Vascular Registry CCI Exam
Questions With Answers
Abdominal Aorta waveform(s) - CORRECT ANSWER>>Low
resistance proximal, Higher resistance beyond renals
Celiac Artery supplies - CORRECT ANSWER>>Liver, spleen,
stomach, & proximal small bowel
Branches of the Abdominal AO - CORRECT ANSWER>>1st major-
Celiac artery (trunk/axis)
2nd major-SMA
Renals
3rd major-IMA (after renals)
Celiac Axis - CORRECT ANSWER>>Branches into Common Hepatic
(to right), Splenic, & Left Gastric (off left)
Common Hepatic Arteries - CORRECT ANSWER>>Gives rise to the
Gastroduodenal artery in PANC head & divides into Rt & Lt Hepatics
Splenic Artery - CORRECT ANSWER>>Branches left and
posteriosuperior to PANC body/tail
SMA/IMA waveforms - CORRECT ANSWER>>High resistance
preprandial/Low resistance postprandial
SMA supplies - CORRECT ANSWER>>Bowel from duodenum to prox
small bowel
IMA supplies - CORRECT ANSWER>>Bowel descending &
rectosigmoid colon
Right Renal Artery - CORRECT ANSWER>>Branches anterolateral,
posterior to IVC
,Left Renal Artery - CORRECT ANSWER>>Branches posterolateral
Renal Artery waveform - CORRECT ANSWER>>Low resistance
Portal vein is usually formed by the confluence of - CORRECT
ANSWER>>SMV & Splenic veins
*It also receives blood from the inferior mesenteric, gastric, and cystic
veins
Portals walls/waveforma - CORRECT ANSWER>>echogenic walls &
phasic waveforms
Renal veins are formed by - CORRECT ANSWER>>renal tributaries
Left Renal Vein - CORRECT ANSWER>>Longer than Rt.; Receives
suprarenal/Gonadal vein
Left Renal pathway - CORRECT ANSWER>>Anterior to AO; Posterior
to SMA
Right Renal Vein - CORRECT ANSWER>>No tributaries; shorter
Hepatic Veins - CORRECT ANSWER>>Hepatofugal flow; from liver to
IVC
Patient status for Abdominal Vascular Imaging - CORRECT
ANSWER>>NPO 8-12 hours
Ectasia - CORRECT ANSWER>>Local diameter increase with small
bulge
(20% increase for Ao <3cm)
AAA growth rate - CORRECT ANSWER>>1-2mm/year until 3-4cm; 5
mm/yr >4cm
Aneurysm classification - CORRECT ANSWER>>2-3cm; 3-4cm for
AAA
,AAA Intervention - CORRECT ANSWER>>5.5cm (high risk for rupture-
catastrophic)
Fusiform - CORRECT ANSWER>>Concentric enlargement; All 3
layers intact
Saccular - CORRECT ANSWER>>Eccentric enlargement; All 3 layers
compromised; Less common (<1%); Usually in Thoracic Ao
Types of Saccular AAA - CORRECT ANSWER>>1-Cannula
Placement
2-Mycotic aneurysm (bacterial infection Ao wall)
3-Vasculitis (Inflammatory process)
4-Penetrating ulcer rupture into media
Vasculitis/Aortitis - CORRECT ANSWER>>Inflammatory process in
wall of Ao beginning with outer (adventitia) layer and moving inward;
ie: Takayasu's
Dissection - CORRECT ANSWER>>Intimal wall compromised
resulting in 2 lumens
false>true; flow reversal
Type 1 (a/b) endoleak - CORRECT ANSWER>>Leak in anastamosis
of graft at (a) prox or (b) distal end
Type 2 endoleak - CORRECT ANSWER>>Aorta branch vessel;
exhibits retrograde flow; more dangerous b/c internally bleeding
Type 3/4 endoleak - CORRECT ANSWER>>(3) Junction of modular
components; (4) Trans graft flow-graft defect
Chronic Mesenteric Ischemia - CORRECT 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 - CORRECT ANSWER>>Celiac
>200cm/s
SMA >275cm/s
Median Arcuate Ligament Syndrome (MALS) - CORRECT
ANSWER>>Arch impedes on Celiac during EXPIRATION (non-
compressed during inhalation)
Measurement(s) of Splenic Vein - CORRECT ANSWER>>7-17 cm
long; 5-10mm diameter
Portal vein diameter - CORRECT ANSWER>><13mm
Blood supply to liver - CORRECT ANSWER>>75% from Portal VEIN;
25% from Hepatic ARTERY
Portal vein carries ____________ to the liver - CORRECT
ANSWER>>Nutrients
Hepatic artery carries ______________ to the liver - CORRECT
ANSWER>>Oxygen
Portal Hypertension - CORRECT ANSWER>>Extrahepatic,
Hyperdynamic, Intrahepatic (more common)
Extrahepatic Portal HTN - CORRECT ANSWER>>Prehepatic
(Portal/splenic vein thrombus, Extrinsic compression of Potral vein)
Posthepatic (IVC/Hepatic vein obstruction)
Hyperdynamic Portal HTN - CORRECT ANSWER>>AV malformation
causing arterial portal fistulas
Intrahepatic (within liver) - CORRECT ANSWER>>Presinusodial (less
common)
Postsinusoidial (more common)
Cirrhosis/Venoclusive disease
Small liver, large spleen, ascites
