Dvt/svt

Question 1

risk factor for SVT

Answer 1

varicose veins

Question 2

a common complication of SVT

Answer 2

sclerotherapy

Question 3

investigations for SVT

Answer 3

Doppler ultrasonography/biopsy

Question 4

treatment for SVT

Answer 4

anticoagulation protocol or CI saphenofemoral ligation

check if <2cm or >5cm

Question 5

which common vein SVT occurs in

Answer 5

Saphenous vein

Question 6

Virchow’s triad

Answer 6

stasis, vessel wall damage, hypercoagulability (COC)

Question 7

atherosclerosis which artery

Answer 7

medium or large arteries due to thrombus formation

Question 8

treatment for I claudication

Answer 8

exercise, stop smoking, optimising riskfactors like BP
medication= atorvastatin/ clopidogrel/ vasodilators
surgery/angioplasty

Question 9

investigations for PAD

Answer 9

• Ankle-Brachial Pressure Index (ABPI)
• Arterial Doppler
• Angiography (CT or MRI)

Question 10

cause of rheumatic fever

Answer 10

group A beta-haemolytic streptococcal, typically streptococcus pyogenes causing tonsillitis.

Question 11

presentation of rheumatic fever

Answer 11

fever, rash, migratory joint pain, chorea, SOB, nodules

Question 12

type of skin involvement with rheumatic fever

Answer 12

• Subcutaneous nodules

* Erythema marginatum rash (pink ring shape)

Question 13

what criteria used for diagnosis of rheumatic fever?

Answer 13

Jones criteria

Question 14

complications of rheumatic fever

Answer 14

• Recurrence of rheumatic fever
• Valvular heart disease, most notably mitral stenosis
• Chronic heart failure

Question 15

score system for DVT

Answer 15

wells

Question 16

test for DVT

Answer 16

Doppler ultrasound

Question 17

Investigations for PE

Answer 17

CT Pulmonary angiogram or VQ ventilation-perfusion scan

Question 18

Budd-Chiari syndrome

Answer 18

a blood clot (thrombosis) develops in the hepatic vein, blocking the outflow of blood. It is associated with hyper-coagulable states. It causes an acute hepatitis.

Question 19

triad for budd-chiari syndrome

Answer 19

hepatomegaly
abdominal pain
ascites

Question 20

risk factors for aortic aneurysm

Answer 20

• Ehlers-Danlos Syndrome

* Marfan’s Syndrome

Question 21

presentation of aortic aneurysm

Answer 21

• Tearing chest pain of sudden onset
• Radiating to the back
• Hypertension
• Hypotension (as the dissection becomes more severe

Question 22

key complication of giant cell arteritis

Answer 22

vision loss

Question 23

giant cell arteritis strong link with which condition

Answer 23

polymyalgia rheumatica

Question 24

Diagnosis of GCArteritis

Answer 24

• Clinical presentation
• Raised ESR: usually 50 mm/hour or more
• Temporal artery biopsy findings

Question 25

what can be seen in biopsy for GCArteritis

Answer 25

multinucleated giant cells