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CCI RVS Exam Review| Questions and
Verified Answers| 100% Correct- A Grade
(New 2024/ 2025 Update)
QUESTION
A varicose vein is most often: Answer: A dilation of the greater saphenous vein or superficial tributary.
QUESTION
A bakers cyst is a collection of: Answer: Synovial fluid from the knee joint
QUESTION
2 weeks after the fractur of the femur a 33 year old female is seen for swelling of the calf of the same leg. The preliminary diagnosis, prior to any performance noninvasive testing should include: Answer: DVT & Popliteal entrapment (2 of the above)
QUESTION
Patients suspected of having venous disease may complain of pain that is: Answer: relieved by elevation
QUESTION
Edema caused by DVT is characterized by: Answer: Swelling in the ankles and legs but not the feet. (Usually swelling is not found in the feet in venous disease. )
QUESTION
A patient with chronic venous insufficiency complains of sudden onset of edema and pain in the affected leg, this maybe related to: Answer: reoccurrence of acute DVT
QUESTION
Patients with a swollen limb who have just returned from a country where filariasis is endemic may be suspecting: Answer: lymphedema Filariasis is a nematoad that takes up residence in the lymph system and can cause lymphedema. This would be a somewhat obscure differential diagnosis for deep venous thrombosis.
QUESTION
lower extremity ulcers are overwhelmingly the result of: Answer: venous disease
QUESTION
QUESTION
A common physical finding in PE is: Answer: Tachypnea (Rapid respiration)
QUESTION
The most reliable method for reliable method for establishing the diagnosis of pulmonary embolism is: Answer: Pulmonary angiography
QUESTION
A 46 year old man comes to the vascular lab with calf and ankle edema, mild discomfort in the calf, and a soft mass behind the knee. Continuous wave doppler studies are negative except for some continuous flow over the popliteal vein. An additional test that might be useful is: Answer: Ultrasound imaging
QUESTION
The test for venous incompetence that uses tourniquets and alterations of patient position is called Answer: The Trendelenburg test
QUESTION
The examiner listens w/ CW Doppler to the superficial femoral vein at mid thigh and performs a calf compression. The compression maneuver augments the signal. This finding suggests: Answer: This is a normal finding
QUESTION
Of the following techniques, which would be the least effective in detecting significant DVT: Photoplethysmography Duplex Ultra sound Impedance plethysmography Strain gauge plethysmography Answer: Photoplethysmography
QUESTION
A Vascular maneuver Answer: Slows down of stops venous flow everywhere in the body
QUESTION
Which of the following is NOT one of the commonly assessed characteristics of CW venous doppler? Spontaneity Gaiety Augmentation Competence Phaticity Answer: Gaiety
Answer: Is within normal normal limits in a cold patient
QUESTION
Contrast venography is: Answer: invasive
- very sensitive and specific test, some hazard, diagnostic w/ suspected DVT
QUESTION
The venous puncture for introducing contrast in venography to asses for deep venous thrombosis is done at what level? Answer: Dorsal vein on the foot
QUESTION
The "gold standard" test for pulmonary embolus, though it carries its own risk for compromised patients is: Answer: Pulmonary angiography
QUESTION
The drug heparin: Answer: Can cause thrombocytopenia (diminished blood platelet count)
- its a protein so it can activate antibodies in sensitive Pts, has significant complication rate and can produce (diminished blood platelet count)
QUESTION
The following are all possible complications of heparin EXCEPT Thrombocytopenia Formation of antiplatelet antibody Decreases activated partial thromboplastin time Intraabdominal bleeding platelet aggression Answer: Intraabdominal bleeding
QUESTION
The agent of choice in the initial management of pulmonary embolism is Answer: Heparin
QUESTION
More than 90% of infrarenal abdominal aneurysms are of: Answer: Degenerative origin
QUESTION
The most common source of lower or upper extremity peripheral arterial embolus is: Answer: The heart
QUESTION
Aneurysms are most often caused by:
QUESTION
Common signs of advanced arterial insufficiency of the lower extremity include which of the following? Loss of hair growth over the dorsum of the toes and feet Thickening of toenails Dermatitis with skin pigmentation Dependent rubor Answer: Loss of hair growth over the dorsum of the toes and feet Thickening of toenails Dependent rubor
QUESTION
Match the following symptoms and signs with the likely cause: A. Bruit 1. Aortoiliac + SFA occlusion B. Absent pulse 2. Deep venous thrombosis C. Foot rubor 3. Subclavian artery occlusion D. Right side weakness 4. Left carotid artery occlusion E. Edema 5. Iliac artery stenosis Answer: A. Bruit 5. Iliac artery stenosis B. Absent pulse 3. Subclavian artery occlusion C. Foot rubor 1. Aortoiliac + SFA occlusion D. Right side weakness 4. Left carotid artery occlusion E. Edema 2. Deep venous thrombosis
QUESTION
Patients presenting with symptoms of claudication complain of: Answer: Cramping pain in calf, thigh, or buttocks w/ exercise and relieved by rest
QUESTION
Patients found to have ulcerating lesions or gangrene may have which of the following diseases?
