Chapter 9: Head, Neck, and Face Disorders
1. In the assessment for peripheral vascular disorders, the clinician should begin with which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. - 1. Answer: 1
Page: 215
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The clinician should begin with auscultation of the carotid arteries bilaterally because cardiac murmurs
will usually radiate into the carotid arteries.
2.
After auscultation of the carotid and subclavian arteries, the clinician should proceed to palpation of
the brachial, radial, and ulnar arteries.
3.
After auscultation and palpation, careful inspection should be performed of the distal fingers and the
nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are found.
2. Which of the following conditions is signaled by symptoms of swelling of the affected body
part, usually the limb, because of impaired flow of lymph fluid?
1. Abdominal aortic aneurysm (AAA)
2. Venous ulcers
3. Peripheral vascular disease (PVD)
4. Lymphedema - 2. Answer: 4
Page: 218
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, AAA presents the signal symptoms of persistent or intermittent pain in the middle or lower abdomen,
radiating to the lower back.
3. Venous leg ulcers present signal symptoms of swelling that subside with elevation of lower extremities,
eczematous skin changes, dull ache in lower extremities, and presence of varicosities.3.
PVD is a disease that alters blood flow to or from the extremities and vital organs other than the heart.
It presents signal symptoms of pain, intermittent claudication of the feet, and tissue loss in affected
leg/arm.
4.
Lymphedema presents the signal symptoms of swelling of the affected body part, usually the limb,
because of impaired flow of lymph fluid.
3. In the initial screening for a diagnosis of AAA, which of the following is the best screening test?
1. CT scan
2. Complete blood count (CBC)
3. Ultrasound in the abdominal area
4. Angiography - 3. Answer: 3
Page: 216
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1.
CT screening is indicated when surgery is planned.
2.
CBC may be a secondary screening when surgery is planned.
3.
Ultrasound in the abdominal area is the best initial screening test for AAA.4.
Angiography screening is indicated when surgery is planned.
4. Mrs. Prentiss is diagnosed with symptomatic AAA. The initial treatment is aggressive blood
pressure control. At which of the following readings should mean arterial pressure be maintained?
1. Between 100 and 120 mm Hg.
2. Between 90 and 120 mm Hg.
3. Between 60 and 70 mm Hg.
4. Between 80 and 100 mm Hg. - 4. Answer: 3
Page: 217
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1.
1. In the assessment for peripheral vascular disorders, the clinician should begin with which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. - 1. Answer: 1
Page: 215
Feedback
1.
The clinician should begin with auscultation of the carotid arteries bilaterally because cardiac murmurs
will usually radiate into the carotid arteries.
2.
After auscultation of the carotid and subclavian arteries, the clinician should proceed to palpation of
the brachial, radial, and ulnar arteries.
3.
After auscultation and palpation, careful inspection should be performed of the distal fingers and the
nail beds.
4.
Diagnostic testing is usually ordered when areas of concern are found.
2. Which of the following conditions is signaled by symptoms of swelling of the affected body
part, usually the limb, because of impaired flow of lymph fluid?
1. Abdominal aortic aneurysm (AAA)
2. Venous ulcers
3. Peripheral vascular disease (PVD)
4. Lymphedema - 2. Answer: 4
Page: 218
Feedback
1.
, AAA presents the signal symptoms of persistent or intermittent pain in the middle or lower abdomen,
radiating to the lower back.
3. Venous leg ulcers present signal symptoms of swelling that subside with elevation of lower extremities,
eczematous skin changes, dull ache in lower extremities, and presence of varicosities.3.
PVD is a disease that alters blood flow to or from the extremities and vital organs other than the heart.
It presents signal symptoms of pain, intermittent claudication of the feet, and tissue loss in affected
leg/arm.
4.
Lymphedema presents the signal symptoms of swelling of the affected body part, usually the limb,
because of impaired flow of lymph fluid.
3. In the initial screening for a diagnosis of AAA, which of the following is the best screening test?
1. CT scan
2. Complete blood count (CBC)
3. Ultrasound in the abdominal area
4. Angiography - 3. Answer: 3
Page: 216
Feedback
1.
CT screening is indicated when surgery is planned.
2.
CBC may be a secondary screening when surgery is planned.
3.
Ultrasound in the abdominal area is the best initial screening test for AAA.4.
Angiography screening is indicated when surgery is planned.
4. Mrs. Prentiss is diagnosed with symptomatic AAA. The initial treatment is aggressive blood
pressure control. At which of the following readings should mean arterial pressure be maintained?
1. Between 100 and 120 mm Hg.
2. Between 90 and 120 mm Hg.
3. Between 60 and 70 mm Hg.
4. Between 80 and 100 mm Hg. - 4. Answer: 3
Page: 217
Feedback
1.
