Peripheral Vascular

Question 1

Epitrochlear lymph nodes

Answer 1

Medial arm
3cm above elbow
Drain into axillary nodes

Question 2

Name two groups of superficial inguinal lymph nodes

Answer 2

Horizontal and vertical

Question 3

Horizontal inguinal lymph nodes

Answer 3

In upper anterior thigh
Under inguinal ligament
Drains lower abdomen and pelvic area

Question 4

Vertical inguinal node

Answer 4

Near upper part of sephenous vein

Drains local leg

Question 5

Intermittent claudication

Answer 5

Pained during exertion
Relieved within 10 min of resting
Atherosclerosis
Differentiate from spinal stenosis

Question 6

Ischemia of aortolliac artery

Answer 6

Hip/butt pain

Question 7

Ischemia of pudendal artery

Answer 7

Erectile dysfunction

Question 8

Femoral/aortolliac ischemia

Answer 8

Thigh pain

Question 9

Ischemia of popliteal artery

Answer 9

Low calf pain

Question 10

Ischemia of tibial/paroneal artery

Answer 10

Foot pain

Question 11

General symptoms of peripheral ischemia

Answer 11

Fatigue, aching, numbness, non healing wounds, pain that that changes with position

Question 12

Food fear and weight loss suggest:

Answer 12

Intestinal ischemia of celiac or superior or inferior arteries

Question 13

Screening for abdominal aortic aneurysm suggestion:

Answer 13

Men 65-75 who have ever been smokers

Question 14

Causes of asymmetric arm BP

Answer 14

Coarctation of the aorta

Dissecting aortic aneurysm

Question 15

Causes of arm lymph edema

Answer 15

Axillary node dissection

Radiation

Question 16

Four grades of pulse are

Answer 16

3+ Bounding
2+ brisk
1+ diminished
0 Absent

Question 17

Causes of asymmetric DIMINISHED pulse

Answer 17

Arterial occlusion from
Arthersclorosis
Embolism

Question 18

Femoral/popliteal aneurysm description

Answer 18

Big wide pulse

Usually caused by atherosclerosis

Question 19

Femoral/popliteal aneurysm demographics

Answer 19

Uncommon.
Men
Over 50

Question 20

Decreased pedal pulse when others are normal

Answer 20

Occlusion of lower popliteal artery

Or diabetes mellitus

Question 21

Symptoms of deep iliofemoral thrombosis

Answer 21

Painful swollen leg

Tenderness over femoral vein

Question 22

What are the two groups of veins in the leg?

Answer 22

The deep (well supported) and superficial (sephenous)

Question 23

Symptoms of DVT of calfs

Answer 23

Possible nonspecific calf pain

Only half of patients experience pain

Question 24

Signs of superficial thrombosis

Answer 24

Local swelling
Redness
Warmth
Subcutaneous cord

Question 25

Signs of chronic venous insufficiency

Answer 25

Brown above malleolous | Ulcers above the malleolous

Question 26

Causes of brawny thickened skin

Answer 26

Lymphedema | Chronic venous insufficiency

Question 27

Causes of absent or diminished wrist pulse

Answer 27

Acute emboli occlusion Burgers disease Thromboangitis obliterans (Use Allen's test)

Question 28

Reynauds disease

Answer 28

Episodic spasm of small arteries and arterioles No occlusion Sudden onset Brief

Question 29

Chronic arteriole insufficiency

Answer 29

``` Intermittent pain, even at rest Tissue ischemia Decreased or absent pulse Thick nails and toe ulcers Cool ```

Question 30

Chronic venous insufficiency

Answer 30

``` Consistent pain Venous hypertension Cyanotic or petechia Brown patches Ankle ulcers ```

Question 31

Chronic venous insufficiency ulcers

Answer 31

Malleoli Small granulations Irregular borders

Question 32

Arterial insufficiency ulcers

Answer 32

Feet/toes

Question 33

Neuropathic ulcers

Answer 33

Pressure points Diabetes and neuro diseases Hansen disease No pain