Question Bank – AAA (Basic)

The USPSTF recommends one-time screening for AAA in which of the following groups?

The “seagull” sign is used as a landmark to recognize you are scanning at the level of the ____

To assure you are not getting a falsely small diameter, the abdominal aorta should always be measured for aneurysm in 

The “mantle clock” sign is used as a landmark for recognizing you are scanning at the level of the ____

Most aortic aneurysms are located 

The following image demonstrates 

An abdominal aortic aneurysm has by definition a diameter of ____ or greater

An iliac artery aneurysm is defined at a diameter of ____ or greater

Given normal anatomy, the aorta can usually be found to the ____ of the patient’s inferior vena cava

The arrow here notes the 

The following scan is ____ for AAA

The following demonstrates a 

The following long axis aorta image clearly demonstrates the take off points of the 

This aorta scan performed as part of a RUSH examination suggests

The following aneurysm is

This patient from out of state presents to your clinic and reports an unknown history of a “enlarged vein.” Your ultrasound here suggests

This patient presents to your urgent care with searing abdominal pain and tachycardia, your scan is concerning for

The following image demonstrates

These iliac arteries are 

The following image of the distal aorta is 

After some pressure is applied to disperse bowel gas, this clip is (+/-) for aneurysm 

What pathology is seen here?

You are considering the diagnosis of an aortic dissection in patient with searing chest pain that radiates to the back. You have just scanned the entire course of the abdominal aorta to the proximal iliac arteries and you do not see a dissection flap. If you want to rule out an aortic dissection, your next step is to:

Your asymptomatic patient has a fusiform abdominal aorta which measured 4.3cm on your POCUS. What are the best next steps for this patient?

What is the best orientation for measuring AAA?

What are good techniques to improve visualization of the abdominal aorta when all you are seeing is bowel gas? Check all that apply.

You have concern for rupture in symptomatic patient with a known AAA, but you do not see evidence of rupture on your ultrasound. Is your ultrasound good enough to rule out rupture?

A 65yo male with a history of smoking wishes to undergo AAA screening. With POCUS you get a good scan of his proximal, mid, and distal abdominal aorta. Outer to outer, it measures 2.2cm at its widest dimension. If his baseline pre test probability for having a AAA was about 2.5% (1 in 40 males >50 yo), what is his post test probability of actually having a AAA?

When insonating the mid to distal aorta, which one troubleshooting technique usually affords better visualization of the aorta?

What are some of the presenting clinical complaints of patients with a symptomatic or leaking abdominal aortic aneurysm that would necessitate evaluation?

Which of these measured diameters of abdominal aortas, may be called an abdominal aortic aneurysm?

Per Rubano’s systematic review in 2013, what is the sensitivity and specificity for POCUS for abdominal aortic aneurysm?

The irregular bright white stripe superior to the dilated aorta in this case is likely due to?

This maximum aortic dilation is generally an indication for which of the following?

Which vessel is indicated by the yellow arrow in this sagittal view of the aorta?

Which vessel is indicated by the yellow arrow in this sagittal view of the aorta?

Which vessel is indicated by the yellow arrow in this transverse view of the mid abdomen?

What is the measurement of this abdominal aorta?

A parasternal long axis view is obtained on a hypotensive patient with abdominal pain. Which of the following should be performed?

Which vessel is indicated by the yellow arrow in this transverse view of the mid abdomen?