Non-Invasive and Invasive Cardiovascular Procedures

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Questions and Answers

What is the primary purpose of a treadmill test?

  • To evaluate the presence of D-dimer in serum
  • To measure blood flow in arteries post-exercise (correct)
  • To assess deep vein thrombosis via a catheter
  • To visualize arteries using radiography

What does a Doppler ultrasound assess?

  • The depth of vein thrombosis using a catheter
  • The changes in blood volume during exercise
  • The presence of claudication and venous obstruction (correct)
  • The level of D-dimer in blood samples

Which test is considered the gold standard for diagnosing deep-vein thrombosis (DVT)?

  • Phlebography or venography (correct)
  • Angiography
  • D-dimer test
  • Plethysmography

What is the role of the I-fibrinogen uptake test?

<p>To assess acute calf vein thrombosis (A)</p> Signup and view all the answers

Why might a Doppler ultrasound device be necessary?

<p>To assess patients with low blood pressure or edema (A)</p> Signup and view all the answers

What is D-dimer a product of?

<p>Fibrin degradation (A)</p> Signup and view all the answers

What is the primary function of digital subtraction angiography (DSA)?

<p>To visualize blood vessels using an image intensifier (B)</p> Signup and view all the answers

In which scenario is a skin marker typically used during Doppler assessments?

<p>To indicate the location of found pulses (B)</p> Signup and view all the answers

Which procedure typically involves injecting a contrast medium to visualize arteries?

<p>Digital subtraction angiography (C)</p> Signup and view all the answers

How is pulsation recorded when using a Doppler device?

<p>As present or absent (C)</p> Signup and view all the answers

What condition can plethysmography help assess?

<p>Changes in blood volume (B)</p> Signup and view all the answers

What is an indication for performing a treadmill test?

<p>Assessing exercise-induced claudication (C)</p> Signup and view all the answers

Which of the following tests uses iodine tagging?

<p>I-fibrinogen uptake test (B)</p> Signup and view all the answers

What does high levels of D-dimer typically indicate?

<p>Presence of a thrombus (A)</p> Signup and view all the answers

During a Doppler ultrasound assessment, how should pulsation be recorded?

<p>As present or absent (A)</p> Signup and view all the answers

What does digital subtraction angiography (DSA) visualize?

<p>Arteries in extremities (A)</p> Signup and view all the answers

What is phlebography primarily used for?

<p>Diagnosing deep-vein thrombosis (DVT) (B)</p> Signup and view all the answers

Which procedure assesses blood flow in extremities using a device that measures Doppler shift?

<p>Doppler ultrasound (D)</p> Signup and view all the answers

What is the role of a contrast medium in angiography?

<p>To enhance imaging of blood vessels (C)</p> Signup and view all the answers

What is the main purpose of performing a treadmill test?

<p>To determine blood flow after exercise (D)</p> Signup and view all the answers

What is administered initially to visualize blood vessels in digital subtraction angiography?

<p>IV contrast solution (C)</p> Signup and view all the answers

What technology is used to view blood vessels during digital subtraction angiography?

<p>Image intensifier video system (A)</p> Signup and view all the answers

Which component is essential in the setup of digital subtraction angiography?

<p>A television monitor (B)</p> Signup and view all the answers

What is the primary visual outcome of digital subtraction angiography?

<p>Enhanced visualization of blood vessels (D)</p> Signup and view all the answers

In which area of the body does digital subtraction angiography typically visualize blood vessels?

<p>The extremities (A)</p> Signup and view all the answers

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Study Notes

Non-Invasive Procedures

  • Treadmill Test

    • Assesses blood flow in extremities post-exercise.
    • Identifies exercise-related pain, such as claudication.
  • Plethysmography

    • Measures changes in blood volume in calf veins or other extremities using a plethysmograph.
  • Doppler Ultrasound

    • Utilizes a Doppler ultrasound flowmeter for measuring blood flow in arteries or veins.
    • Useful for diagnosing intermittent claudication, deep vein obstructions, and peripheral vascular disease (PVD).
    • May require a Doppler device to assess pulses in cases of PVD, low blood pressure, edema, or significant subcutaneous tissue.
    • Record pulse findings as present or absent, avoiding numeric scaling.
    • Nurses often mark skin areas with a pulse detected for accuracy in follow-up assessments.
  • Phlebography / Venography

    • Considered the gold standard for evaluating deep leg veins and diagnosing deep vein thrombosis (DVT).
    • Involves administering a contrast medium via a catheter in a foot vein followed by radiographic imaging to identify filling defects.
  • Fibrinogen Uptake Test

    • Accurate method for detecting acute calf vein thrombosis.
    • Measures fibrinogen levels at clot sites; fibrinogen tagged with iodine 125 and administered intravenously is detected by a gamma ray detector.
  • Angiography

    • Involves intravenous injection of a contrast medium to visualize arteries through radiography.
  • D-Dimer Test

    • Measures D-dimer, a fibrin degradation product, in serum to indicate thrombus presence.
    • Elevated D-dimer levels are typically associated with thrombus formation.
  • Digital Subtraction Angiography (DSA)

    • Involves administering an intravenous contrast solution that enables visualization of blood vessels in extremities through radiographic techniques using an image intensifier and monitor.

Non-Invasive Procedures

  • Treadmill Test

    • Assesses blood flow in extremities post-exercise.
    • Identifies exercise-related pain, such as claudication.
  • Plethysmography

    • Measures changes in blood volume in calf veins or other extremities using a plethysmograph.
  • Doppler Ultrasound

    • Utilizes a Doppler ultrasound flowmeter for measuring blood flow in arteries or veins.
    • Useful for diagnosing intermittent claudication, deep vein obstructions, and peripheral vascular disease (PVD).
    • May require a Doppler device to assess pulses in cases of PVD, low blood pressure, edema, or significant subcutaneous tissue.
    • Record pulse findings as present or absent, avoiding numeric scaling.
    • Nurses often mark skin areas with a pulse detected for accuracy in follow-up assessments.
  • Phlebography / Venography

    • Considered the gold standard for evaluating deep leg veins and diagnosing deep vein thrombosis (DVT).
    • Involves administering a contrast medium via a catheter in a foot vein followed by radiographic imaging to identify filling defects.
  • Fibrinogen Uptake Test

    • Accurate method for detecting acute calf vein thrombosis.
    • Measures fibrinogen levels at clot sites; fibrinogen tagged with iodine 125 and administered intravenously is detected by a gamma ray detector.
  • Angiography

    • Involves intravenous injection of a contrast medium to visualize arteries through radiography.
  • D-Dimer Test

    • Measures D-dimer, a fibrin degradation product, in serum to indicate thrombus presence.
    • Elevated D-dimer levels are typically associated with thrombus formation.
  • Digital Subtraction Angiography (DSA)

    • Involves administering an intravenous contrast solution that enables visualization of blood vessels in extremities through radiographic techniques using an image intensifier and monitor.

Digital Subtraction Angiography (DSA)

  • Involves administration of intravenous (IV) contrast solution to enhance visualization of blood vessels.
  • Primarily used to visualize blood vessels in extremities for diagnostic imaging.
  • Employs radiographic techniques alongside an image intensifier video system for improved image clarity.
  • Outputs are displayed on a television monitor, facilitating real-time monitoring of blood vessels.
  • Essential for identifying blockages, malformations, or other vascular conditions.

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