Anatomy
Hemodynamic Effects
Risk Factors
Indications
Sonographic Appearance & Evaluation
100

Spindle-shaped reservoirs located within the soleal and gastrocnemius muscles. Activated by calf muscle pump.

What are the solar sinuses.

100

Exercise causes ______ in the arterial system, resulting in decreased peripheral resistance and a lack of flow reversal in the arterial waveform.

What is peripheral vasodilation. 

100

List two controllable risk factors for peripheral arterial disease.

What is:

  • Diabetes
  • Hyperlipidemia
  • Hypertension
  • Smoking
100

Which of the following is not a clinical indication for assessment of the lower extremity venous system?

Pulselessness, swelling, pain, and erythema.

What is pulselessness.

100

TRUE OR FALSE: During a duplex/color flow exam of the extremity venous system, compression should be performed every 1-2 inches in transverse.

True

200

Originates at the bifurcation of the common femoral artery and terminates in the lower third of the thigh. Located posterior and lateral to the superficial femoral artery.

What is the profunda (or deep femoral) artery. 

200

The valsalva maneuver increases both the intrathoracic and intrabdominal pressures significantly. This results in a ____ of all venous return to the heart. 

What is halt (or stop).

200

List two uncontrollable risk factors for peripheral arterial disease.

What is:

  • Age
  • Family history
  • Gender
  • Thrombophilia
200

Which of the following is not a clinical indication for evaluation of the lower extremity arteries? 

Claudication, pain, pulselessness, or swelling...

What is swelling.

200

Normal doppler analysis of the extremity venous system will reveal all of the following flow characteristics except:

Pulsatility, spontaneous flow, phasicity, augmentation.

What is pulsatility.

300

Courses along the posteriomedial aspect of the calf before passing behind the medial malleolus where is bifurcates into the medial and lateral plantar arteries.

What is the posterior tibial artery.

300

With inspiration, the intrathoracic pressure ______ while the upper extremity blood flow ______.

What is intrathoracic pressure decreases while the upper extremity blood flow increases.

300

List two hormonal risk factors for peripheral venous disease.

What is:

  • Estrogen
  • Pregnancy
  • Oral contraceptives
300

List two trophic changes that are indicative of peripheral arterial disease. 

What is:

  • Ulcers or gangrene
  • Hair loss
  • Thick nails
  • Tissue loss
  • Changes in color
300

Venous phasicity may be absent when the patient is in this position.

What is supine.

400

Which vessel does the left subclavian artery originate?

What is the aortic arch.

400

With exhalation, the intrabdominal pressure ______ while the lower extremity blood flow ______.

What is intrabdominal pressure decreases while the lower extremity blood flow increases.

400

Name four risk factors for perisperhal venous disease. 

  • Age
  • Malignancy
  • Hormones
    • Estrogen
    • Pregnancy
    • Oral contraceptives
  • Recent Surgery
  • Immobility
    • Bed rest
    • Travel
    • Paraplegia
  • Thrombophilia
  • History of DVT
  • Trauma
  • Genetic disorders
    • Factor V
    • Antithrombin III deficiency
  • Virchow’s Triad
    • Trauma or endothelial damage
    • Venous stasis
    • Hypercoagulability
400

Why is a pulmonary embolism an indication for assessment of the peripheral venous system.

What is locate source of embolus and extend of thrombus.

400

Which of the following is not a limitation of duplex/color flow imaging of the extremity arteries?

Body habits, medial calcinosis, recent surgery, or quick exam time. 

What is quick exam time.

500

Ascends the lateral aspect of the arm to unite with the axillary vein to become the subclavian vein.

What is the cephalic vein.

500

Which of the following hemodynamic effects decreases venous return to the heart?

Muscle relaxation, calf muscle pump, or exercise. 

What is muscle relaxation. 

500

What are the three clinical conditions encompassed in Virchow's triad?

What is trauma or endothelial damage, venous stasis, and hyper coagulability.

500
What are the six "P"s indicative of acute arterial occlusion?

What is:

  • Pain
  • Pallor
  • Pulselessness
  • Paresthesia
  • Paralysis
  • Poikilothermia
500

During the first several weeks post op, patients with an arterial graft or stent will demonstrate ______ waveforms.

What is monophasic.

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