ARDMS Abdomen Review Exam Questions And Answers Updated 2024.
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Course
ARDMS SPI
Institution
ARDMS SPI
What does an increased RI mean - Answer increased resistance in vascular bed
What does an increased pulsatility index mean - Answer increased resistance in vascular bed
Normal PI for vessels supplying organs such as kidneys - Answer < 0.75
Hydrostatic pressure:
when supine
at an...
ARDMS Abdomen Review Exam Questions And Answers Updated 2024.
What does an increased RI mean - Answer increased resistance in vascular bed
What does an increased pulsatility index mean - Answer increased resistance in vascular bed
Normal PI for vessels supplying organs such as kidneys - Answer < 0.75
Hydrostatic pressure:
when supine
at ankle when standing
above heart when standing - Answer 0 mmHg
100 mmHg
-30 mmHg
What vessel is the most posterior abdominal vessel - Answer aorta
Paired branches of the aorta (5) - Answer suprarenal arteries (adrenal glands)
renal arteries (kidneys)
gonadal arteries (ovaries/testicles)
lumbar arteries
common iliac arteries
Unpaired branches of the aorta (4) - Answer celiac axis (common hepatic, splenic, left gastric arteries)
SMA
IMA median sacral artery
What level common iliac arteries bifurcate - Answer L3-4
Decreased hematocrit may indicate what - Answer bleed in body
What happens to the aorta as you follow it distally (2) - Answer gets smaller
becomes more anterior
Aortic Ectasia - Answer lack of tapering of aorta as you move distally (can be precursor to aneurysm)
AAA
What vessel walls are involved - Answer focal dilation of aorta >3cm or >50% diameter between two adjacent segments
all three
Most common cause of AAA - Answer atherosclerotic disease
Risk factors for AAA (4) - Answer 1. male
2. family history
3. smoking
4. chronic hypertension
Saccular aneurysm - Answer localized round out pouching, may have small stalk
Fusiform aneurysm - Answer vessel wall stretched in circumferential manner (most common)
Mycotic aneurysm - Answer infected aneurysm, seen with syphilis Most common location of fusiform aneurysms - Answer infrarenal
At what diameter is surgical intervention done on an AAA - Answer >5.5cm
Complications of AAA (5) - Answer 1. rupture
2. decreased blood to lower extremities
3. thrombus accumulation and embolization (blue toe syndrome)
4. affects renal circulation and systemic blood pressure (if suprarenal)
5. compress IVC
Yin Yang Sign - Answer sonographic sign with AAA
swirling of blood in body of aneurysm on color doppler
Splanchnic artery aneurysm most commonly occurs in
What gender is this more common in - Answer splenic artery
women
Aneurysm in the hepatic artery most commonly occurs in what segment - Answer extra hepatic
With endovascular aortic repair, what happens to the native aortic sac over time
What plane should it be measured in - Answer decreased in size
transverse
If aortic sac expands more than _____ between exams, a leak should be suspected - Answer 0.6 cm
Type I dissection
Type II dissection
Type III dissection - Answer ascending and descending aorta
ascending aorta, associated with Marfan syndrome descending aorta
Marfan syndrome - Answer genetic disorder affecting connective tissue of heart, vessels, bones
Aortic rupture symptoms - Answer back pain
hypotension
Leriche syndrome (3) - Answer aortoiliac occlusive disease
occlusion of abdominal aorta just above CIA bif
causes bilateral lower extremity ischemia symptoms
Retroperitoneal fibrosis other name, most common location - Answer Ormond disease
most commonly at aortic bifurcation and inferiorly in pelvis
Retroperitoneal fibrosis sonographically (4) - Answer soft tissue mass surrounding great vessels
hypoechoic
smooth borders
possible hydronephrosis (due to ureteral obstruction)
Abnormal dilation of the abdominal segment of the IVC measures - Answer > 2.5 cm
Normal Doppler flow of the IVC is - Answer triphasic
Most common variation of IVC anatomy - Answer duplicated IVC
infrarenal segment duplicated with left IVC entering left renal vein (suprarenal IVC normal)
Transposed IVC - Answer IVC on left side of abdomen (instead of right)
Interrupted IVC (3) - Answer IVC doesn't go to right atrium
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