Chapter 21: Peripheral Vascular System and Lymphatic System

Question 1

Allen test

Answer 1

determines patency of radial and ulnar arteries

Question 2

aneurysm

Answer 2

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

Question 3

arrhythmia

Answer 3

variation from the heart’s regular rhythm

Question 4

arteriosclerosis

Answer 4

thickening and loss of elasticity of the arterial walls

Question 5

atherosclerosis

Answer 5

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

Question 6

bruit

Answer 6

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

Question 7

diastole

Answer 7

the heart’s filling phase

Question 8

ischemia

Answer 8

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

Question 9

lymph nodes

Answer 9

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

Question 10

lymphedema

Answer 10

swelling of extremity due to obstructed lymph channel, nonpitting

Question 11

pitting edema

Answer 11

indentation left after examiner depresses the skin over swollen edematous tissue

Question 12

profile sign

Answer 12

viewing the finger from the side to detect early clubbing

Question 13

pulse

Answer 13

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

Question 14

pulsus alternans

Answer 14

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

Question 15

pulsus bigeminus

Answer 15

irregular rhythm; every other beat is premature, premature beats have weaker amplitude

Question 16

pulsus paradoxus

Answer 16

beats have weaker amplitude with respiratory inspiration, stronger with expiration

Question 17

systole

Answer 17

-the heart’s pumping phase
-s1 at the beginning , S2 at the end
-AV valves will open (pulmonary + aortic)
-Lub

Question 18

tachycardia

Answer 18

rapid heart rate, more than 95 beats per minute in the adult

Question 19

thrombophlebitis

Answer 19

inflammation of the vein associated with thrombus formation

Question 20

ulcer

Answer 20

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

Question 21

varicose veins

Answer 21

dilated tortuous veins with incompetent valves

Question 22

Homan’s Sign

Answer 22

dorsiflexion sign. a positive Homan’s sign is calf pain when the foot is dorsiflexed

Question 23

diabetic foot ulcer

Answer 23

common with diabetes reaction

Question 24

Raynaud’s phenomenon

Answer 24

smaller arteries to skin constrict excessively in response to cold. limits blood supply and can affect fingers, toes, nose, lips, and ears.

Question 25

screen for deep vein thrombosis

Answer 25

measure the widest point with a tape measure

Question 26

4+ edema

Answer 26

very deep pitting, indentation lasts a long time 1-4

Question 27

skin changes with peripheral arterial insufficiency

Answer 27

thin, shiny skin with loss of hair