3.5 Post Peripheral Vascular DIsease

Question 1

Varicosities is a condition wherein there is a distention of superficial veins with sign and symptoms of aching, heavy legs and appearance of spider veins on the affected legs. The most affected structures are the valves of the veins.
a. First statement is true, second
statement is false
b. First statement is false, second
statement is true
c. Both statements are true
d. Both statements are false

Question 2

Most common manifestation of CVI
a. Pain
b. Ulceration
c. Pigmentation
d. Dermatitis

Question 3

Medical management for patients with
deep vein thrombosis
a. Heparin
b. Captopril
c. Sclerotherapy
d. A and B

Question 4

The framework of the peripheral vascular
system is the Blood. The function of the
blood vessel is to carry blood throughout
the body to and from the heart.
a. First statement true. Second statement
false
b. First statement false. Second statement
is true
c. Both are true
d. Both are false

Question 5

ABI ranges from 1.19-0.95 is a possible
indication of

Answer 5

a. DM
b. Mild arterial disease
c. Severe Arterial Disease
d. NOTA

Question 6

Wounds will most frequently be located on
the LEs (lateral malleoli)
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 7

Skin is cool on palpation.
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 8

Signs and symptoms of lymphedema may
be present
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 9

a peripheral manifestation of
atherosclerosis characterized by
intermittent claudication, rest pain, and
trophic changes. This is the arterial disease
most likely to lead to ulceration
a. DVT
b. SVI
c. ASO
d. CVI

Question 10

is a result of either congenital abnormalities
or the absence of lymph tissue
a. Primary Lymphedema
b. Secondary Lymphedema
c. Tertiary Lymphedema
d. NOTA

Question 11

Treatment for lymphedema, EXCEPT
a. Compression garments
b. Dynamic Exercises
c. Manual Lymphatic Drainage
d. NOTA

Question 12

Large arteries are termed ____
a. Elastic
b. Muscular
c. Rigid
d. Scraggy

Question 13

Wounds most frequently located on the
LEs: proximal to the medial malleolus
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 14

Not significantly painful; usually complaints
of minor dull leg pain are relieved with
elevation
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 15

Skin around the wound may be black,
mummified (dry gangrene).
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 16

A 45 year old female is complaining of leg
pain in her muscle leg compartment, an
ulceration on the lateral malleolus and a
visible gangrene. What is the diagnosis of
the patient?
a. Chronic venous insufficiency
b. Superficial vein thrombosis
c. Atherosclerosis Obliterans
d. Deep vein thrombosis

Question 17

A patient presents with severe claudication which is evident when he walks distances greater than 200 feet. He also exhibits muscle fatigue and cramping of both calf muscles. Upon examination, the therapist finds his skin pale and shiny with some trophic nail changes. The BEST choice for
intervention is to:
a. Begin with an interval walking program,
exercising only to the point of pain
b. Avoid any exercise stress until he has been
on calcium channel blockers for at least 2
weeks
c. Utilize a walking program of moderate
intensity, instructing the patient that some
pain is expected and to be tolerated
d. Utilized non-weightbearing exercises such
as cycle ergometry

Question 18

A therapist performs ABI to her patient.
Assuming that the LE pressure is 50mmHg
and the UE pressure is 120mmHg. Calculate
the ABI of the patient
a. 0.42
b. 0.66
c. 0.77
d. 0.88

Question 19

Venous stasis is caused by
a. prolonged immobilization or absence of the calf muscle pump
b. prolonged mobilization or presence of
the calf muscle pump
c. prolonged immobilization or absence of the quads muscle pump
d. prolonged mobilization or presence of
the quads muscle pump

Question 20

considered an essential component of the vascular examination. The examiner uses a handheld probe to direct a sound wave into the vessel to be tested. The sound wave is reflected by red blood cells moving in the vessel. The sound wave signal is changed into audible sound that is transmitted from a small, handheld unit.
a. TENS
b. Compression Therapy
c. Doppler ultrasound
d. ES

Question 21

inflammation leads to arterial occlusion and tissue ischemia, especially in young men who smoke.
a. SVI
b. TAO
c. CVI
d. DM

Question 22

occurs owing to anatomical obliteration of part of the lymphatic system as a result of an extrinsic process (e.g. surgery or repeated infections) or as a consequence of functional deficiency (e.g. paralysis)
a. Primary Lymphedema
b. Secondary Lymphedema
c. Tertiary Lymphedema
d. NOTA

