Exam 3 - Lower & Upper Extremity Venous - 2

25 Questions  I  By Kfdm26
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  • 1. 
    Flow in normal competent perforating veins shoudl be from
    • A. 

      Superficial to deep

    • B. 

      Deep to superficial

    • C. 

      Exhibit reversal

    • D. 

      None of the above


  • 2. 
    The valves of the vein extend from which portion of the venous wall?
    • A. 

      Adventitia

    • B. 

      Media

    • C. 

      Intima

    • D. 

      Venae comitantes


  • 3. 
    Which of the following describes the weight of a column of blood extending from the heart?
    • A. 

      Potential energy

    • B. 

      Hydrostatic pressure

    • C. 

      Kinetic energy

    • D. 

      Mass effect


  • 4. 
    When the radial and ulnar converge, what vein do they form?
    • A. 

      The cephalic vein

    • B. 

      The basilic vein

    • C. 

      The brachial vein

    • D. 

      The axillary vein


  • 5. 
    Which of the following is NOT related to hypercoaguability of blood?
    • A. 

      Bed rest

    • B. 

      Myeloproliferative disorders

    • C. 

      Estrogen intake

    • D. 

      Cancer


  • 6. 
    Of the following, which must be considered as a differential diagnosis for DVT prior to duplex ultrasound imaging?
    • A. 

      Muscle tear

    • B. 

      Baker's cyst

    • C. 

      Extrinsic compression

    • D. 

      All of the above

    • E. 

      None of the above


  • 7. 
    Skin changes that are consistent with a patient history that includes repeated episodes of DVT are
    • A. 

      Edema

    • B. 

      Redness

    • C. 

      Brawny discoloration in gaiter zone

    • D. 

      All of the above


  • 8. 
    Valvular incompetence may cause which of the following?
    • A. 

      Increased systolic and diastolic arterial velocities

    • B. 

      Increased arterial pressure in the ankles

    • C. 

      Increased venous pressure in the legs when erect or walking

    • D. 

      Pulsatility in venous flow patterns


  • 9. 
    Phlegmasia Alba Dolens is a very severe condition.  Which of the following describes this condition?
    • A. 

      Acute thrombus in the superficial saphenous vein

    • B. 

      Extensive thrombus throughout the deep venous system

    • C. 

      Arterial spasms secondary to acute thrombus in iliofermoral veins

    • D. 

      Widespread incompetence of perforators with back up into the superficial system


  • 10. 
    Of the following statements, which is TRUE of venous ulcers?
    • A. 

      Are regular and deep

    • B. 

      Are very painful

    • C. 

      Varicosities and brawny discoloration may be present as well

    • D. 

      Exhibit little bleeding


  • 11. 
    In the patient with acute DVT who cannot tolerate anticoagulation therapy, which of the following treatments may be used?
    • A. 

      Venal caval interruption device

    • B. 

      Put the patient on Coumadin

    • C. 

      Ligation of the deep veins of the leg

    • D. 

      Require that the patient exercise the leg regularly


  • 12. 
    The greatest number of valves is found in which of the following veins?
    • A. 

      Iliac veins

    • B. 

      Greater saphenous veins

    • C. 

      Common femoral veins

    • D. 

      Superficial femoral veins


  • 13. 
    A possible testing method to rule out deep vein thrombosis is contrast phlebography (venography).  Which of the following statements best describes this testing modality?
    • A. 

      Contrast is injected ino the veins and filling defects can be seen on X ray film

    • B. 

      I labeled fibrinogen is injected into the patient and is absorbed by the thrombus

    • C. 

      A catheter is inserted into the CFV and a balloon device is used to break up thrombus is present

    • D. 

      None of the above


  • 14. 
    In duplex ultrasound testing for venous reflux, all of the following techniques are beneficial in diagnosis EXCEPT
    • A. 

      Observance of color change from blue to red

    • B. 

      Flow crosses baseline with valsalva maneuver

    • C. 

      Squeezing the limb proximally causes flow reversal on the spectral waveform

    • D. 

      Observance that flow velocities are increased


  • 15. 
    When venous reflux lasts more than one second following the release of compression distally, this strongly suggest
    • A. 

      Competent venous valves

    • B. 

      Incompetent venous valves

    • C. 

      An indeterminate finding for valvular competence

    • D. 

      Thrombus is present


  • 16. 
    Whic of the follwing findings using PPG testing for venous insufficiency indicates that the venous valves are competent
    • A. 

      The veins refill quickly (less than 20 seconds) after exercise

    • B. 

      The veins refill slowly (exceeding 20 seconds) after exercise

    • C. 

      The veins continue to empty after exercise

    • D. 

      The veins do not empty after exercise


  • 17. 
    All of the following veins of the upper extremity are deep veins EXCEPT the
    • A. 

      Basilic vein

    • B. 

      Brachial vein

    • C. 

      Axillary vein

    • D. 

      Digital vein


  • 18. 
    The cephalic vein travels on the _______ side of the arm
    • A. 

      Medial

    • B. 

      Anterior

    • C. 

      Posterior

    • D. 

      Lateral


  • 19. 
    The right and left innominate veins join to form the
    • A. 

      Internal jugular vein

    • B. 

      Subclavian vein

    • C. 

      Anterior jugular vein

    • D. 

      Superior vena cave


  • 20. 
    DVT in the veins of the arms is much less common than in the veins of the leg.  All of the following are likely causes of upper extremity DVT EXCEPT
    • A. 

      Fibrosis due to radiation theraphy

    • B. 

      IV drug abuse

    • C. 

      Periods of inactivity

    • D. 

      Venous thoracic outlet compression


  • 21. 
    With inspiration, flow in the veins of the upper extremity
    • A. 

      Increases

    • B. 

      Decreases

    • C. 

      Does not change


  • 22. 
    Which of the following vessels are candidates for harvest as bypass graft material?
    • A. 

      Radial artery

    • B. 

      Lesser saphenous vein

    • C. 

      Cephalic vein

    • D. 

      All of the above

    • E. 

      None of the above


  • 23. 
    The lesser saphenous vein most commonly drains into the
    • A. 

      Giacomini vein

    • B. 

      Greater saphenous vein

    • C. 

      Superficial femoral vein

    • D. 

      Popliteal vein


  • 24. 
    In the determination if a vein is suitable for graft material, the technologist should determine if
    • A. 

      The vein is patent

    • B. 

      If any thrombus is present

    • C. 

      If the system is bifid

    • D. 

      All of the above

    • E. 

      All of the above except the vein is patent


  • 25. 
    In determining suitability of the saphenous vein for femoro-distal bypass graft material, the vein diameter should be measured.  What measurement if sufficient to ensure graft patency?
    • A. 

      1.0 cm

    • B. 

      1.0 mm

    • C. 

      2.0 mm

    • D. 

      2.5 mm


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