Pages: 25-26 (Hematology) - 10%

Question 1

Seen in 20-40 y.o. males and is associated with excess tobacco smoking. Presents with intermittent vascular claudication, non-healing ulcers, and gangrene?

a. ) Raynaud’s
b. ) Varicose veins
c. ) Deep vein thrombosis
d. ) Thromboangitis obliterans

Answer 1

d.) Thromboangitis obliterans (aka: Buerger’s)

Question 2

Seen in patients greater than 15 y.o.a. Brought on by cold, stress, or emotion. Presents with arterial spasms, triphasic color changes (white-red-blue), finger ip ulcers, gangrene, and cold sensitivity?

a. ) Raynaud’s
b. ) Varicose veins
c. ) Deep vein thrombosis
d. ) Thromboangitis obliterans

Answer 2

a. ) Raynaud’s

- Disease associated with Buerger’s, Collagen Disease, and Scleroderma.

Question 3

Seen in patients greater than 20 y.o., pregnant women, or overweight adults. Presents with incompetent valves and dilated tortuous channels?

a. ) Raynaud’s
b. ) Varicose veins
c. ) Deep vein thrombosis
d. ) Thromboangitis obliterans

Answer 3

b.) Varicose veins

Question 4

Which of the following tests is used to diagnose Deep Vein Thrombosis?

a. ) Simmond’s test
b. ) Thompson’s test
c. ) Homan’s sign
d. ) Hoover’s sign

Answer 4

c. ) Homan’s sign

- DVT presents with tenderness, edema, and pain.

Question 5

Which of the following tests is used to diagnose Raynaud’s?

a. ) Adson’s test
b. ) Modified Adson’s test
c. ) Wright’s test
d. ) Allen’s test

Answer 5

d.) Allen’s test

Question 6

Types of Claudication: NEUROGENIC

1. ) Whats the pattern?
2. ) When is there relief?
3. ) Most common causes?

Answer 6

1. ) NOT predictable
2. ) Position related (seated with flexion)
3. ) DJD, Spinal Canal Stenosis

Question 7

Types of Claudication: Vascular

1. ) Whats the pattern?
2. ) When is there relief?
3. ) Most common causes?

Answer 7

1. ) Predictably reproducible
2. ) Always at REST
3. ) Arteriosclerosis, Buerger’s