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Radiology · Ultrasound
Sample itemWhat Doppler change is expected distal to a severe arterial stenosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Turbulent high-velocity flow at stenosis
A stenosis narrows the lumen and accelerates flow at the lesion with spectral broadening and turbulence distal to it on Doppler interrogation.
Option by option
A. Bright posterior enhancement
Enhancement is B-mode acoustic physics.
B. No spectral waveform change ever
Waveforms do change with significant narrowing.
C. Uniform low velocity before stenosis only
Prestenotic flow is not the defining finding.
D. Turbulent high-velocity flow at stenosis (correct)
Correct: velocity rise and turbulence support stenosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.