CCI Vascular Review Questions with Correct
Answers 2026-2027
All of the followingycan affect the quality of the digit PPG tracings EXCEPT:
-a patient that worked out vigorously at the gym earlier that day
-patient smoking just prior to the exam
-patient under a lot of stress and isyvery nervous
-patient just arrived in very cold weather - CORRECT ANSWER -
A patient that worked out vigorously at the gym earlier that day
After completingy50 toe raises, a patient's ankle pressures drop by 50%. This is suggestive of single level ar
terial disease.
True or false - CORRECT ANSWER -True
You perform a carotid duplex on a 68 y/0 male referred for carotid bruit and evaluation of the vertebral ar
teries demonstrates a smaller right vertebral artery as compared to the left. What conclusion can you dra
w from this finding?
-dissection
-neointimal hyperplasia
-within normal limits
-vasospasm - CORRECT ANSWER -within normal limits
Spectral broadeningyisya measure of:
-flow organization
-flow direction
-mean pressure
-all of these - CORRECT ANSWER -flow organization
,The 4 cuff method is unable to differentiate between inflow disease and femoral artery disease.
True or false - CORRECT ANSWER -False
Post exercise ABI's should be obtained:
-Every 2 minutes until ABI's return to pre exercise levels
-At 1-, 5-, and 10 minute intervals
-Every 5 minutes for up to 30 minutes
-immediately after exercise and again 20 minutes later - CORRECT ANSWER -
every 2 minutes until ABI's return to pre exercise levels
Which term is NOT associated with a transorbital TCD evaluation of the internal carotid siphon?
-genu
-infraclinoid
-supraclinoid
-parasellar - CORRECT ANSWER -infraclinoid
Which of the following is least likely true about the pain of claudication?
-pain in the muscle duringyexercise
-pain usually subsides after rest
-always vascular in origin
-discomfort is usually predictable - CORRECT ANSWER -always vascular in origin
Which of the following indication is most appropriate for transcutaneous oximetry?
-evaluate presence of distal embolization
,-determine level of amputation
-document location of collaterals
-differentiate occlusive disease from aneurysmal disease - CORRECT ANSWER -
determine level of amputation
Which of the following reflect an abnormal response to penile imaging?
-increased diameter in cavernous arteries
-flow in the dorsal vein increases to >20 cm/sec
-PSV in the artery increases to at least 30 cm/sec
-an increase in the EDV of the cavernous artery is evident - CORRECT ANSWER -
flow in the dorsal vein increases to >20 cm/sec
Which ABI value suggests noncompressible arteries?
-< 0.5
-< 1.0
-> 1.0
-> 1.4 - CORRECT ANSWER ->1.4
Which transducer frequency range would provide optimal imaging of the abdominal vasculature?
-8-10 MHz
- 5-6 MHz
-6-8 MHz
-2-4 MHz - CORRECT ANSWER -2-4 MHz
The toe pressure should be what % of the ankle pressure:
, -90-100%
-40-50%
-60-80%
-20-30% - CORRECT ANSWER -60-80%
Which of the following describes the flow direction in the normal portal vein?
-away from the liver
-toward the IVC
-hepatopetal
-hepatofugal - CORRECT ANSWER -hepatopetal
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 - CORRECT ANSWER -high flow state and low resistance
After completingythe exercise study, you believe the patient has multi level arterial disease. What is that c
onclusion 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 hisypre exercise levels - CORRECT ANSWER -recovery time isy6-
12 minutes
How does secondary Raynaud's differ from primary Raynaud's?
Answers 2026-2027
All of the followingycan affect the quality of the digit PPG tracings EXCEPT:
-a patient that worked out vigorously at the gym earlier that day
-patient smoking just prior to the exam
-patient under a lot of stress and isyvery nervous
-patient just arrived in very cold weather - CORRECT ANSWER -
A patient that worked out vigorously at the gym earlier that day
After completingy50 toe raises, a patient's ankle pressures drop by 50%. This is suggestive of single level ar
terial disease.
True or false - CORRECT ANSWER -True
You perform a carotid duplex on a 68 y/0 male referred for carotid bruit and evaluation of the vertebral ar
teries demonstrates a smaller right vertebral artery as compared to the left. What conclusion can you dra
w from this finding?
-dissection
-neointimal hyperplasia
-within normal limits
-vasospasm - CORRECT ANSWER -within normal limits
Spectral broadeningyisya measure of:
-flow organization
-flow direction
-mean pressure
-all of these - CORRECT ANSWER -flow organization
,The 4 cuff method is unable to differentiate between inflow disease and femoral artery disease.
True or false - CORRECT ANSWER -False
Post exercise ABI's should be obtained:
-Every 2 minutes until ABI's return to pre exercise levels
-At 1-, 5-, and 10 minute intervals
-Every 5 minutes for up to 30 minutes
-immediately after exercise and again 20 minutes later - CORRECT ANSWER -
every 2 minutes until ABI's return to pre exercise levels
Which term is NOT associated with a transorbital TCD evaluation of the internal carotid siphon?
-genu
-infraclinoid
-supraclinoid
-parasellar - CORRECT ANSWER -infraclinoid
Which of the following is least likely true about the pain of claudication?
-pain in the muscle duringyexercise
-pain usually subsides after rest
-always vascular in origin
-discomfort is usually predictable - CORRECT ANSWER -always vascular in origin
Which of the following indication is most appropriate for transcutaneous oximetry?
-evaluate presence of distal embolization
,-determine level of amputation
-document location of collaterals
-differentiate occlusive disease from aneurysmal disease - CORRECT ANSWER -
determine level of amputation
Which of the following reflect an abnormal response to penile imaging?
-increased diameter in cavernous arteries
-flow in the dorsal vein increases to >20 cm/sec
-PSV in the artery increases to at least 30 cm/sec
-an increase in the EDV of the cavernous artery is evident - CORRECT ANSWER -
flow in the dorsal vein increases to >20 cm/sec
Which ABI value suggests noncompressible arteries?
-< 0.5
-< 1.0
-> 1.0
-> 1.4 - CORRECT ANSWER ->1.4
Which transducer frequency range would provide optimal imaging of the abdominal vasculature?
-8-10 MHz
- 5-6 MHz
-6-8 MHz
-2-4 MHz - CORRECT ANSWER -2-4 MHz
The toe pressure should be what % of the ankle pressure:
, -90-100%
-40-50%
-60-80%
-20-30% - CORRECT ANSWER -60-80%
Which of the following describes the flow direction in the normal portal vein?
-away from the liver
-toward the IVC
-hepatopetal
-hepatofugal - CORRECT ANSWER -hepatopetal
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 - CORRECT ANSWER -high flow state and low resistance
After completingythe exercise study, you believe the patient has multi level arterial disease. What is that c
onclusion 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 hisypre exercise levels - CORRECT ANSWER -recovery time isy6-
12 minutes
How does secondary Raynaud's differ from primary Raynaud's?
