study guide test 3 Flashcards

1
Q
  1. Bypass graft evaluation begins with pt hx and surgical record with type of graft. T OR F
A

True

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2
Q
  1. A fem to fem graft is also referred to as a jump graft T/F
A

True

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3
Q
  1. Purpose of this procedure is to prevent access for dialysis for Hemodialysis fistula and graft? t/f
A

True

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4
Q
  1. Radial artery to cephalic v fistula is most common
A

true

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5
Q
  1. Goal of physiological testing in lower extremities is to determine if there’s evidence of arterial disease?
A

True

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6
Q
  1. Indirect phys. Test methods include BPR, leg pressures, waveform, and exercise stress test t/f
A

True

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7
Q
  1. Palp of pulses document from 0-3
A

True

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8
Q
  1. Four cuff method is reported to be better at differentiating disease from iliac arterial disease
A

true

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9
Q
  1. Systolic pressure in arm are used to calculate AFI, would you used lowest arm pressure of the two
A

false

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10
Q
  1. ABI of higher than 1.4 is highly suggested of calcified arterial disease t/f
A

True

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11
Q
  1. Blood pressure cult width should no be greater or less than (percent)
A

20 %

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12
Q
  1. Characteristic of norm Doppler waveform
A

Triphasic, dicrotic notch

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13
Q
  1. What the most important criteria for arterial Doppler imaging
A

spectral doppler wave form

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14
Q
  1. Most pt describe clottication as what? Cramping or pain
A

cramping

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15
Q
  1. Pt complain of intermittent claudication, ABI to begin with?
A

.59

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16
Q
  1. Doppler angle if imagining arteries
A

60 degrees

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17
Q
  1. Compression therapy of pseudoanuersym
A

applying pressure at the neck of the pseudoanuersym

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18
Q
  1. Plane should you look at artery when you’re doing Doppler?
A

long/sag

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19
Q
  1. Profundata artery location in reference to fem artery?
A

posterior/lateral

20
Q
  1. Branches of pop are what
A

Anterior tibial and tibial peoneal trunk

21
Q
  1. Segmental pressure of lower extremity, under or overestimate disease
A

underestimate

22
Q
  1. Toe pressure is norm if it is how many mm of mercury
A

50 mmHg

23
Q
  1. Calf PVR norm have greater waveform why? Sequential changes, hint
A

sequential changes and cuff artifact

24
Q
  1. Ankle pressure that fall after exercise of return to baseline in 5 mins they suggest what kind of disease?
A

single-segment occlusive disease

25
Q
  1. Non diabetic pt, ischemic skin lesion won’t heal if the pressure is below how many mm of mercury
A

30 mmHg

26
Q
  1. When imaging graft, what is your protocol
A

(might be an except question)

NOT evaluate the velocity decreases, obstruction, or flow channel changes.

27
Q
  1. Following procedure use GSF v for arterial conduit
A

in situ vein bypass

28
Q
  1. GSV is removed, upside and sewn back in is what procedure
A

Reverse vein graft

29
Q
  1. Structure used to mechanical how artery open
A

Stent.. Balloon-deployed stent or self expanding stent

30
Q
  1. Less invasive method for AAA
A

Placing a stent graft through a catheter into the aneurysm

31
Q
  1. Complication of stenting:
A

Leaking, infection, embolization

32
Q
  1. Arterial obstruction is common in subclavian artery but uncommon in what vessels
A

The axillary, brachial, radial, and ulnar arteries less likely to be involved.

33
Q
  1. Autoimmune that will affect subclavian a
A

takayasu and giant cell arteritis

34
Q
  1. Bueger’s disease has another name
A

Thromboangiitis obliterans

35
Q
  1. Small emboli that include vessels of hand and digits
A

Thromboemboli

36
Q
  1. Prolong muscle vasospasm brought on by cold exposure can be caused by ulceration n nicotine
A

Raynaud’s

37
Q
  1. Two names for raynaud’s
A

Primary Raynaud’s(Disease) and Secondary Raynaud’s(Syndrome)

38
Q
  1. High incidence of raynodes
A

70-90% of cases occur in females

39
Q
  1. Intermittent pain numb or weakness of arm, what disease are we looking for
A

Thoracic Outlet Syndrome (TOS)

40
Q
  1. PPG, best position for pad on toes
A

It’s placed on the pad of the Great toe

41
Q
  1. What do we do to test for Raynaud’s
A

Record pre-submersion PVRs or PPGs on symptomatic digits
Submerge hand(s) in ice water for 1-2min (or less if patient cannot tolerate)
Obtain post submersion readings on symptomatic digits
Obtain tracings at 2 or 3 min intervals thereafter
If PVR amplitude returns to baseline levels within 5 min, it’s normal
If waveform continues to be low after 10min or longer, it confirms Raynaud’s

42
Q
  1. Test for radial hand perfusion
A

The Allen test

43
Q
  1. One type of graft that is inpenetratable?
A

Vecta

44
Q
  1. Standard recovery time for standard cold immersion…? 2 or 5 mins
A

5 minutes

45
Q
  1. Arterial leg anatomy
A

p. 171

46
Q
  1. arterial arm anatomy
A

p. 257

47
Q
  1. Different situations: norm, ischemia, ao fem,multilevel disease
A

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