Jarvis Chapter 21: Peripheral Vascular and Lymphatic System Flashcards

1
Q

One of the leg’s deep veins is the:

A. small saphenous vein.

B. great saphenous vein.

C. perforator vein.

D. popliteal vein.

A

D. popliteal vein.

The femoral and popliteal veins are the deep veins in the leg.

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2
Q

Arteriosclerosis refers to:

A. thickening and loss of elasticity of the arterial walls.

B. a sac formed by dilation in the arterial wall.

C. deposition of fatty plaques along the intima of the arteries.

D. a variation from the heart’s normal rhythm.

A

A. thickening and loss of elasticity of the arterial walls.

Arteriosclerosis is the thickening and loss of elasticity of the arterial walls.

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3
Q

Palpable inguinal lymph nodes are:

A. normal if small (<1 cm), movable, and nontender.

B. abnormal and indicate the presence of malignant disease.

C. normal if fixed and tender.

D. abnormal in adults but common in children and infants.

A

A. normal if small (<1 cm), movable, and nontender.

Inguinal lymph nodes may be palpable. This is a normal finding if the nodes are small (≤1 cm), movable, and nontender.

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4
Q

In pulsus paradoxus:

A. the rhythm is regular, but the force of the pulse varies with alternating beats.

B. the rhythm is irregular; every other beat is premature.

C. there is deficiency of arterial blood to a body part.

D. beats have weaker amplitude with respiratory inspiration and stronger amplitude with expiration.

A

D. beats have weaker amplitude with respiratory inspiration and stronger amplitude with expiration.

In pulsus paradoxus, beats have weaker amplitude with inspiration and stronger amplitude with expiration.

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5
Q

Lymphedema refers to:

A. swelling of an extremity caused by an obstructed lymph channel.

B. inflammation of the vein associated with thrombus formation.

C. the indentation remaining after the examiner depresses the skin over swollen edematous tissue.

D. thickening and loss of elasticity of the arterial walls.

A

A. swelling of an extremity caused by an obstructed lymph channel.

Lymphedema is swelling of the limb caused by surgical removal of lymph nodes or damage to lymph nodes and vessels, and is a common occurrence with breast cancer.

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6
Q

A water–hammer “Corrigan’s” pulse is associated with:

A. decreased cardiac output.

B. hyperkinetic states.

C. aortic valve regurgitation.

D. conduction disturbance.

A

C. aortic valve regurgitation.

A water–hammer (Corrigan’s) pulse of 3+, demonstrating greater than normal force, occurs in aortic valve regurgitation.

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7
Q

The cervical nodes drain the:

A. external genitalia.

B. head and neck.

C. upper arm and breast.

D. hand and lower arm.

A

B. head and neck.

The cervical nodes drain the head and neck.

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8
Q

In young children, the thymus gland:

A. is small and begins to atrophy.

B. produces T lymphocytes.

C. is not important in immune function.

D. produces B lymphocytes.

A

B. produces T lymphocytes.

In young children, the thymus gland is important in developing the T lymphocytes of the immune system.

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9
Q

Claudication is caused by:

A. varicose veins.

B. arterial insufficiency.

C. stasis ulcerations.

D. venous insufficiency.

A

B. arterial insufficiency.

Claudication is caused by arterial insufficiency and presents as pain with walking or intermittently as cramping, numbness, and tingling.

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10
Q

The patient has severe bilateral lower extremity edema. The most likely cause is:

A. an infection of the right great toe.

B. heart failure.

C. an aortic aneurysm.

D. Raynaud’s phenomenon.

A

B. heart failure.

Bilateral lower extremity edema is a result of a generalized disorder, such as heart failure.

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