Venous Insufficiency
Peripheral Artery Disease
Syncope
Giant Cell Arteritis
Pulmonary HTN & DVT
100

This physical exam finding includes brown discoloration of the lower extremities from iron deposition.

What is hemosiderin staining?

100

This lifestyle modification is the single most important one to slow progression of PAD.

What is smoking cessation?

100

This type of syncope is triggered by pain, emotional stress, or prolonged standing.

What is vasovagal syncope?

100

These inflammatory markers are almost always elevated and help support a diagnosis of GCA.

What are ESR and CRP?

100

This rare but serious complication of pulmonary hypertension involves coughing up blood.

What is hemoptysis?

200

This is a life long non-pharmacologic management strategy to improve venous return. 

What are compression stockings? 

200

This is a classic symptom of cramping when walking that is relieved with rest.

What is intermittent claudication?

200

This red flag history of syncope requires emergent work-up when syncope occurs during this type of activity. 

What is exertional activity? 

200

This location of headache is the most common presenting complaint of those with GCA?

What is the temporal area?

200

This is the measurement difference between calf circumference that is concerning for the presence of a DVT.

What is 3 cm?

300

These are two symptoms of venous insufficiency that typically worsen throughout the day and improve with elevation.

What are edema and leg aching?
300

This medication improves walking distance by vasodilation and inhibiting platelet aggregation but should be avoided in those with heart failure.

What is cilostazol (Pletal)?
300

This is an essential initial diagnostic test that should be performed on all older adults presenting with a history of syncope.

What is an EKG?

300
This symptom is most concerning in those being evaluated for GCA given that it can become permanent if not treated.

What is vision loss?

300

This is the pharmacologic mainstay of treatment for DVT and should begin within as soon as possible after diagnosis.

What is anticoagulant therapy?

400

This diagnostic imaging is a first line recommendation used to diagnose venous insuffiency.

What is compression ultrasound?

400

This concerning finding is when a patient with a hx of advanced PAD has severe pain relieved with dependency.

What is critical limb ischemia?

400

This condition often caused by dehydration or medications often causes syncope upon standing.

What is orthostatic hyptension?

400

This medication is ordered often before a confirmatory biopsy to treat GCA and prevent complications.

What is an oral corticosteroid?

400

Stenosis of this heart valve can cause elevated pressure in the left atrium and elevated pulmonary venous pressure causing pulmonary hypertension.

What is the aortic valve?

500

This is an emergent concern for a nurse practitioner when on exam, one of their patient's lower legs is increased in size, warm to touch, and painful.

What is DVT?

500

This significant health risk may be asymptomatic but is present in up to 70% of patients with PAD.

What is coronary artery disease?

500

This cause of syncope causes abnormal heart rhythms such as ventricular tachycardia.

What is arrhythmia? 

500

This is the gold standard of diagnosis for GCA, although false negatives can occur.

What is temporal artery biopsy?

500

This complication of DVT can cause shortness of breath and can lead to respiratory failure and cardiac arrest.

What is pulmonary embolism?

M
e
n
u