ch 10 arterial insufficiency ulcers

Question 1

80% of patients with PAD are current or former….

Answer 1

smokers

Question 2

PRIMARY cause of arterial insufficiency

Answer 2

arteriosclerosis

Question 3

The most common form of arteriosclerosis, and the leading cause of arterial insufficiency ulcers in the United States is

Answer 3

atherosclerosis

Question 4

when circulating cholesterol is deposited on vessel walls, causing fatty streaks or plaques

Answer 4

atherosclerosis

Question 5

activity-specific discomfort due to local ischemia, which stops within 1 to 5 minutes of ceasing the provocative activity

Answer 5

intermittent caludication

Question 6

one of the first signs of arterial insufficiencey

Answer 6

intermittent claudication

Question 7

Patients have at least ___% vessel stenosis if they are experiencing intermittent claudication

Answer 7

50%

Question 8

The pain of intermittent claudication is repeatable and predictable at the same workload.

T or F

Answer 8

True

Question 9

represents more significant arterial disease than intermittent claudication and is frequently characterized as a burning pain that is exacerbated at night or with elevation, and is relieved by dependency

Answer 9

ischemic rest pain

Question 10

Intermittent claudication/ischemic rest pain are relieved by elevating the LE

T or F

Answer 10

False, dependent positions allow for gravity to aid in blood movement`

Question 11

arterial insufficiency ulcers AKA

Answer 11

ischemic ulcers

Question 12

Progression of atherosclerotic pain:

Arterial insufficiency → ______________→ Ischemic Rest Pain → ___________

Answer 12

Arterial insufficiency → Intermittent Claudication → Ischemic Rest Pain → Ulcer

Question 13

1 modifiable risk factor for PVD

Answer 13

smoking

Question 14

o People with DM have an increased prevalence of ______ arterial insufficiency, that is, their vessel walls tend to accumulate calcium

Answer 14

calcific

Question 15

Most common site for arterial occlusion…

Answer 15

bifurcation of the femoral artery

Question 16

Patients with delayed capillary refill time may have arterial insufficiency, normal capillary refill time is….

Answer 16

3 s

Question 17

Venous filling time indications:
< 5 seconds =
5-15 seconds =
> 20 seconds =

Answer 17

< 5 seconds = venous insuff
5-15 seconds = normal
> 20 seconds = arterial insuff

Question 18

Absence of a palpable pulse in both _____ arteries is evidence of peripheral arterial disease (PAD)

Answer 18

pedal (dorsal pedis)

Question 19

Pulses should be assessed with the patient resting supine and are graded on a _______ scale ranged from absent to accentuated

Answer 19

0-3+

Question 20

pain pattern of arterial insufficiency ulcers

Answer 20

severe, increased with elevation

Question 21

position of arterial insufficiency ulcers

Answer 21

distal toes, dorsal foot, lateral leg

Question 22

wound presentation of arterial insuff ulcers

Answer 22

pale granulation tissue
black eschar
gangrene
little to no drainage

Question 23

periwound of arterial insuff ulcers

Answer 23

thin, shiny, dry, loss of hair

Question 24

pulses correlated with arterial insuff ulcers

Answer 24

decreased, or absent

Question 25

temperature near arterial insuff ulcers

Answer 25

decreased

Question 26

Sharp debridement should be performed on dry, eschar-covered, uninfected arterial ulcers with low ABIs (certainly wounds with ABIs less than 0.3, and possibly less than 0.5)

T or F

Answer 26

False - should not

Question 27

Avoid compression with arterial insuff ulcers

t or f

Answer 27

True

Question 28

Gangrenous wounds should not be debrided by PTs and PTAs

t or f

Answer 28

True

Question 29

LEADING cause of arterial insuff ulcers in the United States

Answer 29

atherosclerosis

Question 30

Rubor of dependency test results:

1) a return to normal color in the tested foot within 15-20 seconds, and the color will be light red or pink
2) Pallor after 45-60 seconds of elevation
3) Pallor after 30-45 seconds of elevation
4) Pallor within 25 seconds of elevation

Answer 30

1) normal
2) mild arterial insuff
3) mod arterial insuff
4) severe arterial insuff