QUESTIONS, CCI RVS EXAM REVIEW COMPILATION ALL IN ONE
380 QUESTIONS AND CORRECT DETAILED ANSWERS
Portal vein flow - ANSWER: Hepatopedal and minimally phasic
Hepatic vein flow - ANSWER: Hepatofugal and triphasic (pulsatile because it's close
to the heart)
PPG venous VRT is considered ABNORMAL at - ANSWER: <20 indicates venous
insufficiency
The internal juglar vein carries blood to - ANSWER: Innominate vein
(brachiocephalic)
What two vessels join to make the innominate vein (brachiocephalic)? - ANSWER:
Internal juglar vein and subclavian
What deep vein does the Basillic drain into? - ANSWER: Axillary Vein
What two veins join to form Axillary Vein? - ANSWER: Basillic and brachial
What forms the superior vena cava (SVC)? - ANSWER: Right and left brachiocephalic
veins (innominate veins)
What drains blood into the SVC? - ANSWER: Brachiocephalic veins
SVC drains into the - ANSWER: Right Atrium
Venous ulcers - ANSWER: Superior to medial malleolus (gaiter zone)
Shallow
Irregular
Oozing
Less Painful
Brawny
Lipdermosclerosis
Swelling
What vessel is affected by nutcracker syndrome? - ANSWER: Left renal vein (the SMA
and aorta compress the left renal vein because it crosses in between the two)
Arterial ulcers - ANSWER: Distal/tips of toes, foot
Deeper
Regular
Dry
,Very Painful
Thick toenails
Loss of Jaír
Dry Skin
May-Thurner syndrome - ANSWER: Compression of the left common iliac vein by the
right common iliac artery resulting in pain, swelling and acute DVT of the LEFT lower
extremity
Normal flow direction of the TIPSS at the distal anastomosis? - ANSWER: Hepatofugal
Normal flow direction of the TIPSS at the proximal anastomosis? - ANSWER:
Hepatopedal
Purpose of TIPSS - ANSWER: To reduce pressure on the portal vein so that that the
main portal vein can be come hepatopedal
What plaque has erosion of the fibrous cap? - ANSWER: Ulcerative
Pulsatile venous flow - ANSWER: (Close to the heart)
IVC
Subclavian
Innominate Veins
Hepatic Veins
Normal ejection fraction - ANSWER: >60%
What would be a possible cause for dampened waveforms at both common carotid
arteries? - ANSWER: Decreased left ventricle output (poor cardiac output)
What do dampened bilateral flow changes indicate - ANSWER: Heart issues
What is the same as decreased left ventricle output? - ANSWER: Poor, cardiac output
What is the flow direction of the main portal vein in a patient with a history of portal
hypertension if they had a successful
TIPSS? - ANSWER: Hepatopedal
While performing a color Doppler on the external carotid artery, you want to
improve the range resolution which system setting would you adjust? - ANSWER:
Frequency
Normal high thigh in the four cuff method - ANSWER: At least 30 greater than the
highest brachial pressure
What would a normal PVR waveform show? - ANSWER: Sharp, upstroke and peak
and notable dicrotic notch
, What is the proximal anastomosis of a fem to fem bypass graft in a patient with left
iliac artery occlusion? - ANSWER: Right CFA
What best describes a patient experiencing thoracic outlet syndrome? - ANSWER:
Ischemia like symptoms when arm is placed in a position such as when arm is raised
Where does blood flow from the renal veins? - ANSWER: IVC (renal vein blood goes
from the kidneys and drains directly into the IVC)
What vessels does TIPSS connect? - ANSWER: Right portal vein to right hepatic vein
Proximal anastomosis site for TIPSS - ANSWER: Right portal vein
Distal anastomosis site for TIPSS - ANSWER: Right hepatic vein
During inhalation, pressure will - ANSWER: Increase in the abdomen and decrease in
the chest
What technique is used when performing a pneumoplethysmography? - ANSWER:
Inflate cuff to 40-65 mmHg to allow the sensor to detect and display PVR waveforms
What cardiac event coincides with the appearance of dicrotic notch? - ANSWER:
Aortic valve closure
Monophasic, continuous waveforms in the peripheral system indicates - ANSWER:
Proximal arterial disease
Disease in which of the following can cause monophasic continuous waveforms
documented at the common femoral artery? - ANSWER: Common iliac artery
(proximal disease)
What will happen to the Doppler shift if the angle is at 90°? - ANSWER: There will be
no Doppler shift
What cardiac event coincides with normal arterial flow reversal? - ANSWER: aortic
valve closure
What happens to transmural pressure as Venus volume increases? - ANSWER:
Increases
Takayasu arteritis most commonly affects - ANSWER: Young women
The four main risk factors of carotid, an arterial disease - ANSWER: Smoking
Hypertension
High cholesterol
Diabetes