©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Vascular Registry CCI Review Exam Questions
With Correct Answers 100% Verified.
Abdominal Aorta waveform(s) - Answer✔Low resistance proximal, Higher resistance beyond
renals
Celiac Artery supplies - Answer✔Liver, spleen, stomach, & proximal small bowel
Branches of the Abdominal AO - Answer✔1st major-Celiac artery (trunk/axis)
2nd major-SMA
Renals
3rd major-IMA (after renals)
Celiac Axis - Answer✔Branches into Common Hepatic (to right), Splenic, & Left Gastric (off left)
Common Hepatic Arteries - Answer✔Gives rise to the Gastroduodenal artery in PANC head &
divides into Rt & Lt Hepatics
Splenic Artery - Answer✔Branches left and posteriosuperior to PANC body/tail
SMA/IMA waveforms - Answer✔High resistance preprandial/Low resistance postprandial
SMA supplies - Answer✔Bowel from duodenum to prox small bowel
IMA supplies - Answer✔Bowel descending & rectosigmoid colon
Right Renal Artery - Answer✔Branches anterolateral, posterior to IVC
Left Renal Artery - Answer✔Branches posterolateral
Renal Artery waveform - Answer✔Low resistance
Portal vein is usually formed by the confluence of - Answer✔SMV & Splenic veins
*It also receives blood from the inferior mesenteric, gastric, and cystic veins
Portals walls/waveforma - Answer✔echogenic walls & phasic waveforms
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Renal veins are formed by - Answer✔renal tributaries
Left Renal Vein - Answer✔Longer than Rt.; Receives suprarenal/Gonadal vein
Left Renal pathway - Answer✔Anterior to AO; Posterior to SMA
Right Renal Vein - Answer✔No tributaries; shorter
Hepatic Veins - Answer✔Hepatofugal flow; from liver to IVC
Patient status for Abdominal Vascular Imaging - Answer✔NPO 8-12 hours
Ectasia - Answer✔Local diameter increase with small bulge
(20% increase for Ao <3cm)
AAA growth rate - Answer✔1-2mm/year until 3-4cm; 5 mm/yr >4cm
Aneurysm classification - Answer✔2-3cm; 3-4cm for AAA
AAA Intervention - Answer✔5.5cm (high risk for rupture-catastrophic)
Fusiform - Answer✔Concentric enlargement; All 3 layers intact
Saccular - Answer✔Eccentric enlargement; All 3 layers compromised; Less common (<1%);
Usually in Thoracic Ao
Types of Saccular AAA - Answer✔1-Cannula Placement
2-Mycotic aneurysm (bacterial infection Ao wall)
3-Vasculitis (Inflammatory process)
4-Penetrating ulcer rupture into media
Vasculitis/Aortitis - Answer✔Inflammatory process in wall of Ao beginning with outer
(adventitia) layer and moving inward; ie: Takayasu's
Dissection - Answer✔Intimal wall compromised resulting in 2 lumens
false>true; flow reversal
Type 1 (a/b) endoleak - Answer✔Leak in anastamosis of graft at (a) prox or (b) distal end
Type 2 endoleak - Answer✔Aorta branch vessel; exhibits retrograde flow; more dangerous b/c
internally bleeding
Type 3/4 endoleak - Answer✔(3) Junction of modular components; (4) Trans graft flow-graft
defect
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Chronic Mesenteric Ischemia - Answer✔"Fear of Food" 95% of Bowel Ischemia cases
Atherosclerotic stenosis/occlusion in main mesenteric arteries: >70% stenosis in 2/3 of principle
mesenteric arteries
Ischemia diagnosis criteria via Moneta - Answer✔Celiac >200cm/s
SMA >275cm/s
Median Arcuate Ligament Syndrome (MALS) - Answer✔Arch impedes on Celiac during
EXPIRATION (non-compressed during inhalation)
Measurement(s) of Splenic Vein - Answer✔7-17 cm long; 5-10mm diameter
Portal vein diameter - Answer✔<13mm
Blood supply to liver - Answer✔75% from Portal VEIN; 25% from Hepatic ARTERY
Portal vein carries ____________ to the liver - Answer✔Nutrients
Hepatic artery carries ______________ to the liver - Answer✔Oxygen
