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Vascular board review (myultrasoundtutor) > Venous Alternate Testing and Treatment > Flashcards

Venous Alternate Testing and Treatment Flashcards

1
Q

What is the name of the serum blood test that is used for thrombolytic activity in the body

A

D-dimer

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2
Q

D-dimer may indicate the presence of ______ if positive

A

DVT

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3
Q

What are the 2 types of contrast venograms

A

1) ascending
2) descending

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4
Q

What type of contrast venogram is used rule out a DVT

a) ascending
b) descending

A

a) ascending

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5
Q

What type of contrast venogram is used when dye is injected into the distal superficial vein on the dorsum of the foot

a) ascending
b) descending

A

a) ascending

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6
Q

What type of contrast venogram is used to rule out valvular incompetence

a) ascending
b) descending

A

b) descending

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7
Q

For a descending contrast venogram where is the dye injected into

A

CFV

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8
Q

For ascending contrast venogram if the vessel is fully filled what does this mean

A

There is no obstruction

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9
Q

For ascending contrast venogram if there is no filling of the vessel or its partially filled what does this mean

A

DVT

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10
Q

For descending contrast venogram if there is no filing of the vessel what does this mean

A

No reflux

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11
Q

For descending contrast venogram if there is filling of the veins what does this mean

A

There is reflux

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12
Q

What scan measures air and blood flow in the lungs

A

VQ scan

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13
Q

What does prophylaxis mean

A

preventative

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14
Q

How is heparin adminstered

A

intravenously

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15
Q

How many days is a patient on intravenous heparin before they get an oral anticoagulant

A

4-5 days

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16
Q

Name an anticoagulant drug

A

Heparin

17
Q

What is the purpose of heparin

A

To prevent the propagation of clots

18
Q

What is used as a last resort or limb or life threatening diesease

A

Thrombectomy/embolectomy

19
Q

Where is an IVC filter placed

A

Infrarenal

20
Q

The surgical removal of varicose veins is called

A

Phlebectomy

21
Q

Injections for the removal/closure of spider veins is called

A

Sclerotherapy

22
Q

An unna boot and hyperbaric oxygen chamber is used for what type of ulcers

A

Venous

23
Q

What procedure provides communication or shunt between the portal veins and hepatic veins

A

TIPSS

24
Q

What veins are used for a TIPSS

A

Right portal and right hepatic vein

25
Q

If a TIPSS is successful what will the flow be at the proximal anastomosis

a) hepatopedal
b) hepatofugal

A

a) hepatopedal

26
Q

If a TIPSS is successful what will the flow be at the distal anastomosis

a) hepatopedal
b) hepatofugal

A

b) hepatofugal

27
Q

After receiving a loading dose of IV heparin, when can the patient ambulate

a) After 24 hours
b) immediately
c) after 48 hours
d) after 30 minutes

A

d) after 30 minutes

28
Q

Which of the following disease management methods reduces the contributing factors of thrombosis formation

a) compression stockings
b) unfractionated heparin
c) vena caval filter
d) exercise

A

a) compression stockings

29
Q

What best describes the use of prophylactic therapy for thrombosis

a) low dose anticoagulant for prevention in the high risk patient
b) intravenous anticoagulant for treatment of acute DVT in low risk patient
c) compression stockings to reduce venous stasis in the high risk patient
d) loading dose thrombolytic therapy for patients with limb threatening DVT

A

a) low dose anticoagulant for prevention in the high risk patient

-Prophylaxis means preventative in the high risk patient. It is not treatment for a current DVT

30
Q

What would most likely be the initial course of treatment in a patient diagnosed with plegmasia cerulea dolens

a) unna boot
b) thrombectomy
c) anticoagulant treatment
d) thrombolytic therapy

A

d) thrombolytic therapy

Limb threatening DVT would require more aggressive treatment compared to uncomplicated DVT. Thrombolytic is a drug that breaks down the clot. If that doesn’t work, then thrombectomy may be necessary

31
Q

What vessels does TIPSS connect

a) right hepatic vein to IVC
b) right portal vein to right hepatic vein
c) main portal vein to right portal vein
d) left portal vein to paraumbilical vein

A

b) right portal vein to right hepatic vein

32
Q

What clinical history would merit the referral for a descending venography

a) acute pain and swelling
b) brawny discoloration and swelling
c) ulcers on tips of toes and limb pain
d) redness, warmth, and swelling

A

b) brawny discoloration and swelling

Descending venogram is to evaluate venous insufficiency

33
Q

What can be used to evaluate for venous obstruction

a) venous PPG
b) descending venogram
c) ascending venogram
d) venous air plethysmography

A

c) ascending venogram

-venous obstruction or thrombosis can be detected with doppler studies or an ascending venogram

34
Q

What treatments options are available for patients with deep venous insufficiency

a) palliative therapy only
b) radiofrequency ablation procedures
c) phlebectomy
d) anticoagulant prophylaxis therapy

A

a) palliative therapy only

-There is no surgical therapy that can correct deep venous insufficiency. Only therapies that can reduce or alleviate the symptoms

Vascular board review (myultrasoundtutor) (23 decks)

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