Master Abdominal Aorta, IVC & Doppler Techniques
(Thieme 3rd Edition 2016)
Chapter: Vascular Structures
Title: Abdominal Aorta and Aneurysm Screening
Question 1:
Q: Which measurement is commonly used as the threshold for
diagnosing an abdominal aortic aneurysm (AAA) on ultrasound?
Options:
A) ≥2.5 cm
B) ≥3.0 cm
C) ≥3.5 cm
D) ≥4.0 cm
Correct Answer: B) ≥3.0 cm
Rationale:
An abdominal aortic diameter of 3.0 cm or more is widely accepted as
the definition of an aneurysm on ultrasound examinations. This
measurement is crucial in screening programs and guides further
diagnostic or therapeutic decisions.
Chapter: Vascular Structures
Title: Aortic Branches and Sonographic Identification
Question 2:
Q: Which of the following is a direct branch of the abdominal aorta?
Options:
, A) Superior Mesenteric Artery (SMA)
B) Inferior Mesenteric Artery (IMA)
C) Renal Arteries
D) All of the above
Correct Answer: D) All of the above
Rationale:
The abdominal aorta gives off several important branches directly.
Among these, the SMA, IMA, and renal arteries are all direct branches.
Recognizing these vessels is key during an ultrasound examination to
ensure proper anatomical orientation and to assess vascular pathology.
Chapter: Vascular Structures
Title: Sonographic Appearance of the Abdominal Aorta
Question 3:
Q: How is the normal abdominal aorta typically visualized on gray-scale
ultrasound?
Options:
A) As a hypoechoic tubular structure with a pulsatile flow artifact
B) As an anechoic tubular structure with echogenic walls
C) As an echogenic tubular structure with a central anechoic lumen
D) As a completely anechoic structure with no visible walls
Correct Answer: C) As an echogenic tubular structure with a central
anechoic lumen
Rationale:
On gray-scale imaging, the aortic walls usually appear echogenic due to
the fibrous and connective tissue, while the lumen is anechoic because it
, is filled with blood. This contrast is essential for differentiating the
vessel from surrounding tissues.
Chapter: Vascular Structures
Title: Inferior Vena Cava (IVC) Localization
Question 4:
Q: Which of the following best describes the anatomical location of the
inferior vena cava (IVC) as seen on abdominal ultrasound?
Options:
A) Positioned anterior to the aorta
B) Positioned posterior to the aorta
C) Positioned to the right of the aorta
D) Positioned to the left of the aorta
Correct Answer: C) Positioned to the right of the aorta
Rationale:
During an abdominal ultrasound, the IVC is typically identified to the
right of the aorta. This relationship serves as an important landmark for
orientation, aiding in the identification of other abdominal vascular
structures.
Chapter: Vascular Structures
Title: Tributaries of the Inferior Vena Cava
Question 5:
Q: Which of the following is a primary tributary of the inferior vena
cava (IVC) identifiable on ultrasound?
Options:
A) Renal Veins