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WCU ABI Case Studies Ultrasound Worksheet

WCU ABI Case Studies Ultrasound Worksheet

Question 1:
Patient presents to ER via ambulance s/p MVA. ABI obtained in trauma bay by nurse. Is
this ABI normal?
-Yes or No? Pick one
Question 2:
Considering ABI results, which side is abnormal?
– Right or Left? Pick the correct answer
Question 3:
Is this a 3 cuff method or 4 cuff? How will the diagnostic criteria change
depending on the cuff method? Why do they differ?
Question 4:
When will we obtain toe tracings and TBI? Pick correct answer
A. In patients with DM
B. In patients with HTN
C. In patients with CAD
D. In patients with hyperlipidemia
Question 5:
Are these waveforms CW Doppler or PVR? Pick
correct answer
A. PVR
B. CW
Question 6:
Considering waveforms, which side is abnormal? Right or Left? Pick correct answer
Question 7: Considering ABI, which side is abnormal? Right or left? Pick correct
answer
Question 8: Considering segmental pressures, where is level of disease?
A. Right Inflow
B. Aorto-Iliac
C. Left Inflow
D. RT high thigh
Question 9: Consider the post exercise results, which side is abnormal? Right or Left?
Pick correct answer
Question 10: What does the ‘0’ mean at level of ankle immediate post exercise right
side?
A. Severe drop in pressures: No audible pulse, therefore no pressure obtained
B. Equipment failure
C. Normal response
D. Pressure drop: 50-70% stenosis
Question 11: Now that we have dissected results of this report, please describe what
you believe are the patient’s clinical symptoms for why referring physician ordered
exam.
Question 12: Explain why the ABI is .20 RLE 2 minutes post exercise.
Question 13:
Patient has hx of HTN, CAD, DM and PAD. Please answer following:
What are these medical acronyms and why are they important?
Considering patient history can we rely on ABI information? Why or why not?
Which LE pressures are most accurate for this patient?
Question 14: Considering segmental blood pressure report, which side is abnormal?
Left or Right? Pick correct answer.
Question 15: 30 y/o male patient presents with tingling and pain RUE in specific
positions. No medical history. Indirect UE testing ordered and you obtain these results
with PPG sensor and PRV waveforms. What is possible diagnosis? Which position
causes cessation of blood flow?

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