CCI - RVS Exam Prep Updated Version

CCI - RVS Exam Prep Updated Version Questions and Correct Answers Guaranteed A+

• A binocular disturbance that disrupts vision in half the visual field of both eyes is

called:

• hemiplegia
• amaurosis duplex
• dysphagia
• homonymous hemianopia
• hemiparesis - Correct Answer d) homonymous hemianopia

113. Parasthesia refers to:

• dizziness
• disturbance of speech
• loss of function of a limb
• weakness
• tingling sensation - Correct Answer e) tingling sensation

114. A patient describes a 30-minute episode of garbled speech. This is called:

• dysphasia
• aphasia
• paresthesia
• dysphagia
• syncope - Correct Answer a) dysphasia

• A patient presents with a 30-minute episode of garbled speech. Which area of

circulation is suspected?

• right hemisphere
• left hemisphere
• occipital cortex
• vertebrobasilar territory
• brainstem circulation - Correct Answer b) left hemisphere

• Which of the following is true regarding subclavian steal?
• resulting strokes are usually severely disabling.
• it is usually a harmless hemodynamic phenomenon.
• it is caused by arterial obstruction proximal to the origin of the vertebral artery.
• it is caused by arterial obstruction distal to the origin of the vertebral artery.

e) A and C

f) A and D

g) B and C

h) B and D - Correct Answer g) B and C

118. A hemispheric stroke usually affects:

a) The anterior cerebral artery distribution and the ipsilateral side of the body

b) The middle cerebellar artery distribution and the ipsilateral side of the body 1 / 3

c) The external carotid distribution, and may affect one or both sides of the body

d) The anterior cerebellar artery distribution and the contralateral side of the body

e) The middle cerebral artery distribution and the contralateral side of the body - Correct

Answer e) The middle cerebral artery distribution and the contralateral side of the body

120. A decreased pulse at mid neck is suggestive of:

• carotid aneurysm
• common carotid stenosis if the contralateral pulse is normal
• common carotid stenosis if the contralateral pulse is decreased

d) Internal carotid stenosis if the contralateral pulse is normal

e) Internal carotid stenosis if the contralateral pulse is also decreased - Correct Answer

• common carotid stenosis if the contralateral pulse is decreased

• Which is NOT true regarding carotid bruit?
• severe stenosis may cause a bruit
• the absence of a bruit rules out significant stenosis
• the presence of a bruit is significant
• a cervical bruit might arise from stenosis of the external carotid artery
• a bruit extending into diastole suggests severe stenosis - Correct Answer b) the

absence of a bruit rules out significant stenosis

• Bruits heard bilaterally, loudest low in the neck, are most likely caused by:
• aortic valve stenosis
• innominate stenosis
• bilateral subclavian stenosis
• aortic arch occlusion
• bilateral CCA obstruction - Correct Answer a) aortic valve stenosis

• A stronger pulse is palpated in the right neck than on the left. This could result

from all of the following EXCEPT:

• tortuous CCA
• carotid aneurysm on the right
• tech error
• left carotid obstruction
• innominate occlusion - Correct Answer e) innominate occlusion

• Which of the following is/are TRUE regarding the clinical detection of a bruit?
• a bruit is always an indication of disease
• it meCorrect Answer that turbulent flow exists
• it may be indicative of valvular dysfunction in the heart
• it may be a normal finding in parts of some vessels and during periods of enhanced

flow

• a bruit is present in >90% of vessels with disease

f) B, C, and D

g) A, B, and E - Correct Answer f) B, C, and D

• / 3

• During oridinary auscultation of a carotid bifurcation, the detection of a bruit that

extends into diastole is:

• insignificant
• marginally significant
• moderately significant
• highly significant
• impossible - Correct Answer d) highly significant

• Which of these conditions is LEAST likely to cause a bruit in the neck?
• severe stenosis of the itnernal carotid artery
• severe stenosis of the external carotid artery
• hyperdynamic carotid flows
• cardiac valvular disease
• critical preocclusive stenosis of the internal carotid artery - Correct Answer e) critical

preocclusive stenosis of the internal carotid artery

• In duplex imaging, the best arterial wall quality is obtained when the beam is at the

following angle to the artery walls:

• 90 deg
• 60 deg
• 0 deg
• oblique
• obtuse - Correct Answer a) 90 deg

• TCD findings consistent with vasospasm following subarachnoid hemorrhage

would include:

• absence of diastolic flow in the middle cerebral artery
• greatly diminished diastolic flow in the middle cerebral artery
• retrograde flow in the middle cerebral artery
• greatly increased mean velocities in the middle cerebral artery
• this is not a condition for which TCD is a useful modality - Correct Answer d) greatly

increased mean velocities in the middle cerebral artery

133. In TCD, the normal direction of flow in the vertebral artery is:

• toward the beam
• away from the beam
• bidirectional
• dependent on the cardiac cycle
• not detectable with TCD - Correct Answer b) away from the beam

• Which of the following is NOT a condition for which TCD might be useful?
• vasospasm following subarachnoid hemorrhage
• determination of brain death
• cerebral artery monitoring during surgery
• carotid siphon stenosis
• temporal arteritis - Correct Answer e) temporal arteritis
• / 3