Chapter 20

Question 1

One of the leg’s deep veins is the:

Answer 1

popliteal.

Question 2

Arteriosclerosis refers to:

Answer 2

thickening and loss of elasticity of the arterial walls.

Question 3

Palpable inguinal lymph nodes are:

Answer 3

abnormal and indicate the presence of malignant disease

Question 4

In pulsus paradoxus:

Answer 4

beats have weaker amplitude with respiratory inspiration and stronger amplitude with expiration.

Question 5

Lymphedema is:

Answer 5

the swelling of an extremity caused by an obstructed lymph channel.

Question 6

A water-hammer or Corrigan pulse is associated with:

Answer 6

aortic valve regurgitation.

Question 7

The cervical nodes drain the:

Answer 7

head and neck.

Question 8

In young children, the thymus gland:

Answer 8

produces T lymphocytes.

Question 9

Claudication is caused by:

Answer 9

arterial insufficiency.

Question 10

A patient has severe bilateral lower extremity edema. The most likely cause is:

Answer 10

heart failure

Question 11

Allen test

Answer 11

test that determines the potency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of potency of the other artery

Question 12

Aneurysm

Answer 12

defect or sac formed by dilation in artery wall due to atherosclerosis, trauma, or congenital defect

Question 13

Arrhythmia

Answer 13

variation from the hearts normal rhythm

Question 14

Arteriosclerosis

Answer 14

thickening and loss of elasticity of the arterial walls

Question 15

Atherosclerosis

Answer 15

plaques of fatty deposits formed in the inner layer (intimate) of the arteries

Question 16

Bradycardia

Answer 16

slow heart rate, less than 50 bests per min in the adult

Question 17

Bruit

Answer 17

blowing, swooshing sound heard through a stethoscope when an artery is partially occluded

Question 18

Cyanosis

Answer 18

dusky blue mottling of the skin and mucous membranes due to excessive amount of reduced hemoglobin in the blood

Question 19

Diastole

Answer 19

the hearts filling phase

Question 20

Ischemia

Answer 20

deficiency of arterial blood to a body part due to construction or obstruction of a blood vessel

Question 21

Lymph nodes

Answer 21

small oval clumps of lymphatic tissue located at grouped intervals along lymphatic vessels

Question 22

Lymphedema

Answer 22

swelling of extremity due to obstruction lymph channel, nonpitting

Question 23

Pitting edema

Answer 23

indentation left after examiner depresses the skin over swollen edematous tissue

Question 24

Profile sign

Answer 24

viewing the finger from the side to detect early clubbing

Question 25

Pulse

Answer 25

pressure wave created by heartbeat, palpable at body sites where the artery lies close to the skin and over a bone

Question 26

Pulsus alternans

Answer 26

regular rhythm, but force of pulse varies with alternating beats of large and small amplitude

Question 27

Pulsus bigeminus

Answer 27

irregular rhythm; every other beat is premature ; premature beats have weakened amplitude

Question 28

Pulsus paradoxus

Answer 28

beats have weaker amplitude with respiratory inspiration, stronger with expiration

Question 29

systole

Answer 29

the hearts pumping phase

Question 30

tachycardia

Answer 30

rapid heart rate more than 95 beats per min in the adult

Question 31

thrombophlebitis

Answer 31

inflammation of the vein associated with thrombus formation

Question 32

Ulcer

Answer 32

open skin lesion extending into dermis with sloughing of necrotic inflammatory tissue

Question 33

Varicose veins

Answer 33

dilated tortuous veins with incompetent valves

Question 34

A function of the venous system includes

Answer 34

holding more blood when blood volume increases

Question 35

Which organs aids the lymphatic system

Answer 35

spleen, tonsils, thymus

Question 36

Ms T. has come for a prenatal visit. She reports dependent edema, varicosities in the legs, and hemorrhoids. What is the best response?

Answer 36

The symptoms are caused by the pressure of the growing uterus on the veins. They are usual conditions of pregnancy

Question 37

A patients pulse with an amplitude of 3+ indicates

Answer 37

increased, full

Question 38

Inspection of a persons right hand reveals a red swollen area. To further assess for infection, you would palpate the

Answer 38

Epitrochlear node

Question 39

To screen for deep vein thrombosis, you would

Answer 39

Measure the widest point with a tape measure

Question 40

During the exam of the the lower extremities you are unable to palpate the popliteal pulse, you should

Answer 40

proceed with the exam. it is often impossible to palpate this pulse

Question 41

You assess a patient who has 4+ edema of the right leg. What is the best way to document this finding?

Answer 41

Very deep citing indentation lasts a long time

Question 42

You assess a patient for arterial deficit in the lower extremities. After raising the left 12 inches off the table and then having the person sit up and dangle the leg, the color should return in:

Answer 42

10 seconds

Question 43

A 54 y/o woman with 5 children has varicose veins of the lower extremities. Her most characteristic sign is:

Answer 43

dilated, tortuous superficial bluish vessels

Question 44

Atrophic skin changes that occur with peripheral arterial insufficiency include

Answer 44

think, shiny skin with loss of hair

Question 45

Intermittent claudication includes

Answer 45

muscular pain brought on by exercise

Question 46

A known risk factor for venous ulcer development is

Answer 46

obesity

Question 47

Arteriosclerosis is caused by

Answer 47

loss of elasticity of the walls of blood vessels

Question 48

Raynaud phenomenon occurs

Answer 48

in hands and feet as a result of exposure to cold, vibration, and stress