PAD Flashcards

1
Q

Signs of Acute Limb Ischemia include:

A

Pulseless (all classes)
Pain
Pallor
Paresthesia
Paralysis

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2
Q

Typical clinical picture of Chronic Limb Ischemia […]

A

Intermittent claudication
Relieved by rest

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3
Q

[…] is the first sign in all classes of ALI

A

Absent pulse

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4
Q

ALI classes:
Class 1 : […]
Class 2 : […]
Class 3 : […]

A

1: Moderate pain
2: Severe pain, paresthesia
3: No pain, paralyzed limb

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5
Q

[…] is a common cause of ALI in cardiac patient (recent MI / A fib)

A

Arterial Emboli

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6
Q

Most appropriate first step in management of ALI is […]

A

Heparin
💚💉

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7
Q

Best confirmatory test for Acute Limb Ischemia […]

A

Angiography

ALI= Angio

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8
Q

Best confirmatory test for Chronic Limb Ischemia […]

A

CT-A = DSA

CLI= CTA

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9
Q

Steps in the approach of ALI:
Heparin -» […] -» […] -» Angiography

A

Heparin - Duplex US - CTA - Angio

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10
Q

Definitive first line treatment of ALI is […] unless in cardiac cause or A fib where […] is indicated

A

Catheter thrombolysis
Unless cardiac » Embolectomy

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11
Q

Choose Amputation in ALI case if :

A
  1. Acute on chronic
  2. Class III with irreversible paralysis
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12
Q

Most common risk factor for a venous ulcer is […]

A

Venous hypertension
Followed by age

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13
Q

In foot ulcer with absent pulse indicating […] issue. […] is most appropriate for diagnosis

A

Arterial
Arterial US

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14
Q

In foot ulcer with intact pulse & dark skin discoloration, indicating […] issue. […] is most appropriate for diagnosis

A

Venous
Venous US

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15
Q

Patient with PAD, how to improve walking distance?

A

Supervised exercise program

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16
Q

Elderly smoker with DM comes for ulcer on the tip of three of his toes, diminished dorsalis pedis bilaterally but intact popliteal pulse. Best initial management:

A

Debridement
If not present : Diet & lifestyle modifications

17
Q

Diabetic patient with pseudo-hyperepithelizstion in situ
What should you do?

A

Repeat biopsy
To role out SCC

18
Q

For patient with AAA
Who is asymptomatic and stable
Next step : […]

A

US (screening)

19
Q

For patient with AAA
Who is symptomatic but stable
Next step : […]

A

CTA

20
Q

For patient known case AAA
Who is unstable
Next step : […]

A

Immediate laparotomy

21
Q

For patient present with AAA symptoms (unknown case)
Who is currently unstable
Next step : […]

A

US

22
Q

During lap chole you found AAA 4.5 cm
What you will do?

A

Do the surgery and follow up with US

23
Q

Screen for AAA in heavy smokers at age […]

A

65

24
Q

Which electrolyte disturbance is seen after AAA repair?

A

HypoMg

25
Q

67 yo male diagnosed with PAD. Best way to prevent cardiovascular event:
A. Warfarin
B. Heparin
C. Aspirin
D. Clopidogrel

A

C. Aspirin

26
Q

65 yo male present to ER with acute left LL pain for 3 hours associated with numbness & absent pulse. ECG: atrial fibrillation. Best next step:
A. Heparin
B. CT angio
C. Arteriography
D. US doppler

A

A. Heparin
Absent pulse » confirm with ABI
1. Start heparin
2. CT angio
3. Angiography with revascularization