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
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
Moderate, single level disease
Why is the normal Vr at the distal anastomosis of graft <3.0?
- Due to vessel angle
- Due to vessel size change
- The flow is hyperaemic at this site
- Flow direction in the native artery is retrograde
Due to vessel size change
Duplicated FA is the most common anatomical variant of the lower extremity, T/F?
True
The innominate artery is the third branch off the aortic arch. T/F?
false
Right CCA arising directly from the aorta is the most common anatomical variant of vessel arising from the arch T/F?
False
Which of the following is NOT and indication for a lower extremity duplex test?
- Decrease in ABI >0.15 from previous
- Evaluation for renal dialysis access
- Thigh claudication when walking one block
- Ulcer in the anterior tibial region
Evaluation for renal dialysis access
