Pad

Question 0

With PAD, The central problem is ________ flow with resulting ______ deficiency.

Answer 0

Impaired flow

Resulting O2 deficiency

Question 1

PAD is divided into what 2 categories?

Answer 1

1. Acute

2. Chronic

Question 2

Acute occlusion may come in what two forms?

Answer 2

1) Embolism

2) thrombosis

Question 3

Traveling distally from a proximal source describes what type of acute occlusion?

Answer 3

Embolism

Question 4

An occlusion at the site describes …..?

Answer 4

A thrombis

Question 5

Embolism is caused by what 2 diseases?

Answer 5

1. Cardiac

2. Arterial

Question 6

Thrombosis can be caused by what four events?

Answer 6

1. Atherosclerosis
2. Trauma
3. Iatrogenic
4. Aneurysm

Question 7

A consequence of medical treatment or complication post surgery is defined as ________.

Answer 7

Iatrogenic

Question 8

What are the 6 P’s symptoms of acute arterial disease?

Answer 8

Pain, pallor, Paresthesia

Paralysis, pulselessness, polar

Question 9

Name the 3 test addressing acute arterial disease?

Answer 9

1. Ecg
2. Angiography
3. Arterial duplex and ABI

Question 10

What are some medications given to treat arterial disease?

Answer 10

1. Heparin,Coumadin
2. Bypass surgery
3. Amputation

Question 11

_________ accounts for 95% of arterial disease.

Answer 11

ASO

Arteriosclerosis obliterations

Question 12

What are the 5 stages of Arteriosclerosis obliterations?

Answer 12

1. Asymptomatic disease
2. Claudication
3. Rest pain
4. Ischemic ulceration
5. Gangrene

Question 13

Pain while walking, relieved by rest defines…..

Answer 13

Claudication

Question 14

Symptoms of burning, aching, numbness in foot/feet that can occur anytime describes what stage of ASO?

Answer 14

Rest pain

Question 15

Which is more severe in ischemic ulceration arterial or venous?

Answer 15

Arterial

Question 16

Arterial ulceration is _______ with no sign of _______ and usually starts at the ________.

Answer 16

Severe
Healing
Toes

Question 17

Venous ulceration is usually above the ________ ________ ( gaiter area)

Answer 17

Medial malleolus

Question 18

Name some risk factors for ASO?

Answer 18

Family Hx
HTN
Smoking 
Diabetes
Hypercholesterolemia
Age

Question 19

What are some physical findings of ASO?

Answer 19

1) Tropic changes in nails, hair, skin
2) Pallor in elevation
3) Ischemic ulcer
4) gangrene
5) weak pulse

Question 20

What are types of medical treatment for ASO?

Answer 20

Medical therapy ( exercise, diet, stop smoking, lower cholesterol)
Angioplasty
Bypass graft
Amputation

Question 21

What phrase describes a normal doppler signal waveform?
a. Damped and Monophasic

B. Sharp and multiphasic

Answer 21

B. Sharp and multiphasic

Question 22

A damped and Monophasic waveform could suggest….

Answer 22

A abnormal waveform and Proximal stenosis

Question 23

In segmental blood pressures mean pressure is high or lower in the leg arteries?

Answer 23

Mean pressure is lower

Question 24

If leg arteries are stiffer than the aorta, pulsatility, is increased and ______ pressure is also higher.

Answer 24

Peak pressure is higher in the legs

Question 25

Normal ankle/arm index is greater than ______

Answer 25

1.00

Question 26

An ankle/arm index less than _____ suggest arterial stenosis ______.

Answer 26

1.00 and proximally

Question 27

An index of ______ or less suggest severe, multilevel stenosis or occlusion.

Answer 27

Index of .50

Question 28

A high thigh/ arm index is normally about _______

Answer 28

1.20

Question 29

HT/A index less than _____ suggest proximal disease and less than .80 suggest a _______ occlusion.

Answer 29

1.00 and 0.80 suggest proximal occlusion

Question 30

What is the diagnostic criteria for arterial stenosis?

Answer 30

Norm 400