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WCUI School of Medical Imaging Ultrasound Sonography Case Studies Questions

WCUI School of Medical Imaging Ultrasound Sonography Case Studies Questions

QUESTION 1: Patient presents with c/o LT calf pain after walking two blocks. Pain is
relieved with rest. Select medical term for this symptom.
Group of answer choices
A- Intermittent claudication
B- TIA
C-Rest pain
D- Pseudoaneurysm
QUESTION 2:
Patient c/o pain in RT calf after walking 2 blocks. Pain is relieved by rest. Referring
physician ordered segmental blood pressure with arterial duplex imaging if needed.
Segmental blood pressure exam demonstrated:
RT high thigh pressures as 166
RT low thigh pressures as 90
High calf pressure 89
Ankle pressures at 80
Where is possible stenosis?
Because of the results you obtained with segmental blood pressures, imaging
performed to visualize obstruction and you take this image in proximal SFA. Consider
velocities.
What does image indicate?
Describe waveforms you will obtain at SFA mid thigh (distal to area) because of this
finding.
Does this finding explain the pressure gradient and patient symptoms?
QUESTION 3:
Your colleague comes back to department after performing STAT arterial duplex exam
in the intensive care unit (ICU). She shows you this image of reverse flow in the
popliteal artery. She is excited by the finding and eager to show reading radiologist.
What do you think after careful review of image? Is flow reversed?
What will you do?
QUESTION 4:
Considering artery, location of sample volume and waveform, is this a normal
waveform?
If disease is present, where is it? Proximal or distal to sample volume?
QUESTION 5:
Consider this LT sided subclavian artery waveform. Where is obstruction?
With this finding, what might you find in the ipsilateral vertebral artery?

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