RVT ARDMS VASCULAR
ULTRASOUND PRACTICE SET 2026
TESTED QUESTIONS AND CORRECT
SOLUTIONS
◉ In posterior to anterior collateralization, flow reverses in the
______artery. Answer: Posterior communicating artery
◉ What material are carotid stents commonly made from?. Answer:
Nitinol
◉ After an endarterctomy, a patient presents with ipsilateral headache,
contralateral neurological deficits, and seizure. What should you
suspect?. Answer: Cerebral hyperperfusion syndrome (Reperfusion
syndrome)
◉ At what location is re-stenosis most common with a carotid stent?.
Answer: Stent attachment sites
◉ What is the most common location of vertebral artery stenosis?.
Answer: Vertebral artery origin
◉ What causes a subclavian steal?. Answer: occlusion or stenosis of the
proximal subclavian artery
,◉ Which side does subclavian steal usually occur on?. Answer: left
◉ In a patient with a subclavian steal, you should expect the brachial
pressure in the affected arm to be________ compared to the normal
arm.. Answer: > or = 20 mmHg less
◉ If a patient with a partial subclavian steal exercises their arm, what do
you expect to happen?. Answer: Complete steal
◉ What does early systolic deceleration in the vertebral artery indicate?.
Answer: Presteal
◉ What disease is associated with a "string of pearls" appearance in a
blood vessel?. Answer: Fibromuscular dysplasia
◉ Where is a carotid body tumor located?. Answer: CCA bifurcation
◉ What patient population has the highest incidence of carotid body
tumor? (2). Answer: Females, high altitude
◉ Is a carotid body tumor highly vascular?. Answer: Yes
◉ Absence or moderate to severe hypoplasia of large cerebral arteries
and saccular aneurysms of any cerebral arteries are associated with what
disease?. Answer: PHACE syndrome
, ◉ What does the PHACE syndrome stand for?. Answer: - Posterior
fossa anomalies
- hemangiomas
- arterial anomalies
- cardiac anomalies /coarctation of aorta
- eye anomalies
◉ What disease causes extrinsic compression of the carotid by an
elongated styloid process or a calcified stylohyoid ligament?. Answer:
Eagle syndrome
◉ What would cause double systolic peaks in the carotid artery? (2).
Answer: Aortic regurgitation, Intraaortic Balloon Pump
◉ What two signs do you expect to see in the CCA waveforms of a
patient with cardiac tamponade?. Answer: Respiratory variation, pulsus
alternans
◉ In most patients the ECA is the _______ branch.. Answer:
anteromedial
◉ What ANATOMIC variant of the neck vessels is most associated with
symptomatic cerebral ischemia?. Answer: Kinking of the ICA
ULTRASOUND PRACTICE SET 2026
TESTED QUESTIONS AND CORRECT
SOLUTIONS
◉ In posterior to anterior collateralization, flow reverses in the
______artery. Answer: Posterior communicating artery
◉ What material are carotid stents commonly made from?. Answer:
Nitinol
◉ After an endarterctomy, a patient presents with ipsilateral headache,
contralateral neurological deficits, and seizure. What should you
suspect?. Answer: Cerebral hyperperfusion syndrome (Reperfusion
syndrome)
◉ At what location is re-stenosis most common with a carotid stent?.
Answer: Stent attachment sites
◉ What is the most common location of vertebral artery stenosis?.
Answer: Vertebral artery origin
◉ What causes a subclavian steal?. Answer: occlusion or stenosis of the
proximal subclavian artery
,◉ Which side does subclavian steal usually occur on?. Answer: left
◉ In a patient with a subclavian steal, you should expect the brachial
pressure in the affected arm to be________ compared to the normal
arm.. Answer: > or = 20 mmHg less
◉ If a patient with a partial subclavian steal exercises their arm, what do
you expect to happen?. Answer: Complete steal
◉ What does early systolic deceleration in the vertebral artery indicate?.
Answer: Presteal
◉ What disease is associated with a "string of pearls" appearance in a
blood vessel?. Answer: Fibromuscular dysplasia
◉ Where is a carotid body tumor located?. Answer: CCA bifurcation
◉ What patient population has the highest incidence of carotid body
tumor? (2). Answer: Females, high altitude
◉ Is a carotid body tumor highly vascular?. Answer: Yes
◉ Absence or moderate to severe hypoplasia of large cerebral arteries
and saccular aneurysms of any cerebral arteries are associated with what
disease?. Answer: PHACE syndrome
, ◉ What does the PHACE syndrome stand for?. Answer: - Posterior
fossa anomalies
- hemangiomas
- arterial anomalies
- cardiac anomalies /coarctation of aorta
- eye anomalies
◉ What disease causes extrinsic compression of the carotid by an
elongated styloid process or a calcified stylohyoid ligament?. Answer:
Eagle syndrome
◉ What would cause double systolic peaks in the carotid artery? (2).
Answer: Aortic regurgitation, Intraaortic Balloon Pump
◉ What two signs do you expect to see in the CCA waveforms of a
patient with cardiac tamponade?. Answer: Respiratory variation, pulsus
alternans
◉ In most patients the ECA is the _______ branch.. Answer:
anteromedial
◉ What ANATOMIC variant of the neck vessels is most associated with
symptomatic cerebral ischemia?. Answer: Kinking of the ICA
