Vasc

Question 1

triad of ruptured AAA

Answer 1

hypotension, palpable abdominal mass, back or abdominal pain

Question 2

AAA screening- 3 patient populations

Answer 2

1. women over 65 with CV disease and family hx of AAA
2. men aged 65-74
3. men over 50 with positive famhx

Question 3

management of AAA under 3cm

Answer 3

repeat U/S in 3-5 years

Question 4

management of AAA 3.1-3.4cm

Answer 4

repeat U/S in 3 years

Question 5

management of AAA 3.5-3.9cm

Answer 5

repeat U/S in 2 years

Question 6

management of AAA 4.0-4.5cm

Answer 6

repeat U/S in 1 year

Question 7

management of AAA over 4.5cm

Answer 7

refer to vascular surgery, repeat U/S every 6 months

Question 8

growth of AAA over 1cm in 1 year “rapid expander”

Answer 8

refer to vascular for consideration of repair

Question 9

management of ruptured AAA

Answer 9

ABCs, no imaging, straight to OR, crossmatch 10U of PRBCs

Question 10

at what size is risk of rupture equal to risk of surgery for AAA

Answer 10

above 5.5cm

Question 11

what meds are contraindicated in aortic dissection

Answer 11

hydralazine and diazoxide, because they increase shear strength

Question 12

most common cause of aortic stenosis in patients under 70

Answer 12

bicuspid aortic valve

Question 13

most common cause of aortic stenosis in patients over 70

Answer 13

aortic valve degenerative calcification