CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
PRACTICE EXAM QUESTIONS, CCI RVS EXAM
REVIEW COMPILATION ALL IN ONE 380
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
112. A binocular disturbance that disrupts vision in half the visual field of both eyes
is called:
a) hemiplegia
b) amaurosis duplex
c) dysphagia
d) homonymous hemianopia
e) hemiparesis - ansd) homonymous hemianopia
113. Parasthesia refers to:
a) dizziness
b) disturbance of speech
c) loss of function of a limb
d) weakness
e) tingling sensation - anse) tingling sensation
114. A patient describes a 30-minute episode of garbled speech. This is called:
a) dysphasia
b) aphasia
c) paresthesia
d) dysphagia
e) syncope - ansa) dysphasia
115. A patient presents with a 30-minute episode of garbled speech. Which area of
circulation is suspected?
a) right hemisphere
b) left hemisphere
c) occipital cortex
d) vertebrobasilar territory
e) brainstem circulation - ansb) left hemisphere
116. Which of the following is true regarding subclavian steal?
a) resulting strokes are usually severely disabling.
b) it is usually a harmless hemodynamic phenomenon.
c) it is caused by arterial obstruction proximal to the origin of the vertebral artery.
d) it is caused by arterial obstruction distal to the origin of the vertebral artery.
e) A and C
f) A and D
g) B and C
h) B and D - ansg) B and C
,CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
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QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
118. A hemispheric stroke usually affects:
a) The anterior cerebral artery distribution and the ipsilateral side of the body
b) The middle cerebellar artery distribution and the ipsilateral side of the body
c) The external carotid distribution, and may affect one or both sides of the body
d) The anterior cerebellar artery distribution and the contralateral side of the body
e) The middle cerebral artery distribution and the contralateral side of the body -
anse) The middle cerebral artery distribution and the contralateral side of the body
120. A decreased pulse at mid neck is suggestive of:
a) carotid aneurysm
b) common carotid stenosis if the contralateral pulse is normal
c) common carotid stenosis if the contralateral pulse is decreased
d) Internal carotid stenosis if the contralateral pulse is normal
e) Internal carotid stenosis if the contralateral pulse is also decreased - ansc)
common carotid stenosis if the contralateral pulse is decreased
121. Which is NOT true regarding carotid bruit?
a) severe stenosis may cause a bruit
b) the absence of a bruit rules out significant stenosis
c) the presence of a bruit is significant
d) a cervical bruit might arise from stenosis of the external carotid artery
e) a bruit extending into diastole suggests severe stenosis - ansb) the absence of a
bruit rules out significant stenosis
122. Bruits heard bilaterally, loudest low in the neck, are most likely caused by:
a) aortic valve stenosis
b) innominate stenosis
c) bilateral subclavian stenosis
d) aortic arch occlusion
e) bilateral CCA obstruction - ansa) aortic valve stenosis
123. A stronger pulse is palpated in the right neck than on the left. This could result
from all of the following EXCEPT:
a) tortuous CCA
b) carotid aneurysm on the right
c) tech error
d) left carotid obstruction
e) innominate occlusion - anse) innominate occlusion
124. Which of the following is/are TRUE regarding the clinical detection of a bruit?
,CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
PRACTICE EXAM QUESTIONS, CCI RVS EXAM
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QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
a) a bruit is always an indication of disease
b) it means that turbulent flow exists
c) it may be indicative of valvular dysfunction in the heart
d) it may be a normal finding in parts of some vessels and during periods of enhanced
flow
e) a bruit is present in >90% of vessels with disease
f) B, C, and D
g) A, B, and E - ansf) B, C, and D
125. During oridinary auscultation of a carotid bifurcation, the detection of a bruit
that extends into diastole is:
