressure = 85, Right brachial pressure = 120, Left brachial pressure = 100:
.70
Given the information in the previous question, is there a contraindication to wearing 30-40
mmHg compression stockings in this patient:
NO
Which vein can communicate between the GSV and the SSV:
Giacomini vein
The Giacomini vein is a communicating vein between the great saphenous vein (GSV) and the
small saphenous vein (SSV). It is named after the Italian anatomist Carlo Giacomini (1840-
1898). The Giacomini vein courses the posterior thigh as either a trunk projection, or tributary of
the SSV.
Which test is most indicated after CNS symptoms and the dx of a lower extremity DVT:
Trans-esophageal echo
The TEE is used to ascertain the possibility of a right to left communication that could explain
CNS symptoms after lower extremity DVT
QUESTIONS WITH VERIFIED ANSWERS
What is the most ergonomic position for a sonographer to be in:
Sitting w elbow close to the body and wrist in a neutral position
This position will help to decrease muscle fatigue and injury.
When lifting heavy objects:
Keep your back straight and lift w your knees
What document should be available to all office staff that details hazardous materials:
MSDS
The MSDS should be in a location for al employees to access. This binder should not be
confused w the Exposure Control Plan
An informed consent should:
Detail all risks, benefits and alternatives
Medical records should be maintained:
In accordance w State and Federal guidelines
If specific Medicare guidelines are not listed, default to state or federal guidelines
What is the greatest risk to a patient if the txd probe is cracked:
Electrical shock
What is the minimum PPE (personal protective equipment) indicated for a patient w an
active weeping ulcer:
Non-sterile gloves
What is the BEST way to clean a txd probe:
Antibacterial solution
Hazards associated w ultrasound include:
Electrical
Fire
Bio-effects
The calf muscle pump is responsible for ejecting what percentage of lower extremity
venous volume:
,60%
Ankle flexion helps to:
Activate the calf muscle pump
Weight bearing motions will empty the foot. Ankle flexions will activate the calf muscle pump
Primary dysfunction of the calf muscle pump is most likely related to:
Muscle wasting
Stremmer's sign is used to dx:
Lymphedema
Stremmer's sign is a thickened fold of skin at the base of the 2nd toe or second finger that can be
gently pinched and lifted. The presence of this sign is most often an early dx indication of
primary lymphedema; however, it can also develop later in secondary lymphedema
What is the normal ratio of sclerosant to air for creation of foam ST:
1:4
Most practitioners will use an air to sclerosant ratio of anywhere between 3:1 and 5:1
A perforating vein is responsible for connecting:
GSV to posterior tibial vein
A perforator vessel is responsible for communication between the superficial and deep venous
systems. Tributaries communicate w in the same system
How long is the ClosureFast catheter's heating element:
7 cm
There is a 3 mm heating tip now available
How hot does the ClosureFast catheter become:
120 ° C
How long is each cycle of the ClosureFast treatment:
20 seconds
How long would it take to treat a 28 cm vein length w ClosureFast?
80 seconds
,How much distance is needed between the heating element and skin to avoid thermal
complications during EVTA?
1 cm
Having less than 1 cm buffer zone increases the risk of thermal burn to the cutaneous tissues
What stocking has the highest resting pressure:
Long stretch
Which stocking has the highest working pressure:
No stretch
NO stretch garments have the highest working pressure as the garment will not stretch against
expansion of the lower extremity muscle during contraction
Which stocking has the highest pressures while walking:
No stretch
NO stretch garments have the highest working pressure as the garment will not stretch against
expansion of the lower extremity muscle during contraction
How should a patient be positioned for SSV ablation:
Prone
Which of the following would be a contraindication to compression stockings:
ABI <0.5
What are the contraindications to stocking wear:
Severe CHF
Septic Phlebitis
ABI <0.5
How much distance is required between the catheter tip and the SFJ:
2 cm
The catheter tip should also be distal to the superficial inferior epigastric vein. Pay close
attention to how the question is asked
What is the best way to localize the catheter tip of a laser fiber:
PW ultrasound
What is the best dx tool for lymphedema?
, Lymphoscintigraphy
Sentinel lymphnode mapping is an imaging technique used to identify the lymph drainage basin,
determine the number of sentinel nodes, differentiate sentinel nodes from subsequent nodes,
locate the sentinel node in an unexpected location and mark the sentinel node over the skin for
bx
Stripping of the saphenous vein in the distal leg can result in damage to the:
Saphenous nerve
Distal SSV ablation can damage the:
Sural nerve
Which vessels are likely responsible for issues around the lateral subdermic plexus of
Albanese:
Reticular vein & perforators
Transcranial doppler txd (TCD) may be a tool used during what treatment:
Foam sclerotherapy
Calculate the ABI of the left leg given the following information: Left DP pressure = 80,
Left PT pressure = 85, Right brachial pressure = 120, Left brachial pressure = 100:
.70
Given the information in the previous question, is there a contraindication to wearing 30-40
mmHg compression stockings in this patient:
NO
Which vein can communicate between the GSV and the SSV:
Giacomini vein
The Giacomini vein is a communicating vein between the great saphenous vein (GSV) and the
small saphenous vein (SSV). It is named after the Italian anatomist Carlo Giacomini (1840-
1898). The Giacomini vein courses the posterior thigh as either a trunk projection, or tributary of
the SSV.
Which test is most indicated after CNS symptoms and the dx of a lower extremity DVT:
Trans-esophageal echo
The TEE is used to ascertain the possibility of a right to left communication that could explain
CNS symptoms after lower extremity DVT