Portal Hypertension - Answer✔Extrahepatic, Hyperdynamic, Intrahepatic (more common)
Extrahepatic Portal HTN - Answer✔Prehepatic (Portal/splenic vein thrombus, Extrinsic
compression of Potral vein)
Posthepatic (IVC/Hepatic vein obstruction)
Hyperdynamic Portal HTN - Answer✔AV malformation causing arterial portal fistulas
Intrahepatic (within liver) - Answer✔Presinusodial (less common)
Postsinusoidial (more common)
Cirrhosis/Venoclusive disease
Small liver, large spleen, ascites
LaPlace's law - Answer✔Larger vessel radius, larger wall tension to compensate for extra
pressure
Hydrostatic pressure - Answer✔Gravitational
Large vessels serve as - Answer✔Pressure reservoirs
Vasodilation - Answer✔Stretch to absorb
Vasoconstriction - Answer✔shrink/squeeze
3
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Energy and stenosis - Answer✔Prox- PE↑, KE↓(highest total energy)
Within-PE↓, KE↑ (lower TE, Bernouille's)
Distal-PE↑, KE↓ (lowest total energy)
A-Early Systole (Forward flow to periphery)
B-Peak Systole (Store PE)
C-Late Systole (Temporary reversal-Peripheral resistance)
D-Early Diastole (Forward-reduced resistance)
E-Late Diastole (Vessel Recoil/Vasoconstrict/PE turns KE) - Answer✔
Brain - Answer✔Supplied by ICA & Vertebrals
2% of Body's weight
15% CO
20% Total blood supply
3-8 minutes of oxygen deprivation results in - Answer✔cellular death
Bovine Arch - Answer✔Common origin of Lt. CCA and Innominate
ICA - Answer✔Terminates into MCA/ACA and feeds the brain, forehead, eyes, & nose-70-80%
from CCA
ECA - Answer✔Does not feed brain unless needed as collateral circulation
ECA supplies - Answer✔Neck, face, scalp
ECA Branches - Answer✔Superior Thyroid
Ascending Pharyngeal
Lingual
Facial
Occipital
Posterior Auricular
Maxillary
Superficial Thyroid
Vertebral supply - Answer✔Medulla/Inferior cerebellum
4
Vascular Registry CCI Review Exam Questions
With Correct Answers 100% Verified.
Abdominal Aorta waveform(s) - Answer✔Low resistance proximal, Higher resistance beyond
renals
Celiac Artery supplies - Answer✔Liver, spleen, stomach, & proximal small bowel
Branches of the Abdominal AO - Answer✔1st major-Celiac artery (trunk/axis)
2nd major-SMA
Renals
3rd major-IMA (after renals)
Celiac Axis - Answer✔Branches into Common Hepatic (to right), Splenic, & Left Gastric (off left)
Common Hepatic Arteries - Answer✔Gives rise to the Gastroduodenal artery in PANC head &
divides into Rt & Lt Hepatics
Splenic Artery - Answer✔Branches left and posteriosuperior to PANC body/tail
SMA/IMA waveforms - Answer✔High resistance preprandial/Low resistance postprandial
SMA supplies - Answer✔Bowel from duodenum to prox small bowel
IMA supplies - Answer✔Bowel descending & rectosigmoid colon
Right Renal Artery - Answer✔Branches anterolateral, posterior to IVC
Left Renal Artery - Answer✔Branches posterolateral
Renal Artery waveform - Answer✔Low resistance
Portal vein is usually formed by the confluence of - Answer✔SMV & Splenic veins
*It also receives blood from the inferior mesenteric, gastric, and cystic veins
Portals walls/waveforma - Answer✔echogenic walls & phasic waveforms
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Renal veins are formed by - Answer✔renal tributaries
Left Renal Vein - Answer✔Longer than Rt.; Receives suprarenal/Gonadal vein
Left Renal pathway - Answer✔Anterior to AO; Posterior to SMA
Right Renal Vein - Answer✔No tributaries; shorter
Hepatic Veins - Answer✔Hepatofugal flow; from liver to IVC
Patient status for Abdominal Vascular Imaging - Answer✔NPO 8-12 hours
Ectasia - Answer✔Local diameter increase with small bulge
(20% increase for Ao <3cm)
