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ARDMS Abdomen Review (Based off of URR Review Course) Exam Questions With Correct Answers
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ARDMS Abdomen Review (Based off of URR Review Course) Exam Questions With Correct Answers What does an increased RI mean - answerincreased resistance in vascular bed What does an increased pulsatility index mean - answerincreased resistance in vascular bed Normal PI for vessels supplying organ...

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  • November 11, 2024
  • 111
  • 2024/2025
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  • ardms abdomen review based off of urr review cour

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©THEBRIGHT EXAM SOLUTIONS

11/05/2024 12:06 PM


ARDMS Abdomen Review (Based off of URR
Review Course) Exam Questions With
Correct Answers


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

, ©THEBRIGHT EXAM SOLUTIONS

11/05/2024 12:06 PM

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

, ©THEBRIGHT EXAM SOLUTIONS

11/05/2024 12:06 PM


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

, ©THEBRIGHT EXAM SOLUTIONS

11/05/2024 12:06 PM

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)

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