Deck 39: Peripheral Arterial Evaluation

Question 1

To obtain arterial Doppler signals during arterial color Doppler imaging, using a(n) ___________ imaging plane is best.

A) transverse
B) longitudinal
C) oblique
D) inverted

Answer 1

B

Question 2

During arterial duplex imaging, Doppler signals are obtained using a ___________ angle.

A) zero-degree
B) 35-degree
C) 60-degree
D) direct

Answer 2

C

Question 3

The major branches of the popliteal artery are the _________ and _________ arteries.

A) anterior tibial; peroneal
B) sural; anterior tibial
C) genicular; anterior tibial
D) sural; genicular

Answer 3

D

Question 4

The profunda femoris artery lies __________ and __________ to the superficial femoral artery (SFA).

A) posterior; medial
B) posterior; lateral
C) anterior; medial
D) anterior; lateral

Question 5

The ABI on the right side is ___________ mm Hg. The following resting segmental pressure measurements (mm Hg) are taken:

A) 0.50
B) 0.66
C) 0.91
D) 0.97

Question 6

A toe pressure is considered normal if it is:

A) 50 mm Hg.
B) 45 mm Hg.
C) less than 64% of brachial pressure.
D) 50 mm Hg and less than 64% of brachial pressure.

Question 7

Most patients describe claudication as which one of the following?

A) Pain in the toes
B) Pain at rest
C) Cramping of the leg muscles
D) Extreme leg pain when walking

Question 8

The characteristics of a normal Doppler signal obtained during lower-extremity arterial imaging include all of the following except:

A) sharp up slope.
B) triphasic and reverse flow component.
C) dicrotic notch.
D) low velocity forward flow in late diastole.

Question 9

Which one of the following statements best describes ultrasound compression therapy of pseudoaneurysms?

A) Is the most successful when the aneurysm is large
B) Is the most successful in patients who are receiving anticoagulated therapy
C) Takes minimal upper body strength
D) Usually requires 30 to 60 minutes to be successful

Question 10

A difference in pressures greater than 20 mm Hg between arms usually indicates disease of which one of the following arteries?

A) Subclavian
B) Radial
C) Common carotid
D) Iliac

Question 11

b. 0.45.
C) 0.59.
D) 0.35.

Question 12

A normal pulse volume waveform contains a(n):

A) slow up slope.
B) dicrotic notch.
C) round peak during systole.
D) up slope and down slope with equal times

Question 13

Which one of the following imaging characteristics indicates a significant (greater than 50% diameter reduction) arterial narrowing during lower-extremity arterial imaging?

A) Spectral broadening
B) Increase of peak-systolic velocity of greater than 20% when compared with the proximal adjacent area
C) Increase of peak-systolic velocity of greater than 100% when compared with the proximal adjacent area
D) Loss of blood flow reversal in early diastole

Question 14

The ABI on the left side is ________ mm Hg. The following resting segmental pressure measurements (mm Hg) are taken:

A) 0.50
B) 0.66
C) 1.35
D) 0.97

Question 15

Which one of the following is most likely to produce a palpable thrill?

A) Pseudoaneurysm
B) Common femoral occlusion
C) In situ bypass graft
D) Dialysis access graft

Question 16

The brachial pressure suggests disease of the _______________ artery. The following resting segmental pressure measurements (mm Hg) are taken:

A) innominate
B) right subclavian
C) left subclavian
D) right brachial

Question 17

Blood pressure cuffs should have a width ________________ the diameter of the limb.

A) 100% less than
B) equal to
C) 20% less than
D) 20% greater than

Question 18

The lower limb pressures suggest disease of the ___________________ artery. The following resting segmental pressure measurements (mm Hg) are taken:

A) right common femoral
B) right superficial femoral
C) right popliteal
D) left popliteal

Question 19

The second main branch of the aortic arch is which one of the following arteries?

A) Innominate
B) Right common carotid
C) Left common carotid
D) Left subclavian

Question 20

Segmental pressures of the lower extremity tend to ____________ the extent of the disease.

A) overestimate
B) underestimate
C) equal
D) underestimate or equal

Question 21

Patients complaining of intermittent claudication will have an ankle-brachial index (ABI) of:
a.

Question 22

Exercise testing of the lower-extremity arterial system is performed on a treadmill on a __________ grade.

A) 5% to 10%
B) 10% to 12%
C) 12% to 15%
D) 15% to 20%

Question 23

Ankle pressures that fall after exercise and return to baseline in 5 minutes suggest which one of the following?

A) Normal arterial system
B) Multisegment arterial disease
C) Single-segment occlusive disease
D) Lower-extremity amputation

Question 24

In nondiabetic patients, ischemic skin lesions are not likely to heal if ankle systolic pressure is below __________ mm Hg.

A) 55
B) 45
C) 80
D) 30

Question 25

The calf pulse volume waveform normally has greater amplitude than the thigh waveform because of which one of the following?

A) Sequential changes
B) Superficial femoral disease
C) Cuff artifact
D) Intermittent ischemia

Question 26

Exercise testing of the lower-extremity arterial system is performed on a treadmill at a speed of ___________ mph.

A) 1 to 2
B) 1.5 to 2
C) 2 to 2.5
D) 2.5 to 3