Introduction

Question 1

What is Deep Vein Thrombophlebitis?

Answer 1

A thrombus in the deep veins of the calf or leg

Question 2

What is the clinical presentation of deep vein thrombophlebitis?

Answer 2

May be asymptomatic

Homan’s Sign may be positive

May have a low grade fever

Vague aching pain

Tenderness along the distribution of the veins

Edema

Erythema

Question 3

Homans Sign

Answer 3

• Positive: Deep pain in the calf
  
  • Indicates: Deep vein thrombophlebitis

Question 4

Homan’s Sign is positive in what percentage of people with proven deep vein thrombophlebitis?

Answer 4

8-56%

Question 5

Homan’s Sign is positive in what percentage of symptomatic people without deep vein thrombophlebitis?

Answer 5

> 50%

Question 6

What should be observed in the physical examination of deep vein thrombophlebitis?

Answer 6

Tenderness

Swelling of the whole leg

Circumferential mensuration

Pitting edema

Question 7

What is the circumferential mensuration of deep vein thrombophlebitis?

Answer 7

10cm from tibial tuberosity distal

or

> 3cm difference

Question 8

How is pitting edema measured?

Answer 8

4-Point Grading Scale

Question 9

On the 4-Point Grading Scale for edema, what is a grade of 1+?

Answer 9

2mm

Question 10

On the 4-Point Grading Scale for edema, what is a grade of 2+?

Answer 10

4mm

Question 11

On the 4-Point Grading Scale for edema, what is a grade of 3+?

Answer 11

6mm

Question 12

On the 4-Point Grading Scale for edema, what is a grade of 4+?

Answer 12

8mm

Question 13

Paratendonitis replaced what term?

Answer 13

Tenosynovitis

Question 14

Tendinitis replaced which terms?

Answer 14

Strain or Tear

Question 15

What is paratendonitis?

Answer 15

Inflammation of the paratendon, swelling, etc.

Question 16

What is tendinitis?

Answer 16

Symptomatic degeneration of a tendon

Question 17

What is tendinosis?

Answer 17

Non-Inflammatory, intra-tendon degeneration with nodules

Question 18

What is paratendonitis with tendinitis?

Answer 18

Degeneration and inflammation with nodules and swelling

Question 19

True/False

When taking blood pressure, palpation of the brachial artery is required.

Answer 19

False

Question 20

When taking blood pressure the _____ is placed over the _____.

Answer 20

Diaphragm

Antecubital Fossa

Question 21

K-1

Phase 1

Answer 21

The appearance of the first clear “tapping” sounds as the cuff is gradually deflated

Question 22

K-2

Phase 2

Answer 22

The sounds become softer and longer and are characterized by a swishing sound since the blood flow in the artery increases

Question 23

K-3

Phase 3

Answer 23

The sounds become crisper and louder

(similar to the sounds heard in K-1)

Question 24

K-4

Phase 4

Answer 24

The sounds are muffled and softer as the blood flow starts to becom eless turbulent in the artery

Question 25

K-5

Phase 5

Answer 25

The sounds disappear completely since the blood flow through the artery has returned to normal

Question 26

What is the systolic pressure?

Answer 26

The first clear “tapping” sound

Question 27

What is diastolic pressure?

Answer 27

The last audible sound