PTH 121 Unit 6: Peripheral Vascular Disease Quiz

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Questions and Answers

What is the focus of pathology?

  • The study of health
  • The alteration of psychological states
  • The study of disease (correct)
  • The examination of medical treatment outcomes

Which of the following describes a broader term than disease?

  • Illness (correct)
  • Pathology
  • Health
  • Disorder

What psychological trait may lead to increased dependency in response to disease?

  • Stoic personality
  • Narcissistic personality
  • Independent personality
  • Dependent personality (correct)

In the continuum between health and disease, where do most people typically fall?

<p>Somewhere in the middle (C)</p> Signup and view all the answers

Which condition is characterized by the perception of not being well?

<p>Illness (B)</p> Signup and view all the answers

What may influence how a person reacts to disease?

<p>The psychological state prior to illness (B)</p> Signup and view all the answers

Which of the following is NOT a type of peripheral vascular disease?

<p>Chronic respiratory failure (D)</p> Signup and view all the answers

What response to disease may be common in individuals regardless of personality type?

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

What element does health reflect according to the definitions provided?

<p>Absence of disease (C)</p> Signup and view all the answers

Which of the following lab tests is used to assess blood glucose levels?

<p>Blood glucose level (BS) (D)</p> Signup and view all the answers

What is the primary purpose of understanding a patient's premorbid personality in physical therapy?

<p>To help achieve optimum health (D)</p> Signup and view all the answers

Which imaging technique uses high-frequency sound waves to view internal structures?

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

Which disease classification pertains to genetic or developmental abnormalities?

<p>Congenital/Hereditary (B)</p> Signup and view all the answers

What type of disease treatment focuses on relieving symptoms rather than curing the underlying cause?

<p>Symptomatic treatment (C)</p> Signup and view all the answers

What type of symptoms are categorized as subjective complaints?

<p>Painful joint stiffness (A)</p> Signup and view all the answers

Which of these is a known risk factor for Arterial Insufficiency?

<p>Renal disease (D)</p> Signup and view all the answers

What is the primary characteristic of arteriosclerosis?

<p>Thickening and hardening of arterial walls (C)</p> Signup and view all the answers

Which characteristic of a disease relates to its cause?

<p>Etiology (B)</p> Signup and view all the answers

Which procedure involves the insertion of a tube with a light to view inside the body?

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

What does the term 'guarded prognosis' imply regarding recovery?

<p>Recovery with therapy is limited (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic used to evaluate a diagnosis?

<p>Treatment options (C)</p> Signup and view all the answers

Arteriosclerosis obliterans is most likely to lead to which of the following complications?

<p>Ulceration (B)</p> Signup and view all the answers

What is the expected outcome of specific treatments, such as the surgical removal of a diseased organ?

<p>Curative in nature (D)</p> Signup and view all the answers

What is the definition of pathology in the context of disease?

<p>The study of the essential nature of disease and its effects on tissues (B)</p> Signup and view all the answers

Which of the following is an example of a cytological test?

<p>Biopsy (B)</p> Signup and view all the answers

What defines 'acute' duration in terms of disease characteristics?

<p>Rapid onset with short duration (A)</p> Signup and view all the answers

Which vascular system is affected by Peripheral Vascular Disease (PVD)?

<p>Arterial, venous, and lymphatic systems (D)</p> Signup and view all the answers

Which of the following is an example of an exogenous cause of disease?

<p>West Nile virus infection (D)</p> Signup and view all the answers

In which disease classification would you categorize rheumatoid arthritis?

<p>Inflammatory (B)</p> Signup and view all the answers

What are common characteristics of dry, punched out wounds associated with ulcers?

<p>Located primarily on the lateral malleoli and toes (D)</p> Signup and view all the answers

Which of the following interventions is most important in preventing complications related to peripheral vascular disease (PVD)?

<p>Preventing smoking (B)</p> Signup and view all the answers

What role does exercise play in the management of patients with arterial wounds?

<p>It improves collateral circulation and aids in weight control. (D)</p> Signup and view all the answers

What is a potential outcome of a nonhealing wound on an ischemic limb?

<p>Gangrene and possible limb amputation (C)</p> Signup and view all the answers

How is the Ankle-Brachial Index (ABI) measured?

<p>By dividing the LE pressure by UE pressure using a sphygmomanometer (B)</p> Signup and view all the answers

What should be the primary focus of a physical therapist when addressing wound care for arterial wounds?

<p>Providing patient education and exercise guidance (D)</p> Signup and view all the answers

What is the primary characteristic of Buerger's disease?

<p>Inflammation leading to arterial occlusion (A)</p> Signup and view all the answers

What triggers attacks in Raynaud's disease?

<p>Cold or emotional upset (B)</p> Signup and view all the answers

Which of the following is a sign of Acute Arterial Occlusive Disease?

<p>Abrupt onset of pain (C)</p> Signup and view all the answers

What is a primary risk factor for developing Thromboangiitis obliterans?

<p>Smoking (C)</p> Signup and view all the answers

Which symptom is associated with chronic arterial insufficiency?

