URR RVT Mock Exam A19| URR RVT Mock
Exam A19 – Practice Questions and
Vascular Ultrasound Review
Which setting should be lowered to the minimum level when beginning to evaluate the
patient using the orbital window?
A. Wall filter
B. Velocity scale
C. Output power
D. Doppler gain - AnswerC. Output power
The radial and ulnar veins merge to form the ___ at the ___ fossa.
A. Axillary v., axillary
B. Brachial v., antecubital
C. Axillary v., antecubital
D. Brachial v., popliteal - AnswerB. Brachial v., antecubital
A patient presents with left lower extremity pain that awakens him at night. The pain is
relieved by sitting at the side of the bed for a few minutes. What would be the predicted
ABI value be for the left leg?
A. 0.8
B. 0.6
C. 0.4
D. Above 1.0, these symptoms are most likely unrelated to arterial disease -
AnswerC. 0.4
What native artery is commonly used for the arterial anastomosis in a renal transplant
when the external iliac artery is not available?
A. IIA
B. EIV
C. Aorta
D. CIA - AnswerA. IIA
Which of the following patients would benefit from an exercise segmental pressure
exam?
A. Patient with claudication and resting ABI 0.6
B. Patient with claudication and resting ABI of 0.95
,C. Patient with rest pain and resting ABI 0.4
D. Patient with COPD and resting ABI of 0.9 - AnswerB. Patient with claudication and
resting ABI of 0.95
The patient is scheduled for a stab phlebectomy. What is being treated for this patient?
A. DVT removal
B. Pseudoaneurysm
C. Carotid stenosis
D. Varicose veins - AnswerA. DVT removal
Diastolic slow reversal is normal in which of the following vessels?
A. Celiac artery
B. ICA
C. CIA
D. Renal arteries - AnswerC. CIA
According to Bernoulli principal, the velocity increases at an area of stenosis. What
happens to the pressure at the side of stenosis?
A. Increases.
B. It increases exponentially.
C. Decreases.
D. Remains constant. - AnswerC. Decreases
Which of the following scenarios demonstrates the highest risk for embolism?
A. Buerger disease.
B. 40% ICA stenosis with mild, irregular soft atheroma
C. Chronic, ICA occlusion.
D. 60% ICA stenosis with moderate, smooth Calcific atheroma - AnswerB. 40% ICA
stenosis with mild, irregular soft atheroma
Which of following vessel arises from the anterior surface of the aorta, approximately 2
cm distal from the celiac axis?
A. SMA
B. CHA
C. GDA
D. IMA - AnswerA. SMA
The transverse image of the left neck is from a carotid Doppler evaluation. What should
you do next for this patient?
,A. Ask the patient to perform the Valsalva maneuver.
B. Attempt compression views of the neck.
C. Evaluate the right subclavian vein.
D. Evaluate the left subclavian vein. - AnswerD. Evaluate the left subclavian vein.
An ineffective calf muscle pump causes
A. The pressure in the deep calf veins to increase.
B. The pressure in the superficial veins to drop.
C. Flow to move through the perforators into the deep system.
D. The pressure in the deep calf veins to drop. - AnswerA. The pressure in the deep
calf veins to increase.
What is causing the waveform displayed?
A. proximal stenosis
B. Distal stenosis.
C. Arrhythmia
D. Subclavian steal - AnswerC. Arrhythmia
What term refers to the phenomenon of the PW Doppler tracing displaying a wider
disturbance of the velocity of blood vessels with varying degrees of arterial blockage?
A. Laminar flow.
B. Occlusion.
C. Spectral broadening
D. Turbulence. - AnswerC. Spectral broadening
Which of the following symptoms is the most commonly seen with peripheral arterial
disease?
A. Claudication.
B. Dry ulcerations.
C. Phlegmasia dolens
D. Absent pedal pulses. - AnswerA. Claudication.
According to the appropriate use criteria, which of the following is an inappropriate
indication for an upper extremity arterial duplex exam?
