part 1

Question 1

What is a marker of advanced systemic atherosclerosis?

Answer 1

PAD

Question 2

how do the arteries get narrowed?

Answer 2

deposits of cholesterol and lipids within the vessel

-exact cause is unknown but inflammation and endothelial injury play a bog part

Question 3

where is the problem if you have caludication in the butt or thighs?

Answer 3

iliac arteries

Question 4

Where is the problem if you have caludication in the calf?

Answer 4

femoral or popliteal

Question 5

What is a classic sign of PAD?

Answer 5

caludication caused by exercise

-resolves within 10 monutes

Question 6

Symptoms of PAD critical limb ischemia?

Answer 6

rest pain lasting more than 2 weeks
arterial leg ulcers
gangrene

Question 7

What meds are used to treat PAD?

Answer 7

ACE inhibitors
STATINS
oral antiplatelet therapy: ASA, clopidogrel (Plavix)
Intermittent caludication: cilostazol and pentoxifylline

Question 8

What do we need to teach pt’s about with taking plavix?

Answer 8

omeprazole (prilosec) reduces the effects of plavix by half

Question 9

What are the IR procedures for CLI from PAD?

Answer 9

PTA: percutaneous transluminal angioplasty
stent
atherectomy
cryoplasty (PTA and cold therapy)

Question 10

• nonatherosclerotic recurrent inflammatory disorder
• can be confused with PAD or other autoimmune
• intermittent claudication of feet, hands, arms
• chronic periodontal infection

Answer 10

thromboangitis obliterans (buergers disease

Question 11

What is the tx for buergers disease?

Answer 11

complete cessation of tobacco and marijuana use