Chapter 20: perpheral vascular system and lymphatic system

Question 1

claudication distance

Answer 1

number of blocks walked or stairs climbed to produce pain (note night leg pain is common in aging adults)

Question 2

enlarged lymph nodes occur with

Answer 2

infections, immunologic diseases

Question 3

capillary fill last more then 1-2 seconds signals

Answer 3

vasoconstriction or decreased cardiac output

Question 4

full bond pulse 3 occurs with

Answer 4

hyperkentic states, anemia, and hyperthyroidism

Question 5

weak pulse 1 occurs with

Answer 5

shock and atrial disease

Question 6

enlarged epitrochlear node occurs with

Answer 6

infection of hand or forearm

Question 7

modified allen test is used for

Answer 7

to evaluate the adequacy of collateral circulation, firmly occlude the ulnar and radial arteries while patient makes a fist repeatedly

Question 8

pallor suggests

Answer 8

occlusion of the collateral atrial flow

Question 9

malnutrition presents in skin as

Answer 9

thin, shiny, atrophic

Question 10

homan sign

Answer 10

occurs in 35% of DVT

Question 11

water-hammer pulse

Answer 11

greater then normal force then collapses suddenly, occurs in aortic valve regurgitation

Question 12

pulsus bigeminus

Answer 12

rhythm is coupled, every other beats comes early

Question 13

pulsus alternans

Answer 13

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

Question 14

pulsus peridoxus

Answer 14

beats have weaker amplitude with inspiration and strong with expiration

Question 15

pulsus bisferiens

Answer 15

each pulse has two systolic peaks with a dip in between, assessed by the carotid artery

Question 16

raynauds phenomenon

Answer 16

episodes of abrupt progressive tricolor change of the finger in response to cold, vibration, or stress

Question 17

lymphedema

Answer 17

high protein swelling of the limb, most commonly due to breast cancer treatment

Question 18

arterial-ischemic ulcer

Answer 18

build up of fatty plaque on intima plus hardening and calcification of arterial wall, ulcers occur at toes, metatarsal heads, and heals, ankles

Question 19

venous ulcer

Answer 19

after acute DVT or chronic incompetent valve in veins, occur medial malleolus characterized by bleeding and uneven edges

Question 20

varicose veins

Answer 20

incompetent valves permit reflux of blood producing dilated veins

Question 21

DVT

Answer 21

deep vein is occlude by a thrombus causing inflammation, blocked venous return, cyanosis, and edema

Question 22

aneurysms

Answer 22

sac formed by dilation in the artery wall, most common site is the aorta, common cause is atherosclerosis

Question 23

occlusion

Answer 23

caused by atherosclerosis, build up of fatty streaks, fibroid plaque, or calcification of the vessel wall, this reduces blood flow with vital oxygen and nutrients