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PCM III Final Exam > DSA Vascular Assessment -Tyler > Flashcards

DSA Vascular Assessment -Tyler Flashcards

1
Q

3 most predictive exam findings for dx of acute stroke?

A

facial paresis
arm drift/ weakness
abnormal speech

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2
Q

Carotid artery stenosis is presence of atherosclerotic narrowing of _________ artery?

A

internal carotid

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3
Q

Carotid artery stenosis is considered ___________ if pt has not have TIA or ischmic stroke in the past 6 months?

A

ASYMPTOMATIC

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4
Q

Amaurosis fugax, contralateral weakness, aphasia and homonymous visual loss are all indicative of ?

A

SYMPTOMATIC carotid disease

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5
Q

Is it necessary to screen asymptomatic pt for carotid artery stenosis?

A

NO (annual risk of pt with ASYMPTOmatic carotid artery stenosis is LOW <1%)

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6
Q

What imaging is used to screen for CAS?

A

duplex ultrasonagraphy

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7
Q

What are 2 indications for screening with duplex ultrasonography?

A
  1. pt is ASYMPtomatic with a CAROTID BRUIT

2. SYMPtomatic atherosclerotic disease in another vascular bed (coronary, peripheral, aortic aneursym)

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8
Q

Used ______ index in patients with Diabetes as indicator of limb perfusion ?

A

Toe brachial

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9
Q

What are the next steps if pt has claudication with risk for PAD but the initial ABI is negative?

A
  1. perform excercise testing

2. repeat POST excercise ABI

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10
Q

What is Virchows Triad ( pathogenesis of DVT )

?

A
  1. alteration in blood flow
  2. vascular endothelial injury
  3. hypercoaguable state
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11
Q

An inheritable thrombophilia poses a risk for ____?

A

DVT (factor V leiden, protein C, S deficiency, Prothrombin mutation)

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12
Q

Unilateral edema, varying calf diameter, unilateral warmth/tenderness are all PE findings for _____?

A

DVT

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13
Q

Cancer, bedridden, dilation of veins could all lead to ?

A

DVT

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14
Q

Interpret an ABI

A

increased risk of cardiovascular morbitidy and mortality

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15
Q

interpret An ABI

A

more associated with decreased Physical activity than with claudication

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16
Q

what are some clinical sxs of PAD?

A 
claudication
coldness
skin pigmentation
local hair loss
malnutrition of toenails
gangrene 
ulceration
17
Q

Weak absent pulses in (CVI/ PAD )?

A

PAD

18
Q

Gangrene in (CVI/ PAD )?

A

PAD

19
Q

Present and marked edema ((CVI/ PAD )?

A

CVI

20
Q

tissue ischemia is the cause of (CVI/ PAD )?

A

PAD

21
Q

Pain worse with standing or seated that improves with elevation is.((CVI/ PAD )?

A

CVI

22
Q

Pain with walking that is relieved with rest or occasionally more pain when elevated? (CVI/ PAD )?

A

PAD

23
Q

Numbness/tingling, limb aching, extremity swelling and muscle cramping are all associated with (CVI/ PAD )?

A

CVI

24
Q

Stasis dermatitis and telangiectasias are associate with (CVI/ PAD )?

A

CVI

PCM III Final Exam (8 decks)

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