CH 5,6,8 Flashcards

1
Q

True or False? The waveform of a spectral sample taken from a vein in the leg such as the femoral vein should show cardiac pulsatility?
A. True
B. False

A

B. False

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2
Q

Which of the follwing statemnts is true about deep system veins:
a) Become paired in calf and are smaller in diameter.
b) Run along major arteries of the same name and become paired in calf.
c) Carry majority of leg blood volume and have no accompanying arteries.
d) Run along major arteries of the same name and are smaller in diameter.

A

b) Run along major arteries of the same name and become paired in calf.

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3
Q

Which of the following features are present in chronic deep vein thrombosis (DVT)?
A. Thrombus expands diameter of veins
B. Acoustically homogeneous
C. presence of collaterals
D. poorly attached thrombus

A

C. presence of collaterals

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4
Q

In what vessel is Rouleaux flow commonly seen in?

A. Axillary vein
B. Subclavian vein
C. Jugular vein
D. Superior vena cava

A

C. Jugular vein

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5
Q

During muscle relaxation when walking or running, the calf veno-motor pump will force blood back down the veins to the level of the valves causing the proximal valves to close. This is due to:

A. Hydrostatic pressure
B. Cardiac Output
C. Capillary Perfusion
D. Transmural Pressure

A

A. Hydrostatic pressure

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6
Q

Which of the following veins is accompanied by an artery?
A. Common Femoral Vein (CFV)
B. Greater Saphenous Vein (GSV)
C. Small Saphenous Vein (SSV)

A

A. Common Femoral Vein (CFV)

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7
Q

Which two veins are a part of the deep vein system of the upper extremities?
A. Innominate and Cephalic
B. Subclavian and Axillary
C. Basilic and Radial
D. Axillary and Gastrocnemius

A

B. Subclavian and Axillary

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8
Q

Which of the following is true of perforating veins?

A. They course from the deep system to the superficial system
B. They have valves preventing flow from moving deep to superficial
C. They have valves preventing flow from moving superficial to deep
D. They do not have valves

A

B. They have valves preventing flow from moving deep to superficial

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9
Q

Which shape do veins take during high transmural pressure?
A) Dumbbell shape
B) Vein is compressed
C) Circular shape
D) Elliptical shape (oval)

A

C) Circular shape

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10
Q

When doing an assessment of the right subclavian vein, it is also important to do an assessment on what other vein?
A. Ipsilateral IJV
B. Contralateral Subclavian Vein
C. Ipsilateral Innominate Vein
D. Contralateral Innominate Vein

A

B. Contralateral Subclavian Vein

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11
Q

What happens to venous flow in the legs during exhalation?

A) Outflow is reduced or stopped
B) Intra-abdominal pressure decreases and flow resumes in veins
C) Flow becomes pulsatile
D) Flow is not effected by exhalation

A

B) Intra-abdominal pressure decreases and flow resumes in veins

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12
Q

What are the type of veins that have valves to prevent flow from moving deep to superficial?
A. Calf muscle veins
B. Perforating veins
C. Superficial veins
D. Deep system veins

A

B. Perforating veins

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13
Q

A patient has May Thurner Syndrome, what two symptoms might they have presented with ?
A. Nausea, arm pain
B. Thrombosis, Phlegmasia
C. Skin that feels cold, dizziness

A

B. Thrombosis, Phlegmasia

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14
Q

There are three pump systems in the leg, but the calf veno-motor pump is the major ejection back to the heart. In order for the calf veno-motor pump to be efficient, what does the pump depend on?
A) the ability of smooth muscles to contract
B) narrowing of outflow veins
C) the competency of venous valves
D) venous pooling

A

C) the competency of venous valves

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15
Q

What are Dr.Virchows 3 factors related to the cause of venous thrombosis
a. Vein wall injury, estrogen therapy, thrombophilia
b. Stasis, vein wall injury, hypercoagulability
c. Thrombophilia, stasis, cancer
d. Stasis, cancer, previous DVT

A

b. Stasis, vein wall injury, hypercoagulability

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16
Q

Which one of the 3 pump systems in the leg primes the calf pump?
1. Thigh pump
2. Calf veno-motor pump
3. Foot pump
4. Ankle pump

A
  1. Foot pump
17
Q

During calf muscle contraction, what occurs?
a. proximal valves close
b. perforating valves open
c. distal valves open
d. distal and perforating valves close

A

d. distal and perforating valves close

18
Q

What shape are veins during high transmural pressure?
A. Larger, Circular Cross Section
B. Smaller, Circular Cross Section
C. Elliptical, Dumbbell Shape
D. High Transmural Pressure does not effect the shape of veins

A

A. Larger, Circular Cross Section

19
Q

What is the biggest risk of complication with a deep vein thrombosis?
A. Unilateral leg swelling (edema)
B. Pulmonary Embolism
C. Calf pain/tenderness
D. Post Thrombotic Syndrome

A

B. Pulmonary Embolism

20
Q

If a patient is present with phlegmasia cerulea dolens, which vein can result in a thrombosis?
A. Profunda femoral vein
B. External iliac vein
C. Popliteal vein proximal
D. Great saphenous vein

A

B. External iliac vein

21
Q

As the intra-abdominal pressure increases, what happens to the venous system during a scan?
a) outflow stops
b) phasic flow
c) pulsatile flow
d) the veins reopen

A

a) outflow stops

22
Q

While scanning a patient in the infraclavicular, transverse view you notice swiss cheese like appearance of veins, you also see dilated veins on the patient. What might these two observations indicate?
a. Baker’s cyst
b. Superior vena cava syndrome
c. Paget-Schroetter syndrome
d. Calf hematoma

A

c. Paget-Schroetter syndrome

23
Q

What kind of spectral waveforms do central veins produce?
a) phasic
b) pulsatile
c) Both spontaneous and pulsatile

A

c) Both spontaneous and pulsatile

24
Q

What is one possible cause of a DVT in venous upper extremities?
A) Bed rest for 4+ days
B) Pregnancy
C) Indwelling venous catheter
D) High doses of estrogen

A

C) Indwelling venous catheter

25
Q

Which effect would be seen due to hydrostatic pressure?
A. decreased venous distention
B. increased venous pooling
C. increase in venous return
D. increase in cardiac output

A

B. increased venous pooling

26
Q

In the presence of a thrombosed subclavian vein, what might you expect to see in the EJV?
A. Normal flow, decrease in vessel size
B. Normal flow, increase in vessel size
C. Little flow, decrease in vessel size
D. A lot of flow, increase in vessel size

A

D. A lot of flow, increase in vessel size

27
Q

What is one symptom that you would only expect to find in a case of chronic DVT and not an acute DVT?
A. Edema
B.Erythema and warmth in the extremity
C. Venous insufficiency
D. Calf pain and tenderness

A

C. Venous insufficiency

28
Q

Which progression describes a normal path of blood flow?
A. Anterior tibial veins, popliteal vein, profunda femoral vein, external iliac vein
B. Anterior tibial veins, popliteal vein, superficial femoral vein, common femoral vein
C. Anterior tibial veins, small saphenous vein, great saphenous vein, common femoral vein
D. Anterior tibial veins, great saphenous vein, common femoral vein, external iliac vein

A

B. Anterior tibial veins, popliteal vein, superficial femoral vein, common femoral vein