Procedural Guidance Step 1, Part 2 Central Vein Internal Jugular 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
