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Vasc. Chapter 5,6,7 & 8 HW Questions

Terms in this set (43)

Popliteal vein
The gastrocnemius veins drain into what deep vein?
A. Soleal vein.
B. Posterior tibial vein.
C. Popliteal vein.
D. Femoral vein.
Stasis dermatitis
Which of the following does not contribute to chronic venous insufficiency?
A. Incompetent superficial vein valves.
B. Chronic venous outflow obstruction.
C. Dysfunctional veno-motor pump.
D. Stasis dermatitis.
False
Normal flow direction in perforating veins of the lower extremities is from the deep to superficial veins.
A. True
B. False
Peroneal
What paired veins lie closest to the fibula?
A. Posterior tibial.
B. Peroneal.
C. Anterior Tibial.
D. Plantar.
Cockett's
What is the name for the perforating veins found in the medial side of the mid to lower calf?
A. Cockett's.
B. Dodd's
C. Hunterian
D. Sherman's
An increase in intra-abdominal pressure
Return blood flow from the legs decreases during inspiration due to which of the following?
A. An increase in intra-abdominal pressure.
B. A decrease in intra-abdominal pressure.
C. An increase in right side heart pressure.
D. A decrease in intra-thoracic pressure.
Congestive Heart Failure
Pulsatile flow in the popliteal veins, bilateral, may be a sign of which of the following conditions?
A. Proximal venous thrombosis.
B. Distal thrombosis.
C. Incompetent venous valves.
D. Congestive heart failure.
Hydrostatic Pressure
What is the main impediment to blood return from the legs to the heart when sitting?
A. Small vein diameter
B. Right-sided heart pressure
C. Hydrostatic pressure
D. Extrinsic compression of the popliteal vein
Soleal Veins
The calf muscle veins that drain into the posterior tibial or peroneal veins are known as:
A. Small saphenous veins.
B. Soleal veins.
C. Gastrocnemius veins.
D. Perforator veins.
Popliteal
The small saphenous vein usually drains into which of the following veins?
A. Common femoral.
B. Femoral.
C. Gastrocnemius.
D. Popliteal.
Small saphenous to great saphenous
The vein of Giacomini courses between what two vein segments?
A. Great saphenous to accessory saphenous.
B. Small saphenous to popliteal vein.
C. Small saphenous to great saphenous.
D. Gastrocnemius to soleal.
Venous reflux
A venous Doppler exam of the popliteal vein reveals a sustained flow signal upon release of distal compression. This would indicate which of the following:
A. Proximal obstruction.
B. Venous reflux.
C. Normal venous flow.
D. Distal obstruction.
Circulatory stasis, hypercoagulability and intimal injury
Virchow's triad is best described as the following:
A. Circulatory stasis and hypocoagulability with intimal injury.
B. Circulatory stasis, hypercoagulability and intimal injury.
C. High cardiac output and intimal injury.
D. Intimal injury, hypercoagulability and poor stroke volume.
Iliac vein obstruction
Continuous, non-phasic venous flow unilaterally in a common femoral vein suggests which of the following conditions.
A. Normal flow.
B. Femoral vein thrombosis.
C. IVC obstruction.
D. Iliac vein obstruction.
Baker's cyst
What is another name for an abnormal popliteal structure containing synovial fluid?
A. Hematoma.
B. Ganglion cyst.
C. Baker's cyst.
D. Lymph node.
False
The presence of respiratory variation in the femoral vein rules out DVT in the ipsilateral popliteal vein. True or False?
A. True
B. False
Phlegmasia cerulea dolens
A condition resulting in a grossly swollen and cyanotic leg that is caused by iliofemoral venous thrombosis is known as:
A. Stasis dermatitis.
B. Lymph edema.
C. Homans sign.
D. Phlegmasia cerulea dolens.
Hunterian
What is the name of the perforating veins located in the upper thigh?
A. Cockett's.
B. Boyd's.
C. Hunterian.
D. Dodd's.
Terminal valve
Incompetence in this valve often leads to the entire GSV being incompetent. Name this valve?
A. External iliac valve.
B. Terminal valve.
C. Mitral valve.
D. Sapheno-popliteal valve.
Chronic venous outflow obstruction
In addition to incompetent valves, which of the following is a cause of venous insufficiency?
A. Arterial occlusive disease.
B. IVC filter.
C. Chronic venous outflow obstruction.
D. Atresic great saphenous vein.
1 second
With the patient standing, what time value is the threshold between normal and abnormal reflux in the deep veins?
A. 0.35 second.
B. 0.5 second.
C. 1 second.
D. 2 seconds.
> 3.5 mm
Perforating veins exceeded this diameter have a high predictive value for being incompetent.
