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Flashcards in Cardiac/Vascular Deck (37):
1

Size indication for AAA repair

5.5cm (men), 4.5cm (women)

2

Immediate diarrhea following AAA suggests

Inferior mesenteric ischemia

3

Brisk GI bleeding following AAA repair suggests ____

aortoenteric fistula (duodenal usually)

4

Diagnosis of aortic dissection

CT

5

Management of aortic dissection involving ascending aorta

emergent surgery

6

Management of aortic dissection involving descending aorta

BP/HR lowering; surgery/stent for compromise of renal/mesenteric/iliac vessels

7

Normal ankle-brachial index

>0.9

8

Indications for surgery in PVD

rest pain, gangrene, threatened limb

9

Which pathology? post-prandial abdominal pain and weight loss

Chronic intestinal ischemia

10

Diagnosis of chronic intestinal ischemia

Duplex US or CTA/MRA

11

Lab findings in reperfusion syndrome

hyperkalemia, metabolic acidosis, myoglobinemia

12

Indications for carotid endarterectomy

>50% symptomatic; >60-70% asymptomatic

13

Indication for IVC filter

C/I to anti-coagulation or PE in spite of anti-coagulation

14

Diagnosis of varicose veins

Doppler US of saphenofemoral junction

15

First-line treatment of chronic venous insufficiency

Compression stockings and wound care

16

Which diagnosis? Diffuse painless chronic enlargement of extremities

Lymphedema

17

Which diagnosis? stridor, respiratory distress, difficulty swallowing

Vascular Ring

18

Diagnosis of vascular ring

Barium swallow or bronchoscopy

19

Which congenital defect? recognized in late infancy, frequent colds, fixed split S2

ASD

20

Which congenital defect? pan systolic murmur at LUSB and prominent pulmonary markings on CXR

VSD

21

_____ VSD typically close by age 2-3, while _____ VSD typically require surgical closure

Muscular septum; membranous septum

22

Which congenital defect? symptomatic within days, bounding peripheral pulses

PDA

23

Indications for indomethacin for PDA

Prematurity

24

Which congenital defect? small for age, acrocyanosis, clubbing, relief with squatting

Tetralogy of Fallot

25

Which congenital defect? 1-2 day old child developing cyanosis

Transposition of Great Vessels

26

Indications for aortic valve repair in stenosis

>50mmHg gradient, CHF/angina/syncope

27

Indications for aortic valve repair in insufficiency

LV dilatation

28

Which diagnosis? DOE, orthopnea, cough, paroxysmal nocturnal dyspnea

Mitral stenosis

29

EKG abnormality in mitral stenosis

Atrial fibrillation

30

Treatment of mitral insufficiency

Annuloplasty

31

Indication for cardiac interventions

Stenosis >70%

32

Low CO following cardiac surgery means ____ if low PCWP and ____ if high PCWP

hypovolemia; ventricular failure

33

Which diagnosis? DOE, ascites, hepatomegaly, cardiac cause

Constrictive Pericarditis

34

Which diagnosis? Square root sign on cardiac catheterization (equalization of pressures)

Chronic Constrictive Pericarditis

35

Work-up of coin lesion

CT and sputum cytology; bronchoscopy or VATS/wedge resection if indeterminant

36

Operability of lobectomy

Must have residual minimal FEV1 of 800ml

37

____ metastases in lung cancer are amenable to pneumonectomy

Hilar