POAT EXAM 1 Solved Correctly To Score
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Who is more likely to experience an amputation?
a. women
b. men CORRECT ANSWERS b. men
What type of amputation is more common?
a. LE
b. UE CORRECT ANSWERS a. LE
11x more likely in LE
What is the leading cause of amputation?
a. cancer
b. congenital
c. trauma
d. peripheral vascular disease CORRECT ANSWERS d. peripheral vascular disease
As of 2002, 82% of amputations were from PVD
Which of the following cancers are not a common cause of amputation?
a. osteosarcoma
b. chondrosarcoma
c. melanoma
d. ewing sarcoma CORRECT ANSWERS c. melanoma
What condition is associated with congenital amputations?
a. down syndrome
b. Amniotic band syndrome
c. thalidomide
d. all of the above
e. both b and c CORRECT ANSWERS e. both b and c
What two risk factors are the strongest risk factors for developing PAD?
a. diabetes + smoking
b. smoking + obesity
c. obesity + diabetes CORRECT ANSWERS a. diabetes + smoking
,narrowing and occlusion of vessels that results in a decrease in circulation and
perfusion of tissues. It inhibits tissue healing and the body's immune response.
CORRECT ANSWERS PVD
Narrowing and occlusion of the arterial lumen of the large arteries associated with HTN
and CAD leading to decreased circulations. CORRECT ANSWERS PAD
In diabetic patients, amputation of the contralateral limb is ____% likely to occur in the
next 2 to 5 years.
a. 25%
b. 50%
c. 75%
d. 100% CORRECT ANSWERS b. 50%
Which of the following does not describe a risk factor for PVD?
a. age <50
b. males
c. history of smoking, obesity, HTN, high cholesterol, hyperlipidemia
d. sedentary lifestyle CORRECT ANSWERS a. age <50
persons who are of 50 years of age or older are at greater risk for PVD.
Which of the following is the MOST common predisposing factor of amputation due to
PVD?
a. DM without HTN
b. HTN without DM
c. concurrent DM and HTN CORRECT ANSWERS c. concurrent DM and HTN
all 3 answers are common predisposing factors, but the combination of concurrent DM
and HTN is MOST common
Which is not a s/s of PVD?
a. intermittent claudication
b. increased pedal pulses
c. dry skin and hair loss (shiny skin)
d. clubbing of the toe nails
e. ulceration and ischemia
f. skeletonized appearance
g. pain relieved with standing (dependent position)
h. pallor on elevation; rubor on dependency
I. ulcers and gangrene CORRECT ANSWERS b. increased pedal pulses
,PVD will decrease pedal pulses
Painful cramp or feeling of muscle fatigue that happens distal to the stenotic vessel.
CORRECT ANSWERS Intermittent claudication
With intermittent claudication in a PVD patient, the patient will complain of cramping
type pain and muscle fatigue during exercise that (increases/relieved) once exercise
stops. CORRECT ANSWERS Relieved
As PVD progresses, the patient may comment that their pain is (increased/decreased)
at night, when the patient is not in a dependent position. CORRECT ANSWERS
increased
T/F: PVD will always develop immediately after onset of diabetes. CORRECT
ANSWERS F. PVD can happen as late as 20 years after onset of diabetes
Does the disease process for PVD occur symmetrically or asymmetrically? CORRECT
ANSWERS Symmetrically
What is the most predisposing risk factor for LE amputations in persons with diabetes?
a. sedentary lifestyle
b. smoking
c. hypertension
d. age >50 CORRECT ANSWERS c. hypertension
What are some complications of diabetes? CORRECT ANSWERS -vision issues
-neuropathy
-infections
What is the greatest precursor for foot ulcerations in a diabetic patient?
a. vision issues
b. infection
c. neuropathy CORRECT ANSWERS c. neuropathy
What is the greatest complication of diabetes leading to amputation?
a. vision changes
b. infection
c. neuropathy CORRECT ANSWERS c. neuropathy
What artery is primarily affected in patients with diabetes and PVD?
a. dorsalis pedis
, b. posterior tibialis
c. anterior tibial artery CORRECT ANSWERS c. anterior tibial artery
for this reason, palpate dorsalis pedis and posterior tibialis
Compromised blood flow of the superficial/deep veins as a result of perforating valves,
increase CORRECT ANSWERS chronic venous insufficiency
Pain after ambulating is a hallmark of what disease?
a. diabetes
b. PVD
c. HTN
d. chronic venous insufficiency CORRECT ANSWERS d. chronic venous insufficiency
Skin changes in the LE include capillary proliferation, fat necrosis, and fibrosis of skin
and subcutaneous tissues CORRECT ANSWERS lipodermatosclerosis
What color does the skin become in chronic venous insufficiency?
a. yellow
b. blue
c. reddish/brown
d. green CORRECT ANSWERS c. reddish/brown
What is the second most common cause of amputation?
a. diabetes
b. trauma
c. cancer
d. congenital CORRECT ANSWERS b. trauma
What type of amputation is seen most commonly in adult males age 20-29?
a. diabetes
b. trauma
c. cancer
d. congenital CORRECT ANSWERS b. trauma
What tumor is most commonly cited for leading to amputations?
a. osteosarcoma
b. chondrosarcoma
c. ewings sarcoma CORRECT ANSWERS a. osteosarcoma
What age group does osteosarcoma most often affect?
