Arterial Test

Question 1

A bypass graft evaluation begins with patient history, surgical record, and type of graft. (T/F)

Answer 1

True

Question 2

A femoral-femoral graft is also called a jump graft. (T/F)

Answer 2

True

Question 3

The purpose of this procedure is done to provide access for dialysis. (T/F)

Answer 3

The superficial cephalic and basilic veins are evaluated (mapping) as part of a preop workup for hemodialysis access placement. pg. 209

Question 4

Radial artery to cephalic vein fistula is the most common. (T/F)

Answer 4

True

Question 5

The goal of lower extremity arterial testing is to evaluate for arterial disease. (T/F)

Answer 5

True

pg 159

Question 6

Indirect physiological testing includes: PVR, segmental pressures, waveform analysis, and exercise stress. (T/F)

Answer 6

True

Question 7

Palpations of pulses with a rating system from 0-3. (T/F)

Answer 7

True

Pg 161

Question 8

Four cuff method is better at differentiating inflow from femoral artery diease. (T/F)

Answer 8

True

Question 9

Systolic pressure in the arm is used to calculate the ABI, which pressure (lower or higher) of the brachials will you use to calculate ABI?

Answer 9

Higher

Question 10

An ABI of 1.4 is highly suggestive of calcified arterial disease. (T/F)

Answer 10

True

Question 11

Blood pressure cuffs should have a width how much greater compared to the limbs?

Answer 11

20%

Question 12

What is the important criteria during an imaging arterial system?

Answer 12

Pulsatility
Systolic forwardflow
Early diastolic reverse flow

Phasicity

Question 13

What plane should you do arterial imaging in?

Answer 13

Sagital

Question 14

What angle is good for a Doppler study?

Answer 14

45-60 degrees

Question 15

How long does it take to compress a psuedoaneursym?

Answer 15

20-30 min (30-60min)

Question 16

What would the arm pressures be if there is evidence of a subclavian steal?

Answer 16

20 mmHg difference

Question 17

If a patient is complaining of an intermittent claudication, their ABI should be ___.

Answer 17

0.59

Question 18

What does claudication feel like?

Answer 18

pain and discomfort while walking

Question 19

Where does the SFA lie in reference to the profunda?

Answer 19

Anterior to the profunda

Question 20

What are the branches off the popliteal artery?

Answer 20

Anterior Tibials

Posterior Tibials

Question 21

Do segmental pressures typically overestimate or underestimate?

Answer 21

Underestimate disease

Question 22

A normal toe pressure is ___ mmHg or greater.

Answer 22

> .75- normal

Question 23

For what reason do PVR’s usually have greater amplitudes than the thigh?

Answer 23

cuff artifact

Question 24

What disease is suggested when ankle pressures fall after exercise and return back to normal in 5 minutes?

Answer 24

single segment occlusive disease

Question 25

What might the ankle systolic pressure be if the patient has ischemic lesions?

Answer 25

50mmHg or less

Question 26

What is the protocol for a graft?

Answer 26

``` Prox flow –native vessel Prox anastomosis Prox/MID/DST graft DST anastomosis DST flow –native vessel ```

Question 27

What type of graft is in-situ?

Answer 27

uses the GSV and all the vein valves are removed then the proximal and distal ends are connected to the artery. -fem-pop and sometimes fem-tibial

Question 28

What is a reverse vein graft?

Answer 28

the GSV is removed and turned upside down without removal of valves then sewn back in.

Question 29

A follow up surveillance of grafts allow the surgeon early detection of ___.

Answer 29

aneurysms, psudoaneurysms, perigraft abscess, defects, stenosis, occlusion

Question 30

What is the structure used to mechanically hold the artery open?

Answer 30

Stent

Question 31

What is a less invasive way to repair an aortic aneurysm?

Answer 31

EVAR (endovascular treatment of abdominal aortic aneurysm) - teflon covered stent graft in the AAA

Question 32

What are the complications of stenting?

Answer 32

endoleak-inadequate seal to prox or distal wall graft infection vessel rupture embolization

Question 33

Atherosclerotic stenosis is common in the subclavian artery but not in the ___ artery (upper ext).

Answer 33

Axillary, brachial, ulnar, radial are usually spared

Question 34

What autoimmune disease process can affect the subclavian arteries?

Answer 34

Takayasu's and giant cell arteritis. pg. 226

Question 35

What is another name for Buerger's disease?

Answer 35

Thromboangiitis obliterans

Question 36

What is the name of the small emboli that connect through the digits?

Answer 36

Thrombo-emboli

Question 37

What is the vasospastic disorder brought on by cold exposure, chemicals, or vibration injury?

Answer 37

Raynauds

Question 38

What are both names for Raynaud's?

Answer 38

Episodiac, prolonged digital vasospasm

Question 39

Which gender has the largest incidence of Raynaud's?

Answer 39

Females | 9x more than men

Question 40

What is intermittent pain, numbness or weakness related to arm position?

Answer 40

TOS

Question 41

Where do you place a PPG pad on your fingers?

Answer 41

Sensor on pad

Question 42

What is the best testing method for Raynaud's disease?

Answer 42

Cold submersion test

Question 43

What is the test for palmer artery perfusion?

Answer 43

Allen test

Question 44

What upper extremity artery has no vein accompaning it?

Answer 44

Cephalic | Basilic

Question 45

What graft cannot be penetrated by ultrasound?

Answer 45

Vectra

Question 46

What vessels are involved with Bueger's disease?

Answer 46

Digital Arteries

Question 47

What is the standard recovery time for a cold immersion test?

Answer 47

5 min- normal | 10 min- abnormal

Question 48

What is the anatomy of the lower extremity?

Answer 48

(picture) | P 171

Question 49

What is the anatomy of the upper extremity arterial anatomy? (picture)

Answer 49

`

Question 50

4 arterial studies with PVR's, continuous wave, and pressures; determine where the disease is located.

Answer 50

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