You are about to take the CME Quiz for Upper Extremity Venous Evaluation.

After receiving a passing score of at least 70% you will be prompted to complete a form and enter your credit card information.

Volume Pricing: One credit for $25.00. You will receive your CME credit and certificate for this course. Four credits for $60.00. ($15.00 per credit). You will receive your credit and certificate for this course plus 3 vouchers which you can use immediately or at a future date. Eight credits are $80.00. ($10.00 per credit). You will receive your credit and certificate for this course plus 7 vouchers which you can use immediately or at a future date.

When the bank approves your payment, click on the BUTTON at the bottom of the screen that says" Get your certificate". Your certificate will THEN appear. Do not close the browser window or navigate anywhere else before printing it out.

To redeem your vouchers in the future, just enter your email address, EXACTLY AS YOU DID WHEN YOU PURCHASED THEM, in the VOUCHER text box, after you've successfully passed the quiz.

When you are done, please feel free to explore our website and find out why IAME is the CME Leader in Diagnostic Imaging and North America's largest supplier of CME in Ultrasound.

If you encounter any difficulty with this process, please contact us by email or by phone at 914-921-5700..


June, 2005
Upper Extremity Venous Evaluation


1. Risk factors for upper extremity DVT include the following with the exception of:

a. PICC line in place

b. Compression of subclavian vein by the first rib and clavicle

c. History of being a jogger

d. History of weight lifting

 

2. Typically, compression ultrasound cannot be used to diagnose deep vein thrombosis in the following vein segments:

a. the internal jugular vein.

b. the mid subclavian vein

c. the axillary vein

d. the basilic vein

 

3. The cephalic vein typically joins:

a. the axillary vein

b. the subclavian vein.

c. the jugular vein

 

4. There is a substantial risk of pulmonary embolism in patients with upper extremity DVT

a. True

b. False


5. Central venous obstruction is best evaluated by evaluating:

a. Color Doppler Imaging

b. Blood flow augmentation

c. Changes in cardiac pulsatility

d. Changes in respiratory phasicity

 

6. The patient with internal jugular vein thrombosis typically has:

   1. A very painful neck
   2. Evidence of head swelling
   3. No symptoms
   4. A history of internal jugular vein catheter placement

a. 1 and 3

b. 2, 3 and 4

c. 3 and 4

d. all of the above

 

7. A patient with a previously placed basilic vein PICC is sent to the laboratory after catheter removal. The patient is asymptomatic but the referring physician would like a baseline examination due to a history of previous venous disease. A long linear echogenic structure is seen in the basilic vein lumen extending into the axillary vein. Likely diagnosis include:

a. Broken and retained fragment of the PICC

b. Acute DVT

c. Fibrin sheath

 

8. In a patient with unilateral upper extremity swelling, in addition to examining the symptomatic arm , at least a Doppler tracing should be obtained from the contralateral internal jugular, medial subclavian or brachiocephalic vein:

a. True

b. False

 

9. In cases of extensive upper extremity deep vein thrombosis, after thrombolytics have been successfully used:

a. Thrombolytic therapy is often the only therapy needed

b. An underlying compressive process should be sought

c. Maneuvers such as arm abduction are never done

 

10. A patient has a totally obstructed, non-compressible cephalic vein. This is considered a superficial thrombophlebitis.

a. True

b. False

 


Top

IAME Statement on Privacy and Confidentiality