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DMST 343 Vascular 3 > Socrative Review > Flashcards

Socrative Review Flashcards

1
Q

Which of the following is a symptom of peripheral arterial disease

  1. Cold sensitivity
  2. Ankle edema
  3. Swollen leg
  4. Painless ulcer
A

Cold sensitivity (All the other three are related to venous)

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2
Q

A patient is experiencing thigh claudication, where is the most likely location of the disease?

  1. Popliteal artery
  2. Femoral artery
  3. Iliac Artery
  4. Profunda artery
A

Iliac artery

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3
Q

Which of the following is NOT a characteristic of Pseudoaneurysm?

  1. Pulsating hematoma
  2. Swirling of color
  3. Confined by arterial walls
  4. Communicating channel seen between the mass and artery
A

Confined by arterial walls

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4
Q

IF a collateral is present, What can they help identify?

  1. Stenosis location
  2. Waveform patterns
  3. Extent of occlusion
  4. Presence of an aneurysm
A

Extent of occlusion

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5
Q

Which of the following is NOT a limitation of performing lower extremity duplex test?

  1. Obesity
  2. Open wounds
  3. Bypass grafts
  4. Medial calcification
A

Bypass grafts

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6
Q

An ABI value of 0.42 indicates which category of disease?

  1. Normal
  2. Minimal
  3. Multi-level
  4. Single level
A

Multilevel

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7
Q

Which of the following describes reactive hyperaemia?

  1. Multiphasic waveform
  2. Intermediate resistance
  3. High resistance
  4. Monophasic waveform
A

Monophasic waveform

possible for 2 months

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8
Q

A right leg ABI is calculated by taking highest pedal pressure at the right ankle and diving it by the highest brachial pressure whether it is the right or left arm. T/F?

A

True

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9
Q

Which of the following describes a multiphasic waveform?

  1. Sharp upstroke and no flow below baseline
  2. Blunted, tarsus parvus
  3. Continuous forward flow
  4. Crosses the baseline
A

Crosses the baseline

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10
Q

Which of the following indicates impending vein graft failure?

  1. <25 cm/s
  2. <35 cm/s
  3. <45 cm/s
  4. <55 cm/s
A

<45 cm/s

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11
Q

With exercise stress testing the post- exercise systolic ankle pressure decrease should be <20% of the resting pressure and take 3 minutes to return to baseline. T/F?

A

False

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12
Q

What is the most common site of atherosclerosis of the lower extremity?

  1. CFA
  2. FA proximal
  3. FA distal
  4. Popliteal
A

FA distal

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13
Q

Which of the following is NOT A common compliant of a patient suffering from Ischemic rest pain?

  1. Pain is severe and constant
  2. Usually affects the dorsal of the foot and toes
  3. Foot pain when standing for long periods
  4. Rest does not relieve the pain
A

Foot pain when standing for long periods

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14
Q

Thoracic outlet syndrome can result from compression of the subclavian vein, subclavian artery, and brachial nerve plexus. T/F?

A

True

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15
Q

Where does popliteal entrapment occur?

  1. Distal hamstring muscle
  2. Head of gastrocnemius muscle
  3. Body of the soleal muscle
  4. Quadriceps muscle
A

Head of the gastrocnemius muscle

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16
Q

What are two common causes of peripheral emboli?

  1. Pseudoaneurysm and the heart
  2. Distal aneurysm and the heart
  3. Proximal aneurysm and the heart
  4. Proximal and distal aneurysms
A

Proximal aneurysm and the heart

17
Q

A 75 year old female complains of right calf and thigh pain after walking one block. Physical exam reveals a +1(weak) right CFA pulse and a normal pulse on the left. What is the most likely diagnosis?

  1. Right internal iliac stenosis
  2. RIght common Iliac occlusion
  3. Bilateral external iliac obstruction
  4. Right common federal artery stenosis
A

Right common iliac occlusion

18
Q

Which of the following is an indication for an upper extremity duplex exam?

  1. Motor/ sensory disturbances
  2. Absent peripheral pulses
  3. Popliteal aneurysms
  4. Blue- Toe Syndrome
A

Absent peripheral pulses

19
Q

What is the purpose of treadmill testing?

  1. To improve endurance
  2. To validate rest pain
  3. To check for cardiovascular capacity
  4. Determine functional significance of disease
A

Determine functional significance of disease

20
Q

How would a significant stenosis affect the distal blood pressure post exercise?

  1. No change
  2. Increase
  3. Decrease
  4. Unable to detect
A

Decrease

21
Q

Compared to the proximal normal segment, what effect would a >70% stenosis have on the velocity?

  1. QUadrupled
  2. Tripled
  3. Doubled
  4. No effect
A

Tripled

22
Q

What is the most common cause of early graft failure (<30days post op)?

  1. Frozen alive s
  2. Twists and kinks
  3. Intimal hyperplasia
  4. Errors in graft construction
A

Errors in graft construction

23
Q

What conclusions can be made when you observe a monophasic waveform?

  1. Severe distal stenosis
  2. Significant inflow disease
  3. Mild stenosis at the level displayed
  4. Normal flow in a hypotensive patient
A

Significant inflow disease

24
Q

When scanning a popliteal artery bypass graft you obtain a PSV Of 150 cm/s and Vr of 1.5. What do these findings most likely indicate?

  1. Normal graft
  2. Graft failure
  3. Mild disease
  4. Severe disease
A

Normal Graft

25
Q

What would an ABI of 0.7 most likely indicate?
1. Normal
2. Minimal disease, asymptomatic
3. Moderate, single level disease
4. Severe, multilevel disease

A

Moderate, single level disease

26
Q

Why is the normal Vr at the distal anastomosis of graft <3.0?

  1. Due to vessel angle
  2. Due to vessel size change
  3. The flow is hyperaemic at this site
  4. Flow direction in the native artery is retrograde
A

Due to vessel size change

27
Q

Duplicated FA is the most common anatomical variant of the lower extremity, T/F?

A

True

28
Q

The innominate artery is the third branch off the aortic arch. T/F?

A

false

29
Q

Right CCA arising directly from the aorta is the most common anatomical variant of vessel arising from the arch T/F?

A

False

30
Q

Which of the following is NOT and indication for a lower extremity duplex test?

  1. Decrease in ABI >0.15 from previous
  2. Evaluation for renal dialysis access
  3. Thigh claudication when walking one block
  4. Ulcer in the anterior tibial region
A

Evaluation for renal dialysis access

DMST 343 Vascular 3 (7 decks)

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