ARDMS - RVT LATEST EXAM 2025-2026 \NEWEST VERSION WITH
COMPLETE QUESTIONSD AND ACCURATE DETAILED ANSWERS
\VERIFIED 100% ALREADY GRADE A+
-(Stress or effort thrombosis) thrombosis of subclavien
or axillary vein secondary to intense, repetitive
Paget-Schroetter syndrome
activity.
-Associated with motion of upper extremity as seen
with heavy lifting or strenuous throwing of a
baseball or football.
Nutcracker syndrome Compression of the left renal vein between the aorta and the
SMA.
Renal arteries supply what? Kidneys, suprarenal glands, ureters.
Left renal vein crosses the aorta anteriorly and is
Landmarks for renal artery
and vein? superior to renal artery. Right renal artery
crosses posteriorly to IVC.
Two main categories for 1. Evaluation for possible venous thrombosis or venous reflux.
alternative diagnostic tests 2. Evaluation of a pulmonary embolism (PE).
related to venous disease
are?
D-dimer is a protien fragment produced when a blood
clot dissolves in the body and is normally undetectable,
What is a D-dimer test?
but it is measurable when a clot is breaking down. With
an increase of product breakdown, the level of D-
dimer in blood rises.
-high level of D-dimer suggests presence of thrombus.
-measurable product of thrombolysis detected on a quantitative
Capabilities of D-dimer test? blood assey.
- can rule out thromboembolism if negative. If
positive, has little specificity but points out need for
additional testing to diagnose cause of
hypercoagulability.
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, 8/9/25, 12:54 PM RVT ARDMS exam review
-there are many different methods/products to detect
D-dimer in blood, causing wide variation in results
Limitations of D-dimer? obtained.
-D-dimer may be elevated with pregnancy, liver
disease, renal disease, cancer, or any thrombotic
process, including recent surgery.
-lacks specificity and positive predictive value.
Two types of contrast 1. Ascending
venography (phlebography) 2. Descending
are?
Image the veins from distal to proximal and detects
Ascending venography is?
venous abnormalities including DVT.
Descending venography is? Image the veins from proximal to distal and assess valve function
and venous reflux.
-helps evaluation of acute DVT.
-evaluates congenital venous disease and/or anomalies.
Capabilities of venography?
-assists in evaluation of chronic venous changes.
-can detect and quantify reversed flow.
-highly technical in technique and interpretation.
-expensive
-may be uncomfortable for patients
Limitations of venography?
-can have allergic reactions in patients with severe
allergies to iodine, troublesome in patients with
severe peripheral vascular occlusive disease
-exposes patients to radiation
Requires contrast agent to be injected into a distal
superficial vein and directed into the deep system.
How is ascending venography -lower extremity study, a vein on dorsum of foot is used.
preformed? -upper extremity study, the basilic or cephalic may be used.
-Serial x-rays are taken as contrast material passes through some
of the deep veins.
3 causes of venous Venous stasis, trauma/endothelial damage, hypercoagulability
thrombosis also called,
Virchow's Triad
Slowed blood flow in veins. Caused by immobility,
Venous stasis myocardial infarction, CHF, hypotension, COPD,
obesity, pregnancy, previous DVT, extrinsic
compression, SVC syndrome, paraplegia, surgery
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