Peripheral Arterial Disease

Question 1

Lower extremity arterial blockage is most often a result of ____

Answer 1

atherosclerosis

Question 2

What two atherosclerotic risk factors are most often associated w/ lower extremity occlusive disease?

Answer 2

Smoking

Diabetes

Question 3

Claudication presents with: (3)

Answer 3

Cramp
Ache
Fatigue

Question 4

T/F: Calf cramps at rest are suggestive of arterial ischemia.

Answer 4

False. NOT suggestive

Question 5

Ischemic pain at rest is typically seen ____

Answer 5

distally in foot across the metatarsal heads

Question 6

Ankle-brachial indices less than 0.4 may be associated w/ ___ (2).

Answer 6

Rest pain

Tissue loss

Question 7

T/F: Pulse volume recordings are not affected by calcification of vessels, as in diabetics.

Answer 7

True

Question 8

T/F:Ankle-arm index is not affected by calcification of vessels, as in diabetics.

Answer 8

False

Question 9

Neurogenic claudication often occurs with ____

Answer 9

Standing alone

NOT true in arterial claudication

Question 10

T/F: imaging studies are necessary to diagnose arterial occlusive disease.

Answer 10

False. Diagnosis by history, PE, supplemented by arterial pressure studies.

Imaging studies used when determining intervention.

Question 11

Most important intervention for lower extremity occlusive disease is ____

Answer 11

atherosclerotic risk factor modification

Question 12

T/F: Claudication is generally benign and the decision to intervene is based on anatomy.

Answer 12

False. Based on degree of impairment of individual.

Question 13

Most common site of aortic aneurysms

Answer 13

infrarenal aorta

Question 14

Most common site of peripheral arterial aneurysms

Answer 14

popliteal

Question 15

What imaging modality is used to screen for aneurysms?

Answer 15

Ultrasound

Question 16

T/F: Popliteal aneurysms are highly likely to rupture.

Answer 16

False. Almost never rupture

BUT can cause ischemia b/c of thrombosis and embolism

Question 17

Aortic aneurysms are surgically treated with ___.

Answer 17

prosthetic graft

Question 18

Peripheral aneurysms are surgically treated with ___.

Answer 18

bypass/ligation

Question 19

Feasibility of stent graft repair of aneurysms is dependent on ____

Answer 19

suitable anatomy

Question 20

Clinical presentation of carotid bifurcation disease/carotid occlusive disease include all EXCEPT:
A. Dizziness/syncope
B. Contralateral extremity
C. Lower facial weakness
D. Sensory changes
E. Aphasia
F. Ipsilateral monocular vision loss

Answer 20

A. Almost never dizziness/syncope

Question 21

Carotid bifurcation disease diagnosed least expensively and least invasively by ____

Answer 21

Duplex scanning

Question 22

When determining the degree of stenosis on arteriographic studies, ____ should be used as denominator for stenosis determination.

Answer 22

distal internal carotid

Question 23

T/F: Carotid endarterectomy (CEA) is more effective treatment for symptomatic carotid occlusive disease patients than asymptomatic.

Answer 23

True

Question 24

T/F: Carotid stenting has 2x the risk of peri-procedural stroke than carotid endarterectomy.

Answer 24

True. Treatment for carotid occlusive disease