Abstract
The following questions for SVU-CME examination are based on the article entitled “Deep Vein Thrombosis Post Radiofrequency Ablation of the Saphenous and Perforator Veins: Is Duplex Ultrasound Necessary Within Five Days?” by Anita Altawan, RVT, RPhS; David Golchian, DO; Mazen Bazzi, DO; John Iljas, DO; Bipinchandra Patel, DO.
Both true/false and multiple-choice questions are included. There is only one (1) correct answer for the multiple choice test items. Answer all the questions as listed below. One/half (0.5) CME credit will be awarded for successful completion of this test with a grade of 80% or more.
In this study a total of 62 post radiofrequency ablation patients underwent
Unilateral lower extremity venous exam to evaluate for superficial venous thrombosis. Bilateral lower extremity venous exam to evaluate for superficial venous thrombosis. Bilateral lower extremity venous exam to evaluate for deep venous thrombosis. Unilateral lower extremity venous exam to evaluate for deep venous thrombosis.
A known complication of radiofrequency ablation is
SVT DVT Recurrent reflux Incomplete ablation
All of the post – procedure venous patients were asymptomatic at the time of the duplex evaluation.
True False
The incidence of early onset (within 5 days) post ablation DVI was
3.8% 2.8% 4.8% 5.8%
In the greater saphenous venous system the ablated thrombus tip was
= to or <1/2 centimeter from the deep venous system. = to or >3 centimeters from the deep system. Adjacent to the deep system. = to or >1 centimeter from the deep venous system.
This evaluation included all of the following, except
Pulsed wave Doppler Power Doppler ultrasonography Compression maneuver techniques Thrombus tip to deep vein measurement
CME tests are offered only online at www.svunet.org. SVU Members can complete the tests and earn CME for free. Nonmembers will be charged $40 per CME test taken. All exams for SVU CME must be completed by March 2, 2020. If requesting AMA PRA Category 1 CME Credit™, exam must be completed by March 2, 2020.
The following questions for SVU-CME examination are based on the article entitled “Carotid Artery Aneurysm” by Adam E. Jackson, RDCS, RVT.
Both true/false and multiple-choice questions are included. There is only one (1) correct answer for the multiple choice test items. Answer all the questions as listed below. One/half (0.5) CME credit will be awarded for successful completion of this test with a grade of 80% or more.
The patient being evaluated had all of the following, except
A history of continuing to smoke Multiple strokes Multiple coronary catheterizations Only one carotid endarterectomy (CEA)
The percentage of stenotic area (80% and 88%) was indicative of the actual percent stenosis in this patient.
True False
This aneurysm is probably due to
Multiple CEA's and continued smoking Multiple coronary catheterizations Atherosclerotic changes chronic obstructive pulmonary disease (COPD)
According to this paper, carotid artery endarterectomies (CEA) have all of the following characteristics, except
Is the most common vascular surgical procedures today? Is performed on patients' with no symptoms and a stenosis of 60% or greater Has, according to the CDC, put stroke as the forth-leading cause of death, down from the third. Have dramatically reduced the number of strokes
Restenosis-related symptoms from CEA occur in _____ of patients.
6–14% 1.5–4.5% 0–8% 10%
The biggest factor apparently encouraging restenosis is
Smoking Hyperlipidemia Hypertension Age and sex
CME tests are offered only online at www.svunet.org. SVU Members can complete the tests and earn CME for free. Nonmembers will be charged $40 per CME test taken. All exams for SVU CME must be completed by March 2, 2020. If requesting AMA PRA Category 1 CME Credit™, exam must be completed by March 2, 2020.
The following questions for SVU-CME examination are based on the article entitled “Digital Traumatic Fistula and Arteriovenous Malformation in a Patient with Ulnar Nerve Compression Syndrome” by Humberto Varjão de Oliveira, MD; Sergio X. Salles-Cunha, PhD, RVT, FSVU.
Both true/false and multiple-choice questions are included. There is only one (1) correct answer for the multiple choice test items. Answer all the questions as listed below. One half (0.5) CME credit will be awarded for successful completion of this test with a grade of 80% or more.
Ulnar nerve compression is called the
Carpal tunnel disorder Guyon syndrome Gardener's syndrome Gerstmann's syndrome
Signs and symptoms of neural compression in the upper extremities can be
Specific or not Related to ulnar compression syndrome Related to thoracic outlet compression All of the above
Carpal tunnel compression syndrome is common among peripheral nerves, with a prevalence estimated at
<1% >10% 4% 18%
Vascular causes for ulnar syndromes are relatively common.
True False
Ultrasonic imaging including Doppler is useful for detecting all of the following, except:
Radiculopathies Ulnar artery occlusion True and false aneurysms Hypothenar hammer syndrome
Occupational or traumatic hyperactivity can cause neurovascular syndromes in the Guyon channel.
True False
CME tests are offered only online at www.svunet.org. SVU Members can complete the tests and earn CME for free. Nonmembers will be charged $40 per CME test taken. All exams for SVU CME must be completed by March 2, 2020. If requesting AMA PRA Category 1 CME Credit™, exam must be completed by March 2, 2020.
