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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. site 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