Question 1

To obtain arterial Doppler signals during arterial color Doppler imaging, using a(n) ___________ imaging plane is best.

Accepted Answer

A)  transverse 
B)  longitudinal 
C)  oblique 
D)  inverted 
A)  transverse 
B)  longitudinal 
C)  oblique 
D)  inverted B

Question 2

Exercise testing of the lower-extremity arterial system is performed on a treadmill at a speed of ___________ mph.

Accepted Answer

A)  1 to 2 
B)  1.5 to 2 
C)  2 to 2.5 
D)  2.5 to 3 
A)  1 to 2 
B)  1.5 to 2 
C)  2 to 2.5 
D)  2.5 to 3 B

Question 3

The characteristics of a normal Doppler signal obtained during lower-extremity arterial imaging include all of the following except:

Accepted Answer

A)  sharp up slope. 
B)  triphasic and reverse flow component. 
C)  dicrotic notch. 
D)  low velocity forward flow in late diastole. 
A)  sharp up slope. 
B)  triphasic and reverse flow component. 
C)  dicrotic notch. 
D)  low velocity forward flow in late diastole. C

Question 4

The calf pulse volume waveform normally has greater amplitude than the thigh waveform because of which one of the following?

Accepted Answer

A)  Sequential changes 
B)  Superficial femoral disease 
C)  Cuff artifact 
D)  Intermittent ischemia 
A)  Sequential changes 
B)  Superficial femoral disease 
C)  Cuff artifact 
D)  Intermittent ischemia

Question 5

The lower limb pressures suggest disease of the ___________________ artery. The following resting segmental pressure measurements (mm Hg) are taken:

Accepted Answer

A)  right common femoral 
B)  right superficial femoral 
C)  right popliteal 
D)  left popliteal 
A)  right common femoral 
B)  right superficial femoral 
C)  right popliteal 
D)  left popliteal

Question 6

The profunda femoris artery lies __________ and __________ to the superficial femoral artery (SFA).

Accepted Answer

A)  posterior; medial 
B)  posterior; lateral 
C)  anterior; medial 
D)  anterior; lateral 
A)  posterior; medial 
B)  posterior; lateral 
C)  anterior; medial 
D)  anterior; lateral

Question 7

Patients complaining of intermittent claudication will have an ankle-brachial index (ABI) of:

Accepted Answer

A) 1. 
B) 0.45. 
C) 0.59. 
D) 0.35. 
A) 1. 
B) 0.45. 
C) 0.59. 
D) 0.35.

Question 8

A toe pressure is considered normal if it is:

Accepted Answer

A)  50 mm Hg. 
B)  45 mm Hg. 
C)  less than 64% of brachial pressure. 
D)  50 mm Hg and less than 64% of brachial pressure. 
A)  50 mm Hg. 
B)  45 mm Hg. 
C)  less than 64% of brachial pressure. 
D)  50 mm Hg and less than 64% of brachial pressure.

Question 9

Which one of the following is most likely to produce a palpable thrill?

Accepted Answer

A)  Pseudoaneurysm 
B)  Common femoral occlusion 
C)  In situ bypass graft 
D)  Dialysis access graft 
A)  Pseudoaneurysm 
B)  Common femoral occlusion 
C)  In situ bypass graft 
D)  Dialysis access graft

Question 10

Which one of the following statements best describes ultrasound compression therapy of pseudoaneurysms?

Accepted Answer

A)  Is the most successful when the aneurysm is large 
B)  Is the most successful in patients who are receiving anticoagulated therapy 
C)  Takes minimal upper body strength 
D)  Usually requires 30 to 60 minutes to be successful 
A)  Is the most successful when the aneurysm is large 
B)  Is the most successful in patients who are receiving anticoagulated therapy 
C)  Takes minimal upper body strength 
D)  Usually requires 30 to 60 minutes to be successful

Question 11

The major branches of the popliteal artery are the _________ and _________ arteries.

Accepted Answer

A)  anterior tibial; peroneal 
B)  sural; anterior tibial 
C)  genicular; anterior tibial 
D)  sural; genicular 
A)  anterior tibial; peroneal 
B)  sural; anterior tibial 
C)  genicular; anterior tibial 
D)  sural; genicular

Question 12

A difference in pressures greater than 20 mm Hg between arms usually indicates disease of which one of the following arteries?

Accepted Answer

A)  Subclavian 
B)  Radial 
C)  Common carotid 
D)  Iliac 
A)  Subclavian 
B)  Radial 
C)  Common carotid 
D)  Iliac

Question 13

During arterial duplex imaging, Doppler signals are obtained using a ___________ angle.

Accepted Answer

A)  zero-degree 
B)  35-degree 
C)  60-degree 
D)  direct 
A)  zero-degree 
B)  35-degree 
C)  60-degree 
D)  direct

Question 14

Blood pressure cuffs should have a width ________________ the diameter of the limb.

Accepted Answer

A)  100% less than 
B)  equal to 
C)  20% less than 
D)  20% greater than 
A)  100% less than 
B)  equal to 
C)  20% less than 
D)  20% greater than

Question 15

Ankle pressures that fall after exercise and return to baseline in 5 minutes suggest which one of the following?

Accepted Answer

A)  Normal arterial system 
B)  Multisegment arterial disease 
C)  Single-segment occlusive disease 
D)  Lower-extremity amputation 
A)  Normal arterial system 
B)  Multisegment arterial disease 
C)  Single-segment occlusive disease 
D)  Lower-extremity amputation

Question 16

The ABI on the left side is ________ mm Hg. The following resting segmental pressure measurements (mm Hg) are taken:

Accepted Answer

A)  0.50 
B)  0.66 
C)  1.35 
D)  0.97 
A)  0.50 
B)  0.66 
C)  1.35 
D)  0.97

Question 17

Most patients describe claudication as which one of the following?

