POAT EXAM 1 Questions and Answers 100% Pass

POAT EXAM 1 Questions and Answers 100% Pass Who is more likely to experience an amputation? a. women b. men - Answer- b. men What type of amputation is more common? a. LE b. UE - Answer- a. LE 11x more likely in LE What is the leading cause of amputation? a. cancer b. congenital c. trauma d. peripheral vascular disease - Answer- d. peripheral vascular disease As of 2002, 82% of amputations were from PVD Which of the following cancers are not a common cause of amputation? a. osteosarcoma b. chondrosarcoma c. melanoma d. ewing sarcoma - Answer- c. melanoma What condition is associated with congenital amputations? a. down syndrome b. Amniotic band syndrome c. thalidomide d. all of the above e. both b and c - Answer- e. both b and c What two risk factors are the strongest risk factors for developing PAD? a. diabetes + smoking b. smoking + obesity c. obesity + diabetes - Answer- a. diabetes + smoking narrowing and occlusion of vessels that results in a decrease in circulation and perfusion of tissues. It inhibits tissue healing and the body's immune response. - Answer- PVD Narrowing and occlusion of the arterial lumen of the large arteries associated with HTN and CAD leading to decreased circulations. - Answer- PAD In diabetic patients, amputation of the contralateral limb is ____% likely to occur in the next 2 to 5 years. a. 25% b. 50% c. 75% d. 100% - Answer- b. 50% Which of the following does not describe a risk factor for PVD? a. age 50 b. males c. history of smoking, obesity, HTN, high cholesterol, hyperlipidemia d. sedentary lifestyle - Answer- a. age 50 persons who are of 50 years of age or older are at greater risk for PVD. Which of the following is the MOST common predisposing factor of amputation due to PVD? a. DM without HTN b. HTN without DM c. concurrent DM and HTN - Answer- c. concurrent DM and HTN all 3 answers are common predisposing factors, but the combination of concurrent DM and HTN is MOST common Which is not a s/s of PVD? a. intermittent claudication b. increased pedal pulses c. dry skin and hair loss (shiny skin) d. clubbing of the toe nails e. ulceration and ischemia f. skeletonized appearance g. pain relieved with standing (dependent position) h. pallor on elevation; rubor on dependency I. ulcers and gangrene - Answer- b. increased pedal pulses PVD will decrease pedal pulses Painful cramp or feeling of muscle fatigue that happens distal to the stenotic vessel. - Answer- Intermittent claudication With intermittent claudication in a PVD patient, the patient will complain of cramping type pain and muscle fatigue during exercise that (increases/relieved) once exercise stops. - Answer- Relieved As PVD progresses, the patient may comment that their pain is (increased/decreased) at night, when the patient is not in a dependent position. - Answer- increased T/F: PVD will always develop immediately after onset of diabetes. - Answer- F. PVD can happen as late as 20 years after onset of diabetes Does the disease process for PVD occur symmetrically or asymmetrically? - Answer- Symmetrically What is the most predisposing risk factor for LE amputations in persons with diabetes? a. sedentary lifestyle b. smoking c. hypertension d. age 50 - Answer- c. hypertension What are some complications of diabetes? - Answer- -vision issues -neuropathy -infections What is the greatest precursor for foot ulcerations in a diabetic patient? a. vision issues b. infection c. neuropathy - Answer- c. neuropathy What is the greatest complication of diabetes leading to amputation? a. vision changes b. infection c. neuropathy - Answer- c. neuropathy What artery is primarily affected in patients with diabetes and PVD? a. dorsalis pedis b. posterior tibialis c. anterior tibial artery - Answer- c. anterior tibial artery for this reason, palpate dorsalis pedis and posterior tibialis Compromised blood flow of the superficial/deep veins as a result of perforating valves, increase - Answer- chronic venous insufficiency Pain after ambulating is a hallmark of what disease? a. diabetes b. PVD c. HTN d. chronic venous insufficiency - Answer- d. chronic venous insufficiency Skin changes in the LE include capillary proliferation, fat necrosis, and fibrosis of skin and subcutaneous tissues - Answer- lipodermatosclerosis What color does the skin become in chronic venous insufficiency? a. yellow b. blue c. reddish/brown d. green - Answer- c. reddish/brown What is the second most common cause of amputation? a. diabetes b. trauma c. cancer d. congenital - Answer- b. trauma What type of amputation is seen most commonly in adult males age 20-29? a. diabetes b. trauma c. cancer d. congenital - Answer- b. trauma What tumor is most commonly cited for leading to amputatio