©THEBRIGHT EXAM STUDY SOLUTIONS 8/27/2024 12:01 PM
URR Vascular ultrasound guided
procedures. Exam Questions With Correct
Answers.
At the start of an endovenous ablation procedure for the GSV, the catheter is inserted ______
and advanced to a position _______ before activating the device - answer✔✔Into the distal GSV
; 2 cm distal to the saphenofemoral junction
A patient is referred to the vascular lab to evaluate the placement of a greenfield filter. Where
would you look for this? - answer✔✔IVC
The ___________________ is used to prevent pulmonary embolism from the lower extremities.
The filter is placed into the IVC below the level of the renal veins. - answer✔✔Greenfield filter
Indications of a successful balloon angioplasty (PTLA): - answer✔✔Resolution of patient's
symptoms, and ABI increase greater than 0.15, and less than 50% diameter stenosis on duplex,
ultrasound
Indications of angioplasty failure: - answer✔✔Damped, low velocity, wave forms in the distal
arterial tree, and no change in the post procedure ABI
A ____________________ procedure would allow patients to continue their normal course of
anticoagulant therapy before and after procedure - answer✔✔Ascending venography
Contraindications for ultrasound guided compression therapy for a pseudoaneurysm: -
answer✔✔- patient unable to tolerate the procedure due to pain
-Infection as a puncture site and surrounding tissues
-diameter greater than 4 cm
-Stalk diameter greater than 5 mm
-Present for more than one month
-Patients on anticoagulant therapy (must be stopped before compression)
List the advantage of intraoperative vascular ultrasound, compared to intraoperative angiography
- answer✔✔Ultrasound does not require a vessel puncture to obtain flow information
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/27/2024 12:01 PM
At _____________ post injection, ______________ should be performed to determine the
success of a thrombin injection for pseudoaneurysm treatment - answer✔✔20 mins ; color
Doppler and ABI evaluation
Sonographic appearance of a transjugular intrahepatic portosystemic shunt TIPS -
answer✔✔Strongly reflective, curved structure connecting the right portal vein in right hepatic
vein
A patient is undergoing balloon angioplasty of the left common femoral artery. The physician
just completed the first expansion of the balloon and asks you to check the flow with Doppler.
Where is the preferred location to evaluate flow? - answer✔✔Dorsalis, pedis, or posterior tibial
artery (most important to evaluate flow in the most distal areas to evaluate improvement in
overall perfusion of the leg)
A patient presents for a follow up exam after radiofrequency ablation of the GSV. What is the
purpose of the exam? - answer✔✔To confirm the contraction of the GSV and absence of
thrombus in the deep system
A physician orders, a vein mapping of the left upper extremity for potential arterial bypass
harvesting, but does not indicate which vessel he plans to use. Which lane should you evaluate
because it is most commonly used for bypass? - answer✔✔Cephalic vein
Radiofrequency venous ablation requires ____________ - answer✔✔Sterile technique
When evaluating the left arm for potential placement of a central venous catheter, you identify
multiple small venous collaterals surrounding the subclavian vein. What should you do next? -
answer✔✔evaluate the venous system in the right arm
A common complication of cardiac catheterization is the formation of: -
answer✔✔Pseudoaneurysm
During cardiac catheterization, the superficial femoral artery is punctured by the catheter as it
enters the arterial system. Once the catheter is removed, there is a risk that blood will escape the
artery into the surrounding tissues to form a __________ - answer✔✔Pseudoaneurysm
A patient presents for a follow up for the TIPS located between the right portal vein and right
hepatic vein. The chart indicates an abnormal bruit and stenosis is suspected. Where should you
look first for the stenosis because it is the most common side of stenosis in a tips? -
answer✔✔Hepatic vein anastomosis
_________________ is the most common side of stenosis in a TIPS - answer✔✔Hepatic vein
anastomosis
URR Vascular ultrasound guided
procedures. Exam Questions With Correct
Answers.
At the start of an endovenous ablation procedure for the GSV, the catheter is inserted ______
and advanced to a position _______ before activating the device - answer✔✔Into the distal GSV
; 2 cm distal to the saphenofemoral junction
A patient is referred to the vascular lab to evaluate the placement of a greenfield filter. Where
would you look for this? - answer✔✔IVC
The ___________________ is used to prevent pulmonary embolism from the lower extremities.
The filter is placed into the IVC below the level of the renal veins. - answer✔✔Greenfield filter
Indications of a successful balloon angioplasty (PTLA): - answer✔✔Resolution of patient's
symptoms, and ABI increase greater than 0.15, and less than 50% diameter stenosis on duplex,
ultrasound
Indications of angioplasty failure: - answer✔✔Damped, low velocity, wave forms in the distal
arterial tree, and no change in the post procedure ABI
A ____________________ procedure would allow patients to continue their normal course of
anticoagulant therapy before and after procedure - answer✔✔Ascending venography
Contraindications for ultrasound guided compression therapy for a pseudoaneurysm: -
answer✔✔- patient unable to tolerate the procedure due to pain
-Infection as a puncture site and surrounding tissues
-diameter greater than 4 cm
-Stalk diameter greater than 5 mm
-Present for more than one month
-Patients on anticoagulant therapy (must be stopped before compression)
List the advantage of intraoperative vascular ultrasound, compared to intraoperative angiography
- answer✔✔Ultrasound does not require a vessel puncture to obtain flow information
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/27/2024 12:01 PM
At _____________ post injection, ______________ should be performed to determine the
success of a thrombin injection for pseudoaneurysm treatment - answer✔✔20 mins ; color
Doppler and ABI evaluation
Sonographic appearance of a transjugular intrahepatic portosystemic shunt TIPS -
answer✔✔Strongly reflective, curved structure connecting the right portal vein in right hepatic
vein
A patient is undergoing balloon angioplasty of the left common femoral artery. The physician
just completed the first expansion of the balloon and asks you to check the flow with Doppler.
Where is the preferred location to evaluate flow? - answer✔✔Dorsalis, pedis, or posterior tibial
artery (most important to evaluate flow in the most distal areas to evaluate improvement in
overall perfusion of the leg)
A patient presents for a follow up exam after radiofrequency ablation of the GSV. What is the
purpose of the exam? - answer✔✔To confirm the contraction of the GSV and absence of
thrombus in the deep system
A physician orders, a vein mapping of the left upper extremity for potential arterial bypass
harvesting, but does not indicate which vessel he plans to use. Which lane should you evaluate
because it is most commonly used for bypass? - answer✔✔Cephalic vein
Radiofrequency venous ablation requires ____________ - answer✔✔Sterile technique
When evaluating the left arm for potential placement of a central venous catheter, you identify
multiple small venous collaterals surrounding the subclavian vein. What should you do next? -
answer✔✔evaluate the venous system in the right arm
A common complication of cardiac catheterization is the formation of: -
answer✔✔Pseudoaneurysm
During cardiac catheterization, the superficial femoral artery is punctured by the catheter as it
enters the arterial system. Once the catheter is removed, there is a risk that blood will escape the
artery into the surrounding tissues to form a __________ - answer✔✔Pseudoaneurysm
A patient presents for a follow up for the TIPS located between the right portal vein and right
hepatic vein. The chart indicates an abnormal bruit and stenosis is suspected. Where should you
look first for the stenosis because it is the most common side of stenosis in a tips? -
answer✔✔Hepatic vein anastomosis
_________________ is the most common side of stenosis in a TIPS - answer✔✔Hepatic vein
anastomosis
