Arterial Abnormalities (part 2) - For Abdomen Test 10/18/10

35 Questions

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Abdomen Quizzes & Trivia

Questions and Answers
  • 1. 
    An aortic aneurysm is a risk for rupturing if it is greater than...
    • A. 

      5 cm

    • B. 

      6 cm

    • C. 

      7 cm

  • 2. 
    Signs and Symptoms:What arterial abnormality typically presents as central back pain and hypotension?
  • 3. 
    Sono Appearance:Because of a leakage of blood, this arterial abnormality may be diagnosed by an identification of a hematoma in the abdomen associated with an aneurysm.
  • 4. 
    Sono Appearance:A hematoma from an aortic rupture may be located anywhere in the ______________.
  • 5. 
    Sono Appearance:Collections of blood from a hematoma may appear as diffuse irregular _____________ (hyperechoic or hypoechoic?) areas near the aorta.
  • 6. 
    CT and MRI are the modalities of choice to diagnose an aortic rupture.
    • A. 

      True

    • B. 

      False

  • 7. 
    Sono Appearance:In the early stages of a hematoma the structure will appear ___________ and ___________ during imaging.
  • 8. 
    Sono Appearance:Gradually, the hematoma will become more organized.  It may reveal internal _________ and separations, or be complex with both __________ and __________ patterns. 
  • 9. 
    Sono Appearance:In later stages, a hematoma undergoes liquification and becomes a ___________, which appears ___________ (hyperechoic, hypoechoic, anechoic?) while imaging.
  • 10. 
    Sono Appearance:Chronic hematomas may become ___________ and produce shadowing.
  • 11. 
    Inflammatory aneurysms that result from an infectious process and involves the arterial wall are called...
  • 12. 
    If a patient presents with the following symptoms, which mycotic aneurysm would be suspected?1) Walls of aorta thickened2) Edema3) Hypoechoic structure4) Enlarged Organs5) Elevated WBC's6) Fever7) Pain
    • A. 

      Acute

    • B. 

      Chronic

  • 13. 
    If a patient presents with the following symptoms, which mycotic aneurysm would be suspected?1) Symptoms same as an aneurysm2) Atrophic / Hyperechoic structure3) Elevated WBC's4) Fever5) Pain
    • A. 

      Acute

    • B. 

      Chronic

  • 14. 
    Sono Appearance:You will see an aneurismal dilation with a hypoechoic mantle usually seen ___________ and __________ to a thickened aortic wall.
  • 15. 
    Mycotic aneurysms may mimic ___________  ___________, which would not show an aneurismal dilation.
  • 16. 
    The __________ artery is the most common type of visceral artery aneurysm.
  • 17. 
    The ____________ artery is the second most common type of intrabdominal aneurysm secondary to the aorta.
  • 18. 
    Splenic artery aneurysms are seen predominantly in...
    • A. 

      Males

    • B. 

      Females

  • 19. 
    What is the most common cause of splenic artery aneurysms?
  • 20. 
    Atherosclerosis, Portal HTN, and multigravidas are among the causes of what type of aneurysm?
  • 21. 
    A patient presents with a history of atherosclerosis, portal HTN, vague epigastric pain, and she has three children.  What type of aneurysm would be suspected?
    • A. 

      Splenic artery

    • B. 

      Chronic mycotic

    • C. 

      Aortic

    • D. 

      Renal aneurysm

    • E. 

      Hepatic artery

  • 22. 
    What type of aneurysm is rare and occurs most commonly from:1) a systemic infection, 2) atherosclerosis, or 3) blunt abdominal trauma
  • 23. 
    Name the type of aneurysm:Clinically, this type of aneurysm is asymptomatic unless large. The patient has obstructive jaundice and complains of vague epigastric pain. 
  • 24. 
    _____(#) percent of hepatic artery aneurysms are extrahepatic.
  • 25. 
    Name the type of aneurysm:This type of aneurysm is rare and is usually caused by atherosclerosis and cystic medial necrosis.  Patient may present with general abdominal pain.
  • 26. 
    Name the type of aneurysm:This type of aneurysm is rare. The most common cause is atherosclerosis.  The patient presents with a palpable mass, HTN, hematuria, and flank pain.
  • 27. 
    Name the type of aneurysm:This type of aneurysm is rare when isolated but is most often associated with a AAA. The most common cause is atherosclerosis and the patient is asymptomatic.
  • 28. 
    When there is a tear in the vessel wall that permits blood to escape into the surrounding tissue, this is known as a(n):
  • 29. 
    A patient presents after a serious car accident for an aortic ultrasound. When performing the study, you measure the aorta at 2.3 cm but you see an area that has a hematoma outside of the vessel wall. The hematoma seems to be pulsating. The Doppler picks up turbulent "To and Fro" flow.  What could this be?
  • 30. 
    Choose the two major causes for a pseudoaneurysm.
    • A. 

      Uncontrolled HTN

    • B. 

      Acute Renal Failure

    • C. 

      Catheterization

    • D. 

      Atherosclerosis

    • E. 

      Trauma

  • 31. 
    An aortic _________ is usually a manmade structure used to repair an aortic aneurysm.
  • 32. 
    Sono Appearance:The walls of aortic grafts are __________.You may also be able to see ___________.Graft walls are __________ than native walls.
  • 33. 
    The most common complication from aortic grafts is ____________.
  • 34. 
    Pseudoaneurysms that occur after an aortic graft usually occur at the _____________ site.
  • 35. 
    A differential diagnosis for a mycotic aneurysm is...