Aneurysms

Question 1

what increase in size is needed for an aneurysms

Answer 1

1.5 times normal size

Question 2

what layers does an aneuysms effect

Answer 2

all layer

Question 3

what are teh risk factors for an aneyrs

Answer 3

male, age, family hisstory, ct disordres such as marfan and ehlers danlos, smoking, hypertension

Question 4

what is the effect of diabets on anyersum

Answer 4

can reduce risk

Question 5

what is the mortaility for an aaa

Answer 5

75%

Question 6

what is a retropertian stucte

Answer 6

one at lies bethigede the pernotnal cavity

Question 7

what i the risk of rupre of an aneys of 5 cm

Answer 7

about 3-15%

Question 8

what is the risk of rupture of an anyers of great than 7 cm

Answer 8

20-40%

Question 9

what is teh risk of ruputre of an anyers great than 8 cam

Answer 9

30-50%

Question 10

who is elegic for the aaa screening

Answer 10

all those over 65 and men

Question 11

what size aortic anyes is nomral

Answer 11

less than 3 cm

Question 12

what size aaa should be surveice

Answer 12

3-5.5 cma

Question 13

what size aaa should have aortic surgyr

Answer 13

greater than 5 cm

Question 14

what may be seen on clicnal examination of an aaa

Answer 14

mass just about umbilicus
presnece of ppopliteal artyer anurys - 50% also have aaa

Question 15

what are the medical co moribes assoiced with aaa

Answer 15

ihd, mi
copd, interisla lung diseae
ckd
cancer
connective tissue disorder
long ter health proms
previosu surgy
previous anaethiscs

Question 16

what is drugs relavent to aaa medial hsitory pre surgury

Answer 16

statins, smoking, allergies, regualr medication - anticogaules or long term steros

Question 17

What is an open aaa repair

Answer 17

opening abdomen, cross clamping abdomal aorta, opening aneyrs sac, sewing rat poxaml and distally, closing abdomnem

Question 18

what is a endovascular prepai

Answer 18

passing canula thorugh femoral artersi, injecting dye, stneing grafts deployed sequentially, ballooned to ensure good seal, special closure device

Question 19

what is the bedinfi of an open aaa surgy

Answer 19

no long term sure, better long term outcomes

Question 20

what is the beinfit of a evar

Answer 20

lower up front mobirdiy and mortailty, but higher long term servaic and re intervention rate, and not all anyres sutible

Question 21

what imaging is done for aaa

Answer 21

cta

Question 22

what pre surgy tests are done

Answer 22

blood, ec, echo, and pulmoary fuction tests, cardio pulomary exercise tests, anastehic review

Question 23

what size of aaa do you need to tell the dvla for a car/ motorcycle licen and what size can you not driveq

Answer 23

if it is greater than 6 cm and if greater than 6.5 don’t drive

Question 24

what size aaa should you tell the dvla if you are a professional driver and what size should you not drive

Answer 24

any size, must not drive if it is great than 5.5cm

Question 25

what is the symptosn of a rupture aaa

Answer 25

abdomial, back pain and hypotension

Question 26

what should be prepared in advace of ruptre surgy

Answer 26

corss mathc blood for major heamorgr protce fbc u and e ct angiogram 2 large bore iv access

Question 27

what are some complication of aaa

Answer 27

emboli, and thromosbs

Question 28

what is teh mangemet of dvt and thromos form poplieal arteyr aneurys

Answer 28

anticoagus e..g iv heparin, ct angiogarm, analsea, fbc, u and e, cogaulotn scree, g and s

Question 29

pseudoanyers

Answer 29

false anyersym

Question 30

deboryp anyers type 1, 2 and 3

Answer 30

1 - all aorta 2 - asein and arch 3 - desing

Question 31

stnafor type a

Answer 31

aseicng

Question 32

stanford type b

Answer 32

deseings