Accepted Answer

A)  Pain in the toes 
B)  Pain at rest 
C)  Cramping of the leg muscles 
D)  Extreme leg pain when walking 
A)  Pain in the toes 
B)  Pain at rest 
C)  Cramping of the leg muscles 
D)  Extreme leg pain when walking

Question 18

A normal pulse volume waveform contains a(n):

Accepted Answer

A)  slow up slope. 
B)  dicrotic notch. 
C)  round peak during systole. 
D)  up slope and down slope with equal times 
A)  slow up slope. 
B)  dicrotic notch. 
C)  round peak during systole. 
D)  up slope and down slope with equal times

Question 19

Exercise testing of the lower-extremity arterial system is performed on a treadmill on a __________ grade.

Accepted Answer

A)  5% to 10% 
B)  10% to 12% 
C)  12% to 15% 
D)  15% to 20% 
A)  5% to 10% 
B)  10% to 12% 
C)  12% to 15% 
D)  15% to 20%

Question 20

The second main branch of the aortic arch is which one of the following arteries?

Accepted Answer

A)  Innominate 
B)  Right common carotid 
C)  Left common carotid 
D)  Left subclavian 
A)  Innominate 
B)  Right common carotid 
C)  Left common carotid 
D)  Left subclavian

Exam 39: Peripheral Arterial Evaluation

To obtain arterial Doppler signals during arterial color Doppler imaging, using a(n) ___________ imaging plane is best.

Exercise testing of the lower-extremity arterial system is performed on a treadmill at a speed of ___________ mph.

The characteristics of a normal Doppler signal obtained during lower-extremity arterial imaging include all of the following except:

The calf pulse volume waveform normally has greater amplitude than the thigh waveform because of which one of the following?

The lower limb pressures suggest disease of the ___________________ artery. The following resting segmental pressure measurements (mm Hg) are taken:

The profunda femoris artery lies __________ and __________ to the superficial femoral artery (SFA).

Patients complaining of intermittent claudication will have an ankle-brachial index (ABI) of:

A toe pressure is considered normal if it is:

Which one of the following is most likely to produce a palpable thrill?

Which one of the following statements best describes ultrasound compression therapy of pseudoaneurysms?

The major branches of the popliteal artery are the _________ and _________ arteries.

A difference in pressures greater than 20 mm Hg between arms usually indicates disease of which one of the following arteries?

During arterial duplex imaging, Doppler signals are obtained using a ___________ angle.

Blood pressure cuffs should have a width ________________ the diameter of the limb.

Ankle pressures that fall after exercise and return to baseline in 5 minutes suggest which one of the following?

The ABI on the left side is ________ mm Hg. The following resting segmental pressure measurements (mm Hg) are taken:

Most patients describe claudication as which one of the following?

A normal pulse volume waveform contains a(n):

Exercise testing of the lower-extremity arterial system is performed on a treadmill on a __________ grade.

The second main branch of the aortic arch is which one of the following arteries?

Foundations of Clinical Sonography

Essentials of Patient Care for the Sonographer

Ergonomics and Musculoskeletal Issues in Sonography

Anatomic and Physiologic Relationships Within the Abdominopelvic Cavity

Comparative Sectional Anatomy of the Abdominopelvic Cavity

Basic Ultrasound Imaging: Techniques, Terminology, and Tips

Imaging and Doppler Artifacts

Vascular System

Liver

Gallbladder and the Biliary System

Spleen

Pancreas

Gastrointestinal Tract

Peritoneal Cavity and Abdominal Wall

Urinary System

Retroperitoneum

Abdominal Applications of Ultrasound Contrast Agents

Ultrasound-Guided Interventional Techniques

Emergent Ultrasound Procedures

Sonographic Techniques in the Transplant Patient

Breast

Thyroid and Parathyroid Glands

Scrotum

Musculoskeletal System

Neonatal and Pediatric Abdomen

Neonatal and Pediatric Adrenal and Urinary System

Neonatal and Infant Head

Infant and Pediatric Hip

The Neonatal and Infant Spine

Anatomic and Physiologic Relationships Within the Thoracic Cavity

Understanding Hemodynamics

Introduction to Echocardiographic Techniques, Terminology, and Tips

Introduction to Clinical Echocardiography: Left-Sided Valvular Heart Disease

Introduction to Clinical Echocardiography: Pericardial Disease, Cardiomyopathies, and Tumors

Fetal Echocardiography: Beyond the Four Chambers

Fetal Echocardiography: Congenital Heart Disease

Extracranial Cerebrovascular Evaluation

Intracranial Cerebrovascular Evaluation

Peripheral Venous Evaluation

Normal Anatomy and Physiology of the Female Pelvis

Sonographic and Doppler Evaluation of the Female Pelvis

Pathology of the Uterus

Pathology of the Ovaries

Pathology of the Adnexa

Role of Ultrasound in Evaluating Female Infertility

Role of Sonography in Obstetrics

Clinical Ethics for Obstetric Sonography

The Normal First Trimester

First-Trimester Complications

Sonography of the Second and Third Trimesters

Obstetric Measurements and Gestational Age

Fetal Growth Assessment by Sonography

Sonography and High-Risk Pregnancy

Prenatal Diagnosis of Congenital Anomalies

Placenta

Umbilical Cord

Amniotic Fluid and Fetal Membranes

Fetal Face and Neck

Fetal Neural Axis

The profunda femoris artery lies and to the superficial femoral artery (SFA).

The major branches of the popliteal artery are the _ and _ arteries.