CCI RVS Exam Questions And Accurate
Answers A+ Graded
How is the sublcalvian vein best checked for coaptation? - ANSWER With a quick deep
breath (big sniff).
Doppler signal from the subclavian vein is expected to be? - ANSWER Pulsatile.dont
worry I said triphasic too
What direction is normal flow in the hepatic vein? - ANSWER bidirectional.
Explain TIPS. - ANSWER Transjugular intrahepatic portosystemic shunt or (TIPS) is a
shunt (tube) placed between the portal vein which carries blood from the intestines and
intraabdominal organs to the liver and the hepatic vein which carries blood from the
liver back to the vena cava and the heart.
The TIPS procedure relieves excess pressure from what abdominal abnormality? -
ANSWER Portal hypertension.
What is the most common cause for impotence? - ANSWER Vascular disease.
When scanning a newly transplanted kidney, you see patency in both renal artery/vein.
when scanning the intrarenal arteries there is only systolic flow. What is happening? -
ANSWER Absence of diastolic flow on the transplanted kidney suggests rejection.
What is the major difference between protocols for cardiac treadmill and claudication
treadmill testing? - ANS Speed is varied during a cardiac treadmill test to increase
heartrate to a specific target level.
, During a treadmill test, patient complains of pain in the left arm and jaw, but denies any
other pain. What is the most likely consideration? - ANS Angina.
What is normal diameter for abdominal aorta? - ANSWER 2-3 cm.
After 5-minute walk on treadmill, patient develops a drop in ankle pressure of 40% on
right and 15% on left. What do these findings suggest? - ANSWER Claudication.
What is the proper setting for arterial volume recording? - ANSWER AC-coupled output.
What is the characteristic of Doppler waveform abnormality in the lower extremity
arterial circulation distal to a hemodynamically significant stenosis? - ANSWER An
absent flow recersal component, blunting of the peak velocity and prolonged upslope
and downslope.
A normal arterial volume waveform may have all EXCEPT: Swift upstroke, sharp peak,
rapid downslope bowed toward baseline, dicrotic notch or reverse flow component? -
ANSWER Reverse flow component because it is part of a Doppler waveform not volume
waveform.
T or F- Most analog Doppler analysis is qualitative, assessing for presence or absence of
characteristics. - ANSWER True.
What is the normal response of ankle pressure to exercise testing? - ANSWER There
should be no change if normal.
With severe lower extremity arterial occlusive disease, how will distal Doppler
waveforms appear? - ANSWER Markedly dampened, possibly making interpretation
difficult for distal segments.
What is the usual cuff pressure used in arterial volume recording? - ANSWER 65 mmHg.
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