Vascular

Question 1

ruptured AAA

management?

Answer 1

immediate vascular review

CT angiogram if stable
endovascular repair

Question 2

peripheral arterial disease medications?

dose?

Answer 2

statin 80mg

and antiplatelet (clopidogrel)

Question 3

Drugs licensed for use in peripheral arterial disease

Answer 3

naftidrofuryl oxalate
vasodilator

Question 4

cilostazol

Answer 4

phosphodiesterase III inhibitor

Question 5

endovascular revascularization

Answer 5

<10cm short segment stenosis

aortic iliac disease
high risk patients

Question 6

surgeical revascularization?

Answer 6

long segment lesions >10cm

Question 7

group and save

Answer 7

find out and store sample

Question 8

crossmatch

Answer 8

confirm blood type and select suitable blood products

then mix small amount to check for reaction

Question 9

screening for aaa?

Answer 9

single abdominal USS
>65 men

Question 10

superficial thrombophlebitis

Answer 10

ensure USS to exclude DVT

> anti embolism stockings
LMWH / fondaparinux

Question 11

embolic acute limb ischaemia

Answer 11

pale
pulseless
painful
paralysed
paraesthetic
perishingly cold

Question 12

Ix acute limb ischaemia?

Answer 12

handheld arterial doppler exam

abI

Question 13

thrombotic or embolic?

suggesting embolic?

Answer 13

sudden onset
Afib / MI

normal pulses

proximal aneurysm?

Question 14

Mx of Ischaemic limb

Answer 14

ABC
analgesia

IV heparin
vasc review

Question 15

when do you rescan in 12 months AAA?

Answer 15

3-4.4 cm

Question 16

velocity of growth which is indicative of surgery?

Answer 16

0.3cm over 6 month
0.6cm /1 year

Question 17

high rupture risk

Answer 17

5.5cm

Question 18

lipodermatosclerosis

Answer 18

tightened, hardened skin

Question 19

venous ulcer

Answer 19

shallow/ irregular

Question 20

haemosiderin deposition

Answer 20

skin hyperpigmentation

Question 21

investigation of chronic venous insufficiency?

Answer 21

venous duplex USS

Question 22

venous duplex USS

Answer 22

retrograde venous flow

Question 23

peripheral artery disease IX

Answer 23

duplex USS
> MRA

Question 24

interpreting ABPI

claudication
rest pain

Answer 24

0.6-0.9
0.3-0.6

Question 25

assessing intermittent claudication?

Answer 25

aching / burning femoral / popliteal / posterior tibialis dorsalis pedis pulses ABPI Duplex USS MRA

Question 26

ABPI >1cm?

Answer 26

diabetes vessel calcification

Question 27

angioplasty?

Answer 27

minimally invasive procedure which widens the narrowed or obstructed vessel improves blood flow alleviates symptoms

Question 28

Mx of acute limb ischaemia?

Answer 28

analgesia IV heparin vascular review

Question 29

acute limb ischaemia Initial steps?

Answer 29

handheld doppler pulse examination ABPI

Question 30

cervical rib can cause?

Answer 30

thoracic outlet syndrome

Question 31

Subclavian steal syndrome

Answer 31

proximal stenotic lesion of subclavian artery syncopal symptoms

Question 32

initial mx of acute limb ischaemia

Answer 32

paracetamol codeine IV heparin vascular review

Question 33

neuropathic ulcer

Answer 33

pressure point painless

Question 34

Marjolin's ulcer

Answer 34

SCC lower limb

Question 35

venous ulcer

Answer 35

medial malleolus painless