Blood Vessels

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Question 1

Free

Multiple Choice

Induration, edema, and hyperpigmentation are common associated findings with which of the following?

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Peripheral arterial disease

Venous ulcer

Arterial embolic disease

Venous thrombus

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Question 2

Free

Multiple Choice

The most prominent component of the jugular venous pulse is the:

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a wave.

c wave.

v wave.

x slope.

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Question 3

Free

Multiple Choice

During a routine prenatal visit, Ms. T was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms. T that her enlarged uterus is compressing her pelvic veins and her inferior vena cava. You would further explain that these findings:

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are usual conditions during pregnancy.

indicate a need for hospitalization.

indicate the need for amniocentesis.

suggest that she is having twins.

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Question 4

Free

Multiple Choice

Vascular changes expected in the older adult include:

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loss of vessel elasticity.

decreased peripheral resistance.

decreased pulse pressure.

constriction of the aorta and major bronchi.

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Question 5

Free

Multiple Choice

You are examining Mr. S, a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of peripheral arterial disease?

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Thick, calloused skin

Ruddy, thin skin

Warmer temperature of extremity in contrast to other body parts

Loss of hair over the extremities

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Question 6

Multiple Choice

You are performing a physical examination on a 46-year-old male patient. His examination findings include the following: positive peripheral edema, holosystolic murmur in the tricuspid region, and a pulsatile liver. His diagnosis is:

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an aortic aneurysm.

an arteriovenous fistula.

tricuspid stenosis.

tricuspid regurgitation.

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Question 7

Multiple Choice

A characteristic distinguishing primary Raynaud phenomenon from secondary Raynaud phenomenon includes which of the following?

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Vasospasm

Digital ischemia with pain

Triphasic demarcated skin

Cold and achy improving with warming

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Question 8

Multiple Choice

In children, coarctation of the aorta should be suspected if you detect:

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a delay between the radial and femoral pulses.

a simultaneous radial and femoral pulse.

an absent femoral pulse on the left.

bilateral absence of femoral pulses.

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Question 9

Multiple Choice

Which of the following statements is true regarding the development of venous ulcers in older adults?

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The major symptom is severe leg pain, especially when walking.

The affected leg is commonly pale and hairless, and pulses are difficult to palpate.

Diabetes, peripheral neuropathy, and nutritional deficiencies are causative factors.

The ulcers are generally located on the tips of toes.

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Question 10

Multiple Choice

When examining arterial pulses the thumb may be used:

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especially if vessels have a tendency to move.

never for palpating pulses.

checking the jugular venous pressure.

during the Allen test.

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Question 11

Multiple Choice

To assess a patient's jugular veins, the patient should first be placed in which position?

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Supine

Semi-Fowler

Upright

Left lateral recumbent

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Question 12

Multiple Choice

Observation of hand veins can facilitate the assessment of:

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mitral valve competency.

a heart murmur.

right heart pressure.

left heart pressure.

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Question 13

Multiple Choice

You are assessing Mr. Z's fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as:

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1+.

2+.

3+.

4+.

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Question 14

Multiple Choice

A bounding pulse in an infant may be associated with:

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patent ductus arteriosus.

coarctation of the aorta.

decreased cardiac output.

peripheral vaso-occlusion.

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Question 15

Multiple Choice

In infants or small children, a capillary refill time of 4 seconds:

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is normal.

indicates hypervolemia.

indicates dehydration or hypovolemic shock.

indicates renal artery stenosis.

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Question 16

Multiple Choice

A venous hum heard over the internal jugular vein of a child:

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usually signifies untreatable illness.

usually has no pathologic significance.

usually requires surgical intervention.

must be monitored until the child is grown.

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Question 17

Multiple Choice

You are palpating bilateral pedal pulses and cannot feel one of the pulses. The feet are equally warm. You find that both great toes are pink, with a capillary refill within 2 seconds. Which of the following statements is correct?

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Immediate emergency surgery is indicated.

Pedal pulses are not always palpable.

Unilateral pulses are never normal.

Venogram studies will be needed.

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Question 18

Multiple Choice

When palpating the carotid artery, which of the following is most important? (Select all that apply.)

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Rotate the patient's head to the side being examined to relax the sternocleidomastoid.

Excessive carotid sinus massage can compromise blood flow to the brain.

Excessive carotid sinus massage can cause slowing of the pulse.

Palpate both sides simultaneously.

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Question 19

Multiple Choice

Which are risk factors for varicose veins? (Select all that apply.)

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Gender

Alcohol use

Lower extremity trauma

Increased body mass

Hypertension

Diabetes

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