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Theory > CH 7,9,10 > Flashcards

CH 7,9,10 Flashcards

1
Q

When evaluating the perforating veins, what is the average size of an incompetent PV?
A) < 5mm
B) ≤ 3.5mm
C) > 7mm
D) ≥ 3.5mm

A

D) ≥ 3.5mm

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2
Q

When using the 4 Cuff Method, what would be considered the normal thigh and brachial pressure?
A. Thigh pressure = brachial pressure
B. High thigh pressure is 30 mmHg < brachial pressure
C. Thigh pressure > brachial pressure
D. High thigh pressure is 30 mmHg > brachial pressure

A

D. High thigh pressure is 30 mmHg > brachial pressure

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3
Q

When looking for physical signs of arterial disease on a patient, which of the following is NOT a physical sign of arterial disease you should be looking for?
a) Pallor of the Legs
b) Cyanotic Toes
c) Flushed Cheeks
d) Extremely Cold Feet

A

c) Flushed Cheeks

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4
Q

With exercise, which of the following changes in the components of Poiseuille’s Law of Hemodynamics is seen in both patients with healthy vessels and patients with occlusive disease?
A. Increase in flow volume
B. No change in resistance
C. No change in pressure
D. Decrease in resistance

A

D. Decrease in resistance

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5
Q

If a resting ABI value of .7 is recorded, what might we be able to predict?

A) Multi level disease or long segment occlusion
B) Probable Calcification
C) Probable Claudication
D) Chronic DVT

A

C) Probable Claudication

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6
Q

Select the plausible or likely scenario below regarding a patient with an arterial stenosis. At rest, with 50 mL/min, pressure proximal to the stenosis is 125 mm Hg. Pressure distal to the stenosis is 100mm Hg.

A. After three minutes of treadmill, flow increased to 60mL/min; distal pressure increased to 130mmHg.
B. After three minutes of treadmill, flow increased to 60mL/min; distal pressure decreased to 40mmHg.
C. After three minutes of treadmill, flow increased to 750mL/min; distal pressure increased to 130mmHg.
D. After three minutes of treadmill, flow increased to 750mL/min; distal pressure decreased to 40mmHg.

A

D. After three minutes of treadmill, flow increased to 750mL/min; distal pressure decreased to 40mmHg.

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7
Q

Which resting ABI value could be indicative of multi-level disease or long segment occlusion?
A) 1.2
B) 0.5
C) 0.3
D) 0.8

A

B) 0.5

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8
Q

When ablating the GSV due to incompetent valves, which vessel is used as a landmark to stop?
A. Common Femoral Vein (CFV)
B. Superficial Epigastric Vein (SEV)
C. Profunda Femoris Vein (PFV)
D. Popliteal vein (POP)

A

B. Superficial Epigastric Vein (SEV)

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9
Q

What is the most common symptom of peripheral arterial disease?
a. Vasospasm
b. Claudication
c. Rest pain
d. Atheroemboli

A

b. Claudication

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10
Q

When it comes to GSV AND SSV what is considered abnormal reflux time?
a) ≥ 1.0 seconds
b) ≥ 0.35 seconds
c) ≥ 0.5 seconds
d) ≥ 1.5 seconds

A

c) ≥ 0.5 seconds

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11
Q

When examining a patient for the venous insufficiency protocol, to quickly rule out chronic DVT we must compress which vessels?
a. Calf veins
b. CFV, FV Prox, and POP Vs
c. CFV, FV Prox, FV Mid, FV Dist, POP V P
d. Only CFV and POP V Dist

A

b. CFV, FV Prox, and POP Vs

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12
Q

When calculating the ABI which pressures would be used?
A. Highest brachial pressure and the highest ankle pressure on each leg.
B. Highest brachial pressure and the lowest ankle pressure on each leg.
C. Lowest brachial pressure and the highest ankle pressure on each leg.
D. Lowest brachial pressure and the lowest ankle pressure on each leg.

A

A. Highest brachial pressure and the highest ankle pressure on each leg.

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13
Q

In a normal individual in a supine position, ankle systolic pressure is _____________ brachial pressure.
A. less than
B. equal to
C. greater than
D. greater than or equal to

A

D. greater than or equal to

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14
Q

Which of the following venous structures has the largest distribution of valves?
A. EIV
B. POP V
C. PTV
D. CIV

A

C. PTV

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15
Q

Which of the following happens to patients with occlusive disease during exercise?
A) Increase in proximal pressure
B) Decrease oxygen
C) Decrease lactic acid
D) Increase norepinephrine

A

B) Decrease oxygen

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16
Q

If sample a waveform in the CFA and your waveform has a decreased resistance, where would you look to find the stenosis or occlusion?
A. Proximally
B. Anteriorly
C. Laterally
D. Distally

A

A. Proximally

17
Q

Which veins are contained within fascial envelopes?
1. Femoral
2. Saphenous
3. Popliteal
4. Posterior Tibial

A
  1. Saphenous
18
Q

Which characteristic applies to moderate arterial disease?
A) Not hemodynamically significant
B) Intermittent claudication
C) Dependant Rubot

A

B) Intermittent claudication

19
Q

Which of the following describes a symptom that can be observed with moderate occlusive arterial disease?
A. Mild decrease in ankle pressure with exercise
B. Night pain in feet and toes relieved by dependency
C. Ulceration on lower leg or foot
D. Intermittent claudication relieved by rest

A

D. Intermittent claudication relieved by rest

20
Q

You perform a valsalva manuever on the femoral vein while a patient is in supine position and you get a reflux time of 1.3 seconds. Which of the following is true?

A) The reflux time is normal.
B) The reflux time is abnormal.
C) Nothing can be determined by the reflux time.

A

B) The reflux time is abnormal.

21
Q

Which sentence correctly describes moderately abnormal PVR waveform?
a. Waveform has sharp upslope and prominent reflected wave, also called dicrotic notch.
b. Waveform has a rounded peak, there is also slight loss of amplitude.
c. Broad waveform, reflected wave not present, pronounced decrease in amplitude.
d. Waveform has rounded peak, no reflected wave and pronounced decrease in amplitude.

A

d. Waveform has rounded peak, no reflected wave and pronounced decrease in amplitude.

22
Q

In a Pulse Volume Reading waveform, what would you expect to see with mild disease?
a) rounded peak
b) reflected waveform
c) low amplitude
d) broad waveform

A

d) broad waveform

23
Q

The dorsalis pedis artery is a continuation of which vessel?
A. Peroneal artery
B. Gastrocnemius artery
C. Anterior tibial artery
D. Posterior tibial artery

A

C. Anterior tibial artery

24
Q

Which of the lower extremity veins has 4 valves?
A. IVC
B. Pop V P
C. FV
D. PTV

A

C. FV

25
Q

Which of these occurs during heavy exercise in healthy individuals (no occlusive disease) ?
a. Vasoconstriction in the arterioles
b. Distal pressure decreases
c. Shunting of blood from the viscera
d. Dermal vasodilation

A

c. Shunting of blood from the viscera

26
Q

In a normal individual, which position make the ankle systolic pressure greater than or equal to brachial pressure?
1. Prone
2. Supine
3. Trendelenburg
4. Fowlers

A
  1. Supine

Theory (4 decks)

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