<p>Intermittent claudication (C)</p> Signup and view all the answers

What causes the 'deathlike pallor' seen in Acute Arterial Occlusive Disease?

<p>Acute loss of blood flow (D)</p> Signup and view all the answers

Which of the following describes a likely treatment option for Acute Arterial Occlusive Disease?

<p>IV heparin administration (B)</p> Signup and view all the answers

What condition is characterized by ambiguous cause and causes pallor and cyanosis of extremities?

<p>Raynaud's disease (D)</p> Signup and view all the answers

What is a significant consequence of chronic arterial insufficiency due to atherosclerosis?

<p>Decreased pulse quality (A)</p> Signup and view all the answers

Which of the following describes an ulcer associated with arterial insufficiency?

<p>Linked to ischemia (C)</p> Signup and view all the answers

Flashcards

Pathology

The study of disease

Disease

Biological or psychological change causing body malfunction

Illness

Deviation from a healthy state; a broader term than disease

Health

Absence of disease; a person's overall well-being

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PVD (Periheral Vascular Disease)

Diseases affecting blood vessels outside the heart and lungs

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Arterial PVD

Blood flow issues in arteries

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Venous PVD

Blood flow issues in veins

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Psychological reaction to disease

Different people react differently to illness

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Health-Disease Continuum

A range between perfect health and significant disease

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Disease Classification

Categorization of diseases based on their origin or underlying process.

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Congenital/Hereditary Disease

Diseases present at birth or inherited genetically; developmental abnormalities.

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Inflammatory Disease

Diseases caused by an immune response; body's defense mechanism.

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Degenerative Disease

Progressive deterioration of body tissues or organs.

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Metabolic Disease

Diseases affecting metabolic processes within the body.

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Neoplastic Disease

Diseases causing abnormal cell growth, potentially leading to tumors (benign or malignant).

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Disease Symptoms

Subjective complaints experienced by the patient; perceptible aspects of a disease.

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Disease Signs

Objective manifestations of a disease; observed by examination or tests.

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Diagnosis

Identification of a disease based on signs, symptoms, and tests.

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Prognosis

Predicted outcome of a disease; the likely course of the disease.

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What are the four key sections of a patient's medical record?

The four key sections are History of Present Illness (HPI), Past Medical History (PMH), Social History (SH), and Diagnostic Tests and Procedures.

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What are some examples of laboratory tests?

Lab tests include CBC (Complete Blood Count), blood glucose level (BS), and urinalysis (UA).

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What are the two main categories of diagnostic procedures?

Diagnostic procedures are categorized as either invasive or noninvasive.

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What are the two main types of disease treatment?

Disease treatment can be specific, targeting the disease directly, or symptomatic, treating the symptoms.

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Peripheral Vascular Disease (PVD): What systems are affected?

PVD affects the arterial, venous, and lymphatic systems of the body.

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What is Arteriosclerosis?

Arteriosclerosis is the thickening, hardening, and loss of elasticity of arterial walls.

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What is Atherosclerosis?

Atherosclerosis is the most common form of arteriosclerosis. It involves damage to the artery walls and the formation of lipid deposits, leading to plaque formation.

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What is Arteriosclerosis Obliterans?

Arteriosclerosis Obliterans is a peripheral manifestation of atherosclerosis. It involves intermittent claudication, rest pain, and trophic changes.

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What are some risk factors for Arterial Insufficiency?

Risk factors include smoking, cardiac disease, diabetes, hypertension, renal disease, and elevated cholesterol/triglycerides.

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What is an important takeaway about PVD?

PVD is a serious condition that can lead to various complications including reduced limb function, pain, and even amputation. It is important to manage risk factors and seek medical attention if you suspect you have PVD.

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Buerger's Disease

Inflammation in arteries, primarily affecting young male smokers, leading to blocked blood flow and tissue damage.

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Raynaud's Disease

A condition where small arteries in the hands and feet constrict, causing paleness and blueness, often triggered by cold or stress.

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Acute Arterial Occlusive Disease

A sudden blockage of an artery in a limb, caused by either a blood clot (thrombus) or a piece of clot that travels (embolus), leading to severe pain, pale skin, and lack of pulse.

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Thrombus vs Embolus

A thrombus is a stationary blood clot in an artery, whereas an embolus is a moving blood clot that travels from one location to another.

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Intermittent Claudication

Cramping pain, often in the calf muscles, that occurs with walking and is relieved by rest, a common symptom of peripheral artery disease.

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Rest Pain

Severe and relentless pain in the feet or legs, even at rest, indicating severe peripheral artery disease.

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Chronic Arterial Insufficiency

A gradual narrowing of arteries, primarily due to atherosclerosis, leading to reduced blood flow and potential blockage.

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Atherosclerosis

A buildup of fatty deposits (plaques) within the walls of arteries, leading to narrowing and hardening of the arteries.

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Peripheral Arterial Disease (PAD)

A condition affecting blood vessels outside the heart and lungs, primarily affecting the arteries and causing reduced blood flow to the limbs.

