Aortic disease

Question 1

unequal pulses / BP indicates what condition?

Answer 1

aortic dissection

Question 2

what is the classic triad for AAA rupture?

Answer 2

pain
hypotension
pulsatile abdominal mass

Question 3

what are the treatment options for AAA?

Answer 3

smoking cessation
lipid control
BP control

aspirin
BBs
ACEIs

Question 4

what are the screening recommendations for AAA?

Answer 4

one time screening men 65-75 who have ever smoked

Question 5

what tests are used for aortic aneurysm diagnosis?

Answer 5

CT
MRI
echo

Question 6

DeBakey I aortic dissection occurs where? what is the prognosis?

Answer 6

ascending aorta

very poor

Question 7

DeBakey II aortic dissection occurs where?

Answer 7

ascending aorta

Question 8

DeBakey III aortic dissection occurs where?

Answer 8

descending aorta

Question 9

what is the common quality of pain in patients with an aortic dissection?

Answer 9

ripping / tearing pain with sudden intensity

Question 10

what can be used for management of acute aortic dissection?

Answer 10

IV beta blockers

Question 11

what are the follow ups for serial imaging after aortic dissection?

Answer 11

1, 3, 6, 12 months

Question 12

what test can help locate a type A (ascending) or type B (descending) aortic dissection?

Answer 12

CTA

Question 13

which type of aortic dissection is a medical emergency?

Answer 13

type A (ascending)

Question 14

what should be done with dP/dt and atherosclerosis in the context of aortic dissection?

Answer 14

decrease