Chapter 21: Peripheral Vascular System and Lymphatic System

Question 1

femoral artery location

Answer 1

• passes under the inguinal ligament
• travels down the thigh

Question 2

ischemia

Answer 2

deficant supply of oxygenated arterial blood to a tissue, caused by obstruction of a blood vessel

Question 3

peripheral artery disease (PAD)

Answer 3

• affects noncoronary arteries
• usually caused by artheroscleosis

Question 4

examples of deep veins

Answer 4

• femoral
• popiteal veins

Question 5

exmples of superficial veins

Answer 5

• the great and small saphenous

Question 6

perforators

Answer 6

connecting veins that join the two sets

Question 7

because of veins ability to stretch veins are called

Answer 7

capacitance vessels

Question 8

varicous veins have _____ valves

Answer 8

incompetent

Question 9

right lymphatic duct empties into the

Answer 9

subclavian vein

Question 10

right lymphatic duct drains

Answer 10

right side of the head and necks, right side of the thorax, right lung and piura, right side of the heart, right upper section of the liver

Question 11

thoracic duct drains

Answer 11

rest of the body

Question 12

thoracic duct empties into the

Answer 12

left subclavian vein

Question 13

cervical nodes drain

Answer 13

head and neck

Question 14

axillary nodes drain

Answer 14

breast and upper arm

Question 15

epitrochlear node is located

Answer 15

in the antecubital fossa

Question 16

epitrochlear node drains

Answer 16

the land and lower arm

Question 17

the inguinal nodes drain

Answer 17

most of the lymph of the lower extremity, the external genetialia, and the anterior abdominal wall

Question 18

spleen location

Answer 18

left upper quadrant

Question 19

what are the 4 functions of the spleen

Answer 19

• destroy old red blood cells
• produce antibodies
• store red blood cells
• filter microorgansims

Question 20

thymus gland

Answer 20

• flat, pink-grey and is located in the superior mediastinum

Question 21

T and B lymphocytes originate in

Answer 21

the bone marrow

Question 22

T and B lymphocytes mature in the

Answer 22

lymphoid tissue

Question 23

arteriosclerosis

Answer 23

hardening of the arteries

Question 24

cluadation distance

Answer 24

the number of blocks walked or stairs climbed that produces pain

Question 25

vericose veins

Answer 25

swollen, twisted, and sometimes painful veins that have filed with an abnormal collection of blood

Question 26

aortoiliac occlusion is associated with

Answer 26

impotence (leriches syndrome)

Question 27

coolness is associated with

Answer 27

arterial disease

Question 28

lymph nodes are enlarged due to

Answer 28

infection, malignancies, and immunological diseases

Question 29

how to detect early clubbing

Answer 29

profile sign

Question 30

what is normal capillary refil

Answer 30

1-2 seconds

Question 31

3+ pulse

Answer 31

increased, full bounding

Question 32

2+ pulse

Answer 32

normal

Question 33

1+ pulse

Answer 33

weak

Question 34

0 pulse

Answer 34

absent

Question 35

how to asses posterior tibial pulse

Answer 35

curve fingers around the medial malleous

Question 36

dorsalis pedis pulse requires

Answer 36

very light touch

Question 37

what is the modified allen test used for

Answer 37

evaluate the adequacy of collateral circulation before radial artery is cannulated

Question 38

Wells score is used to asses risk for

Answer 38

DVT

Question 39

arteries

Answer 39

- transport oxygenated blood yo organs and periphery - high pressure system - muscle lining

Question 40

veins

Answer 40

- transport deoxygenated blood from organs and periphery to heart - low pressure system - valves

Question 41

lymph

Answer 41

- distinct vessel system - -recieve excess fluid from tissue spaces and returns it to the bloodstream

Question 42

functions of the lymphatic system

Answer 42

- forms a major part of the immune system - conserves fluid and plasma proteins that leak out of capillaries - absorbs lipids from the interstitial tract

Question 43

expected finding of the epitrochlear lymph nodes

Answer 43

- non palpuable

Question 44

venous ulcers

Answer 44

medial malleolus

Question 45

arterial ulcers

Answer 45

tips

Question 46

expected findings fro veins

Answer 46

veins flat, not prominant

Question 47

inguinal unexpected findings

Answer 47

- large, tender, fixed

Question 48

how long should it take for color to return to the feet

Answer 48

15 seconds

Question 49

dependent rubor

Answer 49

deep blue-red color - severe atrial insufficiency (chronic hypoxia

Question 50

purpose of the doppler

Answer 50

- detect a weak peripheral pulse - measure a low blood pressure in the lower extremity

Question 51

foot problems is often the first sing of

Answer 51

- arthritis - diabetes - nerve - circulatory disorders

Question 52

foot care

Answer 52

- keep blood flowing to feet (activity/stretching/wiggling/elevation/massage; do not cross feet; so not smoke) - wear comfortable fitting shoes - fit shoes to larger foot - low heeled shoes for women - keep skin soft and smooth