Deck 9: Peripheral Vascular Disorders

Question 1

Which of the following conditions is signaled by symptoms of swelling of the affected body part, usually the limb, because of impaired flow of lymph fluid?
1)Abdominal aortic aneurysm (AAA)
2)Venous ulcers
3)Peripheral vascular disease (PVD)
4)Lymphedema

Answer 1

4

Question 2

In the assessment for peripheral vascular disorders, the clinician should begin with which of the following after the general history and physical examination?
1)Auscultation of the carotid arteries bilaterally.
2)Palpation of the carotid arteries bilaterally.
3)Inspection of the carotid arteries bilaterally.
4)Order diagnostic testing.

Answer 2

1

Question 3

Sharon is a 70-year-old patient with venous ulcers to her right lower extremity.She has a history of multiple pregnancies and surgeries, and has a sedentary lifestyle.Which of the following may be possible contributing factors to her diagnosis given her history? Select all that apply.
1)Obesity
2)Reduced mobility
3)History of breast cancer
4)Degenerative disease
5)Parkinsonism

Answer 3

1, 2

Question 4

AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection, and inflammation.Which of the following is a true statement regarding the tendency to develop AAA? Select all that apply.
1)There is no dominant ethnic group that develops AAA.
2)Caucasians have a higher risk of developing AAA.
3)Women have a higher risk of developing AAA.
4)There is a familial history associated with AAA development.
5)AAA is the 13th leading cause of death in the United States.

Question 5

Devon visits the urgent care facility for sudden symptoms of pain to his lower extremity.The initial diagnosis is acute arterial ischemia.Aside from pain, which other symptoms may arise from this diagnosis? Select all that apply.
1)Pulselessness
2)Paresthesia
3)Pallor
4)Purulence
5)Paralysis

Question 6

Anne is a 50-year-old post-mastectomy patient diagnosed with secondary lymphedema.Based on her surgical history, which of the following may be the contributing factor to the lymphedema?
1)Gynecological cancer
2)Breast cancer
3)Urological cancer
4)Infection

Question 7

Which medical specialist is the best referral for patients with symptomatic AAA?
1)Vascular surgeon
2)Neurosurgeon
3)Cardiologist
4)Internist

Question 8

Patient education is very important for individuals who have AAA.The patient and their family should be taught the importance of follow-up and the management of which of the following? Select all that apply.
1)Hypertension
2)Hypercholesterolemia
3)Smoking
4)Chondromalacia
5)Pain

Question 9

Which of the following differential diagnoses should be considered with the diagnosis of peripheral arterial disease (PAD)?
1)Marfan syndrome
2)Atelectasis
3)Raynaud's phenomenon
4)Carpal tunnel syndrome

Question 10

Lymphedema is characterized by swelling of the extremity.Which of the following symptoms are also presented with lymphedema? Select all that apply.
1)Overall lethargy
2)Aching in the affected area
3)Restricted range of motion
4)Purulence
5)Cellulitis

Question 11

PVD is a disease that alters blood flow to or from the extremities and vital organs other than the heart.According to studies, which of the following remains the most important risk factor for PVD?
1)Smoking
2)Hypertension
3)Family history
4)Hypercoagulopathy

Question 12

In the initial screening for a diagnosis of AAA, which of the following is the best screening test?
1)CT scan
2)Complete blood count (CBC)
3)Ultrasound in the abdominal area
4)Angiography

Question 13

Treatment to slow the progression of PAD should include which of the following? Select all that apply.
1)Immobilization
2)Pharmacological
3)Surgical
4)Conservative
5)Heat

Question 14

Mrs.Prentiss is diagnosed with symptomatic AAA.The initial treatment is aggressive blood pressure control.At which of the following readings should mean arterial pressure be maintained?
1)Between 100 and 120 mm Hg.
2)Between 90 and 120 mm Hg.
3)Between 60 and 70 mm Hg.
4)Between 80 and 100 mm Hg.

Question 15

In treating AAA, arterial monitoring is recommended.Which of the following IV antihypertensive agents should be used to rapidly and consistently maintain blood pressure in the
Mean arterial pressure ranges? Select all that apply.
1)Nicardipine
2)Sertraline
3)Esmolol
4)Nitroglycerin
5)Carbidopa