Questions With Answers
Abdominal Aorta waveform(s) - CORRECT ANSWER>>Low
resistance proximal, Higher resistance beyond renals
Celiac Artery supplies - CORRECT ANSWER>>Liver, spleen,
stomach, & proximal small bowel
Branches of the Abdominal AO - CORRECT ANSWER>>1st major-
Celiac artery (trunk/axis)
2nd major-SMA
Renals
3rd major-IMA (after renals)
Celiac Axis - CORRECT ANSWER>>Branches into Common Hepatic
(to right), Splenic, & Left Gastric (off left)
Common Hepatic Arteries - CORRECT ANSWER>>Gives rise to the
Gastroduodenal artery in PANC head & divides into Rt & Lt Hepatics
Splenic Artery - CORRECT ANSWER>>Branches left and
posteriosuperior to PANC body/tail
SMA/IMA waveforms - CORRECT ANSWER>>High resistance
preprandial/Low resistance postprandial
SMA supplies - CORRECT ANSWER>>Bowel from duodenum to prox
small bowel
IMA supplies - CORRECT ANSWER>>Bowel descending &
rectosigmoid colon
Right Renal Artery - CORRECT ANSWER>>Branches anterolateral,
posterior to IVC
,Left Renal Artery - CORRECT ANSWER>>Branches posterolateral
Renal Artery waveform - CORRECT ANSWER>>Low resistance
Portal vein is usually formed by the confluence of - CORRECT
ANSWER>>SMV & Splenic veins
*It also receives blood from the inferior mesenteric, gastric, and cystic
veins
Portals walls/waveforma - CORRECT ANSWER>>echogenic walls &
phasic waveforms
Renal veins are formed by - CORRECT ANSWER>>renal tributaries
Left Renal Vein - CORRECT ANSWER>>Longer than Rt.; Receives
suprarenal/Gonadal vein
Left Renal pathway - CORRECT ANSWER>>Anterior to AO; Posterior
to SMA
Right Renal Vein - CORRECT ANSWER>>No tributaries; shorter
Hepatic Veins - CORRECT ANSWER>>Hepatofugal flow; from liver to
IVC
Patient status for Abdominal Vascular Imaging - CORRECT
ANSWER>>NPO 8-12 hours
Ectasia - CORRECT ANSWER>>Local diameter increase with small
bulge
(20% increase for Ao <3cm)
AAA growth rate - CORRECT ANSWER>>1-2mm/year until 3-4cm; 5
mm/yr >4cm
Aneurysm classification - CORRECT ANSWER>>2-3cm; 3-4cm for
AAA
,AAA Intervention - CORRECT ANSWER>>5.5cm (high risk for rupture-
catastrophic)
Fusiform - CORRECT ANSWER>>Concentric enlargement; All 3
layers intact
Saccular - CORRECT ANSWER>>Eccentric enlargement; All 3 layers
compromised; Less common (<1%); Usually in Thoracic Ao
Types of Saccular AAA - CORRECT ANSWER>>1-Cannula
Placement
2-Mycotic aneurysm (bacterial infection Ao wall)
3-Vasculitis (Inflammatory process)
4-Penetrating ulcer rupture into media
Vasculitis/Aortitis - CORRECT ANSWER>>Inflammatory process in
wall of Ao beginning with outer (adventitia) layer and moving inward;
ie: Takayasu's
Dissection - CORRECT ANSWER>>Intimal wall compromised
resulting in 2 lumens
false>true; flow reversal
Type 1 (a/b) endoleak - CORRECT ANSWER>>Leak in anastamosis
of graft at (a) prox or (b) distal end
Type 2 endoleak - CORRECT ANSWER>>Aorta branch vessel;
exhibits retrograde flow; more dangerous b/c internally bleeding
Type 3/4 endoleak - CORRECT ANSWER>>(3) Junction of modular
components; (4) Trans graft flow-graft defect
Chronic Mesenteric Ischemia - CORRECT 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 - CORRECT ANSWER>>Celiac
>200cm/s
SMA >275cm/s
Median Arcuate Ligament Syndrome (MALS) - CORRECT
ANSWER>>Arch impedes on Celiac during EXPIRATION (non-
compressed during inhalation)
Measurement(s) of Splenic Vein - CORRECT ANSWER>>7-17 cm
long; 5-10mm diameter
Portal vein diameter - CORRECT ANSWER>><13mm
Blood supply to liver - CORRECT ANSWER>>75% from Portal VEIN;
25% from Hepatic ARTERY
Portal vein carries ____________ to the liver - CORRECT
ANSWER>>Nutrients
Hepatic artery carries ______________ to the liver - CORRECT
ANSWER>>Oxygen
Portal Hypertension - CORRECT ANSWER>>Extrahepatic,
Hyperdynamic, Intrahepatic (more common)
Extrahepatic Portal HTN - CORRECT ANSWER>>Prehepatic
(Portal/splenic vein thrombus, Extrinsic compression of Potral vein)
Posthepatic (IVC/Hepatic vein obstruction)
Hyperdynamic Portal HTN - CORRECT ANSWER>>AV malformation
causing arterial portal fistulas
Intrahepatic (within liver) - CORRECT ANSWER>>Presinusodial (less
common)
Postsinusoidial (more common)
Cirrhosis/Venoclusive disease
Small liver, large spleen, ascites