A. > 1.5 mm
B. > 2 mm
C. > 2.5 mm
D. > 3.5 mm
It lies posterior to the artery
Which of the following describes the anatomical position of the popliteal vein compared to the popliteal artery?
A. It lies posterior to the artery.
B. It's lateral to the artery.
C. It's medial to the artery.
D. It lies anterior to the artery.
May-thurner syndrome
Thrombosis of the left common iliac vein by extrinsic compression of the right iliac artery is known as:
A. Marfan syndrome.
B. Nutcracker syndrome.
C. Arcuate ligament syndrome.
D. May-Thurner syndrome.
Insufficiency caused by congenital absence of valves
Which of the following best describes primary venous insufficiency?
A. Insufficiency caused by chronic outflow obstruction
B. Insufficiency caused by congenital absence of valves.
C. Insufficiency resulting from previous deep vein thrombosis.
D. Insufficiency resulting from poor arterial inflow.
popliteal
Which of the following veins should not be evaluated with the valsalva maneuver for reflux?
A. Popliteal.
B. Great saphenous.
C. Common femoral.
D. Proximal femoral.
Sitting, leg dependent
Perforating veins should be evaluated with the patient in which of the following positions?
A. Supine.
B. Sitting, leg dependent.
C. Trendelenburg.
D. Semi-Fowler's.
Velocity calculation is not necessary
Why is Doppler angle correction not necessary in venous imaging.?
A. Velocity is already known.
B. Velocity calculation is not necessary.
C. Doppler angle can be at 90 degrees.
D. Flow direction is not important.
Intra-thoracic pressure is decreased causing an increase in flow.
During inspiration, what condition listed below occurs in the upper extremity veins?
A. Intra-thoracic pressure is decreased causing an increase in flow.
B. Intra-thoracic pressure is increased causing an increase in flow.
C. Intra-thoracic pressure is increased causing a decrease in flow.
D. Inspiration only affects flow in the leg veins.
Median cubital
The cephalic and the basilic veins are connected distally by which of the following vein?
A. Median cubital.
B. Brachial.
C. Subclavian.
D. Radial.
Internal Jugular, Subclavian
The innominate vein is formed by the confluence of what two veins?
A. Axillary, subclavian.
B. Internal jugular, subclavian.
C. External jugular, internal jugular.
D. Brachiocephalic, subclavian.
Prominent cardiac pulsatility
Which of the following is a sign of normalcy in a subclavian vein that is usually not present in the lower extremity veins?
A. Respiratory variation.
B. Augmentation.
C. Prominent cardiac pulsatility.
D. Steady, continuous, non-phasic flow.
Spectral doppler flow pattern assessment
What is the best ultrasound method for assessing the central veins?
A. Compressibility-coaptation.
B. Spectral Doppler flow pattern assessment.
C. Color Doppler.
D. Augmentation from the arm.
Deep venous system
The majority of lower extremity blood volume is carried by the:
a. Perforator system
b. Superficial system
c. Deep venous system
d. Other
Greater saphenous vein
The longest vein in the lower extremities is:
a. Greater saphenous vein
b. Popliteal vein
c. Femoral vein
d. Gastrocnemius vein
Superficial to Deep
The venous flow direction in the lower extremities is:
a. Superficial to deep
b. Deep to superficial
c. Alternates depending on physiological reasons
Improves capillary fragility
The calf Veno-Motor Pump performs the following functions, EXCEPT:
a. Facilitates venous return to heart
b. Reduces the effect of hydrostatic pressure
c. Improves capillary fragility
d. Reduces venous pooling
Lysis
Which one of the following is NOT one of the three factors of the Virchow triad?
A. Hypercoagulability
B. Stasis
C. Lysis
D. Vein injury
Superficial System, Deep System
. Perforating veins connect the superficial and deep venous systems. Blood flow in the perforating veins is normally from the ___________________ to the _______________.
a. superficial system; deep system b. deep system; superficial system
c. distal veins; central veins
d. central veins; distal veins
Pulsatility
The characteristics of a normal venous Doppler signal from the lower extremity include all of the following except:
a. phasicity.
b. spontaneity.
c. pulsatility.
d. augmentation with distal limb compression.
Venous reflux on augmentation
The presence of an incompetent venous segment is determined by which one of the following?
a. Venous reflux less than 1 second
b. Venous reflux on augmentation c. Color Doppler filling of the lumen
d. Gray-scale image of valve motion
Deep
The superficial femoral vein is a ______________ vein.
a. perforating
b. superficial
c. deep
d. complex
Baker's Cyst
Risk factors for deep-vein thrombosis (DVT) include all of the following except:
a. pregnancy.
b. orthopedic surgery.
c. Baker cyst.
d. oral contraceptive use.
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