Socrative Review Flashcards
Which of the following is a symptom of peripheral arterial disease
- Cold sensitivity
- Ankle edema
- Swollen leg
- Painless ulcer
Cold sensitivity (All the other three are related to venous)
A patient is experiencing thigh claudication, where is the most likely location of the disease?
- Popliteal artery
- Femoral artery
- Iliac Artery
- Profunda artery
Iliac artery
Which of the following is NOT a characteristic of Pseudoaneurysm?
- Pulsating hematoma
- Swirling of color
- Confined by arterial walls
- Communicating channel seen between the mass and artery
Confined by arterial walls
IF a collateral is present, What can they help identify?
- Stenosis location
- Waveform patterns
- Extent of occlusion
- Presence of an aneurysm
Extent of occlusion
Which of the following is NOT a limitation of performing lower extremity duplex test?
- Obesity
- Open wounds
- Bypass grafts
- Medial calcification
Bypass grafts
An ABI value of 0.42 indicates which category of disease?
- Normal
- Minimal
- Multi-level
- Single level
Multilevel
Which of the following describes reactive hyperaemia?
- Multiphasic waveform
- Intermediate resistance
- High resistance
- Monophasic waveform
Monophasic waveform
possible for 2 months
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?
True
Which of the following describes a multiphasic waveform?
- Sharp upstroke and no flow below baseline
- Blunted, tarsus parvus
- Continuous forward flow
- Crosses the baseline
Crosses the baseline
Which of the following indicates impending vein graft failure?
- <25 cm/s
- <35 cm/s
- <45 cm/s
- <55 cm/s
<45 cm/s
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?
False
What is the most common site of atherosclerosis of the lower extremity?
- CFA
- FA proximal
- FA distal
- Popliteal
FA distal
Which of the following is NOT A common compliant of a patient suffering from Ischemic rest pain?
- Pain is severe and constant
- Usually affects the dorsal of the foot and toes
- Foot pain when standing for long periods
- Rest does not relieve the pain
Foot pain when standing for long periods
Thoracic outlet syndrome can result from compression of the subclavian vein, subclavian artery, and brachial nerve plexus. T/F?
True
Where does popliteal entrapment occur?
- Distal hamstring muscle
- Head of gastrocnemius muscle
- Body of the soleal muscle
- Quadriceps muscle
Head of the gastrocnemius muscle
What are two common causes of peripheral emboli?
- Pseudoaneurysm and the heart
- Distal aneurysm and the heart
- Proximal aneurysm and the heart
- Proximal and distal aneurysms
Proximal aneurysm and the heart
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?
- Right internal iliac stenosis
- RIght common Iliac occlusion
- Bilateral external iliac obstruction
- Right common federal artery stenosis
Right common iliac occlusion
Which of the following is an indication for an upper extremity duplex exam?
- Motor/ sensory disturbances
- Absent peripheral pulses
- Popliteal aneurysms
- Blue- Toe Syndrome
Absent peripheral pulses
What is the purpose of treadmill testing?
- To improve endurance
- To validate rest pain
- To check for cardiovascular capacity
- Determine functional significance of disease
Determine functional significance of disease
How would a significant stenosis affect the distal blood pressure post exercise?
- No change
- Increase
- Decrease
- Unable to detect
Decrease
Compared to the proximal normal segment, what effect would a >70% stenosis have on the velocity?
- QUadrupled
- Tripled
- Doubled
- No effect
Tripled
What is the most common cause of early graft failure (<30days post op)?
- Frozen alive s
- Twists and kinks
- Intimal hyperplasia
- Errors in graft construction
Errors in graft construction
What conclusions can be made when you observe a monophasic waveform?
- Severe distal stenosis
- Significant inflow disease
- Mild stenosis at the level displayed
- Normal flow in a hypotensive patient
Significant inflow disease
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?
- Normal graft
- Graft failure
- Mild disease
- Severe disease
Normal Graft