Peripheral Vascular Pathophysiology Flashcards

1
Q

Which layer of the arterial wall is composed of a single layer of squamous cells?

A

Tunica intima

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2
Q

What CHD risk factors cause endothelial injury?

A

HTN, smoking, DM, etc.

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3
Q

What type of cells migrate from the circulation to under the epithelium?

A

Monocytes

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4
Q

Migration of capillaries into the plaque occurs during what stage of development?

A

Advanced

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5
Q

What are the 5 components of physical fitness?

A

Cardiovascular endurance
Muscular strength
Muscular endurance
Flexibility
Body composition

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6
Q

What is critical limb ischemia?

A

Significantly reduced blood flow to the limbs, particularly legs and feet

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7
Q

How likely is limb amputation in patients with critical limb ischemia?

A

High/significant

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8
Q

Why does PAD cause these symptoms: Numbness, Weakness, Cold skin temperature, Pulses weak/, and Integumentary changes?

A

Inadequate blood flow to the limbs

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9
Q

Describe the intermittent claudication scale

A

0-4 or 1-5. Low to high being no pain to high pain.

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10
Q

Why are many of the risk factors for PAD the same as CHD?

A

Both conditions primarily caused by atherosclerosis

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11
Q

What are the additional PAD risk factors that aren’t in common with CHD?

A

LE trauma, Raynaud’s, chronic kidney disease, Increased blood viscosity.

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12
Q

What protein factor is needed for coagulation cascade X?

A

Vitamin K

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13
Q

A patient with DM has elevated plasminogen activator inhibitor; clot or bleeding?

A

Clot formation

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14
Q

What peripheral vascular disorders are associated with impaired LE muscle function?

A

PAD

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15
Q

How does right-sided heart failure cause CVI?

A

Increased venous pressure
Fluid retention/edema
Reduced cardiac output

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16
Q

How do mobility and exercise help prevent DVTs?

A

Improved circulation

17
Q

What type of exercise(s) prevents DVT formation?

A

LE exercises to help muscle pump

18
Q

Venous or arterial: Skin with dark purple staining

A

Venous

19
Q

Venous or arterial: Walking ↑ Pain

A

Arterial

20
Q

Venous or arterial: Sitting with LE dependent ↑ Pain

A

Venous

21
Q

Venous or arterial: Ulcers on foot weightbearing sites

A

Arterial

22
Q

Venous or arterial: Ulcers on lower legs

A

Venous

23
Q

Venous or arterial: Skin with bright red color

A

Venous

24
Q

Venous or arterial: Peripheral edema

A

Venous

25
Q

Venous or arterial: Sitting with LE dependent ↓ Pain

A

Arterial

26
Q

Venous or arterial: Absent pulses

A

Arterial

27
Q

Venous or arterial: Walking ↓ Pain

A

Venous

28
Q

Venous or arterial: Skin temperature cool

A

Arterial

29
Q

Venous or arterial: Ulcers can progress to necrosis

A

Arterial