Venous Module Exam Flashcards
How is PPG venous refill time of 9 seconds interpreted
a) chronic venous obstruction
b) valvular competence
c) valvular incompetence
d) acute deep vein thrombosis
c) valvular incompetence
During a valsalva maneuver, what normal flow characteristics should be expected
a) augmentation of flow
b) cessation of flow
c) continuous flow
d) increased pulsatility
b) cessation of flow
What technique is best to demonstrate phasic venous flow
a) valsalva manuever
b) distal compression
c) active calf muscle pump
d) patient breathing quietly
d) patient breathing quietly
The IJV carries blood to which vessel
a) cephalic vein
b) innominate vein
c) subclavian vein
d) external jugular vein
b) innominate vein
When performing a LEV duplex exam, what observation is normally expected if the patient is directed to take a deep breath, hold the breath, bear down, and then relax, releasing the breath
a) augmentation of flow while holding breath, halted on release
b) flow should maintain phasicity and spontaneity
c) flow should initially be halted and then augmented on release
d) flow should become continuous and steady, then augmented on release
c) flow should initially be halted and then augmented on release
The vessels that form communications between the superficial and the deep systems are called what
a) perforating veins
b) communicating veins
c) venous sinuses
d) accessory veins
a) perforating veins
What deep vein does the basilic vein drain into
a) axillary vein
b) medial cubital vein
c) cephalic vein
d) brachial vein
a) axillary vein
What forms the SVC
a) right and left brachiocephalic veins
b) subclavian and innominate vein
c) hepatic veins and IVC
d) right atrium
a) right and left brachiocephalic veins
What characteristic distinguishes a venous ulcer from an arterial ulcer
a) venous ulcers are painful, dry and regular
b) arterial ulcers are shallow, dry, and less painful
c) arterial ulcers can be found anywhere in the limb
d) venous ulcers are typically located in the gaiter zone
d) venous ulcers are typically located in the gaiter zone
What clinical history is consistent in a patient with May-Thurner syndrome
a) pain and swelling of the left upper extremity
b) bilateral arm pain, swelling, and dyspnea
c) acute extensive DVT of the left lower extremity
d) pain and swelling of the left lower extremity
d) pain and swelling of the left lower extremity
What course of treatment would be indicated in a patient with phlegmasia cerulea dolens
a) hyperbaric oxygen chamber
b) loading dose intravenous heparin
c) iliogemoral arterial embolectomy
d) ileofemoral venous thrombectomy
d) ileofemoral venous thrombectomy
What is considered medical management in the patient with chronic venous insufficiency
a) aspirin
b) anticoagulant prophylaxis
c) exercise
d) limb elevation
d) limb elevation
What is the normal portal venous flow
a) hepatopedal and minimally phasic
b) hepatopedal and triphasic
c) hepatofugal and triphasic
d) hepatofugal and minimally phasic
a) hepatopedal and minimally phasic
What venous PPG results would be expected in a patient with post-thrombotic syndrome
a) VRT <20 seconds without tourniquet that normalizes with tourniquet
b) VRT <20 seconds with and without tourniquet
c) Venous PPG testing is contraindicated in a patient with post-thrombotic syndrome
d) VRT >20 seconds with and without tourniquet
b) VRT <20 seconds with and without tourniquet
What is the normal hepatic vein flow
a) hepatofugal and triphasic
b) hepatopedal and triphasic
c) hepatofugal and minimally phasic
d) hepatopedal and minimally phasic
a) hepatofugal and triphasic
