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Abdominal Aortic Aneurysm Knowledge Check

AAA POCUS Knowledge Check

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This Knowledge Check for abdominal aortic aneurysm (AAA) point-of-care ultrasound (POCUS) gives you an opportunity to test your POCUS knowledge. Each question offers an explanation of the answer, and you'll receive feedback about your final score.

What is the diagnostic criterion for an abdominal aortic aneurysm (AAA)?

Dilatation of the abdominal aorta measuring >3.0cm

Dilatation of the abdominal aorta measuring >2.0cm

Dilatation of the abdominal aorta measuring >2.5cm

Which of the following is a major pitfall for an abdominal aortic aneurysm (AAA) POCUS exam?

Bowel gas

Ascites

Abdominal mass

A 66-year-old Caucasian male underwent an abdominal aortic aneurysm (AAA) screening in the outpatient clinic. He has a history of smoking for the past 35 years. There was no other significant medical history. Vitals were within normal limits. The following view was obtained with the transducer image orientation marker pointing cephalad.

Which blood vessel is the yellow arrow pointing to?

Superior mesenteric artery

Inferior mesenteric artery

Renal artery

A 67-year-old Hispanic female presented to the clinic for routine checkup and was recommended an abdominal aortic aneurysm (AAA) screening exam. She is a known smoker for the past 40 years. She is also on antihypertensive agents. Her blood pressure was 148/90 mm Hg. Rest of the vitals were within normal limits. Her primary care physician performed a AAA screening exam. The following oblique view was obtained from the left side of the midline, at the level of the lower abdominal aorta and bifurcation.

Which blood vessel is highlighted in yellow?

Inferior vena cava

Lower abdominal aorta

Right common iliac artery

An 85-year-old male was recommended an abdominal aortic aneurysm (AAA) screen by his primary care physician. He is a known smoker and has been on antihypertensive medications for the past 20 years. An image was obtained in the transverse plane within the region of the mid-abdominal aorta.

What is seen in the image above?

Normal abdominal aorta

Arterio-venous fistula

Saccular aneurysm

A 65-year-old male African American athlete underwent an abdominal aortic aneurysm (AAA) screen during a scheduled visit at the clinic. The family medicine physician also observed and obtained the following sagittal view of the mid-inferior vena cava (IVC).

What structure is the arrow pointing to?

Right renal vein

Right renal artery

Left renal artery

A 70-year-old Caucasian female with a history of smoking underwent an abdominal aortic aneurysm (AAA) screening. She has a history of hypertension for the past 25 years and has been on antihypertensive agents since she was diagnosed. There is no family history of AAA. She has no abdominal or new onset back or groin pain. The following image was obtained at the level of the mid-abdominal aorta in the transverse plane. The full image is captured on the left. The image is zoomed in on the structure.

What vascular structure is the yellow arrow pointing to?

Inferior vena cava

Left renal artery

Left renal vein

A 67-year-old asymptomatic Asian male presents to the outpatient clinic for a routine physical exam. He has a history of smoking for the past 40 years. The primary care physician performed a abdominal aortic aneurysm (AAA) screen. The view above was obtained at the level of the lower abdominal aorta.

What is the correct diagnosis?

Fusiform aneurysm of the abdominal aorta

Normal abdominal aorta

Saccular aneurysm of the abdominal aorta

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