Venous System - Abdomen Class

46 Questions

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Abdomen Quizzes & Trivia

Questions and Answers
  • 1. 
    The IVC is formed at the confluence of what two veins?
  • 2. 
    The IVC is formed at the level of the ____________.
  • 3. 
    The IVC lies slightly to the ___________ (right or left?) of midline.
  • 4. 
    The IVC courses ____________ (superiorly or inferiorly?) and ends when it enters the __________  ___________ of the heart.
  • 5. 
    Renal Veins:The __________ (RRV or LRV) is shorter than the other renal vein because of its close proximity to the _________.
  • 6. 
    Renal Veins:The LRV runs anterior to the __________ and posterior to the __________.
  • 7. 
    Hepatic Veins:Normally, there are _____(#) hepatic veins.
  • 8. 
    Hepatic Veins:The hepatic veins are named...?
  • 9. 
    Hepatic Veins:The hepatic veins drain directly into the ___________.
  • 10. 
    Gonadal Veins:The gonadal veins are easily visible on sono.
    • A. 

      True

    • B. 

      False

  • 11. 
    What is the name of the vein that drains the ovaries or the testicles?
  • 12. 
    The RGV (right gonadal vein) drains directly into the lateral aspect of the _________ below the _________.
  • 13. 
    The LGV (left gonadal vein) inserts into the _________ that then drains into the IVC.
  • 14. 
    A normal variant of the LRV is called ___________ LRV.
  • 15. 
    Indications for an ultrasound study of the IVC and tributary veins.  Check all that apply.
    • A. 

      Swelling of trunk, lower extremities

    • B. 

      IVC filter

    • C. 

      Abdominal bruit

    • D. 

      Severe abdominal pain

    • E. 

      Known pathology

    • F. 

      Follow up study

    • G. 

      History of renal cell carcinoma

    • H. 

      Tachycardia

  • 16. 
    On sono, the tubular structure of the IVC appears ___________.
  • 17. 
    On sono, the shape of the IVC tends to be more __________.
  • 18. 
    The IVC responds to ___________ variations by either collapsing or dilating.
  • 19. 
    If the IVC collapses due to increased pressure in the abdominal cavity, the patient is probably ____________ (inhaling or exhaling?).
  • 20. 
    If the IVC dilates due to decreased pressure in the abdominal cavity, the patient is probably ____________ (inhaling or exhaling?).
  • 21. 
    What two respiratory variations would cause the IVC to collapse?
  • 22. 
    What two respiratory variations would cause the IVC to dilate?
  • 23. 
    The hepatic veins are best visualized with the transducer positioned __________.
    • A. 

      Sagitally

    • B. 

      Obliquely

    • C. 

      Transverse

  • 24. 
    When trying to visualize the hepatic veins, the transducer should be placed just inferior to the __________  __________ and angled toward the patient's ___________  ___________.
  • 25. 
    Partial imaging of the right hepatic vein and simultaneous imaging of the middle and left hepatic veins resembles the __________  __________ sign
  • 26. 
    The renal veins are best visualized holding the transducer in a ___________ plane.
    • A. 

      Oblique

    • B. 

      Sagital

    • C. 

      Transverse

  • 27. 
    The renal veins would be visualized just __________ (superior or inferior?) to the SMA.
  • 28. 
    A __________ Doppler pattern would be seen in the IVC near the diaphragm.
  • 29. 
    A __________ Doppler pattern would be seen in the IVC in the distal abdomen.
  • 30. 
    The hepatic veins display a __________ flow pattern dependent on __________ cycle and pressure variation in renal arteries.
  • 31. 
    The hepatic veins will have the same waveform as the portion of the IVC closest to them.
    • A. 

      True

    • B. 

      False

  • 32. 
    The renal veins are examined sonographically usually to rule out ____________.
  • 33. 
    The renal veins have a _________ (high or low?) velocity, __________ signal.
  • 34. 
    The __________  ___________ system is comprised of the veins that drain blood from the bowel and spleen and are separate from the IVC.
  • 35. 
    The main portal vein is formed at the junction of the __________ vein and __________ vein.
  • 36. 
    To image the portal venous system, it is easiest to begin by placing the transducer in the midline of the abdomen, just inferior to the __________  __________, in the __________ plane.
  • 37. 
    When trying to image the portal venous system, which vein can be used as a reference point since it is easily seen in the transverse plane?
  • 38. 
    The splenic vein emerges from the __________  __________ and courses the abdomen running __________ (direction?).
  • 39. 
    What vein borders the posterior surface of the pancreatic body and tail AND is anterior to the SMA?
  • 40. 
    At its termination, the splenic vein can be seen ___________ in caliber.
    • A. 

      Increasing

    • B. 

      Decreasing

  • 41. 
    What is the name of the structure that is the junction of the splenic vein and the SMV and can be visualized just posterior to the neck of the pancreas?
  • 42. 
    While visualizing the portal splenic confluence, the SMV can be seen by...
  • 43. 
    What vein runs parallel and to the right of the SMA?
  • 44. 
    The main portal vein runs somewhat __________ to enter the liver at the ___________.
  • 45. 
    To view the portal vein in its long axis, rotate the transducer ___________ (clockwise or counter-clockwise?) while imaging the portal splenic confluence.
  • 46. 
    When the portal vein reaches the liver, it soon divides into ________ and ________ portal veins.