NP CERTIFICATION, FITZGERALD 4TH
ED; & DUNPHY, WINLAND-BROWN,
PORTER & THOMAS CHAPTER 10, &
621. EXAM 2025 QUESTIONS AND
ANSWERS
D. 18 y/o woman - ANS who is most likely to have new onset primary Raynaud
phenomenon?
a. 68 y/o man
b. 65 y/o woman
c. 25 y/p man
d. 18 y/o woman
a. hypertension - ANS all of the following are associated with secondary Raynaud
phenomenon except:
a. hypertension
b. scleroderma
c. repeated use of vibrating tools
d. use of beta-adrenergic antagonists
a. discontinuing cigarette smoking - ANS lifestyle modification for patients with Raynaud
phenomenon include:
a. discontinuing cigarette smoking
b. increasing fluid intake
1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
,c. avoiding placing hands in warm water
d. discontinuing ASA use
c. a period of intense itchiness after blanching - ANS which of the following is the most
common presentation in a patient with Raynaud phenomenon?
a. digital ulceration
b. worsening of sxs in warm weather
c. a period of intense itchiness after blanching
d. unilateral sxs
atherosclerosis, collagen vascular disease, and select autoimmune disease such as scleroderma
- ANS Secondary Raynaud phenomenon is seen in the presence of an underlying condition,
such as
primary Raynaud disease - ANS Primary Raynaud phenomenon is also known as
d. Raynaud disease - ANS which of the following does not directly contribute to the
development of varicose veins?
a. leg crossing
b. pregnancy
c. heredity
d. Raynaud disease
c. is a medium-weight to heavy-weight prescription product - ANS when advising a woman
with varicose veins about the use of support stockings, you consider that the preferred type:
a. can be purchased in the hosiery section of a dept. store
b. is a lightweight pair and available over-the-counter
c. is a medium-weight to heavy-weight prescription product
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
, d. is used in the form of panty hose
d. saphenous vein - ANS in patients with varicose veins, which vessel is most often affected?
a. femoral vein
b. posterior tibial vein
c. peroneal vein
d. saphenous vein
c. symptoms are sometimes reported with minimally affected vessels - ANS which of the
following statements is most accurate in the assessment of a pt with varicose veins?
a. the degree of venous tortuosity is well-correlated with the amt of leg pain reported
b. as the number of affected veins increases, so does the degree of pt discomfort
c. symptoms are sometimes reported with minimally affected vessels
d. lower-extremity edema is usually seen only with severe disease
c. responsive to laser obliteration - ANS spider varicosities are:
a. usually symptomatic
b. a potential site for thrombophlebitis
c. responsive to laser obliteration
d. caused by sun exposure
d. isometric exercise - ANS which of the following is not a contributing factor to development
of venous thrombophlebitis?
a. venous status
b. injury to vascular intima
c. malignancy-associated hypercoagulation states
d. isometric exercise
3 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
ED; & DUNPHY, WINLAND-BROWN,
PORTER & THOMAS CHAPTER 10, &
621. EXAM 2025 QUESTIONS AND
ANSWERS
D. 18 y/o woman - ANS who is most likely to have new onset primary Raynaud
phenomenon?
a. 68 y/o man
b. 65 y/o woman
c. 25 y/p man
d. 18 y/o woman
a. hypertension - ANS all of the following are associated with secondary Raynaud
phenomenon except:
a. hypertension
b. scleroderma
c. repeated use of vibrating tools
d. use of beta-adrenergic antagonists
a. discontinuing cigarette smoking - ANS lifestyle modification for patients with Raynaud
phenomenon include:
a. discontinuing cigarette smoking
b. increasing fluid intake
1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
,c. avoiding placing hands in warm water
d. discontinuing ASA use
c. a period of intense itchiness after blanching - ANS which of the following is the most
common presentation in a patient with Raynaud phenomenon?
a. digital ulceration
b. worsening of sxs in warm weather
c. a period of intense itchiness after blanching
d. unilateral sxs
atherosclerosis, collagen vascular disease, and select autoimmune disease such as scleroderma
- ANS Secondary Raynaud phenomenon is seen in the presence of an underlying condition,
such as
primary Raynaud disease - ANS Primary Raynaud phenomenon is also known as
d. Raynaud disease - ANS which of the following does not directly contribute to the
development of varicose veins?
a. leg crossing
b. pregnancy
c. heredity
d. Raynaud disease
c. is a medium-weight to heavy-weight prescription product - ANS when advising a woman
with varicose veins about the use of support stockings, you consider that the preferred type:
a. can be purchased in the hosiery section of a dept. store
b. is a lightweight pair and available over-the-counter
c. is a medium-weight to heavy-weight prescription product
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
, d. is used in the form of panty hose
d. saphenous vein - ANS in patients with varicose veins, which vessel is most often affected?
a. femoral vein
b. posterior tibial vein
c. peroneal vein
d. saphenous vein
c. symptoms are sometimes reported with minimally affected vessels - ANS which of the
following statements is most accurate in the assessment of a pt with varicose veins?
a. the degree of venous tortuosity is well-correlated with the amt of leg pain reported
b. as the number of affected veins increases, so does the degree of pt discomfort
c. symptoms are sometimes reported with minimally affected vessels
d. lower-extremity edema is usually seen only with severe disease
c. responsive to laser obliteration - ANS spider varicosities are:
a. usually symptomatic
b. a potential site for thrombophlebitis
c. responsive to laser obliteration
d. caused by sun exposure
d. isometric exercise - ANS which of the following is not a contributing factor to development
of venous thrombophlebitis?
a. venous status
b. injury to vascular intima
c. malignancy-associated hypercoagulation states
d. isometric exercise
3 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
