VASCULAR BOARD EXAM NOTES #9

  1. a thrill is an?
    palpable vibration can be felt in the case of stenosis
  2. palpable pulse sites pulses play an important role in the diagnosis of arterial disease. presence or absence of a pulse have indication of disease the strength of the pulse?
    aorta, radial, brachial, axillary, carotid, femoral, popliteal, PTA, DPA
  3. the peroneal artery CANNOT be
    palpated
  4. bruits are classical sign of a _______
    classical sign of stenosis, if continues throughout diastole then the stenosis is likely severe. if a stenosis is above 90% a bruit is not always heard
  5. what is claudication?
    cramping or a fatigue weak feeling in the muscle of the extremity
  6. what is intermitted claudication?
    claudication while exercising
  7. the acceleration time of less than ______ indicates?
    0.144m/s is normal in the CFA. a measure of time of the peak systolic
  8. the normal waveform in the extremities is?
    high resistance triphasic
  9. peripheral resistance is controlled by the?
    arterioles
  10. stress, temperature, medication, exercise, smoking can all _____ a waveform
    change the waveform
  11. pressure testing is never performed on a _____, ______ ,_____
    stent, graft, bypass
  12. when a pressure is taken the resulting waveform is a manifestation of the condition of the vessel above
    the site being test
  13. CW pen doppler should be held at a
    45-60 degree angle
  14. cuffs that are too wide will show a
    falsely lower pressure
  15. cuffs that are too small will show a
    falsely elevated pressure
  16. brachial pressure should not differ by more than
    20-30mmHg
  17. the general rule is the ankle pressure should be
    higher to the same as the brachial pressure. not too high.
  18. incompressible when occlusion is not accomplished with the pressure of
    255-300
  19. pressure reading is taken or the waveforms are gathered from below the
    area where the pressure was taken
  20. ABI=
    ankle / highest brachial
  21. pressure measurements are performed with the patient in a
    supine and relaxed position
  22. normal ABI range
    1-1.2
  23. normal to mild ABI
    0.9
  24. mild to probable ABI range
    0.6-0.9
  25. moderate disease ABI
    0.5
  26. rest pain and severe disease ABI range
    less than <0.5
  27. normal TBI
    >0.75-0.8
  28. TBI claudication
    >0.2 - 0.75
  29. toe pressure of __________ or less may indicate a poor chance of healing ulcers
    30mmHg
  30. non-diabetic ankle pressure
    greater than >60 mmHg ischemic rest pain is not likely, less than <35mmHg rest pain is probable
  31. diabetic ankle pressure
    >80mmHg ischemic rest pain is not likely , <40 mmHg rest pain is probable
  32. in the normal situation when exercising occur the volume of blood should ___________ and resistance _______ so that the pressure ________
    increase, decrease, stay the same
  33. flow that is lower and returns to pre status with 2-6 minutes are thought to have
    single level disease
  34. in the STENOTIC extremity, the volume stays the same or decreases and the resistance ________ so that the pressure ______
    decrease, decrease
  35. with exercise, the ankle pressure should be
    the same as before or maybe a slight bit higher.
  36. with post-exercise the flow that is higher than pre-exercise flow should
    higher than pre-exercise flow should return to normal in less than 3 minutes
  37. flow that is inaudible or less than 60mmHg of pressure or longer than _____ minutes is thought to be indicative of multilevel disease
    10 minutes is thought to indicate multilevel disease
  38. a patient should not be placed on a treadmill with a history of
    cardiac problems, stroke or shortness of breath
  39. exercise will cause an increase in diastolic flow due to
    diastolic flow due to the increased need of oxygen to the working muscles
  40. hyperemia testing cuffs are inflated above brachial pressure for __-___ minutes
    3-5 minutes
  41. a 50% decline is a
    single level disease
  42. 75% and greater decline is a
    multilevel disease
  43. leg cuffs should exceed the diameter of the limb by ____%
    20%
  44. cuff should be inflated ____-____mmHg above the brachial pressure
    20-30 mmHg
  45. a stenosis criteria velocities over
    400
  46. highest velocities will be located at _______ of the stenosis
    middle of the stenosis/ within the stenosis
  47. 2:1 ratio> is indicative of a _____% diameter reduction
    50% reduction
  48. 4:1 ratio> is indicative of an ____% diameter reduction
    75% reduction
  49. segmental pressures can not differentiate between a
    ____or_____
    stenosis or occlusion
  50. a 3 cuff method can not differentiate between ____or ____ disease
    aorta or iliac inflow and SFA disease
  51. in a three cuff method the thigh pressure should be _____ as the brachial
    same as the brachial
  52. 3 cuff sizes are ___, ____ and ____
    18cm 12cm 10cm
  53. 4 cuff method can not differentiate between ____ or ____ disease
    inflow and femoral artery disease
  54. 4 cuff high thigh pressure is around ___ to ___ mmHg above the brachial
    20-30 mmHg above the brachial
  55. 4 cuff method cuff sizes are ____, _____, ____, _____
    12cm 12 cm 12 cm 10 cm
  56. 4 cuff method the pressure should not drop from any level to the next or be different from horizontal levels more than ___mmHg
    20mmHg
  57. PVR waveforms can not differentiate between ____and ____
    stenosis and occlusion
  58. normal PVR waveform should have a
    dicrotic notch. with the loss of the notch disease is indicated. the rounder the peak and the slower the upstroke the more disease is present
  59. normal doppler waveforms of any type should have a 

    _____, ______, _______, ______
    rapid upstroke, rapid downstroke, dicrotic notch, and sharp peak
  60. PPG uses _____ emitted in the subcutaneous tissue
    infrared light emitted in the subcutaneous tissues. the reflected light is proportional to the amount the tissue is begin perfused
  61. resistance is determined by
    the bed it is feeding or the conditions occurring
  62. dependent pallor is an
    ELEVATION of an extremity with a damage vascular system there will a draining of the blood and the extremity will become pale. lack of hydrostatic pressure to help the push of the blood into the damage system
  63. dependent rubor is when?
    when the extremity is LOWER than the heart, the color becomes dusky red or white in the case of darkly pigmented skin
Author
139shay
ID
348676
Card Set
VASCULAR BOARD EXAM NOTES #9
Description
VASCULAR BOARD EXAM NOTES #9
Updated