ARDMS Vascular Exam: 2025 Test
Questions & Answers | Guaranteed
Success, Exams of Clinical Medicine
what would be the expected dapple findings at the location of a bruit?
a. high velocity, turbulent flow
b. total occlusion, absent doppler signal
c. loss of end diastolic flow
d. tardus parvus waveform
a
what would be the appearance of the doppler waveform in the presence of distal occlusion?
a. normal waveform contour
b. tardus parvus
c. increased resistance
d. absent doppler signal
c
how can the normal doppler morphology of a peripheral artery be described?
a. sharp upslope and downslope with prominent diastolic flow reversal
b. rounded, extended acceleration with no diastolic component
c. delayed systolic peak and bowing of downslope away from baseline
d. phasicity with respiration
A
what is true regarding CW doppler analysis?
a. has a higher nyquist limit than PW doppler
b. it doesn't provide range resolution
c. the signal depth allows for vessel identification
d. it can't provide spectral analysis display
b
calculate the PI: PSV 60cm/s and EDV 20cm/s
a. 1.5
b. 0.5
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,c. 3.0
d. 1.0
d
what is the most important basis of interpretation for cw doppler analysis?
a. waveform amplitude
b. peak systolic velocity
c. quantitative criteria
d. waveform contour
d
which of the following is most likely to have disease with a rt brachial pressure of 110 and a lt
brachial pressure of 142
a. lt subclavian
b. rt radial
c. rt cca
d. brachiocephalic
d
what is the purpose of exercise testing?
a. produces ischemia and vasodilation
b. stress the circulation
c. increase stroke volume
d. to confirm chronic vs acute
b
calculate the ABI of ankle pressure of 88mmhg and highest brachial of 132mmhg
a. 0.6
b. 0.4
c. 1.5
d. 0.8
a
which of the following would be the expected ankle pressure in a normal patient with brachial
pressure of 120mmhg?
a. 60
b. 120
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,c. 160
d. 200
b
what would be the significance of bilateral ankle pressures of 240 in a patient with a systolic
pressure of 110?
a. study within normal limits
b. severe hypertension
c. bilateral arterial occlusive disease
d. medial calcinosis
d
an ankle pressure of 120mmhg is documented in a patient complaining of rest pain and
evidence of color dependency changes. this pressure seems to be...
a. WNL ruling out Vascular disease
b. consistent with patient presentation
c. lower than expected
d. higher than expected
d
what happens to segmental systolic pressures in the presence of a hemodynamically significant
arterial obstruction?
a. increases proximally
b. increases distally
c. decreases distally
d. decreases proximally
c
with segmental pressure studies of the upper extremities, a 20mmhg difference in one brachial
pressure to the other suggests which of the following?
a. WNL
b. total occlusion of the vessel under the cuff on the side of higher pressure
c. severe radial and ulnar artery obstructive disease on the same side of the lower pressure
reading
d. more than 50% stenosis in the subclavian or axillary artery in the arm with the lower pressure
d
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, what numbers should be used to correctly calculate the ABI?
brachials : R 133 L 138
ankles: R 99 L 94
a. 133/99 and 138/94
b. 138/99 and 138/94
c. 99/133 and 94/138
d. 99/138 and 94/138
d
what is the most likely interpretation if the following segmental pressure study?
a. aortoiliac disease
b. bilateral tibial disease
c. bilateral femoral disease
d. right femoral and left tibial disease
a
patient has symptoms of claudication but initial segmental pressure values are within normal
limits. what step would be the most appropriate?
a. perform cw doppler analysis
b. cpomplete the exam and read as normal
c. perform reactive hyperemia
d. perform exercise testing
d
what best describes the purpose of the Allen test?
a. test the latency of the radial artery
b. evaluate for upper extremity disease
c. evaluates the potency of the palmar arch
d. test for raynauds phenomenon
c
calculate the ABIs based on the following
R brachial 130
R ankle 148
L brachial 1134
L ankle 82
A. R 0.9 AND L 1.6
B. R 1.1 AND L 0.6
4|Page
Questions & Answers | Guaranteed
Success, Exams of Clinical Medicine
what would be the expected dapple findings at the location of a bruit?
