Hemodialysis Test with Complete
Solutions
Incidence of Chronic Kidney Disease and End-Stage Renal Disease is ________ in the
United States? - ANS-Increasing
Goal of Arteriovenous Access is to provide _______ Hemodialysis access with a _____
Frequency of Re-intervention and a _____ Complication Rate? - ANS-Long-Term; Low;
Low
Goal is to create an AUTOGENOUS FISTULA as far ______ as possible in _______
arm? - ANS-Distally; Non-Dominant
Why is the goal to create an Autogenous Fistula as far DISTALLY as possible in NON-
DOMINANT arm? - ANS--Preserves Proximal vessels for potential future access
-Allows patient to carry out normal daily activities.
Preferred for SUPERIOR Patency rates and LOWER Complications? - ANS-
Autogenous Access
What arteries are preferred due to LOW infection rate and EASIER access? - ANS-
Upper Extremities
Required with FAILURE of AV Fistula to Mature and Thrombose? - ANS-Reintervention
AUTOGENOUS FISTULAS have BETTER _________ than SYNTHETIC GRAFTS? -
ANS-Long-Term Patency
AUTOGENOUS FISTULAS have _______ Maturation Rate & ______ Early Thrombosis
Rate than SYNTHETIC GRAFTS? - ANS-Lower; Higher
Essential for the successful creation of long-term access and maturation? - ANS-Pre-
Operative Evaluation
Performed to determine SUITABILITY of veins for placement of Fistula? - ANS-Vein
Mapping
DUPLEX ASSESSMENT can be performed BEFORE patient begins? - ANS-
Hemodialysis
, DUPLEX ASSESSMENT can be performed in patients who have undergone? - ANS-
Other Access Procedures
Pre-Operative Evaluation of Patient History includes: (5) - ANS--Current Medical History
-Previous Access Procedures
-Arm Dominance
-Trauma History
-Medications
Pre-Operative Evaluation determines any contraindications to procedure such as: (4) -
ANS--Central Venous Catheters
-Pacemakers
-Defibrillators
-Prior Mastectomy
Pre-Operative Evaluation Physical Exam includes: (3) - ANS--Bilateral Arm Pressures
-Allen Test
-Assessment of Superficial Venous System using TOURNIQUETS
Pre-Operative Evaluation Physical Exam includes PULSE EXAM of what arteries? -
ANS--Brachial
-Radial
-Ulnar
Room should be _____ to avoid VASOSPASM? - ANS-Warm
Pre-Operative Evaluations, patient can be _____ or ______? - ANS-Supine/Sitting
Pre-Operative Evaluations, the ARM should be positioned in a _________ position? -
ANS-Gravity-Dependent
What type of Transducer is good for SUPERFICIAL IMAGING? - ANS-High-Frequency
(5-10 MHz) Linear
______ & ______ VENOUS system should be evaluated as well as ARTERIAL system?
- ANS-Deep & Superficial
What system should be evaluated FIRST? - ANS-Arterial
_________ Arm is evaluated FIRST? - ANS-Non-Dominant
_______ Arm is evaluated if _________ Arm is inadequate? - ANS-Dominant; Non-
Dominant
If ARTERIAL System is acceptable, THEN proceed to? - ANS-Venous System
Solutions
Incidence of Chronic Kidney Disease and End-Stage Renal Disease is ________ in the
United States? - ANS-Increasing
Goal of Arteriovenous Access is to provide _______ Hemodialysis access with a _____
Frequency of Re-intervention and a _____ Complication Rate? - ANS-Long-Term; Low;
Low
Goal is to create an AUTOGENOUS FISTULA as far ______ as possible in _______
arm? - ANS-Distally; Non-Dominant
Why is the goal to create an Autogenous Fistula as far DISTALLY as possible in NON-
DOMINANT arm? - ANS--Preserves Proximal vessels for potential future access
-Allows patient to carry out normal daily activities.
Preferred for SUPERIOR Patency rates and LOWER Complications? - ANS-
Autogenous Access
What arteries are preferred due to LOW infection rate and EASIER access? - ANS-
Upper Extremities
Required with FAILURE of AV Fistula to Mature and Thrombose? - ANS-Reintervention
AUTOGENOUS FISTULAS have BETTER _________ than SYNTHETIC GRAFTS? -
ANS-Long-Term Patency
AUTOGENOUS FISTULAS have _______ Maturation Rate & ______ Early Thrombosis
Rate than SYNTHETIC GRAFTS? - ANS-Lower; Higher
Essential for the successful creation of long-term access and maturation? - ANS-Pre-
Operative Evaluation
Performed to determine SUITABILITY of veins for placement of Fistula? - ANS-Vein
Mapping
DUPLEX ASSESSMENT can be performed BEFORE patient begins? - ANS-
Hemodialysis
, DUPLEX ASSESSMENT can be performed in patients who have undergone? - ANS-
Other Access Procedures
Pre-Operative Evaluation of Patient History includes: (5) - ANS--Current Medical History
-Previous Access Procedures
-Arm Dominance
-Trauma History
-Medications
Pre-Operative Evaluation determines any contraindications to procedure such as: (4) -
ANS--Central Venous Catheters
-Pacemakers
-Defibrillators
-Prior Mastectomy
Pre-Operative Evaluation Physical Exam includes: (3) - ANS--Bilateral Arm Pressures
-Allen Test
-Assessment of Superficial Venous System using TOURNIQUETS
Pre-Operative Evaluation Physical Exam includes PULSE EXAM of what arteries? -
ANS--Brachial
-Radial
-Ulnar
Room should be _____ to avoid VASOSPASM? - ANS-Warm
Pre-Operative Evaluations, patient can be _____ or ______? - ANS-Supine/Sitting
Pre-Operative Evaluations, the ARM should be positioned in a _________ position? -
ANS-Gravity-Dependent
What type of Transducer is good for SUPERFICIAL IMAGING? - ANS-High-Frequency
(5-10 MHz) Linear
______ & ______ VENOUS system should be evaluated as well as ARTERIAL system?
- ANS-Deep & Superficial
What system should be evaluated FIRST? - ANS-Arterial
_________ Arm is evaluated FIRST? - ANS-Non-Dominant
_______ Arm is evaluated if _________ Arm is inadequate? - ANS-Dominant; Non-
Dominant
If ARTERIAL System is acceptable, THEN proceed to? - ANS-Venous System