A. Suspected positional arterial obstruction.
B. Unilateral arm swelling.
C. One month follow-up baseline exam post intervention.
D. Unilateral cold hand. - AnswerB. Unilateral arm swelling.
, Where should the second caliper be placed to measure the acceleration time of the
renal artery waveform? - Answer
Use your mouse to place your cursor over the left renal artery and click to mark the
vessel - Answer.
Letter A indicated which of the following structures?
A. Internal thoracic artery
B. Vertebral artery
C. Superior temporal artery
D. Thyrocervical trunk - AnswerA Internal thoracic artery
The 2D images displayed are from a normal renal Doppler evaluation in a patient with a
history of 4.5cm distal AAA and acute onset of moderate HTN. What should you do to
further evaluate or communicate the findings?
A. Review the chart to confirm the suspected abnormal renal function testing results.
B. Evaluate the AAA for a change in size or wall continuity
C. Include notes regarding the presence of ascites in the peritoneal cavity in the renal
artery Doppler report for the reading physician
D. Include notes in the renal artery Doppler report for the reading physician regarding
the presence of free fluid around the kidney that is most likely due to chronic renal
failure. - AnswerB. Evaluate the AAA for a change in size or wall continuity
A patient presents with a 2 year history of a cephalic - brachial hemodialysis fistula. She
currently complains that her hand goes numb and turns white when she exercises. You
are performing an upper extremity arterial exam and the attached images are from her
exam. What will you include in your report?
A. the proximal radial artery is occluded
B. The exam is normal and does not explain the patient's symptoms
C. steal syndrome is present
D. there is an obstruction in the palmar arch - AnswerC. steal syndrome is present
The attached image is taken from a lower extremity venous doppler exam. This flow
pattern would be abnormal for which of the following veins?
A. ATV
B. PTV
C. Great Saphenous Vein
D. Popliteal Vein - AnswerD. Popliteal Vein
Which statement best describes the findings on the image?
Exam A19 – Practice Questions and
Vascular Ultrasound Review
Which setting should be lowered to the minimum level when beginning to evaluate the
patient using the orbital window?
A. Wall filter
B. Velocity scale
C. Output power
D. Doppler gain - AnswerC. Output power
The radial and ulnar veins merge to form the ___ at the ___ fossa.
A. Axillary v., axillary
B. Brachial v., antecubital
C. Axillary v., antecubital
D. Brachial v., popliteal - AnswerB. Brachial v., antecubital
A patient presents with left lower extremity pain that awakens him at night. The pain is
relieved by sitting at the side of the bed for a few minutes. What would be the predicted
ABI value be for the left leg?
A. 0.8
B. 0.6
C. 0.4
D. Above 1.0, these symptoms are most likely unrelated to arterial disease -
AnswerC. 0.4
What native artery is commonly used for the arterial anastomosis in a renal transplant
when the external iliac artery is not available?
A. IIA
B. EIV
C. Aorta
D. CIA - AnswerA. IIA
Which of the following patients would benefit from an exercise segmental pressure
exam?
A. Patient with claudication and resting ABI 0.6
B. Patient with claudication and resting ABI of 0.95
,C. Patient with rest pain and resting ABI 0.4
D. Patient with COPD and resting ABI of 0.9 - AnswerB. Patient with claudication and
resting ABI of 0.95
The patient is scheduled for a stab phlebectomy. What is being treated for this patient?
A. DVT removal
B. Pseudoaneurysm
C. Carotid stenosis
D. Varicose veins - AnswerA. DVT removal
Diastolic slow reversal is normal in which of the following vessels?
A. Celiac artery
B. ICA
C. CIA
D. Renal arteries - AnswerC. CIA
According to Bernoulli principal, the velocity increases at an area of stenosis. What
happens to the pressure at the side of stenosis?
