Vasucalar Arterial Exam Practice
West Coast University Vasucalar Arterial Exam Practice
1. Patient presents for lower extremity arterial segmental blood pressure exam. Through patient history, you learn the patient has severe leg pain while in supine position and patients report sleeping in chairs to relieve pain. This indicates?
a. Acute claudication
b. Elevation pallor
c. Dependent rubor
d. Ischemic rest pain
2. Patients with which disease are more likely to develop early arteriosclerosis due to medial layer calcinosis that makes vessels incompressible?
a. Lung cancer
b. Diabetes
c. Lymphoma
d. Buerger’s disease
3. If a sudden embolism causes complete blockage of a distal LE artery, the resulting condition is considered:
a. Insignificant
b. Chronic arterial occlusion
c. Acute arterial occlusion
d. Life-threatening
4. Which can be considered a continuation of the common iliac artery?
a. COMMON FEMORAL ARTERY
b. INTERNAL ILIAC ARTERY
c. EXTERNAL ILIAC VEIN
d. EXTERNAL ILIAC ARTERY
5. pain in the lower extremities which arises from walking one block and relieved with rest is called?
a. Intermittent ischemia
b. Rest pain
c. Sciatic pain
d. Intermittent claudication
6. If plaque in the anterior tibial artery breaks loose, the embolism most likely will go to which vessel?
a. Lateral plantar artery
b. Dorsalis pedis artery
c. Popliteal artery
d. Middle plantar artery
e. Peroneal artery
7. If you detect abnormally low pressures in all segments (including upper thigh) of the left lower extremity, but completely normal pressures in all segments of the right lower extremity. What do you suggest?
a. Right ilio-femoral disease
b. Left ilio-femoral disease
c. Aorta-iliac disease
d. Heart failure
8. All the following are clinical indications of chronic arterial disease EXCEPT:
a. Hair loss on affected limb
b. Hair growth on the affected limb
c. Thickened toenail
d. Pain with walking that is relieved with rest
9. Which of the following is not one of the symptoms of acute arterial occlusion:
a. Paresthesia
b. Severe pain
c. Bounding palpable pulse
d. Cold leg
10. All of the following are the description of the abnormal PVR waveform except:
a. Rounded peak
b. Upstroke and downslope time same
c. Sharp upstroke
d. Absent dicrotic notch
11. When you notice a slow and prolonged acceleration time for systole or tardus parvus waveform. It is an evidence of:
a. A distal stenosis
b. A proximal stenosis
c. At stenosis
d. A bruit
12. pulse volume recording is also known as:
a. Tbi
b. Receive hyperthermia
c. Plethysmography
d. ABI
13.Patient presents with history or pain bilateral calf muscles after walking 1 block. Pain is relieved by rest. You perform pre and post exercise ABI (multiple questions)
a. In obtaining your patient history, what is the most important question about pain in the lower leg?
b. Is the pre exercise ABI normal?
c. Is the post exercise ABI normal? Explain.
d. Why is it important to excise this patient and obtain ABI?
14.When calculating ABI for the left ankle, which brachial pressure should we use?
a. The average of the two brachial readings.
b. The brachial reading from the left arm
c. The highest of the two brachial readings
d. The brachial reading from the right arm
15.Patient presents with ? pain, tingling LUE when arms in the position of ‘hands up’ What is most likely diagnosis?
a. Beurgers Disease
b. Thoracic outlet syndrome
c. Thoracic inlet syndrome
d. Popliteal artery entrapment
16.which anastomosis is most common for arterial lower extremity bypass grafting?
a. End to end
b. Side to side
c. End to side
17.claudication in bilateral buttocs is caused by?
a. Aorto iliac disease
b. Tibioperoneal disease
c. Femoropopliteal disease
18.An ABI of greater than 1.4 indicates:
a. Mild disease
b. Calcified vessels
c. Moderate disease
d. Elastic vessels
19.When performing LE segmental pressures, the cuff should be?
a. Approximately 20% greater than the diameter of the leg or thigh diameter
b. The patients age divided by 7, and then mutiplied by 0.983 (converted to cm)
c. It depends on the severity of the suspected stenosis
d. Approx 20% narrower than the diameter of the leg or thigh in that segment
20.When the width of the cuff is <20% of the limb diameter, what type of cuff artifact can be seen?
a. Falsely elevated blood pressure
b. Blood pressure cannot be obtained
c. Falsely low blood pressure
d. No effect on measuring blood pressure
21.Large exercise ABI is performed for which patients?
a. Those suffering from chest pains (angina)
b. Those with acute arterial occlusive pathology
c. Those that have resting ischemia
d. Those with normal ABI
22.Patient is s/p cardiac cath RT radial artery x2 days. Patient ? palpable pulsatile mass and pain in arm since procedures. What is the most likely diagnosis? What is possible secondary finding considering patient history? Multiple answers
a. Pseudoaneurysm
b. Abnormal ABI
c. Venous Occulssion
d. Stenosis
e. Embolic disease
f. AV Fistula
23. Considering this image of the popliteal artery select all true statements related to the image.
i. ABI will be abnormal
ii. Monophasic waveform post exercise
iii. Sonographer should decrease scale for spectral analysis
iv. Abnormal waveform
v. ABI will be normal
vi. Hemodynamically significant stenosis proximal to this location
vii. Sonographer should increase scale for spectral analysis
viii. Hemodynamically significant stenosis distal to this location
ix. Triphasic waveform
x. Normal waveform
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