Venous Valvular Insufficiency Testing

Question 1

What does CEAP stand for?

Answer 1

Clinical
Etiologic
Anatomic
Pathophysiologic

Question 2

How large are varicose veins typically?

Answer 2

3mm or larger

Question 3

How large are reticular veins typically?

Answer 3

Less than 3mm

Question 4

What does CVVI stand for?

Answer 4

Chronic Venous Valvular Insufficiency

Question 5

T or F? Patients coming in for CVVI always have a venous obstruction?

Answer 5

FALSE: commonly they do not

Question 6

What vein is the primary concern for CVVI?

Answer 6

GSV

Question 7

What is the mickey mouse sign at the saphenofemoral junction?

Answer 7

Lateral: GSV
Middle: CFV
Medial: CFA

Question 8

T or F? GSV agenesis and hypoplasia below the knee is common?

Answer 8

TRUE

Question 9

What is the term used when the SSV terminates directly into the GSV rather than the popliteal vein?

Answer 9

Vein of Giacomini

Question 10

Persistent sciatic veins function as a collateral pathway for what vein?

Answer 10

FV

Question 11

Patient symptoms of Venous disease?

Answer 11

1. Pain, burning, tension, aching
2. Restless leg syndrome
3. Port wine stain

Question 12

What patient maneuver is used to test for valvular insufficiency in the lower extremity?

Answer 12

Valsalva

Question 13

What patient maneuver is used to test valves above and below the knee?

Answer 13

Parana

Question 14

Measuring reflux duration. What are the normal cut off values for saphenous vein, deep femoropopliteal veins, and perforating veins?

Answer 14

Saphenous = <0.5 seconds for valve to close
Deep femoropopliteal = <1 second
Perforating veins = <0.35 seconds