AHN 568 USA EXAM 3 HEALTH HX, CV/PV ASSESSMENT -
EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: What are you inspecting during a PV exam of the
abdomen? What would this signify?
Answer:
pulsatile mass; aneurysm
Question 2: What are you palpating in the PV abdominal exam?
How do you measure the width?
Answer:
abdominal aorta in the epigastric region; measure the width between 2
fingers
Question 3: What are you auscultating during the PV abdominal
exam?
Answer:
aortic, femoral, renal bruits
Question 4: What is a bruit?
Answer:
,the abnormal sound generated by turbulent flow of blood in an artery due
to either an area of partial obstruction; or a localized high rate of blood
flow through an unobstructed artery. {A bruit sounds like a hum (lecture
note)}
Question 5: When inspecting the skin and nailbeds in a PV exam,
what type of discoloration are you looking for and what causes it?
Answer:
brown discoloration; occurs with venous stasis (hemosiderin deposits)
Question 6: Besides skin and nailbeds, what else are you
inspecting on upper and lower extremities?
Answer:
presence of any lesions, edema, or loss of hair; venous pattern
Question 7: Which type of ulcer is caused by bacterial invasion of
poorly drained tissue and usually occurs at the medial malleoli,
side of ankles?
Answer:
venous ulcer
Question 8: In which insufficiency can gangrene possibly develop,
arterial or venous?
Answer:
arterial
,Question 9: Which type of ulcer usually occurs on the tip of the
toes, metatarsal heads and lateral malleoli, points of trauma on
feet?
Answer:
arterial ulcers
Question 10: Is loss of hair an arterial or venous issue?
Answer:
arterial
Question 11: Is this an arterial or venous issue> skin often has
brown pigmentation around the ankle, statis dermatitis, possible
thickening of the skin and narrowing of the leg as scarring
develops; may be normal depending on if patient has petechiae
Answer:
venous insuffiency
Question 12: Is this an arterial or venous issue> edema is often
marked and present and skin temperature is normal
Answer:
venous insuffiency
Question 13: Is this arterial or venous issues> absent or mild
edema that may develop as the patient tries to relieve pain by
lowering legs
, Answer:
arterial insuffiency
Question 14: What mechanism causes venous insufficiency?
Answer:
venous stasis and hypertension
Question 15: The pulses are often absent or decreaed with ____
insufficiency
Answer:
arterial
Question 16: The pulses are normal but may be difficult to feel with
____ insufficiency
Answer:
venous
Question 17: What mechanism causes arterial insufficiency?
Answer:
tissue ischemia
Question 18: What type of pain is felt with arterial insuffiency?
Answer:
intermittent claudication progressing to pain
EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: What are you inspecting during a PV exam of the
abdomen? What would this signify?
Answer:
pulsatile mass; aneurysm
Question 2: What are you palpating in the PV abdominal exam?
How do you measure the width?
Answer:
abdominal aorta in the epigastric region; measure the width between 2
fingers
Question 3: What are you auscultating during the PV abdominal
exam?
Answer:
aortic, femoral, renal bruits
Question 4: What is a bruit?
Answer:
,the abnormal sound generated by turbulent flow of blood in an artery due
to either an area of partial obstruction; or a localized high rate of blood
flow through an unobstructed artery. {A bruit sounds like a hum (lecture
note)}
Question 5: When inspecting the skin and nailbeds in a PV exam,
what type of discoloration are you looking for and what causes it?
Answer:
brown discoloration; occurs with venous stasis (hemosiderin deposits)
Question 6: Besides skin and nailbeds, what else are you
inspecting on upper and lower extremities?
Answer:
presence of any lesions, edema, or loss of hair; venous pattern
Question 7: Which type of ulcer is caused by bacterial invasion of
poorly drained tissue and usually occurs at the medial malleoli,
side of ankles?
Answer:
venous ulcer
Question 8: In which insufficiency can gangrene possibly develop,
arterial or venous?
Answer:
arterial
,Question 9: Which type of ulcer usually occurs on the tip of the
toes, metatarsal heads and lateral malleoli, points of trauma on
feet?
Answer:
arterial ulcers
Question 10: Is loss of hair an arterial or venous issue?
Answer:
arterial
Question 11: Is this an arterial or venous issue> skin often has
brown pigmentation around the ankle, statis dermatitis, possible
thickening of the skin and narrowing of the leg as scarring
develops; may be normal depending on if patient has petechiae
Answer:
venous insuffiency
Question 12: Is this an arterial or venous issue> edema is often
marked and present and skin temperature is normal
Answer:
venous insuffiency
Question 13: Is this arterial or venous issues> absent or mild
edema that may develop as the patient tries to relieve pain by
lowering legs
, Answer:
arterial insuffiency
Question 14: What mechanism causes venous insufficiency?
Answer:
venous stasis and hypertension
Question 15: The pulses are often absent or decreaed with ____
insufficiency
Answer:
arterial
Question 16: The pulses are normal but may be difficult to feel with
____ insufficiency
Answer:
venous
Question 17: What mechanism causes arterial insufficiency?
Answer:
tissue ischemia
Question 18: What type of pain is felt with arterial insuffiency?
Answer:
intermittent claudication progressing to pain
