Andie’s Vascular Midterm Review

Break your Neck

100

​​​What is the most common type of stroke?​​​​​​​​

Ischemic

200

A patient is experiencing diplopia, where would the plaque be located?

Vertebral or Basilar artery

300

The first branch of the ECA is the ^{Superior Thyroid Branch.} Name 3 other branches of the ECA.

^{Lingual, Facial, Occipital, Posterior Auricular, Ascending Pharyngeal, Maxillary, or Superficial Temporal}

400

ICA PSV = 254cm/s | ICA/CCA PSV ratio = 4.2 | EDV = 98cm/s

What is the severity of the ICA?

50 - 69%

500

What is this photo showing?

#1

Giant Cell Arteritis

The Deep End

100

What are the concomitant veins in the calf?

^1.  PTVs

^2.  Peroneals

^3.  ATVs

200

Which part of Virchow's Triad is the most common cause for lower venous thrombus and what is the most common for upper venous thrombus?

^{LOWER VENOUS} = Venous stasis

^{UPPER VENOUS} = Vessel wall injury

300

What are 3 symptoms related to PE?

^1. Tachypnea

^2. Chest pain

^3. Tachycardia

400

Where does the Deep System begin?

Deep Plantar Arch

500

What is the pathology?

#2

May Thurner 

Surface Level

100

What are the main symptoms of SVT?

Palpable cord and pain

200

When the Small Saphenous vein continues above the knee, it is now known as what?

The vein of Giacomini

300

Why are Upper extremity SVTs more life threatening than lower extremity SVTs?

The upper extremity's superficial system is the main outflow tract to the heart.

400

Where do the Cephalic vein and Basilic vein communicate?

Median Cubital vein

500

What is this arrow pointing at?

#3

Posterior Accessory GSV

Nothing a Tum can’t fix

100

What is the most common type of reflux?

Primary

200

Which photo displays reflux? And is this a distal or proximal augment?

#5

B and proximal augment

300

What does this patients appear to have?

#4

Lipodermatosclerosis

400

What are 3 things that can cause a False Positive reflux exam?

^1. High persistent settings

^2. Extrinsic compression

^3. PVD

^4. COPD

^5. Probe pressure

500

A patient comes in with swelling and tightness of the leg. Upon examination, the patient has varicose veins, corona phlebectasia and a healed ulcer. The duplex scan report shows GSV, Popliteal and ATV reflux. Signs of postthrombotic obstruction are negative. What is the CEAP classification?

C_234c6E_pA_sdP_r

Dopple-Ganger

100

Is this waveform Pre, @, Post or Distal to stenosis?

#6

Post stenosis

200

Is this a hesitant, partial or full subclavian steal?

#7

Hesitant

300

You see this waveform in the Left ECA. Where is the stenosis and what is it consistent with?

#8

Left CCA and a choke lesion

400

What are the 5 Doppler signals that should be displayed with normal flow?

^1. Spontaneous Doppler signals in all major vessels

^2. Respiratory phasicity 

^3. Augmentation with distal compression

^4. Cessation of flow with proximal compression or Valsalva maneuver 

^5. Flow should be unidirectional toward the heart

500

How would you write up this report?

RIGHT                                            LEFT

Prx CCA = 67/23                         60/18

Mid CCA = 87/22                         55/16

Dst CCA = 60/23                        64/15

PRX ICA = 120/34                       118/20

MID ICA = 121/32                       112/25

DST ICA = 118/23                      122/34

ECA = 127                                  133

VERT = 45/20 Antegrade         55/23 Ante

Subc = 116 Triphasic                122 Tri

1. <50% stenosis bilateral ICAs

2. Patent antegrade flow in bilateral vertebrals