study guide test 3 Flashcards
(47 cards)
1
Q
- Bypass graft evaluation begins with pt hx and surgical record with type of graft. T OR F
A
True
2
Q
- A fem to fem graft is also referred to as a jump graft T/F
A
True
3
Q
- Purpose of this procedure is to prevent access for dialysis for Hemodialysis fistula and graft? t/f
A
True
4
Q
- Radial artery to cephalic v fistula is most common
A
true
5
Q
- Goal of physiological testing in lower extremities is to determine if there’s evidence of arterial disease?
A
True
6
Q
- Indirect phys. Test methods include BPR, leg pressures, waveform, and exercise stress test t/f
A
True
7
Q
- Palp of pulses document from 0-3
A
True
8
Q
- Four cuff method is reported to be better at differentiating disease from iliac arterial disease
A
true
9
Q
- Systolic pressure in arm are used to calculate AFI, would you used lowest arm pressure of the two
A
false
10
Q
- ABI of higher than 1.4 is highly suggested of calcified arterial disease t/f
A
True
11
Q
- Blood pressure cult width should no be greater or less than (percent)
A
20 %
12
Q
- Characteristic of norm Doppler waveform
A
Triphasic, dicrotic notch
13
Q
- What the most important criteria for arterial Doppler imaging
A
spectral doppler wave form
14
Q
- Most pt describe clottication as what? Cramping or pain
A
cramping
15
Q
- Pt complain of intermittent claudication, ABI to begin with?
A
.59
16
Q
- Doppler angle if imagining arteries
A
60 degrees
17
Q
- Compression therapy of pseudoanuersym
A
applying pressure at the neck of the pseudoanuersym
18
Q
- Plane should you look at artery when you’re doing Doppler?
A
long/sag
19
Q
- Profundata artery location in reference to fem artery?
A
posterior/lateral
20
Q
- Branches of pop are what
A
Anterior tibial and tibial peoneal trunk
21
Q
- Segmental pressure of lower extremity, under or overestimate disease
A
underestimate
22
Q
- Toe pressure is norm if it is how many mm of mercury
A
50 mmHg
23
Q
- Calf PVR norm have greater waveform why? Sequential changes, hint
A
sequential changes and cuff artifact
24
Q
- Ankle pressure that fall after exercise of return to baseline in 5 mins they suggest what kind of disease?
A
single-segment occlusive disease
25
25. Non diabetic pt, ischemic skin lesion won’t heal if the pressure is below how many mm of mercury
30 mmHg
26
26. When imaging graft, what is your protocol
(might be an except question)
| NOT evaluate the velocity decreases, obstruction, or flow channel changes.
27
27. Following procedure use GSF v for arterial conduit
in situ vein bypass
28
28. GSV is removed, upside and sewn back in is what procedure
Reverse vein graft
29
29. Structure used to mechanical how artery open
Stent.. Balloon-deployed stent or self expanding stent
30
30. Less invasive method for AAA
Placing a stent graft through a catheter into the aneurysm
31
31. Complication of stenting:
Leaking, infection, embolization
32
32. Arterial obstruction is common in subclavian artery but uncommon in what vessels
The axillary, brachial, radial, and ulnar arteries less likely to be involved.
33
33. Autoimmune that will affect subclavian a
takayasu and giant cell arteritis
34
34. Bueger's disease has another name
Thromboangiitis obliterans
35
35. Small emboli that include vessels of hand and digits
Thromboemboli
36
36. Prolong muscle vasospasm brought on by cold exposure can be caused by ulceration n nicotine
Raynaud's
37
37. Two names for raynaud's
Primary Raynaud's(Disease) and Secondary Raynaud's(Syndrome)
38
38. High incidence of raynodes
70-90% of cases occur in females
39
39. Intermittent pain numb or weakness of arm, what disease are we looking for
Thoracic Outlet Syndrome (TOS)
40
40. PPG, best position for pad on toes
It's placed on the pad of the Great toe
41
41. What do we do to test for Raynaud's
Record pre-submersion PVRs or PPGs on symptomatic digits
Submerge hand(s) in ice water for 1-2min (or less if patient cannot tolerate)
Obtain post submersion readings on symptomatic digits
Obtain tracings at 2 or 3 min intervals thereafter
If PVR amplitude returns to baseline levels within 5 min, it's normal
If waveform continues to be low after 10min or longer, it confirms Raynaud's
42
42. Test for radial hand perfusion
The Allen test
43
43. One type of graft that is inpenetratable?
Vecta
44
44. Standard recovery time for standard cold immersion…? 2 or 5 mins
5 minutes
45
45. Arterial leg anatomy
p. 171
46
46. arterial arm anatomy
p. 257
47
47. Different situations: norm, ischemia, ao fem,multilevel disease
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