Question 23

veins run above the fascia of the muscles.
a. Superficial
b. Deep
c. Perforating
d. AOTA

Question 24

Complaints of itching, fatigue, aching,
heaviness in involved limb(s)
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 25

The initial exercise for patient with primary lymphedema
a. brisk walking
b. step aerobics
c. running no more than 3 miles at a time
d. soccer or other sports that patient
enjoys

Question 26

A patient with chronic venous insufficiency
of the lower extremities is most likely to
exhibit
a. Normal superficial veins no edema,
ulceration and patches of the gangrene
around the toes
b. Dilation of superficial veins, edema, and stasis ulceration
c. No edema, cold, hairless extremities and faint dorsalis pedis pulse
d. Dilation of superficial veins and edema
made worse during sitting or elevation of
the lower extremities

Question 27

Most common serious complication of Deep Vein thrombosis
a. Pulmonary embolism
b. Inflammation of the leg
c. Stroke
d. Heart attack

Question 28

A 72 year old patient has been hospitalized, on complete bedrest for 10days. A physical therapy referral requests mobilization out of bed and mobilization. The patient complains that today his right calf is aching. If he gets up and moves around he is sure he will feel better. The therapist’s examination reveals calf tenderness with slight swelling and warmth. The therapist
decides to
a. Ambulate the patient with his support
stockings on
b. Postpone ambulation and report the
findings immediately
c. Begin with ankle pump exercises in bed and
then ambulate
d. Use only AROM exercises with the patient
sitting at the edge of the bed

Question 29

One of the most important tests for
individuals with arterial disease
a. Cardiac Catherization
b. Swan Ganz Catheter
c. Ankle Brachial Index
d. Stemmers Test

Question 30

A therapist performs ABI to her patient.
Assuming that the LE pressure is 80mmHg
and the UE pressure is 120mmHg. Calculate
the ABI of the patient
a. 0.42
b. 0.66
c. 0.77
d. 0.88

Question 31

To achieve maximum reduction of
lymphedema following a mastectomy in the upper extremity by means of massage, it is most important that
a. Local heat be applied before the
massage
b. The upper arm be massaged before the forearm
c. The hand be massage before the
forearm
d. The massage strokes occur in a
centrifugal direction

Question 32

Weak valves can lead to _____
a. Varicose veins
b. Dermatitis
c. Pigmentation
d. Gangrene

Question 33

A 30 yo patient who was diagnosed to have thromboangitis obliterans complains of intermittent claudication on lower extremities. Which of the following best describes the patient’s condition?
a. inflammation leads to venous occlusion and tissue ischemia, especially in young men who smoke
b. inflammation leads to arterial occlusion and tissue ischemia, especially in young men who smoke
c. vasospasm leads to venous occlusion
and tissue ischemia, especially in young
men who smoke
d. vasospasm leads to venous occlusion
and tissue ischemia, especially in old
men who smoke

Question 34

A physical therapist is developing an
educational program for individuals with
lower extremity peripheral neuropathies due to diabetes. Which of the following
information is MOST important for the
physical therapist to recommend for the
prevention of injury to the feet?
a. Orthoses to support the extremity
b. Use of proper footwear
c. Moisturizing the skin to prevent dryness
d. Exercise parameters

Question 35

All of the following describes Raynauds
Syndrome, EXCEPT
a. Classic episodes of vasospasm cause an intense pallor of the proximal extremity followed in sequence by cyanosis and rubor or rewarming.
b. The fingers and hands are most affected.
c. Attacks of vasospasm in response to cold or emotional stress
d. Nicotine and drugs with a potential for
vasoconstriction should be avoided

Question 36

A 28 yo female who is currently working as a saleslady at a department store complains of aching, heavy legs and appearance of spider veins on the affected legs. Her work requires prolonged standing. What is the
condition the patient is suffering from?
a. Thromboangitis obliterans
b. Deep Vein Thrombosis
c. Lymphadenopathy
d. Varicose veins

Question 37

Homans’sign
a. Discomfort in the lower calf during
gentle, forced dorsiflexion of the foot
b. Discomfort in the upper calf during
gentle, forced dorsiflexion of the foot
c. Discomfort in the upper calf during
gentle, forced plantarflexion of the foot
d. Discomfort in the lower calf during
gentle, forced plantarflexion of the foot