a. high velocity, turbulent flow
b. total occlusion, absent doppler signal
c. loss of end diastolic flow
d. tardus parvus waveform
a
what would be the appearance of the doppler waveform in the presence of distal occlusion?
a. normal waveform contour
b. tardus parvus
c. increased resistance
d. absent doppler signal
c
how can the normal doppler morphology of a peripheral artery be described?
a. sharp upslope and downslope with prominent diastolic flow reversal
b. rounded, extended acceleration with no diastolic component
c. delayed systolic peak and bowing of downslope away from baseline
d. phasicity with respiration
A
what is true regarding CW doppler analysis?
a. has a higher nyquist limit than PW doppler
b. it doesn't provide range resolution
c. the signal depth allows for vessel identification
d. it can't provide spectral analysis display
b
calculate the PI: PSV 60cm/s and EDV 20cm/s
a. 1.5
b. 0.5
1|Page
,c. 3.0
d. 1.0
d
what is the most important basis of interpretation for cw doppler analysis?
a. waveform amplitude
b. peak systolic velocity
c. quantitative criteria
d. waveform contour
d
which of the following is most likely to have disease with a rt brachial pressure of 110 and a lt
brachial pressure of 142
a. lt subclavian
b. rt radial
c. rt cca
d. brachiocephalic
d
what is the purpose of exercise testing?
a. produces ischemia and vasodilation
b. stress the circulation
c. increase stroke volume
d. to confirm chronic vs acute
b
calculate the ABI of ankle pressure of 88mmhg and highest brachial of 132mmhg
a. 0.6
b. 0.4
c. 1.5
d. 0.8
a
which of the following would be the expected ankle pressure in a normal patient with brachial
pressure of 120mmhg?
a. 60
b. 120
2|Page
,c. 160
d. 200
b
what would be the significance of bilateral ankle pressures of 240 in a patient with a systolic
pressure of 110?
a. study within normal limits
b. severe hypertension
c. bilateral arterial occlusive disease
d. medial calcinosis
d
an ankle pressure of 120mmhg is documented in a patient complaining of rest pain and
evidence of color dependency changes. this pressure seems to be...
a. WNL ruling out Vascular disease
b. consistent with patient presentation
c. lower than expected
d. higher than expected
d
what happens to segmental systolic pressures in the presence of a hemodynamically significant
arterial obstruction?
a. increases proximally
b. increases distally
c. decreases distally
d. decreases proximally
c
with segmental pressure studies of the upper extremities, a 20mmhg difference in one brachial
pressure to the other suggests which of the following?
a. WNL
b. total occlusion of the vessel under the cuff on the side of higher pressure
c. severe radial and ulnar artery obstructive disease on the same side of the lower pressure
reading
d. more than 50% stenosis in the subclavian or axillary artery in the arm with the lower pressure
d
3|Page
, what numbers should be used to correctly calculate the ABI?
brachials : R 133 L 138
ankles: R 99 L 94
a. 133/99 and 138/94
b. 138/99 and 138/94
c. 99/133 and 94/138
d. 99/138 and 94/138
d
what is the most likely interpretation if the following segmental pressure study?
a. aortoiliac disease
b. bilateral tibial disease
c. bilateral femoral disease
d. right femoral and left tibial disease
a
patient has symptoms of claudication but initial segmental pressure values are within normal
limits. what step would be the most appropriate?
a. perform cw doppler analysis
b. cpomplete the exam and read as normal
c. perform reactive hyperemia
d. perform exercise testing
d
what best describes the purpose of the Allen test?
a. test the latency of the radial artery
b. evaluate for upper extremity disease
c. evaluates the potency of the palmar arch
d. test for raynauds phenomenon
c
calculate the ABIs based on the following
R brachial 130
R ankle 148
L brachial 1134
L ankle 82
A. R 0.9 AND L 1.6
B. R 1.1 AND L 0.6
4|Page
