peripheral B (EDITED)

Question 1

gastrocnemius is the

Answer 1

calf muscle

Question 2

__ arteries is just below the inguinal ligament halfway between the pubis and anterior __ __

Answer 2

femoral, (anterior superior) iliac spines

Question 3

compress of the gastrocnemius muscleanteriorly against the tibia is called __ and should have no pain

Answer 3

homan sign

Question 4

Homan signoccurs in 35% of __(but not specific) (5)

Answer 4

DVT, || superficial phlebitis, Achilies tendinits, gastrocnemius and plantar muscle injury, and lumbosacral disorders

Question 5

posterior tibial pulse, curve fingers around the __ __ it is behind that< and the __ __

Answer 5

medial malleolus, Achilles tnedon

Question 6

The dorsalis pedis pulse needs very light toch. felt __ to and parallel with the __ __ of the big toe

Answer 6

lateral, extensor tendon

Question 7

> 45 it is hard to find either the dorsalis pedis or the posterior tibial pulse. T or F

Answer 7

F. one but not both

Question 8

__ edema, firmly depress teh skin oover the tibia or the __ __ for 5 sec. should leave no indent

Answer 8

pretibial, medial malleolus

Question 9

mild pitting, slight indent, no perceptible swelling of leg

Answer 9

1+

Question 10

moderate pitting, indentation subsides rapidly

Answer 10

2+

Question 11

deep pitting, indetnation remains for a short time, leg looks swollen

Answer 11

3+

Question 12

very deep pitting, indentations last a long time, leg is grossly swollen and distorted

Answer 12

4+

Question 13

Bilatera, dependent pitting edema occurs with __, –, and –

Answer 13

heart failure, diabetic neuropathy, hepatic cirrhosis

Question 14

varicosities occur in the __ veins

Answer 14

saphenous

Question 15

a palpable wave transmission occurs when the __ are incompetent

Answer 15

valves

Question 16

elevation pallor (marked ) indicates __ insufficiency

Answer 16

arterial

Question 17

Dependent rubor (deep blue-red color)occurs with severe __ insufficiency

Answer 17

arterial

Question 18

chronic hypoxia produces a loss of __ tone and a poolin of blood in the veins

Answer 18

vasomotor

Question 19

Delayed __ filling occurs with arterial insufficinecy

Answer 19

venous

Question 20

Motor loss occurs with severe __ deficit

Answer 20

arterial

Question 21

Sensory loss occurs with __deficit, esp __

Answer 21

arterial, diabetes

Question 22

divice to detec weak peripheral pulse, monitor B/P in infants or kids or measure a low B/P in lower extremities

Answer 22

doppler ultrasonic stethoscope

Question 23

___to determine extent of PAD a b/p cuff is placed above the ankle and determine the systolic pressue in either the posterior timbial or dorsalis pedis artery. Divide that figure by systolic pressure of the brachial artery

Answer 23

Ankle-brachial Index (ankle systolic/arm systolic=ABI

Question 24

Ankle-Brachial index is is less reliable in diabetes mellitus because of__ and may give false High

Answer 24

calcification

Question 25

ABI of 0.90 or <__

Answer 25

peripheral arterial disease (PAD)

Question 26

ABI 0.90 to 0.70

Answer 26

mild claudication

Question 27

ABI 0.70 to 0.40

Answer 27

moderate to severe claudication

Question 28

ABI 0.40 to 0.30

Answer 28

severe claudication usually with rest pain except i presence of  diabetic neuropathy

Question 29

ABI<0.30-

Answer 29

ischemia, with impending loss of tisse

Question 30

Weak pulses occur with __ of diminished cardiac output

Answer 30

vasoconstriction

Question 31

Full, bound pulses occur with patent __ __ as  result of the large left-to right shunt

Answer 31

ductus arteriosus

Question 32

Diminisheed or absent femoral pulses while upper extremity pules are normal suggest __ of __

Answer 32

coarctation, aorta

Question 33

Enlarged, warm, tender nodes indicate current __. Look for source of it

Answer 33

infection

Question 34

Remain alert for generalized edema plus hypertension, suggest __ a dangerous obstetric condition

