PVD Quiz: Can You Spot Circulation Problems?

1. Which of the following is the most common cause of peripheral arterial disease in developed nations?

Atherosclerosis

Thrombophilia

Vasculitis

Embolism from cardiac source

2. A patient presents with claudication pain in the calf that resolves with rest. This symptom pattern suggests stenosis or occlusion of which artery?

Aorta

Femoral artery

Popliteal artery

Iliac artery

3. The ankle-brachial index (ABI) is a key diagnostic tool in PVD. An ABI of 0.6 indicates what severity of arterial disease?

Normal or minimal disease

Mild to moderate stenosis

Severe stenosis

Complete occlusion

4. Which clinical finding is most suggestive of critical limb ischemia?

Pain-free walking at 100 meters

Rest pain and tissue loss

Mild claudication on stairs

Intermittent foot coolness

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6. A patient with PVD presents with rest pain at night that improves with leg dependency. Which positional change best explains this relief?

Increased hydrostatic pressure improves perfusion

Reduced cardiac output decreases pain

Gravity facilitates venous return

Muscle relaxation reduces metabolic demand

7. Deep vein thrombosis (DVT) most commonly originates in which anatomical location?

Superficial veins of the leg

Calf veins (popliteal, tibial, peroneal)

Femoral vein

Iliac vein

8. The post-thrombotic syndrome develops in what percentage of patients following acute DVT?

5–10%

20–50%

60–80%

90–95%

9. Which of the following is a major modifiable risk factor for the development of PVD?

Advanced age

Smoking

Male gender

Family history of atherosclerosis

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11. True or False: Smoking cessation has been shown to halt disease progression and reduce amputation risk in patients with peripheral arterial disease.

True

False

12. A patient with intermittent claudication has an ABI of 0.85. Which initial management approach is most appropriate?

Immediate surgical intervention

Conservative therapy with exercise and antiplatelet agents

Amputation planning

Anticoagulation therapy alone

13. Lipodermatosclerosis in chronic venous disease is characterized by which pathologic finding?

Lipid accumulation and skin thickening

Fibrin deposition and subcutaneous fibrosis

Melanin hyperpigmentation

Bacterial colonization of skin

14. Homocysteine elevation is an independent risk factor for both arterial and venous thrombotic disease. This amino acid is metabolized by which vitamin-dependent enzyme pathway?

Vitamin K-dependent carboxylation

B12 and folate-dependent remethylation

Vitamin C-dependent hydroxylation

Vitamin E-dependent oxidation

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16. True or False: Aspirin monotherapy is superior to clopidogrel monotherapy for secondary prevention of cardiovascular events in patients with symptomatic PAD.

True

False

PVD Quiz: Can You Spot Circulation Problems?

1. Which of the following is the most common cause of peripheral arterial disease in developed nations?

2.

What first name or nickname would you like us to use?

2. A patient presents with claudication pain in the calf that resolves with rest. This symptom pattern suggests stenosis or occlusion of which artery?

3. The ankle-brachial index (ABI) is a key diagnostic tool in PVD. An ABI of 0.6 indicates what severity of arterial disease?

4. Which clinical finding is most suggestive of critical limb ischemia?

5. In chronic venous insufficiency, the primary pathophysiologic defect involves venous valve ____.

6. A patient with PVD presents with rest pain at night that improves with leg dependency. Which positional change best explains this relief?

7. Deep vein thrombosis (DVT) most commonly originates in which anatomical location?

8. The post-thrombotic syndrome develops in what percentage of patients following acute DVT?

9. Which of the following is a major modifiable risk factor for the development of PVD?

10. In duplex ultrasound assessment of arterial disease, peak systolic velocity increases distal to a significant stenosis due to the Bernoulli principle. This finding is called a ____.

11. True or False: Smoking cessation has been shown to halt disease progression and reduce amputation risk in patients with peripheral arterial disease.

12. A patient with intermittent claudication has an ABI of 0.85. Which initial management approach is most appropriate?

13. Lipodermatosclerosis in chronic venous disease is characterized by which pathologic finding?

14. Homocysteine elevation is an independent risk factor for both arterial and venous thrombotic disease. This amino acid is metabolized by which vitamin-dependent enzyme pathway?

15. In acute limb ischemia, the 'six Ps' mnemonic includes Pain, Pallor, Pulselessness, Paresthesia, Paralysis, and ____.

16. True or False: Aspirin monotherapy is superior to clopidogrel monotherapy for secondary prevention of cardiovascular events in patients with symptomatic PAD.