NR 601 Week 2 Practice Quiz (Vascular Disease)

Welcome to your NR 601 Week 2 Practice Quiz (Vascular Disease)

A 64-year-old man undergoes ABI testing as part of a vascular workup. His result is 0.85. How should this be classified?

Normal

Borderline/mild PAD

Moderate PAD

Severe PAD

A 70-year-old woman with a 40 pack-year smoking history and calf claudication has an ABI of 0.62. Which severity category does this represent?

Mild PAD

Severe PAD

Moderate PAD

Non-compressible vessel artifact

A 75-year-old man with longstanding diabetes and a non-healing toe ulcer has an ABI of 0.32. Which classification and clinical concern best fits this result?

Mild PAD, low concern

Moderate PAD, routine surveillance

Severe PAD, consistent with critical limb ischemia

Normal, unrelated to his ulcer

A 58-year-old man with end-stage renal disease on dialysis has an ABI of 1.35 despite reporting claudication symptoms. What does this elevated value most likely indicate?

Truly normal arterial flow, symptoms are unrelated

Non-compressible, calcified vessels giving a falsely elevated reading

Venous insufficiency

Acute arterial occlusion

A 66-year-old woman with diabetes and CKD has calcified, non-compressible vessels on exam. Her provider explains why ABI may be unreliable in her case. What is the underlying mechanism?

Increased venous pressure

Medial arterial calcification stiffening the vessel wall

Reduced cardiac output

Elevated blood viscosity

A 68-year-old asymptomatic man is found to have a carotid bruit on routine exam. Which imaging test is the appropriate first-line study?

CT angiography

MR angiography

Carotid duplex ultrasound

Digital subtraction angiography

A 71-year-old woman presents with a transient episode of right-sided weakness and slurred speech that resolved within an hour. Carotid duplex reveals 75% stenosis on the left. What is the most appropriate next step?

Reassure and repeat ultrasound in one year

Start aspirin only, no further workup needed

Refer for carotid endarterectomy or stenting evaluation

Order a venous duplex

A 60-year-old man has an incidental finding of a 3.2 cm infrarenal aortic diameter on CT imaging done for an unrelated reason. How should this finding be classified?

Normal aorta

Aneurysmal, meets threshold for AAA

Aortic dissection

Requires no documentation

A 63-year-old man has two aortic ultrasounds six months apart showing growth from 4.0 cm to 4.6 cm. What does this growth rate suggest, beyond the absolute diameter alone?

Growth rate is irrelevant if diameter is below 5.5 cm

Rapid growth rate itself raises rupture risk and may prompt earlier surgical evaluation

This growth rate is expected and requires no change in surveillance

This indicates the aneurysm has ruptured

Which of the following is listed as an emergent warning sign related to respiratory status?

Mild breathlessness after vigorous exercise

Difficulty breathing at rest or with minimal exertion

Occasional shortness of breath with heavy lifting

Breathlessness that resolves immediately with rest after exertion

Which finding, on its own, is classified as an emergent warning sign without requiring loss of consciousness?

Feeling very weak

Mild fatigue after a long day

Drowsiness before bedtime

Slight lightheadedness when standing quickly

For nausea or vomiting to be classified as an emergent warning sign per the criteria described, which additional finding must be present?

Fever

Chest discomfort

Diarrhea

Recent food intake

Which of the following best describes the emergent warning sign involving sweating?

Sweating that occurs during physical exertion

Profuse sweating without physical exertion

Mild sweating in a warm environment

Sweating localized to the palms only