a) insignificant
b) marginally significant
c) moderately significant
d) highly significant
e) impossible - ansd) highly significant
126. Which of these conditions is LEAST likely to cause a bruit in the neck?
a) severe stenosis of the itnernal carotid artery
b) severe stenosis of the external carotid artery
c) hyperdynamic carotid flows
d) cardiac valvular disease
e) critical preocclusive stenosis of the internal carotid artery - anse) critical
preocclusive stenosis of the internal carotid artery
131. In duplex imaging, the best arterial wall quality is obtained when the beam is at
the following angle to the artery walls:
a) 90 deg
b) 60 deg
c) 0 deg
d) oblique
e) obtuse - ansa) 90 deg
132. TCD findings consistent with vasospasm following subarachnoid hemorrhage
would include:
a) absence of diastolic flow in the middle cerebral artery
b) greatly diminished diastolic flow in the middle cerebral artery
c) retrograde flow in the middle cerebral artery
d) greatly increased mean velocities in the middle cerebral artery
, CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
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QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
e) this is not a condition for which TCD is a useful modality - ansd) greatly increased
mean velocities in the middle cerebral artery
133. In TCD, the normal direction of flow in the vertebral artery is:
a) toward the beam
b) away from the beam
c) bidirectional
d) dependent on the cardiac cycle
e) not detectable with TCD - ansb) away from the beam
134. Which of the following is NOT a condition for which TCD might be useful?
a) vasospasm following subarachnoid hemorrhage
b) determination of brain death
c) cerebral artery monitoring during surgery
d) carotid siphon stenosis
e) temporal arteritis - anse) temporal arteritis
137. In TCD, the normal direction of flow in the anterior cerebral artery is:
a) toward the beam
b) away from the beam
c) bidirectional
d) dependent on the cardiac cycle
e) not detectable with TCD - ansb) away from the beam
138. A localized increase in mean velocity from 50 to 150 cm/sec at a depth of 50
mm with the TCD transducer placed in the temporal window probably indicates:
a) significant stenosis of the anterior cerebral artery
b) moderate generalized vasospasm
c) significant stenosis of the internal carotid at the siphon
d) significant vasospasm of the middle cerebral artery
e) significant stenosis of the middle cerebral artery - anse) significant stenosis of the
middle cerebral artery
139. In a handheld TCD, the angle of the beam relative to flow is assumed to be:
a) 0 deg
b) 30 deg
c) 45 deg exactly
d) 60 deg
e) 90 deg - ansa) 0 deg
PRACTICE EXAM QUESTIONS, CCI RVS EXAM
REVIEW COMPILATION ALL IN ONE 380
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
112. A binocular disturbance that disrupts vision in half the visual field of both eyes
is called:
a) hemiplegia
b) amaurosis duplex
c) dysphagia
d) homonymous hemianopia
e) hemiparesis - ansd) homonymous hemianopia
113. Parasthesia refers to:
a) dizziness
b) disturbance of speech
c) loss of function of a limb
d) weakness
e) tingling sensation - anse) tingling sensation
114. A patient describes a 30-minute episode of garbled speech. This is called:
a) dysphasia
b) aphasia
c) paresthesia
d) dysphagia
e) syncope - ansa) dysphasia
115. A patient presents with a 30-minute episode of garbled speech. Which area of
circulation is suspected?
a) right hemisphere
b) left hemisphere
c) occipital cortex
d) vertebrobasilar territory
e) brainstem circulation - ansb) left hemisphere
116. Which of the following is true regarding subclavian steal?
a) resulting strokes are usually severely disabling.
b) it is usually a harmless hemodynamic phenomenon.
c) it is caused by arterial obstruction proximal to the origin of the vertebral artery.
d) it is caused by arterial obstruction distal to the origin of the vertebral artery.
e) A and C
f) A and D
g) B and C
h) B and D - ansg) B and C
,CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
PRACTICE EXAM QUESTIONS, CCI RVS EXAM
REVIEW COMPILATION ALL IN ONE 380
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
118. A hemispheric stroke usually affects:
a) The anterior cerebral artery distribution and the ipsilateral side of the body
b) The middle cerebellar artery distribution and the ipsilateral side of the body
c) The external carotid distribution, and may affect one or both sides of the body
d) The anterior cerebellar artery distribution and the contralateral side of the body
e) The middle cerebral artery distribution and the contralateral side of the body -
anse) The middle cerebral artery distribution and the contralateral side of the body
120. A decreased pulse at mid neck is suggestive of:
a) carotid aneurysm
b) common carotid stenosis if the contralateral pulse is normal
c) common carotid stenosis if the contralateral pulse is decreased
d) Internal carotid stenosis if the contralateral pulse is normal
e) Internal carotid stenosis if the contralateral pulse is also decreased - ansc)