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Who is more likely to experience an amputation?
a. women
b. men CORRECT ANSWERS b. men
What type of amputation is more common?
a. LE
b. UE CORRECT ANSWERS a. LE
11x more likely in LE
What is the leading cause of amputation?
a. cancer
b. congenital
c. trauma
d. peripheral vascular disease CORRECT ANSWERS d. peripheral vascular disease
As of 2002, 82% of amputations were from PVD
Which of the following cancers are not a common cause of amputation?
a. osteosarcoma
b. chondrosarcoma
c. melanoma
d. ewing sarcoma CORRECT ANSWERS c. melanoma
What condition is associated with congenital amputations?
a. down syndrome
b. Amniotic band syndrome
c. thalidomide
d. all of the above
e. both b and c CORRECT ANSWERS e. both b and c
What two risk factors are the strongest risk factors for developing PAD?
a. diabetes + smoking
b. smoking + obesity
c. obesity + diabetes CORRECT ANSWERS a. diabetes + smoking
,narrowing and occlusion of vessels that results in a decrease in circulation and
perfusion of tissues. It inhibits tissue healing and the body's immune response.
CORRECT ANSWERS PVD
Narrowing and occlusion of the arterial lumen of the large arteries associated with HTN
and CAD leading to decreased circulations. CORRECT ANSWERS PAD
In diabetic patients, amputation of the contralateral limb is ____% likely to occur in the
next 2 to 5 years.
a. 25%
b. 50%
c. 75%
d. 100% CORRECT ANSWERS b. 50%
Which of the following does not describe a risk factor for PVD?
a. age <50
b. males
c. history of smoking, obesity, HTN, high cholesterol, hyperlipidemia
d. sedentary lifestyle CORRECT ANSWERS a. age <50
persons who are of 50 years of age or older are at greater risk for PVD.
Which of the following is the MOST common predisposing factor of amputation due to
PVD?
a. DM without HTN
b. HTN without DM
c. concurrent DM and HTN CORRECT ANSWERS c. concurrent DM and HTN
all 3 answers are common predisposing factors, but the combination of concurrent DM
and HTN is MOST common
Which is not a s/s of PVD?
a. intermittent claudication
b. increased pedal pulses
c. dry skin and hair loss (shiny skin)
d. clubbing of the toe nails
e. ulceration and ischemia
f. skeletonized appearance
g. pain relieved with standing (dependent position)
h. pallor on elevation; rubor on dependency
I. ulcers and gangrene CORRECT ANSWERS b. increased pedal pulses
,PVD will decrease pedal pulses
Painful cramp or feeling of muscle fatigue that happens distal to the stenotic vessel.
CORRECT ANSWERS Intermittent claudication
With intermittent claudication in a PVD patient, the patient will complain of cramping
type pain and muscle fatigue during exercise that (increases/relieved) once exercise
stops. CORRECT ANSWERS Relieved
As PVD progresses, the patient may comment that their pain is (increased/decreased)
at night, when the patient is not in a dependent position. CORRECT ANSWERS
increased
T/F: PVD will always develop immediately after onset of diabetes. CORRECT
ANSWERS F. PVD can happen as late as 20 years after onset of diabetes
Does the disease process for PVD occur symmetrically or asymmetrically? CORRECT
ANSWERS Symmetrically
What is the most predisposing risk factor for LE amputations in persons with diabetes?
a. sedentary lifestyle
b. smoking
c. hypertension
d. age >50 CORRECT ANSWERS c. hypertension
What are some complications of diabetes? CORRECT ANSWERS -vision issues
-neuropathy
-infections
What is the greatest precursor for foot ulcerations in a diabetic patient?
a. vision issues
b. infection
c. neuropathy CORRECT ANSWERS c. neuropathy
What is the greatest complication of diabetes leading to amputation?
a. vision changes
b. infection
c. neuropathy CORRECT ANSWERS c. neuropathy
What artery is primarily affected in patients with diabetes and PVD?
a. dorsalis pedis
, b. posterior tibialis
c. anterior tibial artery CORRECT ANSWERS c. anterior tibial artery
for this reason, palpate dorsalis pedis and posterior tibialis
Compromised blood flow of the superficial/deep veins as a result of perforating valves,
increase CORRECT ANSWERS chronic venous insufficiency
Pain after ambulating is a hallmark of what disease?
a. diabetes
b. PVD
c. HTN
d. chronic venous insufficiency CORRECT ANSWERS d. chronic venous insufficiency
Skin changes in the LE include capillary proliferation, fat necrosis, and fibrosis of skin
and subcutaneous tissues CORRECT ANSWERS lipodermatosclerosis
What color does the skin become in chronic venous insufficiency?
a. yellow
b. blue
c. reddish/brown
d. green CORRECT ANSWERS c. reddish/brown
What is the second most common cause of amputation?
a. diabetes
b. trauma
c. cancer
d. congenital CORRECT ANSWERS b. trauma
What type of amputation is seen most commonly in adult males age 20-29?
a. diabetes
b. trauma
c. cancer
d. congenital CORRECT ANSWERS b. trauma
What tumor is most commonly cited for leading to amputations?
a. osteosarcoma
b. chondrosarcoma
c. ewings sarcoma CORRECT ANSWERS a. osteosarcoma
What age group does osteosarcoma most often affect?
