What's insufficient?
Deep what?
Lower issues
Who are you calling old?
Edematic
100
A varicose vein is most often:
A. A dilation of a perforating vein. B. A dilation of the small saphenous vein. C. A jugular vein aneurysm. D. A popliteal vein aneurysm. E. A dilation of the great saphenous vein or superficial tributary.
100
Which of these patients would least likely be considered at high risk for DVT?
A. A 62 year old woman with a fractured hip. B. A 36 year old man with Hodgkin's disease. C. A 75 year old woman admitted for a transient ischemic attack. D. An 18 year old male recovering from multiple injuries sustained in a motorcycle accident. E. A 72 year old, overweight woman with congestive heart failure.
100
Two weeks after a fracture of the femur, a 33 year old female is seen for swelling of the same leg. The preliminary diagnosis, prior to performance of any noninvasive testing, should include:
What is A. Arteriovenous fistula B. Deep venous thrombosis C. Popliteal entrapment D. Two of the above E. All three
100
Which of the following are NOT associated with chronic venous disease?
What is A. Pigmentation B. Brawny edema C. Subcutaneous fibrosis D. Cutaneous atrophy E. Thickening of toenails
100
Edema caused by deep venous thrombosis is characterized by:
What is A. Swelling in the feet. B. Swelling in the ankles and feet. C. Swelling in the ankles, legs and feet. D. Swelling in the ankles and legs, but not the feet. E. Swelling in the groin.
200
Lymphedema may be caused by all EXCEPT:
What is A. Obesity B. Trauma or surgical excision of lymph pathways C. Infection D. Inflammation E. Radiation and chemotherapy
200
One complication of deep vein recanalization is:
What is A. Damage to venous valves, allowing reflux. B. Embolization of thrombus. C. Less prominent superficial veins. D. Pain in the area of thrombus. E. Thickening of toenails and loss of hair growth.
200
Lower extremity ulcers are overwhelmingly the result of:
What is A. Arterial disease B. Venous disease C. Lymphatic disease D. Cardiac disease and chronic right heart congestion E. Hyperlipidemia
200
Chronic deep obstruction will increase:
What is A. Venous flow B. Arterial flow C. Resting supine venous pressure. D. Ambulatory venous pressure. E. Ambulatory residual venous volume.
200
Complaints of chronic unilateral lower extremity swelling, aching, and a sense of heaviness most likely suggest:
What is A. Cardiac/systemic origin. B Lipidemia. C. Postphlebitic syndrome. D. Primary varicose veins E. Venous ulceration
300
The greatest pressure of venous hypertension in secondary varicose veins occurs:
A. At rest B. During muscle contraction C. During muscle relaxation D. while standing quietly E. While sleeping
300
A thrombus found in a soleal vein, a bit proximal to mid calf. If it were to propagate, it would next involve:
What is A. The posterior tibial veins. B. The anterior tibial veins. C. The popliteal vein. D. The posterior arch vein. E. The great saphenous vein.
300
A patient presents with acute pronounced red discoloration and edema of the skin along the anterior calf. The most likely diagnosis is:
What is A. Superficial thrombophlebitis B. Deep vein thrombosis C. Cellulitis D. Chronic venous insufficiency E. Incompetent perforating veins
300
The vascular technologist know that chronic venous insufficiency and ulceration are:
A. Chronic but controllable B. Curable and controllable C. Chronic but uncontrollable D. Uncontrollable only E. Always severely disabling
300
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. The patient most likely has:
What is A. Bilateral superficial venous thrombosis. B. Localized right popliteal deep vein thrombosis. C. Localized left popliteal deep vein thrombosis. D. Extensive left femoropopliteal deep vein thrombosis. E. Extensive right femoropopliteal deep vein thrombosis.
400
Symptoms of chronic venous insufficiency might result from all EXCEPT:
A. Calf vein thrombosis B. Popliteal vein thrombosis C. Superficial insufficiency D. Iliac vein thrombosis E. Gastrocnemius muscular thrombosis
400
Signs that a general practitioner may use in an attempt to diagnose deep venous thrombosis include all of the following EXCEPT:
What is A. Passive dorsiflexion of the foot (Homan's sign). B. Anteroposterior calf compression (Bancroft's sign). C. Inflating a sphygmomanometer to 80mmHg on the calf (Lowenberg's sign). D. Tourniquet test. E. Physical findings of edema.
400
Which of the following is True regarding chronic venous ulceration?
A. Lesions are frequently found on the foot. B. Pain is severe and is relieved by dependency. C. Lesions are usually found on the lower third of the leg around the medial aspect of the ankle. D. Lesions do not ooze blood when manipulated. E. Granulation tissue is not produced during healing.
400
Chronic venous insufficiency frequently leads to ulceration. The vascular technologist knows that the patient can help prevent ulceration by:
A. Elevating the legs above the heart level more than 4 times a day for 20 minutes. B. Using support stockings when ambulatory. C. A and B above D. Chelation therapy E Taking aspirin
400
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:
What is A. The popliteal vein is thrombosed. B. The popliteal is patent and the valves are competent. C. The popliteal is patent and the valves are incompetent. D. Venography is necessary to distinguish old from new thrombosis. E. The patient has congestive heart failure.
500
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. B. Elevated right heart pressures. C. Failure to wear surgical support stockings. D. Lymphedema secondary to chronic venous occlusion. E. It is probably not vein related.
500
Of the following techniques, which would be the LEAST effective in detecting significant DVT?
What is A. Photoplethysmography B. Duplex ultrasound C. Impedance plethysmography D. Pneumoplethysmography E. Strain gauge plethysmography
500
A patient presents with bilateral extremity edema and nephrotic syndrome. Thrombus is suspected at which level?
A. IVC B. Iliac veins C. Femoropopliteal veins D. Portal vein E. This does not suggest thrombosis.
500
DOUBLE JEOPARDY- what's your wager?
Typical findings of skin discoloration in a patient with chronic venous insufficiency are: What is ??????
500
A 59 year old female presents with a gradual onset of edema beginning at the dorsum of the foot and proceeding proximally. Leg elevation does not relieve the swelling. Which condition best explains her symptoms?
What is A. Lymphedema. B. Embolization C. Superficial venous thrombosis D. Arterial ischemia
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