Answer 34

preeclampsia

Question 35

Deep muscle pain, usually in calf, but may be lower leg or dorsum of foot. Chronic arterial symptoms or acute arterial symptoms

Answer 35

Chronic arterial

Question 36

Sudden onset (within one hour) chronic arterial symptom or acute arterial symptom

Answer 36

Acute arterial symptom

Question 37

Varies, distal to occlusion, may involve entire leg. Chronic arterial symptoms. Or. Acute arterial symptoms

Answer 37

Acute arterial symptoms

Question 38

6 Ps: Pain, Pallor, pulselessness, parenthesis,poikilothermia (coldness), paralysis (indicates severe) Chronic arterial symptoms. Or acute arterial symptoms

Answer 38

Acute arterial symptom

Question 39

Chronic pain, onset gradual after exertion | Chronic arterial symptom or acute arterial symptoms

Answer 39

Chronic arterial symptoms

Question 40

Intermittent claudication, feels like cramp, numbness and tingling, feeling of cold. Chronic arterial symptoms. Or. Acute arterial Center

Answer 40

Chronic arterial symptom

Question 41

History of vascular surgery; arterial invasive procedure; abdominal aneurysm (emboli); trauma, including injured arteries; chronic arterial fibrillation. Chronic arterial symptom or acute arterial symptom

Answer 41

Acute arterial symptom

Question 42

Activity (walking stairs, walking,; claudication distance and specific number of blocks, stairs it takes to produce pain. Chronic arterial symptom or acute arterial sent

Answer 42

Chronic arterial symptom

Question 43

Throbbing. Chronic arterial symptom or acute arterial symptom

Answer 43

Acute arterial symptom

Question 44

Elevation (rest pain indicates severe involvement). Chronic arterial symptoms. Or. Acute arterial symptoms

Answer 44

Chronic arterial symptom

Question 45

Cool, pale skin. Chronic arterial symptoms. Or. Acute arterial symptom

Answer 45

Chronic arterial symptom

Question 46

Pain, pale, no calls, coldest, severe. Chronic arterial symptom or acute arterial symptoms

Answer 46

Acute arterial symptom

Question 47

Older adults, more males and females, inherited predisposition, history of hypertension, smoking, diabetes, hypercholesterolemia, obesity, vascular disease. Chronic arterial or acute arterial

Answer 47

Chronic arterial

Question 48

Rest (usually within 2 min(standing). Dangling (severe involvement). Chronic arterial or acute arterial

Answer 48

Chronic Arterial

Question 49

Calf pain | . Chronic venous. Or. Acute Venus

Answer 49

Acute Venus

Question 50

Edema, varicosities, weeping ulcers at ankles. Chronic venous. Or. Acute Venus

Answer 50

Chronic venous

Question 51

Sudden onset (within one hour. Acute Venus or chronic venous

Answer 51

Q Venus

Question 52

Aching, tiredness, feeling of fullness in calf or lower leg | chronic venous or acute Venus

Answer 52

Chronic venous

Question 53

Pain may increase with sharp dorsiflexion of what. Acute Venus or chronic venous

Answer 53

Acute Venus

Question 54

Chronic pain, increases at end of day. Acute Venus or chronic venous

Answer 54

Chronic venous

Question 55

Aggravated by standing, sitting for long time. Chronic venous or acute venous

Answer 55

Chronic venous

Question 56

Relieved by elevation, lying, walking. Chronic venous. Or,. Acute Venus

Answer 56

Acute Venus

Question 57

Person at risk that he has job with prolonged standing or sitting; obesity; pregnancy; prolonged bed rest; history of heart failure; , varicosities, or thrombophlebitis, veins crushed by trauma or surgery acute Venus or chronic venous

Answer 57

Chronic venous

Question 58

Relieving factors: elevation, lying, walking. Chronic ((Chronic venous or acute venous))

Answer 58

Chronic venous

Question 59

"Rest (usually within 2 min(standing). Dangling (severe involvement). ((Chronic or Acute))

Answer 59

chronic arterial

Question 60

"Calf pain

Answer 60

Acute venous