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Module 4 Quiz Questions:
Phlebology 5th Ed Chapter 11
1.
The clinical history does not significantly help differentiate STP from DVT
2.
Clinical history will generally enable differentiation of venous disease
from arterial, musculoskeletal and neural causes
3.
Restless leg syndrome and perimenstrual leg pain may not be influenced
by treating the underlying varicose veins
4.
A history of lower limb orthopaedic surgery is an important element of
the clinical history
5.
Reflux may not be evident early in the day
6.
Measuring the limb circumference is of little benefit when assessing
oedema
7.
A piezogenic hernia consist of fat herniating into the dermis where
perforators penetrate the superficial fascia
8.
Peripheral oedema is best looked for around the Achille’s tendons
9.
Veinlite can reveal veins 5mm beneath the skin surface
10.
The Cough Test has a poor sensitivity for detecting reflux
11.
Perthes Test is used to assess the patency of the superficial venous
system
Phlebology 5th Ed Chapter 12
12.
Duplex ultrasound has high sensitivity and specificity for the detection of
venous disease
13.
Low frequency probes are used for superficial examination
14.
The Doppler effect was first described in 1963
15.
Bi-directional Doppler is more can identify the direction of flow
16.
CW Doppler cannot detect phasic flow
17.
The Valsalva manoeuvre is not particularly helpful in detecting reflux
18.
Doppler is used to measure the Ankle/Brachial Index
19.
Diabetic, renal failure and haemodialised patients may have an ABI > 1.3
20.
Duplex ultrasound is a combination of B mode imaging and pulsed
Doppler
21.
The spectral analysis is a graph of flow vs time and is directional
22.
A Doppler signal is attenuated inversely to the square of the distance
travelled – ie double the distance, a quarter the intensity
23.
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B mode echoes return from multiple acoustic interfaces in a single line-of-
24.
The time taken for a pulse echo to return, is twice that taken for the
pulse to reach that interface
25.
Low frequency probes can be used to determine subcutaneous
tissue thickness
26.
Both fresh and old thrombus are incompressible on B mode imaging
27.
Veins of the popliteal fossa and calf are normally examined with the
patient seated
28.
If the PRF is too low, aliasing will occur
29.
Fainting can be a problem during duplex examinations
30.
Duplex examination is indicated for telangiectasiae in the territory of the
saphenous veins and perforators
31.
A common SPJ between the SSV and gastrocnemius veins occurs in
approximately 25% of people
Phlebology 5th Ed Chapter 13
32.
Photoplethysmography (PPG) measures changes in skin blood volume
33.
The thermographic imaging of the lower limb produces a high number of
false positive results
34.
Ambulatory Venous Pressure is an indirect measurement of venous
pressure
35.
Ascending phlebography was most commonly used to assess the
competence of the deep venous system
36.
Spiral CT venography is used for assessing vascular malformations
particularly in KTS
37.
MRI requires the injection of iodinated contrast media