P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
ARDMS RVT Final Exam
Review: 2026 Vascular
Ultrasound Practice
Questions
Verified Answers Exam Ready With Rationales
72 QUESTIONS
DOCUMENT OVERVIEW
This document provides 72 review questions with pre-filled correct answers and detailed
explanations, covering key aspects of vascular ultrasound. It is designed as a comprehensive study aid
for ARDMS RVT certification preparation, offering thorough rationales to enhance understanding and
retention of vascular ultrasound principles. Students can effectively use this resource to review
material and solidify their knowledge base for the exam.
CONTENTS
01 Venous Thrombosis Pathophysiology Q1–Q9
02 Diagnostic Test Performance Q10–Q14
03 Vascular Anatomy & Syndromes Q15–Q35
Page 1
, 04 Venous Diagnostic Modalities Q36–Q57
05 Varicose Veins & Treatments Q58–Q68
06 Vascular Interventions Q69–Q72
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 72
3 causes of venous thrombosis also called, Virchow's Triad
CORRECT ANSWER
Venous stasis, trauma/endothelial damage, hypercoagulability
RATIONALE
Virchow's triad describes the three main factors contributing to venous thrombosis: venous stasis (slow blood
flow), endothelial damage (injury to blood vessel lining), and hypercoagulability (increased tendency for blood
to clot). These three elements disrupt normal hemostasis, promoting thrombus formation within veins.
Q2 QUESTION 2 OF 72
Venous stasis
CORRECT ANSWER
Slowed blood flow in veins. Caused by immobility, myocardial infarction, CHF, hypotension, COPD,
obesity, pregnancy, previous DVT, extrinsic compression, SVC syndrome, paraplegia, surgery associated
conditions.
RATIONALE
Venous stasis describes the sluggish movement of blood within the venous system, increasing the risk of
thrombus formation due to prolonged immobility or conditions impairing circulation. This concept is central
to understanding the pathophysiology of deep vein thrombosis and pulmonary embolism.
Q3 QUESTION 3 OF 72
Page 2
, 2 types of Trauma/endothelial damage
CORRECT ANSWER
Intrinsic and extrinsic
RATIONALE
The coagulation cascade is initiated by two distinct pathways: the intrinsic pathway, triggered by damage to
the endothelium itself, and the extrinsic pathway, activated by tissue factor released from injured extravascular
cells. Both pathways converge to activate Factor X, leading to the common final pathway of thrombin
generation and fibrin clot formation.
Q4 QUESTION 4 OF 72
Intrinsic trauma is
CORRECT ANSWER
Damage to the vessel wall from intravenous drugs or a catheter. Increased use of PICC line results in
higher incidence of upper extremity thrombus, usually developing at most proximal portion of PICC line.
RATIONALE
Intrinsic trauma refers to direct injury to the vascular endothelium, often from mechanical irritation by
indwelling devices like PICC lines, which initiates the coagulation cascade and thrombus formation. This
mechanism explains the increased incidence of upper extremity thrombus associated with PICC line use,
typically occurring proximally.
Q5 QUESTION 5 OF 72
Extrinsic trauma is
CORRECT ANSWER
Damage caused by an accident, which can occur at any site of the body.
RATIONALE
Extrinsic trauma refers to injury initiated by external forces, such as those encountered in an accidental event,
rather than internal bodily processes. This type of damage can manifest at any anatomical location exposed to
the external agent.
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