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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
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216. Symptoms of chronic venous insufficiency might result from all EXCEPT:
E. Gastrocnemius muscular thrombosis
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217. Patients suspected of having venous disease may complain of pain that is:
C. Relieved by elevation
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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
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219. Bdema caused by deep venous thrombosis is characterized by:
D. Swelling in the ankles and legs but not the feet
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220. All of the following are causes of or risk factors for acute deep venous thrombosis EXCEFT:
D. Arthritis
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221. Complaints of ehronic unilateral lower extremity swelling, aching, and a sense of heaviness most likely suggest:
C. Postphlebitic syndrome
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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
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223. Pitting edema of both lower extremities is likely related to:
A. Cardiac or systemic origin
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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
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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.
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226. Patients with a swollen limb who have just returned from a country where filariasis is endemic may be suspected of having:
B. lymphedema
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227. A patient presents with bilateral lower extremity edema and nephrotic syndrome. Thrombus is suspected at which level?
A. IVC
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228. Lower extremity ulcers are overwhelmingly the result of:
B. Venous disease
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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.
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230. A patient presents with aeute pronounced bright red discoloration and edema of the skin along the anterior calf, The most likely diagnosis is:
C. Cellulitis
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231, A patient with a pulmonary embolus might have any or these EXCEPT:
E. Rest pain
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232. Typical findings of skin discoloration in a patient with chronic venous insufficiency are:
D. Rusty brown color at ankles and calves
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233. A condition that presents as a severely swollen, blue, cool lower cxlrcmily is called:
C. Phlegmasia cerulea dolens
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234. The clinical examination for deep venous thrombosis is:
D. Neither specific nor sensitive
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235. Which of the following are NOT associated With Chronic venous disease'?
E. Thickening of toenails
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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.
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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
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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
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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.
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240. Chronic deep venous obstruction will increase:
D. Ambulatory venous pressure
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241. Brawny skin changes at the ankle most likely represent:
C. Chronic venous insufficiency
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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.
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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
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244. A common physical finding in pulmonary embolism is:
E. Tachypnea
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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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