TEST BANK SCIENCE 29 ADVANCED
PRACTICE SEIDEL'S GUIDE TO
PHYSICAL EXAMINATION 9TH
EDITION BALL {CHAPTERS 16-20}
Chapter 16: Blood Vessels
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The characteristics of arterial pulses are directly affected by all of the following except:
a. the volume of blood ejected.
b. peripheral arterial resistance.
c. venous valvular competence.
d. blood viscosity.
e. distensibility of aorta.
ANS: C
Arterial pulses are affected by stroke volume (volume of blood ejected), distensibility
of the aorta and large arteries, viscosity of the blood, and peripheral arteriolar
resistance. Venous valvular competence contributes to the venous blood flow back to
the heart.
, TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
2. The level at which the jugular venous pulse is visible gives an indication of:
a. mitral valve efficiency.
b. aortic valve efficiency.
c. stroke volume.
d. left ventricular pressure.
e. right atrial pressure.
ANS: E
The level at which the jugular venous pulse is visible indicates right atrial pressure.
The jugular veins empty into the superior vena cava, which empties into the right
atria. The jugular venous system reflects the competency of the right side of the heart.
The other four possible answers reflect the competency of the left side of the heart.
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
3. Vascular changes expected in older adults include:
a. loss of vessel elasticity.
b. decreased peripheral resistance.
c. decreased pulse pressure.
d. constriction of the aorta and major bronchi.
e. increased vasomotor tone.
ANS: A
, With age, the walls of the arteries become calcified, and they lose their elasticity and
vasomotor tone; therefore, they lose their ability to respond appropriately to changing
body needs. Increased peripheral vascular resistance occurs, causing an increase in
blood pressure.
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
4. Which of the following statements is true regarding the examination of peripheral
arteries?
a. The thumb should never be used to assess pulses.
b. Palpate at least one pulse in each extremity, usually the most proximal one.
c. The pulses are most readily felt over arteries that lie over bones.
d. Extremity pulses do not normally generate waveforms.
e. The pads of the fourth and fifth digits of the examiner's hands are the most
sensitive.
ANS: C
The pulses are best palpated over arteries that are close to the surface of the body and
lie over bones. The arterial pulses with the digital pads of the second and third fingers.
The thumb may also be used if vessels have a tendency to move or roll when palpated
by the fingers.
Palpate at least one pulse, the most distal pulse, in each extremity to determine the
sufficiency of the arterial circulation. Arterial pulses have contour (waveform).
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
5. Which arterial pulse is most useful in evaluating heart activity?
a. Femoral
, b. Radial
c. Temporal
d. Brachial
e. Carotid
ANS: E
Carotid arteries provide the most easily accessible arterial pulse and are closest to the
heart and therefore are most useful in evaluating heart activity.
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
6. The term claudication refers to:
a. pain from muscle ischemia.
b. lack of palpable pulsations.
c. visible extremity changes of arterial occlusion.
d. numbness and tingling in toes and fingers.
e. constriction or narrowing of a vessel.
ANS: A
Claudication is known as pain that results from muscle ischemia. This pain is
described as a dull ache with muscle fatigue and can often be accompanied by
cramping. It is brought on by sustained exercise and relieved by rest. Individuals with
peripheral artery disease experience claudication because of a decrease in the amount
of blood passing through the artery as a result of atherosclerosis, which cause the
arteries to become narrow. Risk factors for claudication are hypertension, smoking,
hyperlipidemia, diabetes, and old age.
PRACTICE SEIDEL'S GUIDE TO
PHYSICAL EXAMINATION 9TH
EDITION BALL {CHAPTERS 16-20}
Chapter 16: Blood Vessels
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The characteristics of arterial pulses are directly affected by all of the following except:
a. the volume of blood ejected.
b. peripheral arterial resistance.
c. venous valvular competence.
d. blood viscosity.
e. distensibility of aorta.
ANS: C
Arterial pulses are affected by stroke volume (volume of blood ejected), distensibility
of the aorta and large arteries, viscosity of the blood, and peripheral arteriolar
resistance. Venous valvular competence contributes to the venous blood flow back to
the heart.
, TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
2. The level at which the jugular venous pulse is visible gives an indication of:
a. mitral valve efficiency.
b. aortic valve efficiency.
c. stroke volume.
d. left ventricular pressure.
e. right atrial pressure.
ANS: E
The level at which the jugular venous pulse is visible indicates right atrial pressure.
The jugular veins empty into the superior vena cava, which empties into the right
atria. The jugular venous system reflects the competency of the right side of the heart.
The other four possible answers reflect the competency of the left side of the heart.
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
3. Vascular changes expected in older adults include:
a. loss of vessel elasticity.
b. decreased peripheral resistance.
c. decreased pulse pressure.
d. constriction of the aorta and major bronchi.
e. increased vasomotor tone.
ANS: A
, With age, the walls of the arteries become calcified, and they lose their elasticity and
vasomotor tone; therefore, they lose their ability to respond appropriately to changing
body needs. Increased peripheral vascular resistance occurs, causing an increase in
blood pressure.
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
4. Which of the following statements is true regarding the examination of peripheral
arteries?
a. The thumb should never be used to assess pulses.
b. Palpate at least one pulse in each extremity, usually the most proximal one.
c. The pulses are most readily felt over arteries that lie over bones.
d. Extremity pulses do not normally generate waveforms.
e. The pads of the fourth and fifth digits of the examiner's hands are the most
sensitive.
ANS: C
The pulses are best palpated over arteries that are close to the surface of the body and
lie over bones. The arterial pulses with the digital pads of the second and third fingers.
The thumb may also be used if vessels have a tendency to move or roll when palpated
by the fingers.
Palpate at least one pulse, the most distal pulse, in each extremity to determine the
sufficiency of the arterial circulation. Arterial pulses have contour (waveform).
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
5. Which arterial pulse is most useful in evaluating heart activity?
a. Femoral
, b. Radial
c. Temporal
d. Brachial
e. Carotid
ANS: E
Carotid arteries provide the most easily accessible arterial pulse and are closest to the
heart and therefore are most useful in evaluating heart activity.
TOP: Discipline: Physiology MSC: Organ System: Cardiovascular
6. The term claudication refers to:
a. pain from muscle ischemia.
b. lack of palpable pulsations.
c. visible extremity changes of arterial occlusion.
d. numbness and tingling in toes and fingers.
e. constriction or narrowing of a vessel.
ANS: A
Claudication is known as pain that results from muscle ischemia. This pain is
described as a dull ache with muscle fatigue and can often be accompanied by
cramping. It is brought on by sustained exercise and relieved by rest. Individuals with
peripheral artery disease experience claudication because of a decrease in the amount
of blood passing through the artery as a result of atherosclerosis, which cause the
arteries to become narrow. Risk factors for claudication are hypertension, smoking,
hyperlipidemia, diabetes, and old age.