Question 38

Which of the following best describes
lymphedema?
a. chronic disorder characterized by a
normal accumulation of lymph fluid in
the tissues of one or more body regions
b. chronic disorder characterized by an
abnormal accumulation of lymph fluid
in the tissues of one or more body
regions
c. chronic disorder characterized by an
abnormal accumulation of lymph fluid
in the tissues of one body region only
d. chronic disorder characterized by a
normal accumulation of lymph fluid in
the tissues of one body region

Question 39

Lymphatics are located in all portions of the body, except
a. CNS
b. Cornea
c. CNS and cornea
d. NOTA

Question 40

The initial exercise for patient with primary lymphedema
a. brisk walking
b. step aerobics
c. running no more than 3 miles at a time
d. soccer or other sports that patient
enjoys

Question 41

A patient was diagnosed to have DVT. There are factors that are critically important in the development of venous thrombosis such as venous stasis, activation of blood coagulation, and vein damage. What do you call the triad presented in the case scenario?
a. Vinchows Triad
b. Virchows Triad
c. Triad syndrome
d. Triage syndrome

Question 42

A 45 year old female is complaining of leg
pain in her muscle leg compartment, an
ulceration on the medial malleolus but
there is no gangrene. What is most likely
the diagnosis of the patient?
a. Chronic venous insufficiency
b. Superficial vein thrombosis
c. Thromboangitis obliterans
d. Deep vein thrombosis

Question 43

A patient with pulmonary embolism may
present which of the following clinical
presentation?
a. Dyspnea, peripheral edema, buffalo
hump
b. Dyspnea, pleuritic chest pain, striae
c. Dyspnea, pleuritic chest pain, cough
d. Dyspnea, pleuritic chest pain, peripheral
edema

Question 44

A patient who is transported to the physical therapy department in a wheelchair reports severe bilateral lower extremity pain. A purple discoloration of both feet is observed. The pain is relieved when the patient’s feet are raised just above the horizontal plane. These signs are MOST indicative of
a. Arterial insufficiency
b. Intermittent claudication
c. Venous insufficiency
d. A psychosomatic episode

Question 45

A patient comes to physical therapy for
intervention for an ulcer on the right medial malleolus. Upon inspection of the patient’s legs the physical therapist notes normal skin temperature and brownish pigmentation of the skin. The patient most likely also has
a. Edema
b. Diminished pedal pulse
c. Lower extremity pain with exercises
d. Hypersensitivity to cold

Question 46

A 72 year old patient has been hospitalized, on complete bedrest for 10days. A physical therapy referral requests mobilization out of bed and mobilization. The patient complains that today his right calf is aching If he gets up and moves around he is sure he will feel better. The therapist’s examination reveals calf tenderness with slight swelling and warmth. The therapist must decide to:
a. Ambulate the patient with his support
stockings on
b. Postpone ambulation and report the
findings immediately
c. Begin with ankle pump exercises in bed and
then ambulate
d. Use only AROM exercises with the patient
sitting at the edge of the bed

Question 47

runs between the superficial and the deep, penetrating the fascia to connect the superficial and deep vessels
a. Superficial
b. Deep
c. Perforating
d. AOTA

Question 48

A patient presents with severe claudication which is evident when he walks distances greater than 200 feet. He also exhibits muscle fatigue and cramping of both calf muscles. Upon examination, the therapist finds his skin pale and shiny with some trophic nail changes. The BEST choice for intervention is to:
a. Begin with an interval walking program, exercising only to the point of pain
b. Avoid any exercise stress until he has been on calcium channel blockers for at least 2 weeks
c. Utilize a walking program of moderate
intensity, instructing the patient that some pain is expected and to be tolerated
d. Utilized non-weightbearing exercises such as cycle ergometry

Question 49

Wounds are painful and patient may also
describe pain in the legs and/or feet
a. Arterial insufficiency
b. Venous Insufficiency
c. Lymphadenopathy
d. AOTA

Question 50

A person with primary lymphedema
secondary to hypoplasia that began later in adolescence is referred for PT. The person recently got married and is wondering if it is likely this condition can be passed on their future children. It would be best to advise this patient that
a. genetic risk is less than 25% of the cases of primary lympedema
b. lymphedema is not related to genetic
causes
c. secondary lympedema is more likely to be an inheritable trait
d. there is a strong likelihood that it could be passed on to any future children