Arterial Abnormalities (part 1) - For Abdomen Test 10/18/10

41 Questions

Settings
Please wait...
Abdomen Quizzes & Trivia

Questions and Answers
  • 1. 
    Arteriosclerosis is primarily an arterial disease in which the vessel loses its ___________ and will ___________.
  • 2. 
    The most common form of arteriosclerosis is called ________________.
  • 3. 
    In atherosclerosis, __________ deposits form on the intima of the artery.
  • 4. 
    The lipid deposits that form on the intima of the artery in atherosclerosis are called ___________.
  • 5. 
    Causes:Choose the factors that have been linked to the progression of atherosclerosis.
    • A. 

      Hyperlipidemia

    • B. 

      HTN

    • C. 

      Cigarette smoking

    • D. 

      Diabetes

  • 6. 
    Signs and Symptoms:Generally, there are no signs and symptoms of atherosclerosis until a significant ___________ develops.
  • 7. 
    Signs and Symptoms:When a stenosis develops in a patient with atherosclerosis, symptoms depend on the ___________  ____________.
  • 8. 
    Atherosclerosis may also lead to _____________ formation.
  • 9. 
    Plaque appears as __________  __________  ___________ in the intima of an artery with tendency to be at the areas of ____________.
  • 10. 
    Plaque in the intima of an artery may become calcified appearing as an ____________ area with ____________ along the vessel wall.
  • 11. 
    In elderly patients, the vessel may become ____________ (crooked) which is often going toward the ____________ (left or right?).
  • 12. 
    Because of tortuosity of the aorta in elderly patients, it is best to hold the transducer in the ___________ plane.
  • 13. 
    An aneurysm is a focal ___________ of the vessel wall caused by structural weakness of all ______(#) layers
  • 14. 
    The type of aneurysm that is of uniform dilation is called ____________.
  • 15. 
    The type of aneurysm in which there is a protrusion of the aorta toward one side and may also have a channel that connects the protrusion to the aorta is called ____________.
  • 16. 
    Causes:What is the most common cause of aneurysm formation in the United States?
  • 17. 
    Causes:Besides the most common cause, name three other causes of aortic aneurysm.**In alphabetical order.
  • 18. 
    Causes:____________  ____________ is associated with aneurysms of the ascending aorta.
  • 19. 
    Signs and Symptoms:Unless aortic aneurysms are large, they are usually ____________.
  • 20. 
    Signs and Symptoms:Once an aortic aneurysm becomes large, they may cause ___________ and ___________ pain.
  • 21. 
    Aneurysms are usually suspected during a physical exam if a ___________  ___________ is felt.
  • 22. 
    Sono Appearance:A slight dilation of the aorta having a diameter of 2.5-3.0 cm is called ___________.
  • 23. 
    Sono Appearance:A dilation of the aorta with a diameter greater than 3.0 cm is considered a ___________  ___________.
  • 24. 
    Sono Appearance:If an aortic aneurysm is detected, you should evaluate the __________ arteries and the __________ arteries for their involvement.
  • 25. 
    Sono Appearance:A thrombus formation in the lumen of the aorta appear as _________  __________  __________.
  • 26. 
    Sono Appearance:__________ and __________  ___________ will also aid in the diagnosis to help visualize thrombus formation.
  • 27. 
    Besides ultrasound, name three other modalities used to diagnose an aortic aneurysm.**In alphabetical order.
  • 28. 
    Ultrasound and MRI are the best modalities for determining actual size along with demonstrating leakage and rupture of an aortic aneurysm.
    • A. 

      True

    • B. 

      False

  • 29. 
    An aortic dissection occurs when there is a tear in the __________ layer of the wall causing blood to collect between the __________ and __________ layers.
  • 30. 
    What type of arterial abnormality does this describe?The artery will have two layers, a true lumen and a false lumen.
  • 31. 
    According to __________, there are ____(#) classifications of an aortic dissection.
  • 32. 
    An aortic dissection that affects the ascending aorta, the aortic arch, and the descending aorta is classified as...
  • 33. 
    An aortic dissection that only affects the ascending aorta and is seen in patients with Marfan's syndrome is classified as...
  • 34. 
    An aortic dissection that affects the descending aorta and may extend into the abdominal aorta is classified as...
  • 35. 
    There is a high incidence of mortality in type ___ and type ___ aortic dissections because of the propensity of the dissection to extend into the _____________ of the heart.
  • 36. 
    Check all of the appropriate causes of an aortic dissection.
    • A. 

      HTN

    • B. 

      Marfan's Syndrome

    • C. 

      Cystic medial necrosis

    • D. 

      Bicuspid AV

    • E. 

      Diabetes

    • F. 

      Coarctation of the aorta

    • G. 

      Pregnancy

    • H. 

      Cushing's Syndrome

    • I. 

      Pheochromocytomas

    • J. 

      Trauma

    • K. 

      Needle induced catheterization

  • 37. 
    Signs and Symptoms:Pain varies depending on the site of an aortic dissection. Severe chest pain mimicing an MI would most likely mean a dissection of the ___________ aorta.
  • 38. 
    Signs and Symptoms:Pain varies depending on the site of an aortic dissection. Severe abdominal and back pain would most likely mean a dissection of the ___________ aorta.
  • 39. 
    If a patient presents with severe abdominal pain, vomiting, paralysis, transient blindness, and the absence of extremity pulses, what arterial abnormality would the doctor be trying to rule out?
  • 40. 
    Sono Appearance:What arterial abnormality will appear as a thin, linear flap within the lumen of the vessel that is mobile with the cardiac cycle.  Doppler analysis confirms that there is arterial flow on either side of the flap.
  • 41. 
    Angiography and ultrasound are the most definite diagnostic procedures used to diagnose aortic dissections.
    • A. 

      True

    • B. 

      False