Question 1

High resistance Doppler spectral waveforms recorded throughout the renal medulla and cortex suggest

Accepted Answer

A)  proximal renal artery stenosis. 
B)  flow-limiting disease in the distal renal artery. 
C)  intrinsic medical renal disease. 
D)  the presence of accessory renal arteries. 
A)  proximal renal artery stenosis. 
B)  flow-limiting disease in the distal renal artery. 
C)  intrinsic medical renal disease. 
D)  the presence of accessory renal arteries. C

Question 2

The blood flow pattern in the normal renal artery can be characterized as

Accepted Answer

A)  high resistance with high diastolic flow. 
B)  low resistance with high diastolic flow 
C)  high resistance with high diastolic flow., 
D)  low resistance with low diastolic flow.. 
A)  high resistance with high diastolic flow. 
B)  low resistance with high diastolic flow 
C)  high resistance with high diastolic flow., 
D)  low resistance with low diastolic flow.. B

Question 3

The hepatic artery enters the porta hepatis along with the

Accepted Answer

A)  right hepatic and splenic veins. 
B)  main portal vein and common bile duct. 
C)  right hepatic vein and common bile duct. 
D)  left portal vein and right branch of the hepatic artery. 
A)  right hepatic and splenic veins. 
B)  main portal vein and common bile duct. 
C)  right hepatic vein and common bile duct. 
D)  left portal vein and right branch of the hepatic artery. B

Question 4

Which are characteristics of a Doppler spectral waveform from a normal infrarenal abdominal aorta?

Accepted Answer

A)  Rapid systolic upstroke, delayed deceleration, and low diastolic flow 
B)  Rapid systolic upstroke and rapid deceleration with constant forward diastolic flow 
C)  Rapid systolic upstroke and rapid deceleration with flow reversal in late systole 
D)  Rapid systolic upstroke, reversed late systolic flow, and constant forward diastolic flow 
A)  Rapid systolic upstroke, delayed deceleration, and low diastolic flow 
B)  Rapid systolic upstroke and rapid deceleration with constant forward diastolic flow 
C)  Rapid systolic upstroke and rapid deceleration with flow reversal in late systole 
D)  Rapid systolic upstroke, reversed late systolic flow, and constant forward diastolic flow

Question 5

Which statement is NOT true about the celiac artery?

Accepted Answer

A)  The celiac artery feeds organs that have low vascular resistance. 
B)  The celiac artery originates from the posterolateral wall of the abdominal aorta. 
C)  The celiac artery has three branches: the common hepatic, splenic, and left gastric arteries. 
D)  The superior mesenteric artery and the celiac artery may share a common trunk at their origin. 
A)  The celiac artery feeds organs that have low vascular resistance. 
B)  The celiac artery originates from the posterolateral wall of the abdominal aorta. 
C)  The celiac artery has three branches: the common hepatic, splenic, and left gastric arteries. 
D)  The superior mesenteric artery and the celiac artery may share a common trunk at their origin.

Question 6

Which statement is NOT true about the portal vein?

Accepted Answer

A)  It supplies approximately 70% of the oxygenated blood flow to the liver. 
B)  It is an intraabdominal vein. 
C)  It is formed by the confluence of the umbilical, splenic, and superior mesenteric veins. 
D)  Blood flow in the portal vein normally is hepatopetal in direction. 
A)  It supplies approximately 70% of the oxygenated blood flow to the liver. 
B)  It is an intraabdominal vein. 
C)  It is formed by the confluence of the umbilical, splenic, and superior mesenteric veins. 
D)  Blood flow in the portal vein normally is hepatopetal in direction.

Question 7

Which structure does NOT border the abdominal aorta anteriorly?

Accepted Answer

A)  Portal vein 
B)  Superior mesenteric artery 
C)  Celiac axis 
D)  Stomach 
A)  Portal vein 
B)  Superior mesenteric artery 
C)  Celiac axis 
D)  Stomach

Question 8

Which of the following best describes the blood flow pattern in the superior mesenteric artery after ingestion of a meal?