common carotid stenosis if the contralateral pulse is decreased
121. Which is NOT true regarding carotid bruit?
a) severe stenosis may cause a bruit
b) the absence of a bruit rules out significant stenosis
c) the presence of a bruit is significant
d) a cervical bruit might arise from stenosis of the external carotid artery
e) a bruit extending into diastole suggests severe stenosis - ansb) the absence of a
bruit rules out significant stenosis
122. Bruits heard bilaterally, loudest low in the neck, are most likely caused by:
a) aortic valve stenosis
b) innominate stenosis
c) bilateral subclavian stenosis
d) aortic arch occlusion
e) bilateral CCA obstruction - ansa) aortic valve stenosis
123. A stronger pulse is palpated in the right neck than on the left. This could result
from all of the following EXCEPT:
a) tortuous CCA
b) carotid aneurysm on the right
c) tech error
d) left carotid obstruction
e) innominate occlusion - anse) innominate occlusion
124. Which of the following is/are TRUE regarding the clinical detection of a bruit?
,CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
PRACTICE EXAM QUESTIONS, CCI RVS EXAM
REVIEW COMPILATION ALL IN ONE 380
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
a) a bruit is always an indication of disease
b) it means that turbulent flow exists
c) it may be indicative of valvular dysfunction in the heart
d) it may be a normal finding in parts of some vessels and during periods of enhanced
flow
e) a bruit is present in >90% of vessels with disease
f) B, C, and D
g) A, B, and E - ansf) B, C, and D
125. During oridinary auscultation of a carotid bifurcation, the detection of a bruit
that extends into diastole is:
a) insignificant
b) marginally significant
c) moderately significant
d) highly significant
e) impossible - ansd) highly significant
126. Which of these conditions is LEAST likely to cause a bruit in the neck?
a) severe stenosis of the itnernal carotid artery
b) severe stenosis of the external carotid artery
c) hyperdynamic carotid flows
d) cardiac valvular disease
e) critical preocclusive stenosis of the internal carotid artery - anse) critical
preocclusive stenosis of the internal carotid artery
131. In duplex imaging, the best arterial wall quality is obtained when the beam is at
the following angle to the artery walls:
a) 90 deg
b) 60 deg
c) 0 deg
d) oblique
e) obtuse - ansa) 90 deg
132. TCD findings consistent with vasospasm following subarachnoid hemorrhage
would include:
a) absence of diastolic flow in the middle cerebral artery
b) greatly diminished diastolic flow in the middle cerebral artery
c) retrograde flow in the middle cerebral artery
d) greatly increased mean velocities in the middle cerebral artery
, CCI RVS EXAM , CCI RVS EXAM PREP, CCI RVS
PRACTICE EXAM QUESTIONS, CCI RVS EXAM
REVIEW COMPILATION ALL IN ONE 380
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIOALES|ALREADY GRADED A+
e) this is not a condition for which TCD is a useful modality - ansd) greatly increased
mean velocities in the middle cerebral artery
133. In TCD, the normal direction of flow in the vertebral artery is:
a) toward the beam
b) away from the beam
c) bidirectional
d) dependent on the cardiac cycle
e) not detectable with TCD - ansb) away from the beam
134. Which of the following is NOT a condition for which TCD might be useful?
a) vasospasm following subarachnoid hemorrhage
b) determination of brain death
c) cerebral artery monitoring during surgery
d) carotid siphon stenosis
e) temporal arteritis - anse) temporal arteritis
137. In TCD, the normal direction of flow in the anterior cerebral artery is:
a) toward the beam
b) away from the beam
c) bidirectional
d) dependent on the cardiac cycle
e) not detectable with TCD - ansb) away from the beam
138. A localized increase in mean velocity from 50 to 150 cm/sec at a depth of 50
mm with the TCD transducer placed in the temporal window probably indicates:
a) significant stenosis of the anterior cerebral artery
b) moderate generalized vasospasm
c) significant stenosis of the internal carotid at the siphon
d) significant vasospasm of the middle cerebral artery
e) significant stenosis of the middle cerebral artery - anse) significant stenosis of the
middle cerebral artery
139. In a handheld TCD, the angle of the beam relative to flow is assumed to be:
a) 0 deg
b) 30 deg
c) 45 deg exactly
d) 60 deg
e) 90 deg - ansa) 0 deg