Arterial insufficiency Neuropathy Vasospasm Venous disease All of the above Answer: All of the above
QUESTION
Patients w/ advanced peripheral arterial vascular occlusive disease exhibit which of the following skin changes? Shiny, Scaly skin Dependent rubor Pallor elevation Stasis pigmentation All except D Answer: All except D
QUESTION
A pulsatile mass in the groin after catheterization of a cardiac patient most likely will be: Answer: A false aneurysm of the femoral vein
QUESTION
Rest pain is characterized by: Answer: Pain at night in the forefoot or foot that may go away w/ leg dependency
- nocturnal forefoot pain relieved by dependency or exercise common complaint
QUESTION
The term Tunica Intima denotes: Answer: The inner lining of the arterial wall
QUESTION
The layer of arterial or venous wall composed entirely of endothelial cells is the: Answer: Tunica Intima
QUESTION
A venule contains which vessel layers: Answer: Tunica media and Tunica Intima
QUESTION
Atherosclerosis is a disease the begins in the: Answer: Intima
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A disease that affects primarily the Intima and may extended into the media is: Answer: Atherosclerosis
QUESTION
In the cerebrovascular system, atherosclerosis occurs my commonly in the: Answer: Carotid Bulb
QUESTION
The NASCET (north American symptomatic carotid endarterectomy trial) used the following arterial graphic criteria/criterium to classify internal carotid artery disease: Answer: Diameter percentage stenosis calculated by diving the minimal diameter by the diameter of the unstenosed distal internal carotid artery.
QUESTION
A patient complains of temporary shading of the vision in 1 eye, this symptom is called: Answer: Amaurosis Fugax
QUESTION
A Transient Ischemic attack: Answer: Resolves within 24 hours
QUESTION
The abbreviation TIA stands for:
Answer: Greatly increased mean velocities in the middle cerebral arteries
QUESTION
In TCD the normal direction of flow in the Vertebral artery is: Answer: Away from the beam
QUESTION
The usual instrumentation for hand held TCD includes a probe with a operating frequency of: Answer: 2 MHz
QUESTION
Which of the following would alter the frequency shift of the internal carotid artery Doppler signal: Answer: Tapering of the vessel from the bulb to the distal visualized segment and Increasing the transmitted frequency.
QUESTION
In TCD the normal direction of flow in the middle cerebral artery is: Answer: Towards the beam.
QUESTION
The TCD window used for assessing the middle cerebral artery is? Answer: Temporal window
QUESTION
An arterial stenosis that is 80% by diameter reduction corresponds to a cross-sectional area reduction of: Answer:
- A. 96% B. 88% C. 70% D. 60% E.45% This dramatizes the very severe loss of cross sectional area available for flow in a severe stenosis.
QUESTION
A vascular lab calls a stenosis 60-70% by diameter based on its Duplex assessment, but in angiography the next day calls it 90% by diameter, possible reason for this discrepancy might include all except: Answer: A. The stenosis is long and smooth, changing its doppler character compared to that of a shorter lesion. B. Only 1 plain of visualizing was used for angiography. C. Poor angle correction with the duplex, creating artificially low velocity estimates. D. Acoustic shadowing prevented doppler assessment of the maximal narrowing.
- E. Color flow PRF set to low creating aliasing and over estimation of velocities.
Answer: rtPA (Recombinant Tissue Plasminogen Activator)
QUESTION
The primary concern in patient with acute deep venous thrombosis: Answer: Pulmonary embolism may occur
QUESTION
The greatest pressure of venous hypertension in secondary varicose veins occurs: Answer: during muscle contraction
QUESTION
The absence of bruit at the common femoral level Answer: Cannot rule out significant stenosis at that level. (Bruits heard on physical examination are useful: Although the absence of a bruit does not rule out significant arterial obstruction, the presence of a bruit does suggest stenosis.)
QUESTION
Unilateral claudication in the calf and foot of a young individual suggests: Answer: Popliteal artery entrapment
QUESTION
A pulsatility index is defined as: Answer: Peak systolic to peak diastolic velocity divided by the mean velocity (Goslings pulsatility index)
QUESTION
Which one of the following conditions will cause an increase in the pulse amplitude of the arterial pressure wave? An increase in peripheral resistance A decrease in left ventricular function Vasodilation secondary to heating Young age Mild atherosclerosis Answer: An increase in peripheral resistance
QUESTION
Ankle/arm indices in claudicating patients are usually Answer: In range 0.5-0.
QUESTION
When assessing a digital artery with doppler, patency of the palmar arch can be determined by: Answer: Alternately compressing the radial and ulnar arteries while listening for changes in the digital artery signal
QUESTION
An analog Doppler waveform of the Subclavian or Axillary artery in a normal individual would typically resemble:
