A N P 2 M 3 CASE STUDY

QUESTION

1

1. Bonnie, a 52-year-old female, has been having some mild pain in her legs recently and is not sure if she should be concerned about it. She decides to visit her primary care physician since the pain isn’t going away. Bonnie tells her physician that the pain feels like a “general soreness or ache” and seems to be worse on the left side. Her physician notes that the left lower leg seems slightly swollen when compared to the right and feels slightly warmer than the right leg.
 
Bonnie has a history of smoking (1-2 packs/week in her 20s and 30s). She has a BMI of 29. She travels often to see her family that lives across the country. The only medication she has ever taken regularly was oral contraceptives. Now that she is peri-menopausal, she has been treating her symptoms with hormone replacement therapy.
 
Which of these statements is most likely correct?

Bonnie has deep vein thrombosis.

Bonnie’s leg pain is likely caused by shin splints. Save Time On Research and Writing Hire a Pro to Write You a 100% Plagiarism-Free Paper. Get My Paper

Bonnie is likely experiencing osteoarthritis.

Bonnie is experiencing symptoms relating to peripheral neuropathy.

1 points   

QUESTION 2

1. Bonnie’s physician suspects DVT. Which of the following procedures would likely be used to diagnose this condition?

Ultrasound

Blood glucose test

X-ray

Arteriogram

1 points   

QUESTION 3

1. Briefly define “thrombus” in your own words.

1 points   

QUESTION 4

1. Many of the symptoms Bonnie is experiencing could be related to cardiovascular issues, like DVT.  Which of the following symptoms would also relate to that diagnosis?

Cold extremities

Red or discolored skin on her legs

Numbness in her hands and fingers

Numbness following the S1 dermatome

1 points   

QUESTION 5

1. How does Bonnie’s frequent traveling relate to her diagnosis? Briefly explain this in your own words.

1 points   

QUESTION 6

1. Pulmonary embolism is the most common complication of DVT. List and briefly describe 3 symptoms that Bonnie should look out for.

1 points   

QUESTION 7

1. Which of the following factors would NOT be related to Bonnie’s risk of DVT?

Recent surgery

Childhood disease history

Family history of pulmonary embolism

Personal history of cancer

1 points   

QUESTION 8

1. Which of the following is NOT a common treatment for DVT?

Clot busters

Compression stockings

Blood thinners

Coagulants

1 points   

QUESTION 9

1. Which of the following statements is true?

Bonnie’s history of oral contraceptives and current use of hormone therapy is not a risk factor for DVT.

Bonnie’s condition could be caused by a genetic condition that increase the risk of clotting.

Treatment for Bonnie’s condition should last a total of about 2-3 days.

Bonnie’s condition will likely be treated with stent placement.

1 points   

QUESTION 10

1. List and briefly describe 3 prevention measures that Bonnie can take to avoid further complications.

1 points   

QUESTION 11

1. Chen, a 78-year-old male has a long history of cardiovascular disease. Recently, he has developed “blue lines” bilaterally, distal to the knees. He is worried that this could be a sign of another heart attack or something similar, so he decides to seek treatment. His physician notes that Chen’s right leg has twisted bulging veins that are blue in color. His left leg has lighter-colored blue lines that are not raised from the surface of the skin. Chen reports that his right leg hurts, especially during and after exercise.
 
Chen reports that his father had varicose veins. Chen reports that he is mostly sedentary and spends a lot of time watching TV or playing board/card games. His BMI is 24, BP is 130/78, and pulse is 68.
 
Based on the information given, which of the following statements is most likely true?

Chen has varicose veins bilaterally.

Chen has varicose veins in his right leg and spider veins in his left leg.

Chen has varicose veins in his left leg and spider veins in his right leg.

Chen has spider veins bilaterally.

1 points   

QUESTION 12

1. If Chen has varicose veins, which of these other symptoms may he experience? (Select all that apply.)

Achy, heavy feeling in his legs

Itching around the raised veins

Skin ulcers

High blood pressure

1 points   

QUESTION 13

1. Exercise and elevation of the legs are to self-care options to treat varicose veins.

 True

 False

1 points   

QUESTION 14

1. Which of the following statements is true?

Varicose veins are common in people under 30 years of age.

Varicose veins are common in pregnancy.

Men are more likely to develop varicose veins than women.

Exercise should be avoided, as increased heart rate places extra stress on the damaged vessels.

1 points   

QUESTION 15

1. Which part of Chen’s medical information is most likely NOT a risk factor for varicose veins?

Body mass index

Sedentary lifestyle

Family history

Cardiovascular disease

1 points   

QUESTION 16

1. List and briefly describe 3 complications that can occur if varicose veins go untreated.

1 points   

QUESTION 17

1. Briefly describe how a high-fiber, low-salt diet would help prevent the development of varicose veins.

1 points   

QUESTION 18

1. Define “telangiectasia” in your own words.

1 points   

QUESTION 19

1. Which of the following statements is true regarding Chen’s treatment?

Spider veins always require medical treatment.

Endoscopic vein surgery is a first-line therapy for varicose veins.

Vein stripping is a common outpatient procedure that involves removal of small veins.

Compression stockings are effective for spider veins, but not varicose veins.

1 points   

QUESTION 20

1. Which of the following at-home measures may help treat and prevent varicose veins? (Select all that apply.)

Elevate your legs several times each day

Avoid wearing tight waistbands

Avoid sitting with legs crossed

Wear high heels to increase calf muscle activity

1 points