VASCULAR ARDMS FINAL PAPER
PRACTICE SOLUTION TESTED QUESTIONS
WITH COMPLETE ANSWERS
●● Paget-Schroetter syndrome
Answer: Stress/effort thrombosis, involves axillary or subclavian vein,
venous component of TOS
●● May Thurner Syndrome
Answer: Compression of left iliac vein by crossing right iliac artery
Increased velocity, turbulence, monophasic waveform distal to
compression
●● Leriche Sydnrome
Answer: distal aortic obstruction
●● Marfan Syndrome
Answer: genetic connective tissue disorder
associated with AAA
●● Lemierre Syndrome
Answer: thombophlebitis of the jugular veins
,●● Ehler Danlos Syndrome
Answer: Genetic disorder negatively affecting collagen formation
●● CREST Syndrome
Answer: Calcinosis, Raynaud's, esophageal dysmotility, Sclerodactyly,
Telangiectasia
●● Hypothenar Hammer Syndrome
Answer: Arterial degeneration of ulnar artery as it passes deep to hook
of hamate bone
Associated with repeated use of palm of hand as a hammer
Positive tinel sign or allen test
●● Allen Test
Answer: Series of maneuvers testing the digital perfusion of the hand
while compressing and releasing the radial and ulnar arteries
Positive: diminished waveforms during compression
●● ABI
Answer: Ankle-Brachial Index
>1.3 incompressible
> 1 normal
, >0.9-1 asymptomatic
0.5-0.9 claudication
<0.5 rest pain
●● ABI calculation
Answer: Highest ankle systolic / highest brachial systolic
●● Claudication
Answer: pain, tension, and weakness in a leg after walking has begun,
but absence of pain at rest
●● Area of claudication indicative of
Answer: calf: sup femoral/popliteal, tibial
thigh: iliofemoral
buttock: iliofemoral (unilateral) or aortoiliac (bilateral)
●● Photoplethysmography (PPG)
Answer: indirect test that detects changes in back-scattered infrared light
as an indicator of tissue perfusion
●● Digital Evaluations
Answer: Toe-Brachial Index (TBI): normal > 0.8
PRACTICE SOLUTION TESTED QUESTIONS
WITH COMPLETE ANSWERS
●● Paget-Schroetter syndrome
Answer: Stress/effort thrombosis, involves axillary or subclavian vein,
venous component of TOS
●● May Thurner Syndrome
Answer: Compression of left iliac vein by crossing right iliac artery
Increased velocity, turbulence, monophasic waveform distal to
compression
●● Leriche Sydnrome
Answer: distal aortic obstruction
●● Marfan Syndrome
Answer: genetic connective tissue disorder
associated with AAA
●● Lemierre Syndrome
Answer: thombophlebitis of the jugular veins
,●● Ehler Danlos Syndrome
Answer: Genetic disorder negatively affecting collagen formation
●● CREST Syndrome
Answer: Calcinosis, Raynaud's, esophageal dysmotility, Sclerodactyly,
Telangiectasia
●● Hypothenar Hammer Syndrome
Answer: Arterial degeneration of ulnar artery as it passes deep to hook
of hamate bone
Associated with repeated use of palm of hand as a hammer
Positive tinel sign or allen test
●● Allen Test
Answer: Series of maneuvers testing the digital perfusion of the hand
while compressing and releasing the radial and ulnar arteries
Positive: diminished waveforms during compression
●● ABI
Answer: Ankle-Brachial Index
>1.3 incompressible
> 1 normal
, >0.9-1 asymptomatic
0.5-0.9 claudication
<0.5 rest pain
●● ABI calculation
Answer: Highest ankle systolic / highest brachial systolic
●● Claudication
Answer: pain, tension, and weakness in a leg after walking has begun,
but absence of pain at rest
●● Area of claudication indicative of
Answer: calf: sup femoral/popliteal, tibial
thigh: iliofemoral
buttock: iliofemoral (unilateral) or aortoiliac (bilateral)
●● Photoplethysmography (PPG)
Answer: indirect test that detects changes in back-scattered infrared light
as an indicator of tissue perfusion
●● Digital Evaluations
Answer: Toe-Brachial Index (TBI): normal > 0.8
