Vascular Ch. 19 & 20

Question 1

Information gathered about the superficial veins include

Answer 1

vein patency, position within the limb, depth, diameter

Question 2

Vein mapping allows for selection of optimal vein can alter ____ and _____, and minimize the amount of

Answer 2

planned surgery, surgical approach, surgical dissection

Question 3

GSV is a single trunk medially in thigh with several large tributaries at what percent

Answer 3

60%

Question 4

The closed loop system can cause

Answer 4

difficulties for surgeons passing instruments

Question 5

Main trunk of saphenous vein lies in saphenous compartment which is

Answer 5

bounded by saphenous fascia superficially and muscular fascia deeply

Question 6

The intersaphenous vein connects

Answer 6

SSV and GSV

Question 7

What do perforating veins do

Answer 7

perforate the muscular fascia and connect the superficial system to the deep system

Question 8

What can be created if not litigated

Answer 8

arteriovenous fistula

Question 9

Where does the basilic vein terminate and what does it form

Answer 9

brachial vein, axillary vein

Question 10

What is a pitfall during the exam

Answer 10

very easy to compress the vein since it is so superficial

Question 11

If the vein appears elliptical, most likely due to

Answer 11

too much pressure

Question 12

When GSV is in saphenous compartment, what does it appear as

Answer 12

egyptian eye

Question 13

Dilated, tortuous portions of the saphenous system are called

Answer 13

varicosities

Question 14

What is recanalization

Answer 14

previously thrombosed vein becomes partially or completely patent

Question 15

What do CVIs focus on

Answer 15

valvular disorders only

Question 16

Chronic venous insufficiency is an ______ because it fails to differentiate between ____ and ______

Answer 16

incomplete term, valvular, obstructive disease

Question 17

Superficial epigastric vein (SEV) of saphenofemoral junction is a

Answer 17

tributary used as a landmark for thermal ablation treatment

Question 18

Incompetent valves allow

Answer 18

abnormal retrograde flow

Question 19

CVI and varicose veins are a common finding and often associated with

Answer 19

telangiectasias

Question 20

Lymph edema will appear how on ultrasound

Answer 20

enlarged hypoechoic channels in the lower leg and foot

Question 21

What is recommended in order to minimize patient discomfort

Answer 21

exam order

Question 22

What is the first thing on the exam order

Answer 22

most symptomatic or affected thigh

Question 23

What can also be used to screen for reflux

Answer 23

transverse color flow images

Question 24

What can cause venous filling

Answer 24

reverse venous flow

Question 25

What is another compression method

Answer 25

parana maneuver

Question 26

What is most commonly associated with chronic venous obstruction during B-mode ultrasound

Answer 26

fibrous strands observed with a vessel lumen

Question 27

What is the normal valve closure time for saphenous veins

Answer 27

<500ms

Question 28

What is the normal valve closure time for femoral vein

Answer 28

<1000ms

Question 29

What does PPG emit

Answer 29

infrared light

Question 30

What is recovery time for PPG

Answer 30

> 20s

Question 31

During PPG, what is suspected with refill times <20s

Answer 31

reflux

Question 32

Diagnostic criteria for APG, residual volume (RV) is normally

Answer 32

<20%-35%

Question 33

What is in situ

Answer 33

use saphenous and stays in vascular bed, original area

Question 34

What is ligation

Answer 34

tying of a vein through a small incision in the skin to prevent pooling of blood

Question 35

What is another name for the cranial extension of the small saphenous vein and where does it terminate

Answer 35

vein of giacomini, popliteal vein (20% above the popliteal fossa)

Question 36

Very light pressure should be used so as not to

Answer 36

compress the vessel