Varicose Vein

Question 1

Venous system of LL contains

Answer 1

Superficial venous system : Great saphenous vein & Short saphenous vein
Deep venous system : Paroneal veins , Ant. Tibial veins, Post. Tibial veins

Question 2

SSV drains into

Answer 2

Saphenopopliteal junction (SPJ)

Question 3

GSV drains into

Answer 3

SFJ

Question 4

The cranial ( Posterior ) extension of SSV is known as

Answer 4

Vein of Giacomini which drains into the great saphenous vein

Question 5

What is VV

Answer 5

Dialated tortuous veins with defective valves

Question 6

Diameter of the vein should be how much to call it as varicose vein

Answer 6

> 3 mm

Question 7

What is corona phlebectatica/malleolar flare

Answer 7

Fan shaped pattern of Telangiectasia (thread veins) on ankle or foot
Early signs of advanced venous disease

Question 8

What is Atrophie Blanche

Answer 8

Whitish/depigmented area surrounded by thread vein
Early sign of advanced venous disease

Question 9

Inverted champagne bottle appearance seen in

Answer 9

Lipodermatosclerosis

Question 10

Which sign is seen on duplex scan in patient with varicose vein

Answer 10

Mickey Mouse appearance
(Femoral Vein , Great saphenous vein , Common saphenous artery )

Question 11

Which clinical test is perform in varicose vein

Answer 11

Trendelenburg test

Question 12

What is morrisey cough impulse

Answer 12

Ask the patient to cough , if cough impulse is felt at saphenofemoral junction —- inconpetence of SFJ

Question 13

What is Schwartz test

Answer 13

Tap over incompetent vein
If thrill is felt at SFJ —— incompetence of SFJ

Question 14

Which test denote the size of incompetent perforator

Answer 14

Fegan method & multiple tourniquets test

Question 15

Which test is done to rule out DVT

Answer 15

Modified perthes test

Question 16

What is the treatment of choice for vv

Answer 16

EVLT or RFA

Question 17

Total number of perforators are

Answer 17

100-150

Question 18

Which is the largest perforator

Answer 18

SFJ

Question 19

Name of thigh perforator is

Answer 19

Hunterian

Question 20

Above knee perforator is

Answer 20

Dodd

Question 21

Below knee perforator is

Answer 21

Boyd

Question 22

What are the three cocktail perforator

Answer 22

5,10,15 cm above medial malleolus

Question 23

Which perforator are at the level of heel

Answer 23

May/kuster perforator

Question 24

Name some of the sclerosis agent

Answer 24

3% sodium tertaacetyl sulphate
3% polidocanol
5% ethanolamine oleate

Question 25

What is tessari method

Answer 25

Air as Sclerosant use (1:3 or 1:4) Maximum sclerosant in one sitting is 10-12 ml)

Question 26

What is the most common complication of varicose vein surgery

Answer 26

Wound infection

Question 27

MC site for venous / varicose ulcer Is

Answer 27

Medial malleolus (gaiter area of leg)

Question 28

Which regimen is used as management of varicose vein

Answer 28

BISGAARD regime

Question 29

Only drug which is approved for the varicose vein management is

Answer 29

Pentoxifylline 

Question 30

What is marjolin ulcer?

Answer 30

Malignant change seen in varicose vein.

Question 31

Marjolin ulcer is

Answer 31

SCC

Question 32

What is the management for marjolin ulcer?

Answer 32

Wide Excision Cauliflower edges

Question 33

What is klippel Trenaunay Syndrome

Answer 33

It is a mesoderm abnormality Non familial syndrome Vestigial veins present

Question 34

Wife is the DD of klippel Trenaunay Syndrome

Answer 34

Park Weber’s Syndrome

Question 35

Position of saphenofemoral junction

Answer 35

It has constant position (4 cm away from the pubic tubercle)

Question 36

SSV is associated with which nerve

Answer 36

Sural Nerve

Question 37

Which classification is used for varicose vein

Answer 37

CEAP CLINICAL; ECOLOGICAL; ANATOMICAL; PATHPHYSIOLOGICAL

Question 38

In which patients compression garments avoided

Answer 38

Patient with low ankle branchial pressure index

Question 39

In EVLT how much nm laser is used

Answer 39

1470 nm 69 J/cm of heat

Question 40

Compression garments class I to IV are

Answer 40

Class I : 14-17 mm Hg Class II : 18-24 mm Hg Class III . 25-35 mm Hg Class IV : > 35 mm Hg

Question 41

TOC in patient with VV are

Answer 41

Endothermal ablation