Assessment Peripheral Vascular And Lymphatics System

14 Questions | By Epeleti | Last updated: Jan 18, 2013

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Questions and Answers

1.

Edema of the upper extremities may lead to suspicion of what?
- A.
  
  Shock
- B.
  
  Drainage obstruction
- C.
  
  PAD
2.

Pulse that is hard to palpate, need to search for it and may fade in and out is easily obliterated by pressure, may be signs of decreased cardiac output; pad, and aortic valve stenosis, and can be described as which of the following?
- A.
  
  Weak, "Thready" 1+
- B.
  
  Full, Bounding 3+
- C.
  
  Pulsus Bigeminus
3.

An easily palpable pulse that is easy to find is normal during hyperkinetic states, such as exercise, anxiety, fever, anemia, and hyperthyhroidism and can be described as which of the following?
- A.
  
  Weak, "thready" 1+
- B.
  
  Full, Bounding 3+
- C.
  
  Pulsus Bigeminus
4.

An aortic valve regurgitation or atent ductus arteriosus is often present with a pulse that greater than normal force that collapses suddenly, which of the following terms best describes this?
- A.
  
  Water-Hammer (Corrigan's) Pulse-- 3+
- B.
  
  Pulsus Bigeminus
- C.
  
  Pulsus Aternans
5.

Conduction disturbances cause pulse where the rhythm is coupled, every other beat comes early or the normal beat is followed by a premature beat. Force of premature beat is decreased because of shortened cardiac filling time and the pulse is described as which of the following terms?

Discuss
- A.
  
  Water- Hammer (Corrigan's Pulse) 3+
- B.
  
  Pulsus Bigeminus
- C.
  
  Pulsus Alternans
6.

Heart Failure can lead to a pulse that is regular in rhythm but the force varies with alternating beats of large and small amplitude. Which of the following terms best describes this pulse?
- A.
  
  Water- Hammer (Corrigan's Pulse) 3+
- B.
  
  Pulsus Bigeminus
- C.
  
  Pulsus Alternans
7.

Any condition that blocks venous return to the right side of the heart, or blocks left ventricular filling is set with a pulse that has weakens amplitude with inspiration, stronger with expiration and is best determined during blood pressure measurement; Reading decrease during inspirations and increase during expirations and may be described as which of the following?

Discuss
- A.
  
  Pulsus Alternans
- B.
  
  Pulsus Paradoxus
- C.
  
  Pulsus Bisferiens
8.

Aortic valve stenosis plus regurgitation causes pulse to have two strong systolic peaks, with a dip in between. These are best assessed at the carotid artery and are described by which of the following terms?
- A.
  
  Pulsus Alternans
- B.
  
  Pulsus Paradoxus
- C.
  
  Pulsus Bisferiens
9.

A patient comes to the doctor complaining of abrupt progressive tricolor change of the fingers in response to cold, vibration, and stress. They also say that they have burning, throbbing pain, swelling along with rubor. Symptoms last hours and occur bilaterally, which of the following could be suspected?

Discuss
- A.
  
  Raynauds Phenomenon
- B.
  
  Lymphedema
- C.
  
  Arteriosclerosis
10.

A patient that recently had breast surgery comes to the doctor with unilateral swelling, nonpitting brawny edema, with overlying skin undurated. Which of the following contditions is suspected of these symptoms?
- A.
  
  Raynauds Phenomenon
- B.
  
  Lymphedema
- C.
  
  Arteriosclerosis
11.

A patient comes to the doctor complaining of deep muscle ain in the calf and foot and claudication. During assessment the nurse observes coolness, pallor, elevational pallor, and dependent rubor. The pulse is diminshed, and systoic bruits are present. There are signs of malnutrition, thin, shiny skin, thick-ridged nails, absence of hair, atrophy of muscles. Ulcers are present on the toes, metatarsal heads, heels lateral ankle with well defined edges and no bleeding...

Discuss
- A.
  
  Arteriosclerosis--Ischemic ulcer Arterial Insufficiency
- B.
  
  Venous (stasis) ulcer Venous Insufficiency
- C.
  
  Thrombophlebitis
12.

A patient with an aching pain in calf or lawer leg, saus that the pain is worse at the end of the day, especially with prolonged standing or sitting. You observe firm brawny edema. coarse, thickened skin; pulses are normal; brown pigment discoloration at ankles; petechiae; dermatitis. Ulcers are present at medial malleolus and have uneven edges and bleed...

Discuss
- A.
  
  Arteriosclerosis--Ischemic ulcer Arterial Insufficiency
- B.
  
  Venous (stasis) ulcer Venous Insufficiency
- C.
  
  Thrombophlebitis
13.

Aching, heaviness in calf, easy fatigability, night leg or foot cramps are the symptoms of which of the following venous diseases?
- A.
  
  Venous Ulcer
- B.
  
  Superficial Varicose Veins
- C.
  
  Deep Vein Thrombophlebitis
14.

Sudden onset of intense, sharp, deep muscle pain, that increases with dorsiflexion of the foot, is warm to the touch, and has swelling present. Tender to palpation and a positive Homan's sign make thee symptoms suspect of which of the following conditions?
- A.
  
  Venous Ulcer
- B.
  
  Superficial Varicose Veins
- C.
  
  Deep Vein Thrombophlebitis

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