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Trophic Changes

Abnormal changes in the skin, nails, and hair, often associated with long-standing peripheral artery disease.

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Arterial Wound Characteristics

Wounds typically dry, punched out, on ankles, feet, and toes. They are painful with necrotic base, lack granulation tissue, and can lead to gangrene, amputation, and death.

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Arterial Wound Skin Changes

Skin around wound may be black, gangrenous, or mummified (dry gangrene). This indicates severe tissue damage due to lack of blood flow.

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Nonhealing Arterial Wound

A non-healing wound on an ischemic limb is a serious sign, potentially leading to gangrene, amputation, and even death. It requires urgent medical attention.

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Ankle-Brachial Index (ABI)

A measure of blood flow in the legs compared to the arms. It helps determine the severity of peripheral artery disease and guide treatment.

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ABI Value Interpretation

A normal ABI is around 1. A lower value indicates poorer blood flow and potential arterial disease.

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PT Implications for Arterial Wounds

Physical therapy for arterial wounds focuses on education, exercise, and wound care to improve blood flow and prevent complications.

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Study Notes

Peripheral Vascular Disease (PVD)

  • PVD encompasses arterial, venous, and lymphatic disorders.
  • Pathology is the study of disease.
  • Disease is a bodily malfunction.
  • Illness is a deviation from health, encompassing a person's response to not being well.
  • Health is the absence of disease, encompassing a person's biologic, psychological, spiritual, and sociologic states.
  • Most people fall somewhere on a continuum between health and disease.

Learner Objectives (PTH 121- Unit 6, HO #3)

  • Differentiate between arterial, venous, and lymphatic peripheral vascular disease (PVD).
  • Identify signs, symptoms, and treatments for conditions like thrombosis, atherosclerosis, Buerger's disease, Raynaud's Syndrome, deep vein thrombosis (DVT), and chronic venous insufficiency.
  • Demonstrate assessment methods for PVD including circumferential and volumetric measurements.

Disease Characteristics

  • Symptoms are subjective complaints.
  • Signs are objective manifestations detectable by tests and procedures.
  • Etiology is the cause of the disease, endogenous (internal) or exogenous (external).
  • Pathology investigates the nature of disease changes in tissues and organs.
  • Pathogenesis refers to the development of disease.
  • Onset can be sudden (acute) or gradual (insidious).
  • Duration can be short (acute) or long (chronic).

Diagnostic Tests and Procedures

  • Lab tests, including CBC, blood glucose, urinalysis, and biopsies.
  • Radiography, including X-rays, CT scans, and mammograms.
  • MRI and endoscopy (e.g., bronchoscopy, colonoscopy).
  • Ultrasound (Doppler studies for blood vessels).
  • Phlebotomy (blood draw).
  • Electrical activity tests (EMG, EEG, EKG).
  • Cardiac catheterization.

Peripheral Vascular Disease (PVD) Types

  • Arterial Insufficiency: Inadequate blood flow to a body region, risk factors include smoking, cardiac disease, diabetes, hypertension, and elevated cholesterol/triglycerides.
  • Venous Insufficiency: Inadequate drainage of venous blood, often leading to edema and/or skin abnormalities (ulcers).
  • Lymphatic Insufficiency: Abnormal accumulation of lymph fluid in tissues.

Common Types of Arterial Disease

  • Arteriosclerosis obliterans: Characterized by intermittent claudication, rest pain, and trophic changes.
  • Thromboangiitis obliterans (Buerger's disease): Arterial inflammation, often associated with smoking.
  • Raynaud's disease: Vasospasm of small arteries in response to cold or emotional stress.
  • Acute Arterial Occlusive Disease: Sudden blockage of blood flow to extremities, potentially leading to ischemia, necrosis, and gangrene. (caused by thrombus or embolus).

Chronic Arterial Insufficiency

  • Plaque build-up in artery walls and narrowing.
  • Common symptoms include intermittent claudication (muscle pain with activity), and rest pain (constant pain when limb at rest).

Venous Insufficiency

  • Occurs when veins cannot adequately drain blood.
  • Symptoms include leg swelling, aching/heaviness, cramping, skin changes.
  • Risk factors include obesity, varicose veins, and prolonged standing.

Lymphedema

  • Chronic disorder caused by impaired lymphatic system function.
  • Characterized by swelling and fluid accumulation, potentially leading to skin changes and fibrosis.
  • Associated with conditions like DVTs and surgeries.

Diagnostic Tools

  • Observing skin changes (color, temperature, wounds), and palpating pulses.
  • Using tools like circumferential measurements, Doppler ultrasound, capillary refill.
  • Venous filling time.
  • Claudication test (assessing symptom onset with exercise).
  • Ankle-Brachial Index (ABI) to measure blood flow.

Treatment

  • Treating the symptoms
  • Treating the cause
  • Preventative measures
  • Surgical Interventions
  • Medical/Surgical Interventions, depending on the specific diagnosis

Prognosis and Complication

  • Based on severity and other pre-existing conditions.
  • Chronic disease complications could include amputation.

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