The following questions for SVU-CME examination are based on the article entitled “Mycotic Aneurysm Detected by the Axiom: Scan Where the Pain Is” by Laureen Baetz, RT (ARRT), RVT; Bhagwan Satiani, MD, MBA, RPVI.
Both true/false and multiple-choice questions are included. There is only one (1) correct answer for the multiple choice test items. Answer all the questions as listed below. One/half (0.5) CME credit will be awarded for successful completion of this test with a grade of 80% or more.
The patient in this study noted on her first day of work after her discharge a
Swelling and pain in her left extremity Swelling but no real pain in her left extremity Swelling and pain in her right extremity Swelling but no pain in her left extremity
The ultrasound examination was ordered to rule out
Superficial venous thrombosis (SVT) Deep venous thrombosis (DVT) Popliteal aneurysm Mycotic aneurysm
The aneurysm was found when the technologist
Went past the regular exam and looked above the inguinal ligament Stayed with the routine examination and was lucky to find the aneurysm Didn't ask the patient any questions Just did what they were told
This mycotic aneurysm is adjacent to the
Sternocleidomastoid muscle Gastrocnemius muscle Vastus lateralis muscle Ilio-psoas muscle
Ignored, this aneurysm could have gone on to have all of the following, except
Aneurysm rupture Intracranial emboli Systemic sepsis Death
The patients' pain was relieved by
Hip flexion Leg extension Vigorous exercise Standing
CME tests are offered only online at www.svunet.org. SVU Members can complete the tests and earn CME for free. Nonmembers will be charged $40 per CME test taken. All exams for SVU CME must be completed by March 2, 2020. If requesting AMA PRA Category 1 CME Credit™, exam must be completed by March 2, 2020.
The following questions for SVU-CME examination are based on the article entitled “Ultrasound Detection of Absent Inferior Vena Cava” by Matthew G. Smith, MS, RVT; Katherine Kane, MD.
Both true/false and multiple-choice questions are included. There is only one (1) correct answer for the multiple choice test items. Answer all the questions as listed below. On half (0.5) CME credit will be awarded for successful completion of this test with a grade of 80% or more.
A congenital absence of the vena cava is characterized by all of the following, except
Most confirmed patients are female Most confirmed patients are male Involves unilateral DVT of the iliac and/or femoral veins Involves bilateral iliac and/or femoral veins
Most absent vena cava are diagnosed by
Ultrasound imaging of the abdomen CT and/or MRI on a routine physical Venography after a diagnosis of iliac or femoral vein thrombosis CT and/or MRI after iliac or femoral vein DVT
Congenital absence of the inferior vena cava is also called
Angiogenesis Agenesis Absenta previa Gestational idiopathy
The patient in this study had multiple risk factors for deep venous thrombosis
True False
The intrahepatic inferior vena cava forms in which weeks of gestation
Between ten and eleven weeks Between five and six weeks Between six and eight weeks Between eight and ten weeks
In cases of absent IVC, pulmonary embolism is rare
True False
CME tests are offered only online at www.svunet.org. SVU Members can complete the tests and earn CME for free. Nonmembers will be charged $40 per CME test taken. All exams for SVU CME must be completed by March 2, 2020. If requesting AMA PRA Category 1 CME Credit™, exam must be completed by March 2, 2020.
The following questions for SVU-CME examination are based on the article entitled “Posterior Tibial Artery Pseudoaneurysm with Arteriovenous Fistula: Impact of Duplex Ultrasound on Diagnosis and Treatment” by Keith Himes, RT(R), RVT; Amanda Bornais, BS, RVT, EMTP; Emelia Bittenbinder, MD; Judith Cook, MD.
Both true/false and multiple-choice questions are included. There is only one (1) correct answer for the multiple choice test items. Answer all the questions as listed below. One/half (0.5) CME credit will be awarded for successful completion of this test with a grade of 80% or more.
Post-traumatic peripheral vascular injuries resulting in pseudoaneurysm (PSA) or arterial venous fistula (AVF) are commonly reported
True False
Post-traumatic peripheral vascular injuries resulting in pseudoaneurysm (PSA) or arterial venous fistula (AVF) may be caused by all of the following, except
Following sports related injuries Concomitantly with penetrating trauma Concomitantly following lower extremity fractures Spontaneously
A co-existing arteriovenous fistula AVF can impact the efficacy and safety of pseudoaneurysm PSA treatments.
True False
Treatment for PSA include all of the following, except
Thrombin injection Endovascular repair Ablation Open surgical repair
In the CT angiogram there was equal opacification of the PTA and PTVs; the simultaneous arterial and venous contrast was suspicious for AVF
True False
Which of the following arteries of the right leg had normal multiphasic arterial waveforms
Peroneal Anterior tibial artery Proximal posterior tibial artery Distal posterior tibial artery
CME tests are offered only online at www.svunet.org. SVU Members can complete the tests and earn CME for free. Nonmembers will be charged $40 per CME test taken. All exams for SVU CME must be completed by March 2, 2020. If requesting AMA PRA Category 1 CME Credit™, exam must be completed by March 2, 2020.