CCI RVS 2024/2025 (Answered) 233
Questions and Correct Answers, 100%
Correct.
Portal vein flow
Hepatopedal and minimally phasic
Hepatic vein flow
Hepatofugal and triphasic (pulsatile because it's close to the heart)
PPG venous VRT is considered ABNORMAL at
<20 indicates venous insufficiency
The internal juglar vein carries blood to
Innominate vein (brachiocephalic)
What two vessels join to make the innominate vein (brachiocephalic)?
Internal juglar vein and subclavian
What deep vein does the Basillic drain into?
Axillary Vein
What two veins join to form Axillary Vein?
Basillic and brachial
What forms the superior vena cava (SVC)?
Right and left brachiocephalic veins (innominate veins)
What drains blood into the SVC?
Brachiocephalic veins
SVC drains into the
Right Atrium
Venous ulcers
Superior to medial malleolus (gaiter zone)
Shallow
Irregular
Oozing
,Less Painful
Brawny
Lipdermosclerosis
Swelling
What vessel is affected by nutcracker syndrome?
Left renal vein (the SMA and aorta compress the left renal vein because it crosses in between the two)
Arterial ulcers
Distal/tips of toes, foot
Deeper
Regular
Dry
Very Painful
Thick toenails
Loss of Jaír
Dry Skin
May-Thurner syndrome
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?
Hepatofugal
Normal flow direction of the TIPSS at the proximal anastomosis?
Hepatopedal
Purpose of TIPSS
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?
Ulcerative
Pulsatile venous flow
(Close to the heart)
IVC
Subclavian
Innominate Veins
Hepatic Veins
Normal ejection fraction
>60%
, What would be a possible cause for dampened waveforms at both common carotid arteries?
Decreased left ventricle output (poor cardiac output)
What do dampened bilateral flow changes indicate
Heart issues
What is the same as decreased left ventricle output?
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?
Hepatopedal
While performing a color Doppler on the external carotid artery, you want to improve the range
resolution which system setting would you adjust?
Frequency
Normal high thigh in the four cuff method
At least 30 greater than the highest brachial pressure
What would a normal PVR waveform show?
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?
Right CFA
What best describes a patient experiencing thoracic outlet syndrome?
Ischemia like symptoms when arm is placed in a position such as when arm is raised
Where does blood flow from the renal veins?
IVC (renal vein blood goes from the kidneys and drains directly into the IVC)
What vessels does TIPSS connect?
Right portal vein to right hepatic vein
Proximal anastomosis site for TIPSS
Right portal vein
Distal anastomosis site for TIPSS
Right hepatic vein
Questions and Correct Answers, 100%
Correct.
Portal vein flow
Hepatopedal and minimally phasic
Hepatic vein flow
Hepatofugal and triphasic (pulsatile because it's close to the heart)
PPG venous VRT is considered ABNORMAL at
<20 indicates venous insufficiency
The internal juglar vein carries blood to
Innominate vein (brachiocephalic)
What two vessels join to make the innominate vein (brachiocephalic)?
Internal juglar vein and subclavian
What deep vein does the Basillic drain into?
Axillary Vein
What two veins join to form Axillary Vein?
Basillic and brachial
What forms the superior vena cava (SVC)?
Right and left brachiocephalic veins (innominate veins)
What drains blood into the SVC?
Brachiocephalic veins
SVC drains into the
Right Atrium
Venous ulcers
Superior to medial malleolus (gaiter zone)
Shallow
Irregular
Oozing
,Less Painful
Brawny
Lipdermosclerosis
Swelling
What vessel is affected by nutcracker syndrome?
Left renal vein (the SMA and aorta compress the left renal vein because it crosses in between the two)
Arterial ulcers
Distal/tips of toes, foot
Deeper
Regular
Dry
Very Painful
Thick toenails
Loss of Jaír
Dry Skin
May-Thurner syndrome
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?
Hepatofugal
Normal flow direction of the TIPSS at the proximal anastomosis?
Hepatopedal
Purpose of TIPSS
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?
Ulcerative
Pulsatile venous flow
(Close to the heart)
IVC
Subclavian
Innominate Veins
Hepatic Veins
Normal ejection fraction
>60%
, What would be a possible cause for dampened waveforms at both common carotid arteries?
Decreased left ventricle output (poor cardiac output)
What do dampened bilateral flow changes indicate
Heart issues
What is the same as decreased left ventricle output?
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?
Hepatopedal
While performing a color Doppler on the external carotid artery, you want to improve the range
resolution which system setting would you adjust?
Frequency
Normal high thigh in the four cuff method
At least 30 greater than the highest brachial pressure
What would a normal PVR waveform show?
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?
Right CFA
What best describes a patient experiencing thoracic outlet syndrome?
Ischemia like symptoms when arm is placed in a position such as when arm is raised
Where does blood flow from the renal veins?
IVC (renal vein blood goes from the kidneys and drains directly into the IVC)
What vessels does TIPSS connect?
Right portal vein to right hepatic vein
Proximal anastomosis site for TIPSS
Right portal vein
Distal anastomosis site for TIPSS
Right hepatic vein