A. Increases.
B. It increases exponentially.
C. Decreases.
D. Remains constant. - AnswerC. Decreases
Which of the following scenarios demonstrates the highest risk for embolism?
A. Buerger disease.
B. 40% ICA stenosis with mild, irregular soft atheroma
C. Chronic, ICA occlusion.
D. 60% ICA stenosis with moderate, smooth Calcific atheroma - AnswerB. 40% ICA
stenosis with mild, irregular soft atheroma
Which of following vessel arises from the anterior surface of the aorta, approximately 2
cm distal from the celiac axis?
A. SMA
B. CHA
C. GDA
D. IMA - AnswerA. SMA
The transverse image of the left neck is from a carotid Doppler evaluation. What should
you do next for this patient?
,A. Ask the patient to perform the Valsalva maneuver.
B. Attempt compression views of the neck.
C. Evaluate the right subclavian vein.
D. Evaluate the left subclavian vein. - AnswerD. Evaluate the left subclavian vein.
An ineffective calf muscle pump causes
A. The pressure in the deep calf veins to increase.
B. The pressure in the superficial veins to drop.
C. Flow to move through the perforators into the deep system.
D. The pressure in the deep calf veins to drop. - AnswerA. The pressure in the deep
calf veins to increase.
What is causing the waveform displayed?
A. proximal stenosis
B. Distal stenosis.
C. Arrhythmia
D. Subclavian steal - AnswerC. Arrhythmia
What term refers to the phenomenon of the PW Doppler tracing displaying a wider
disturbance of the velocity of blood vessels with varying degrees of arterial blockage?
A. Laminar flow.
B. Occlusion.
C. Spectral broadening
D. Turbulence. - AnswerC. Spectral broadening
Which of the following symptoms is the most commonly seen with peripheral arterial
disease?
A. Claudication.
B. Dry ulcerations.
C. Phlegmasia dolens
D. Absent pedal pulses. - AnswerA. Claudication.
According to the appropriate use criteria, which of the following is an inappropriate
indication for an upper extremity arterial duplex exam?
A. Suspected positional arterial obstruction.
B. Unilateral arm swelling.
C. One month follow-up baseline exam post intervention.
D. Unilateral cold hand. - AnswerB. Unilateral arm swelling.
, Where should the second caliper be placed to measure the acceleration time of the
renal artery waveform? - Answer
Use your mouse to place your cursor over the left renal artery and click to mark the
vessel - Answer.
Letter A indicated which of the following structures?
A. Internal thoracic artery
B. Vertebral artery
C. Superior temporal artery
D. Thyrocervical trunk - AnswerA Internal thoracic artery
The 2D images displayed are from a normal renal Doppler evaluation in a patient with a
history of 4.5cm distal AAA and acute onset of moderate HTN. What should you do to
further evaluate or communicate the findings?
A. Review the chart to confirm the suspected abnormal renal function testing results.
B. Evaluate the AAA for a change in size or wall continuity
C. Include notes regarding the presence of ascites in the peritoneal cavity in the renal
artery Doppler report for the reading physician
D. Include notes in the renal artery Doppler report for the reading physician regarding
the presence of free fluid around the kidney that is most likely due to chronic renal
failure. - AnswerB. Evaluate the AAA for a change in size or wall continuity
A patient presents with a 2 year history of a cephalic - brachial hemodialysis fistula. She
currently complains that her hand goes numb and turns white when she exercises. You
are performing an upper extremity arterial exam and the attached images are from her
exam. What will you include in your report?
A. the proximal radial artery is occluded
B. The exam is normal and does not explain the patient's symptoms
C. steal syndrome is present
D. there is an obstruction in the palmar arch - AnswerC. steal syndrome is present
The attached image is taken from a lower extremity venous doppler exam. This flow
pattern would be abnormal for which of the following veins?
A. ATV
B. PTV
C. Great Saphenous Vein
D. Popliteal Vein - AnswerD. Popliteal Vein
Which statement best describes the findings on the image?
