Procedural Guidance Step 1, Part 2 » Department of Anesthesiology » College of Medicine

1. If too much pressure is placed on the internal jugular vein, you may cause:*
- A. Clot formation in vessels
- B. Failure to see the artery
- C. Collapse of the vein
- D. Dislodging of carotid plaques
2. Which of the maneuvers tend to increase the size of the internal jugular vein?*
- A. Valsalva maneuver
- B. Trendelenburg position
- C. Optimize head position under ultrasound guidance
- D. All of the above
3. Which of the following is a disadvantage of the transverse approach to cannulation of the IJ vein?*
- A. Short learning curve
- B. Protects perforation of posterior wall
- C. Good for short necks
- D. Easy to visualize relationship of vein and artery
4. Difficulties of using the longitudinal approach for IJ access include:*
- A. More technically challenging than the transverse view
- B. Needle poorly visualized
- C. Carotid artery is not visualized during cannulation
- D. A and C
5. What is the first step in evaluation of internal jugular veins?*
- A. Obtain longitudinal views
- B. Place significant amount of pressure to increase size of the vein
- C. Obtain transverse view of the vein
- D. Exam only in one area, no need to scan the length of the vessel