Arterial Testing

Question 1

Pain in muscles usually occurring during exercise (activity); subsides with rest.

Answer 1

Claudication

Question 2

Level of disease usually proximal to location of symptoms

Answer 2

claudication

Question 3

Sever symptom of reduced blood flow (loss of perfusion)

Answer 3

Ischemic rest pain

Question 4

Necrosis or death of tissue

Due to deficient or no blood supply

Answer 4

Tissue loss

Question 5

Claudication, ischemic rest, tissue loss

Answer 5

Chronic occlusive disease

Question 6

Acute arterial occlusion the 6 P’s are

Answer 6

pain, pallor, pulselessness, parathesis, paralysis, polar (cold)

Question 7

No other underlying health issues
Ischemia due to digital arterial spasm
Common in young women, maybe hereditary, bilateral
Benign in condition (does not turn gangrene)

Answer 7

Primary Raynauds

Question 8

Symptoms of intermittent digital ischemia occur due to cold exposure or emotional stress

(color changes in the fingers)

Answer 8

Raynuads phenomenon

Question 9

Underlying health issue
Normal vasoconstricion of arterioles present with a fixed artery obstruction Ischemia constantly present.
May be the first manifestation of Buerger’s disease.

Answer 9

Secondary Raynuads

Question 10

Result of deficient blood supply; skin pale

Answer 10

pallor

Question 11

A concentration of deoxygenated hemoglobin, causes bluish discoloration

Answer 11

Cyanosis

Question 12

Suggests dilated vessels or vessels dilated secondary to reactive hyperemia; skin is reddened

Answer 12

Rubor

Question 13

What signifies adequate circulatory status of an artery

Answer 13

Rhythmic pulsation

Question 14

You can feel a palpable thrill (feel it)

Answer 14

Fistula, a patent dialysis access site or post stenotic turbulence

Question 15

Bruit auscultation is more often done with a ______ examination

Answer 15

Carotid

Question 16

Atheroscclerosis
Higher incidence of disease
Medial calcification develops in LE arteries this is increased risk for cardiovascular events
Poor sensation (neuropathy)
Higher incidence of gangrenous change, amputations

Answer 16

Diabetes

Question 17

Two opinions:
May cause or enhance the development of the atherosclerotic disease

Answer 17

Hypertension

Question 18

Elevated plsama lipids assoc. with atherosclerosis development
Frequent cause: diet high in animal fat; metabolic issues based on heredity

Answer 18

Hyperlipidemia

Question 19

Most common arterial pathology

Answer 19

Thickening, hardening, loss of elasticity of the artery walls (loss of kinetic energy)

Question 20

Atherosclerosis (obliterans) occur in what layers of the vessel

Answer 20

intima and media layers

Question 21

Carotid bif
Aorto-iliacs
Common femoral artery biff
SFA distal (adductor canal)

Answer 21

Most common sites for atherosclerosis disease

Question 22

Caused by obstruction oif the arota occurs in males

Answer 22

Leriche syndrome

Question 23

fatigue in hips, thighs, or calves with exercise
Absence of femoral pulses
Impotence
Often times; pallor and coldness LE

Answer 23

Leriche syndrome

Question 24

Obstruction of vessel by foreign substance or blood clot

Answer 24

Embolism

Question 25

DIffuse, circumferential dilatation

Answer 25

Fusiform aneurysm

Question 26

Localized (sac-like)

Answer 26

Saccular aneurysm

Question 27

Small tear of the inner wall allows blood to form cavity between two wall layers. Often is in thoracic aorta

Answer 27

Dissecting

Question 28

a defect in main artery all (post catheter insertion)
must have communication from main artery to pulsatile structure outside vessel wall

Answer 28

Pseudoaneurysm

Question 29

Most common location of a true aneurysm is

Answer 29

infrarenal aorta

Question 30

Non-atherosclerotic lesions

Answer 30

Arteritis

Question 31

Inflammation of small vessels (finger and toes)

Answer 31

Arteritis

Question 32

Narrowing of the aorta
One of several congenital anomalies of arterial system

Answer 32

Coarctation of the aorta

Question 33

No dilatation
thin membrane divides the arterial lumen into 2 compartments
flow velocities differ in each lumen

Answer 33

Dissection

Question 34

Clinical findings for coarctation of the aorta is

Answer 34

Hypertension
Symptoms of LE