Accepted Answer

A)  Peak systolic velocity greater than 200 cm/sec with low diastolic flow and systolic flow reversal 
B)  Peak systolic velocity less than 200 cm/sec with low diastolic flow 
C)  Peak systolic velocity greater than 200 cm/sec with high diastolic flow 
D)  Peak systolic velocity greater than 200 cm/sec, systolic flow reversal, and high diastolic forward flow 
A)  Peak systolic velocity greater than 200 cm/sec with low diastolic flow and systolic flow reversal 
B)  Peak systolic velocity less than 200 cm/sec with low diastolic flow 
C)  Peak systolic velocity greater than 200 cm/sec with high diastolic flow 
D)  Peak systolic velocity greater than 200 cm/sec, systolic flow reversal, and high diastolic forward flow

Question 9

The left renal vein serves as a valuable landmark for locating the renal arteries. It courses

Accepted Answer

A)  anterior to the abdominal aorta and posterior to the superior mesenteric artery. 
B)  posterior to the abdominal aorta and anterior to the left renal artery. 
C)  posterior to the inferior vena cava and anterior to the abdominal aorta. 
D)  anterior to the inferior vena cava and anterior to the abdominal aorta. 
A)  anterior to the abdominal aorta and posterior to the superior mesenteric artery. 
B)  posterior to the abdominal aorta and anterior to the left renal artery. 
C)  posterior to the inferior vena cava and anterior to the abdominal aorta. 
D)  anterior to the inferior vena cava and anterior to the abdominal aorta.

Question 10

Normally, flow patterns in the portal vein and its branches are characterized by

Accepted Answer

A)  continuous, minimally phasic, disordered flow with high mean velocities. 
B)  pulsatile, biphasic, disordered flow with low mean velocities. 
C)  continuous or minimally phasic disordered flow with low peak and mean velocities. 
D)  phasic flow with low peak and mean velocities. 
A)  continuous, minimally phasic, disordered flow with high mean velocities. 
B)  pulsatile, biphasic, disordered flow with low mean velocities. 
C)  continuous or minimally phasic disordered flow with low peak and mean velocities. 
D)  phasic flow with low peak and mean velocities.

Question 11

The Doppler spectral waveform form the normal renal artery demonstrates:

Accepted Answer

A)  constant forward diastolic flow 
B)  intermittent forward diastolic flow 
C)  constant flow reversal during diastole 
D)  intermittent flow reversal during diastole 
A)  constant forward diastolic flow 
B)  intermittent forward diastolic flow 
C)  constant flow reversal during diastole 
D)  intermittent flow reversal during diastole

Question 12

Which statement is correct?

Accepted Answer

A)  The inferior mesenteric artery lies anterolateral to the abdominal aorta and enters the pelvis as the superior hemorrhoidal artery. 
B)  The suprarenal abdominal aortic Doppler velocity waveform is triphasic because of the high resistance vascular bed of the fasting superior mesenteric artery. 
C)  The kidneys and liver are high resistance end organs. 
D)  A Doppler spectral waveform from the postprandial superior mesenteric artery demonstrates low diastolic flow because of the change in the vascular resistance of the stomach and small intestine that occurs with digestion. 
A)  The inferior mesenteric artery lies anterolateral to the abdominal aorta and enters the pelvis as the superior hemorrhoidal artery. 
B)  The suprarenal abdominal aortic Doppler velocity waveform is triphasic because of the high resistance vascular bed of the fasting superior mesenteric artery. 
C)  The kidneys and liver are high resistance end organs. 
D)  A Doppler spectral waveform from the postprandial superior mesenteric artery demonstrates low diastolic flow because of the change in the vascular resistance of the stomach and small intestine that occurs with digestion.

Question 13

Which statement is NOT true about the renal arteries?

Accepted Answer

A)  The left renal artery lies superior to the left renal vein. 
B)  The proximal renal arteries follow the crus of the diaphragm. 
C)  The right renal artery courses posterior to the inferior vena cava. 
D)  The renal arteries originate from the lateral wall of the abdominal aorta. 
A)  The left renal artery lies superior to the left renal vein. 
B)  The proximal renal arteries follow the crus of the diaphragm. 
C)  The right renal artery courses posterior to the inferior vena cava. 
D)  The renal arteries originate from the lateral wall of the abdominal aorta.

