CCI Vascular Review Exam
Questions With Solutions
All of the following can 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 is very nervous
-patient just arrived in very cold weather - CORRECT ANSWER>>A
patient that worked out vigorously at the gym earlier that day
After completing 50 toe raises, a patient's ankle pressures drop by
50%. This is suggestive of single level arterial 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 arteries demonstrates a smaller right
vertebral artery as compared to the left. What conclusion can you draw
from this finding?
-dissection
-neointimal hyperplasia
-within normal limits
-vasospasm - CORRECT ANSWER>>within normal limits
Spectral broadening is a 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 during exercise
-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 completing the exercise study, you believe the patient has multi
level arterial disease. What is that conclusion 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 his pre exercise levels -
CORRECT ANSWER>>recovery time is 6-12 minutes
How does secondary Raynaud's differ from primary Raynaud's?
Questions With Solutions
All of the following can 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 is very nervous
-patient just arrived in very cold weather - CORRECT ANSWER>>A
patient that worked out vigorously at the gym earlier that day
After completing 50 toe raises, a patient's ankle pressures drop by
50%. This is suggestive of single level arterial 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 arteries demonstrates a smaller right
vertebral artery as compared to the left. What conclusion can you draw
from this finding?
-dissection
-neointimal hyperplasia
-within normal limits
-vasospasm - CORRECT ANSWER>>within normal limits
Spectral broadening is a 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 during exercise
-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 completing the exercise study, you believe the patient has multi
level arterial disease. What is that conclusion 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 his pre exercise levels -
CORRECT ANSWER>>recovery time is 6-12 minutes
How does secondary Raynaud's differ from primary Raynaud's?