AAA growth rate - Answer✔1-2mm/year until 3-4cm; 5 mm/yr >4cm
Aneurysm classification - Answer✔2-3cm; 3-4cm for AAA
AAA Intervention - Answer✔5.5cm (high risk for rupture-catastrophic)
Fusiform - Answer✔Concentric enlargement; All 3 layers intact
Saccular - Answer✔Eccentric enlargement; All 3 layers compromised; Less common (<1%);
Usually in Thoracic Ao
Types of Saccular AAA - Answer✔1-Cannula Placement
2-Mycotic aneurysm (bacterial infection Ao wall)
3-Vasculitis (Inflammatory process)
4-Penetrating ulcer rupture into media
Vasculitis/Aortitis - Answer✔Inflammatory process in wall of Ao beginning with outer
(adventitia) layer and moving inward; ie: Takayasu's
Dissection - Answer✔Intimal wall compromised resulting in 2 lumens
false>true; flow reversal
Type 1 (a/b) endoleak - Answer✔Leak in anastamosis of graft at (a) prox or (b) distal end
Type 2 endoleak - Answer✔Aorta branch vessel; exhibits retrograde flow; more dangerous b/c
internally bleeding
Type 3/4 endoleak - Answer✔(3) Junction of modular components; (4) Trans graft flow-graft
defect
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Chronic Mesenteric Ischemia - Answer✔"Fear of Food" 95% of Bowel Ischemia cases
Atherosclerotic stenosis/occlusion in main mesenteric arteries: >70% stenosis in 2/3 of principle
mesenteric arteries
Ischemia diagnosis criteria via Moneta - Answer✔Celiac >200cm/s
SMA >275cm/s
Median Arcuate Ligament Syndrome (MALS) - Answer✔Arch impedes on Celiac during
EXPIRATION (non-compressed during inhalation)
Measurement(s) of Splenic Vein - Answer✔7-17 cm long; 5-10mm diameter
Portal vein diameter - Answer✔<13mm
Blood supply to liver - Answer✔75% from Portal VEIN; 25% from Hepatic ARTERY
Portal vein carries ____________ to the liver - Answer✔Nutrients
Hepatic artery carries ______________ to the liver - Answer✔Oxygen
Portal Hypertension - Answer✔Extrahepatic, Hyperdynamic, Intrahepatic (more common)
Extrahepatic Portal HTN - Answer✔Prehepatic (Portal/splenic vein thrombus, Extrinsic
compression of Potral vein)
Posthepatic (IVC/Hepatic vein obstruction)
Hyperdynamic Portal HTN - Answer✔AV malformation causing arterial portal fistulas
Intrahepatic (within liver) - Answer✔Presinusodial (less common)
Postsinusoidial (more common)
Cirrhosis/Venoclusive disease
Small liver, large spleen, ascites
LaPlace's law - Answer✔Larger vessel radius, larger wall tension to compensate for extra
pressure
Hydrostatic pressure - Answer✔Gravitational
Large vessels serve as - Answer✔Pressure reservoirs
Vasodilation - Answer✔Stretch to absorb
Vasoconstriction - Answer✔shrink/squeeze
3
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:09PM. A+
Energy and stenosis - Answer✔Prox- PE↑, KE↓(highest total energy)
Within-PE↓, KE↑ (lower TE, Bernouille's)
Distal-PE↑, KE↓ (lowest total energy)
A-Early Systole (Forward flow to periphery)
B-Peak Systole (Store PE)
C-Late Systole (Temporary reversal-Peripheral resistance)
D-Early Diastole (Forward-reduced resistance)
E-Late Diastole (Vessel Recoil/Vasoconstrict/PE turns KE) - Answer✔
Brain - Answer✔Supplied by ICA & Vertebrals
2% of Body's weight
15% CO
20% Total blood supply
3-8 minutes of oxygen deprivation results in - Answer✔cellular death
Bovine Arch - Answer✔Common origin of Lt. CCA and Innominate
ICA - Answer✔Terminates into MCA/ACA and feeds the brain, forehead, eyes, & nose-70-80%
from CCA
ECA - Answer✔Does not feed brain unless needed as collateral circulation
ECA supplies - Answer✔Neck, face, scalp
ECA Branches - Answer✔Superior Thyroid
Ascending Pharyngeal
Lingual
Facial
Occipital
Posterior Auricular
Maxillary
Superficial Thyroid
Vertebral supply - Answer✔Medulla/Inferior cerebellum
4