Question 14

Which does NOT affect portal venous flow?

Accepted Answer

A)  Posture 
B)  Dietary state 
C)  Hematocrit 
D)  Exercise 
A)  Posture 
B)  Dietary state 
C)  Hematocrit 
D)  Exercise

Question 15

Which statement is NOT true about blood flow to the kidney?

Accepted Answer

A)  The Doppler velocity signal from the interlobar arteries demonstrates significant forward diastolic flow. 
B)  The velocity spectral waveforms from the medulla and cortex of a kidney are normally pulsatile. 
C)  Because of the high metabolic demands of the kidney, flow is forward during diastole. 
D)  The spectral waveform from the arcuate vessels of the kidney of a patient in chronic renal failure show decreased diastolic flow. 
A)  The Doppler velocity signal from the interlobar arteries demonstrates significant forward diastolic flow. 
B)  The velocity spectral waveforms from the medulla and cortex of a kidney are normally pulsatile. 
C)  Because of the high metabolic demands of the kidney, flow is forward during diastole. 
D)  The spectral waveform from the arcuate vessels of the kidney of a patient in chronic renal failure show decreased diastolic flow.

Question 16

Blood flow in the right, middle, and left hepatic veins is characterized by

Accepted Answer

A)  four phases of flow: two away from the heart and two toward the heart. 
B)  three phases of flow: two toward the heart and a phase of systolic flow reversal. 
C)  three phases of flow: one toward the heart and then two away from the heart. 
D)  four phases of flow: two toward the heart followed by two away from the heart. 
A)  four phases of flow: two away from the heart and two toward the heart. 
B)  three phases of flow: two toward the heart and a phase of systolic flow reversal. 
C)  three phases of flow: one toward the heart and then two away from the heart. 
D)  four phases of flow: two toward the heart followed by two away from the heart.

Question 17

Which is NOT a tributary of the inferior vena cava?

Accepted Answer

A)  Hepatic vein 
B)  Portal vein 
C)  Renal vein 
D)  Right suprarenal vein 
A)  Hepatic vein 
B)  Portal vein 
C)  Renal vein 
D)  Right suprarenal vein

Exam 11: Abdominal Vasculature

High resistance Doppler spectral waveforms recorded throughout the renal medulla and cortex suggest

The blood flow pattern in the normal renal artery can be characterized as

The hepatic artery enters the porta hepatis along with the

Which are characteristics of a Doppler spectral waveform from a normal infrarenal abdominal aorta?

Which statement is NOT true about the celiac artery?

Which statement is NOT true about the portal vein?

Which structure does NOT border the abdominal aorta anteriorly?

Which of the following best describes the blood flow pattern in the superior mesenteric artery after ingestion of a meal?

The left renal vein serves as a valuable landmark for locating the renal arteries. It courses

Normally, flow patterns in the portal vein and its branches are characterized by

The Doppler spectral waveform form the normal renal artery demonstrates:

Which statement is correct?

Which statement is NOT true about the renal arteries?

Which does NOT affect portal venous flow?

Which statement is NOT true about blood flow to the kidney?

Blood flow in the right, middle, and left hepatic veins is characterized by

Which is NOT a tributary of the inferior vena cava?

Before and After the Ultrasound Examination

Ultrasound Instrumentation: Knobology, Imaging Processing, and Storage

General Patient Care

First Scanning Experience

Interdependent Body Systems

Anatomy Layering and Sectional Anatomy

Embryology

The Abdominal Aorta

The Inferior Vena Cava

The Portal Venous System

The Liver

The Biliary System

The Pancreas

The Urinary System

The Spleen

The Gastrointestinal System

The Prostate Gland and Seminal Vesicles

The Female Pelvis

First Trimester Obstetrics 0 to 12 Weeks

Second and Third Trimester Obstetrics 13 to 42 Weeks

High-Risk Obstetric Sonography

The Thyroid and Parathyroid Glands

Breast Sonography

Penile and Scrotal Ultrasound

The Neonatal Brain

Pediatric Echocardiography

Adult Echocardiography

Vascular Technology

Three-Dimensional Ultrasound

Interventional and Intraoperative Ultrasound

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