Peripheral SCAQ

1. Which of the following is NOT a component of the peripheral vascular system?
   A) Arteries
   B) Veins
   C) Lymph nodes
   D) Nerves

2. How many arterial pulses are present in the upper limbs?
   A) 2
   B) 3
   C) 4
   D) 5

3. Which pulse is NOT located in the lower limbs?
   A) Femoral
   B) Popliteal
   C) Ulnar
   D) Dorsalis pedis

4. Which veins are considered superficial in the lower limbs?
   A) Femoral and popliteal
   B) Great saphenous and small saphenous
   C) Tibial and fibular
   D) Radial and ulnar

5. Which of the following is a risk factor for peripheral vascular disease (PVD)?
   A) Low cholesterol levels
   B) Hypertension
   C) High calcium intake
   D) Increased fluid intake

6. During a peripheral vascular assessment, the patient should be positioned at:
   A) 90-degree upright sitting position
   B) 30-45-degree bed elevation
   C) Lying flat on the back
   D) Prone position

7. Which of the following findings would be expected in a patient with venous insufficiency?
   A) Pale, cold skin
   B) Brownish discoloration around the ankles
   C) Diminished pulses
   D) Gangrene formation

8. What does capillary refill time (CRT) assess?
   A) Cardiac function
   B) Peripheral perfusion
   C) Arterial occlusion
   D) Venous obstruction

9. A normal capillary refill time (CRT) is:
   A) Less than 1 second
   B) Less than 2 seconds
   C) 3-5 seconds
   D) More than 5 seconds

10. Which test evaluates the patency of both the radial and ulnar arteries?
    A) Homan’s test
    B) Buerger’s test
    C) Allen’s test
    D) Trendelenburg test

11. A weak, thready pulse (+1) may indicate:
    A) Shock
    B) Hypertension
    C) Hyperthyroidism
    D) Fever

12. A bounding pulse (+4) is commonly seen in:
    A) Aortic regurgitation
    B) Dehydration
    C) Cardiac tamponade
    D) Hypovolemia

13. Which finding suggests a radio-radial delay?
    A) Pulses in both radial arteries occurring at different times
    B) Bounding radial pulses
    C) Absent radial pulses
    D) A weak brachial pulse

14. The brachial pulse is palpated:
    A) Lateral to the biceps tendon
    B) Medial to the biceps tendon
    C) Over the clavicle
    D) At the wrist

15. Peripheral cyanosis is usually caused by:
    A) Hypovolemia
    B) Anemia
    C) Poor perfusion
    D) Liver failure

16. Which vascular condition is associated with intermittent claudication?
    A) Venous thrombosis
    B) Peripheral arterial disease (PAD)
    C) Deep vein thrombosis (DVT)
    D) Varicose veins

17. Buerger’s test is performed to assess:
    A) Venous return
    B) Peripheral arterial perfusion
    C) Capillary refill
    D) Deep vein thrombosis

18. Which of the following is a sign of chronic venous insufficiency?
    A) Thickened toenails
    B) Pallor
    C) Hair loss on the legs
    D) Edema and hemosiderin staining

19. What should be assessed before palpating the carotid artery?
    A) Pulse rate
    B) Presence of a bruit
    C) Jugular venous pressure
    D) Capillary refill time

20. Where is the femoral pulse best palpated?
    A) Behind the knee
    B) Over the lateral aspect of the ankle
    C) At the mid-inguinal point
    D) Above the wrist

21. Auscultating a bruit at the femoral artery may indicate:
    A) Normal blood flow
    B) Peripheral artery disease
    C) Atrial fibrillation
    D) Cardiac tamponade

22. The popliteal pulse is best palpated with the patient in which position?
    A) Sitting upright
    B) Prone with knee slightly flexed
    C) Supine with leg straight
    D) Side-lying

23. Which of the following arteries is located behind the medial malleolus?
    A) Popliteal
    B) Posterior tibial
    C) Dorsalis pedis
    D) Radial

24. The dorsalis pedis artery is located:
    A) Over the lateral malleolus
    B) Behind the knee
    C) Over the dorsum of the foot
    D) At the base of the great toe

25. If pulses are not palpable, what can be used to assess blood flow?
    A) Stethoscope
    B) Doppler ultrasound
    C) Blood pressure cuff
    D) Reflex hammer

26. A positive Homan’s sign suggests:
    A) Deep vein thrombosis (DVT)
    B) Peripheral artery disease (PAD)
    C) Raynaud’s phenomenon
    D) Chronic venous insufficiency

27. Pitting edema is assessed by pressing for at least:
    A) 1-2 seconds
    B) 3-5 seconds
    C) 5-10 seconds
    D) 15-20 seconds

28. Pitting edema is graded on a scale from:
    A) 0-2
    B) 0-3
    C) 0-4
    D) 0-5

29. Which test involves elevating the legs and then lowering them to observe color return?
    A) Homan’s test
    B) Buerger’s test
    C) Allen’s test
    D) Trendelenburg test

30. Venous stasis is commonly seen in patients with:
    A) Arterial ulcers
    B) Deep vein thrombosis
    C) Hypertension
    D) Heart failure

31. Hair loss on the lower extremities may indicate:
    A) Chronic venous insufficiency
    B) Peripheral arterial disease
    C) Varicose veins
    D) Raynaud’s disease

32. Brownish discoloration of the lower legs suggests:
    A) Arterial insufficiency
    B) Venous stasis
    C) Acute ischemia
    D) Vasculitis

33. What is the hallmark symptom of peripheral arterial disease (PAD)?
    A) Swelling
    B) Intermittent claudication
    C) Varicose veins
    D) Hyperpigmentation

34. Which test is commonly performed to assess for deep vein thrombosis?
    A) Doppler ultrasound
    B) Buerger’s test
    C) Allen’s test
    D) Trendelenburg test

35. A diminished dorsalis pedis pulse may indicate:
    A) Deep vein thrombosis
    B) Arterial insufficiency
    C) Venous stasis
    D) Aortic dissection

Answer Key

1 D | 2. B | 3. C | 4. B | 5. B | 6. B | 7. B | 8. B | 9. B | 10. C

11 A | 12. A | 13. A | 14. B | 15. C | 16. B | 17. B | 18. D | 19. B | 20. C

21 B | 22. B | 23. B | 24. C | 25. B | 26. A | 27. C | 28. C | 29. B | 30. D

31 B | 32. B | 33. B | 34. A | 35. B