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215. Two weeks after a fracture of the femur, a 33-year-old female is seen for swelling of the calf of the same leg. The preliminary diagnosis, prior to performance of any noninvasive testing, should include:
D. Two of the above
216. Symptoms of chronic venous insufficiency might result from all EXCEPT:
E. Gastrocnemius muscular thrombosis
217. Patients suspected of having venous disease may complain of pain that is:
C. Relieved by elevation
218. Patients complaining of pain, swelling, and erythema of the lower extremity may have deep venous thrombosis, but the vascular technologist knows that diagnosing DVT by these symptoms alone is approximately:
B. 46-62% accurate
219. Bdema caused by deep venous thrombosis is characterized by:
D. Swelling in the ankles and legs but not the feet
220. All of the following are causes of or risk factors for acute deep venous thrombosis EXCEFT:
221. Complaints of ehronic unilateral lower extremity swelling, aching, and a sense of heaviness most likely suggest:
C. Postphlebitic syndrome
222. A patient with chronic venous insufficiency complains of sudden onset of edema and pain in the affected leg. This may be related to:
A. Recurrence of acute deep venous thrombosis
223. Pitting edema of both lower extremities is likely related to:
A. Cardiac or systemic origin
224. Insufficient veins have the following flow characteristics:
- B. Caudal blood flow may be abnormal while the patient is quietly standing.
- C. Venous pressure at the ankle in the supine patient does not differ from that of normal limbs.
- D. Venous pressure at the ankle in the walking patient is markedly increased compared to that of normal limbs
- F. B, C, andD
225. With exercise in patients w ith postphlebitie syndrome, which of the following is FALSE?
B. They usually have a quick decrease in venous pressure that takes a minute or two to return to pre-exercise levels.
226. Patients with a swollen limb who have just returned from a country where filariasis is endemic may be suspected of having:
227. A patient presents with bilateral lower extremity edema and nephrotic syndrome. Thrombus is suspected at which level?
228. Lower extremity ulcers are overwhelmingly the result of:
B. Venous disease
229. Normally, venous flow in the calf is from the superficial to the deep veins through perforating veins. However, this flow might be reversed when:
D. Deep Venous Obstruction is present.
230. A patient presents with aeute pronounced bright red discoloration and edema of the skin along the anterior calf, The most likely diagnosis is:
231, A patient with a pulmonary embolus might have any or these EXCEPT:
E. Rest pain
232. Typical findings of skin discoloration in a patient with chronic venous insufficiency are:
D. Rusty brown color at ankles and calves
233. A condition that presents as a severely swollen, blue, cool lower cxlrcmily is called:
C. Phlegmasia cerulea dolens
234. The clinical examination for deep venous thrombosis is:
D. Neither specific nor sensitive
235. Which of the following are NOT associated With Chronic venous disease'?
E. Thickening of toenails
236. Which of the following is TRUE regarding chronic venous ulceration?
C. Lesions are usually found on the lower third of the leg around the medial aspect of the ankle.
237. Some time after being hit by a car, a patient has severe pain in the anterior aspect of the right knee and massive left lower extremity edema. I he patient most likely has.
D. Extensive left femoropopliteaJ deep venous thrombosis
238. An elderly patient who presents with localized pain at mid calf has an ultrasound exam that reveals a nonocclusive thrombus of the superficial femoral vein. The callpain became excruciating after administration of heparin. A second ultrasound exam demonstrates:
D. A hypoechoic mass in the shape of an egg at mid calf, thought to be a hematoma
239. A patient presents with a unilateral chronic swollen leg and a previous diagnosis of deep venous thrombosis 3 years earlier. The most likely finding would be:
C. The popliteal vein is patent and the valves are incompetent.
240. Chronic deep venous obstruction will increase:
D. Ambulatory venous pressure
241. Brawny skin changes at the ankle most likely represent:
C. Chronic venous insufficiency
242. Select the best statement regarding comparison of venous and arterial ulcers.
B. Venous ulcers are usualK not painful and are located cephalad to the foot.
243. Signs that a general practitioner may use in an attempt to diagnose deep venous thrombosis include all of the following EXCEPT:
D. Tourniquet test
244. A common physical finding in pulmonary embolism is:
245. All of the following may be found in the clinical presentation of pulmonary embolism EXCEPT:
D. Positive lower extremity venous ultrasound
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