Exam (elaborations)
AHN 568 EXAM 2 QUESTIONS AND ANSWERS 2024
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AHN 568 EXAM 2 QUESTIONS AND ANSWERS 2024
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AHN 568 EXAM 2You prescribe angiotensin converting enzyme inhibitor and renal function
declines? - ANSWERS-Think renal artery disease.
Severe hypertension in patient older than 55? - ANSWERS-Renal artery disease.
Sudden pulmonary edema with bad renal function? - ANSWERS-Renal artery
disease.
Infrarenal aortic diameter greater than 3 cm? - ANSWERS-Abdominal aortic
aneurysm.
What are the odds of an abdominal aortic aneurysm happening in an older male
smoker? - ANSWERS-50 percent.
Aortic diameter greater than 5.5 cm? - ANSWERS-High risk of fatal abdominal
aortic aneurysm.
When should screening for abdominal aortic aneurysm happen? - ANSWERS-
Once, for males between 65 and 75 years old and smoked more than 100
cigarettes in their lifetime.
When can you palpate aorta? - ANSWERS-Greater than 4 cm.
,Should women and non smokers be screened for abdominal aortic aneurysm? -
ANSWERS-No
Why is peripheral artery disease so dangerous? - ANSWERS-Undiagnosed and
asymptomatic. Needs screening.
Asymmetric blood pressure? - ANSWERS-Coarctation of the aorta or dissecting
aortic aneurysm.
Normal radial pulses, sharply demarcated pallor of the fingers? - ANSWERS-
Raynauds disease. Distal, small artery disease.
Epitrochlear nodes? - ANSWERS-Lymphedema in arms. 90 degree elbow, between
biceps and tricepts, above medial epicondyle? Think infection.
Nontender inguinal lyphnodes 1 to 2 cm diameter? - ANSWERS-Normal.
Intermittent claudication, postural color changes, trophic skin changes in the leg?
- ANSWERS-Aortic or iliac artery affected.
Normal femoral pulse and decreased popliteal pulse? - ANSWERS-Atherosclerosis
in the thigh.
, Absent pedial pulse with normal femoral and popliteal? - ANSWERS-Lower
popliteal artery atherosclerotic disease. Think diabetes.
Ankle diameter asymmetry greater than 1 cm or 2 cm at the calf? - ANSWERS-
Think edema or DVT.
Bilateral leg edema? - ANSWERS-Think heart failure, cirrhosis, nephrotic
syndrome.
Tenderness in the groin medial to femoral pulse? - ANSWERS-DVT.
Tenderness of cords in calf? - ANSWERS-DVT.
Painful, pale, swollen leg with groin tenderness? - ANSWERS-High risk for
pulmonary embolism from DVT.
Brown discoloration or ulcer above malleolus? - ANSWERS-Chronic venous
insufficiency.
Thick brawny skin in legs? - ANSWERS-Lymphedema and advanced venous
insufficiency.
How do you inspect saphenous system for varicosities? - ANSWERS-Have patient
stand to fill with blood.
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