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diagnostics Exam 3 > Peripheral > Flashcards

Peripheral Flashcards

1
Q

The primary management for DVT includes:
A. High-intensity exercise
B. Compression stockings
C. Immediate surgery
D. Antibiotics

A

B. Compression stockings

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2
Q

Venous insufficiency is often managed by:
A. Elevation of the legs
B. Lowering the legs
C. Continuous walking without rest
D. Avoidance of compression stockings

A
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3
Q
  1. Raynaud’s disease management typically involves:
    A. Avoiding cold exposure
    B. Sun exposure
    C. High salt diet
    D. High-intensity exercise
A

A. Avoiding cold exposure

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4
Q

. Temporal arteritis is diagnosed primarily through:
A. Ultrasound
B. X-ray
C. Biopsy
D. EMG

A

C. Biopsy

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5
Q

. Dependent Rubor is an indication of:
A. Deep vein thrombosis
B. Lymphatic obstruction
C. Peripheral arterial disease
D. Venous insufficiency

A

C. Peripheral arterial disease

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6
Q

Symptoms of venous insufficiency include:
A. Rapid heart rate
B. Ankle edema and stasis ulcers
C. Warm, red skin around the joint
D. High blood pressure

A

B. Ankle edema and stasis ulcers

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7
Q

Temporal arteritis requires immediate treatment to prevent:
A. Joint deformation
B. Loss of limb mobility
C. Vision loss
D. Skin discoloration

A

C. Vision loss

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8
Q

Indication of elevational pallor suggests:
A. Venous insufficiency
B. Severe arterial disease/ischemia
C. Deep vein thrombosis
D. Lymphatic obstruction

A

B. Severe arterial disease/ischemia

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9
Q

Which of the following is a subjective symptom commonly associated with DVT?
a) Ankle edema
b) Dermatitis
c) Calf pain
d) Induration

A
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10
Q

Which of the following is a diagnostic test typically performed for DVT?
a) Echocardiogram
b) MRI
c) Ultrasound
d) Electrocardiogram

A

c) Ultrasound

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11
Q

What is a recommended management strategy for venous insufficiency?
a) Prolonged standing
b) Compression stockings, walking and raise leg
c) Avoiding leg elevation
d) Increased salt intake

A

b) Compression stockings, walking and raise leg

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12
Q

Which of the following medications is commonly used to manage Raynaud’s disease?
a) Antibiotics
b) Calcium channel blockers and beta blockers
c) Anticoagulants
d) Insulin

A

b) Calcium channel blockers and beta blockers

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13
Q

What demographic is most commonly affected by Temporal Arteritis?
a) Individuals under 20 years old
b) Individuals above 50 years old
c) Individuals between 30-40 years old
d) Individuals below 10 years old

A

b) Individuals above 50 years old

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14
Q

Which diagnostic test is typically performed to confirm Temporal Arteritis?
a) CT scan
b) X-ray
c) Biopsy, US * CBC, ESR, CMP, CR
d) Blood culture

A

Plan: US * CBC, ESR, CMP, CRP * Biopsy

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15
Q

What is a characteristic sign of severe ischemia?
a) Dependent rubor
b) Elevated pallor
c) Varicosities
d) Throbbing headache

A

b) Elevated pallor

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16
Q

Dependent rubor is a sign commonly associated with:
a) Venous insufficiency
b) Temporal arteritis
c) Raynaud’s disease
d) Deep vein thrombosis

A

a) Venous insufficiency

17
Q

Which of the following symptoms is characteristic of Raynaud’s disease?
a) Warm extremities
b) Flushing of the skin
c) Vasospasm of hands
d) Bradycardia

A

c) Vasospasm of hands

18
Q

In venous insufficiency, where is stasis ulcer commonly found?
a) Below the ankle
b) At or above the ankle
c) On the thigh
d) On the abdomen

A

b) At or above the ankle

19
Q

What is the first-line treatment for Temporal Arteritis?
a) Corticosteroids
b) Antibiotics
c) NSAIDs
d) Antihistamines

A

a) Corticosteroids

20
Q

Which of the following is a characteristic of arterial disease and occlusion?
a) Pitting edema
b) Dependent rubor
c) Dermatitis
d) Induration

A

b) Dependent rubor

21
Q

Which of the following tests is typically used to assess for DVT?
a) ECG
b) CT angiography
c) D-dimer assay
d) Colonoscopy

A

c) D-dimer assay

22
Q

. What is a common subjective symptom of Temporal Arteritis?
a) Ankle edema
b) Calf pain
c) Throbbing headache
d) Varicosities

A

c) Throbbing headache

23
Q

What does a positive Homan’s sign indicate?
a) Venous insufficiency
b) Arterial occlusion
c) Deep vein thrombosis
d) Temporal arteritis

A

c) Deep vein thrombosis

24
Q

What is the significance of a dusky-red coloration visible in the leg in a dependent position?
a) Venous insufficiency
b) Arterial occlusion
c) Normal vascular response
d) Deep vein thrombosis

A

b) Arterial occlusion

25
Q

. Which of the following conditions is associated with elevated pallor?
a) Peripheral arterial disease
b) Venous insufficiency
c) Raynaud’s disease
d) Temporal arteritis

A

a) Peripheral arterial disease

26
Q

Dependent Rubor:

A

Indications: is peripheral arterial disease (PAD)
Seen when patients dangle their feet over the examination table
Fiery to dusky-red coloration visible when the leg is in a dependent position but not when it’s elevated above the heart; the extremity is cool to the touch

27
Q

Signs of vascular insufficiency how to evaluate

A

elevationational parlor and dependent rubor

28
Q

Elevational Pallor

A

Indication: severe ischemia
Is seen after 60 seconds of a 60-degree elevation of the lower extremities when the patient is supine

29
Q

Raynaud’s disease

A

Subjective: * Coolness of the hands or extremities
Objective: Vasospasm of the hands and extremities * Pale extremities * Cool extremities
Plan: Wearing gloves, keep extremities warm * Calcium channel blockers, beta-blockers

30
Q

Temporal Arteritis (giant cell arteritis)

A

Often in the temporal artery in individuals above 50 years old
Subjective: * Flu-like, fever, malaise, anorexia, polymyalgia * Throbbing HA, temporal pain, ocular symptoms
Objective: inflamed temporal artery
Plan: US * CBC, ESR, CMP, CRP * Biopsy * Corticosteroid may be helpful in treatment

31
Q

Treatment Plan for DVT

A

US * CBC(diff), CMP, D-dimer, PT/INR * Wear compression stockings * Keep your leg or arm raised while at rest * Balloon angioplasty or embolectomy

32
Q

DVT Objective data

A

Positive Homan’s sign Calf swelling
* If unilateral—suspect occlusion of major vein (DVT), infection, venous insufficiency, lymphatic obstruction
* If bilateral—suspect CHF, malnutrition, volume overload, advanced liver disease
If edema without pitting—suspect arterial disease and occlusion

32
Q

Venous Insufficiency

A

Subjective: Ankle edema * Dermatitis
* Personal medical history: phlebitis or leg injury
Objective: Stasis or stasis ulcer at or above the ankle * Induration * Varicosities
Plan: avoid long periods of standing * Walking * Leg elevation * use Compression stockings * Weight loss * Skin hygiene

33
Q

DVT
Subjective data

A
  • Calf pain * Calf swelling
  • Personal medical history: recent surgery, smoking, sedentary lifestyle, OCP, obesity, trauma

diagnostics Exam 3 (4 decks)

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