Vasc

Question 1

Features of venous ulcer

Answer 1

• Hyperpigmentation
• Medial or lateral malleolus
• Not associated with significant pain

Question 2

Superficial thrombophlebitis Mx

Answer 2

Naproxen

Question 3

Improving venous ulcer mx / prophylaxis against further lesions

Answer 3

Compression stockings

Question 4

Features of arterial ulcer

Answer 4

• Deeply penetrating
• Reduced vibration sense

Question 5

AAA screening programme

Answer 5

Question 6

Surgical mx for claudication
1) aortoiliac disease
2) femoropopliteal disease

Answer 6

1) aortobifemoral bypass graft
2) femoropopliteal bypass graft

Question 7

Mx for necrotic tissue on ulcer

Answer 7

Sharp debridement

Question 8

Acute v critical limb ischaemia

Answer 8

Acute
Occurs due to formation of clots/ blood vessel blockage
- 6Ps
- Emergency
- Sudden

Critical
Occurs due to blockage/ narrowing of arteries in the lower extremities
- Limb is pink
- Gradual

Question 9

Mx for acute limb ischaemia! pls confirm

Answer 9

• High flow O2
• Unfractionated heparin infusion
  +/- surgical intervention - embolectomy

Question 10

What is normal ABPI?

Answer 10

1-1.4

Question 11

What is mx for ABPI 0.9-1.4 with intermittent claudication?

Answer 11

structured exercise program is recommended

Question 12

What is mx for ABPI <0.9?

Answer 12

Peripheral arterial disease (PAD)
- Lifestyle modifications, e.g., smoking cessation, regular exercise, and healthy diet
- Med: antiplatelet therapy and statins

Question 13

Blood supply to lower limb

Answer 13

• From common iliac!
• Internal iliac: booty
• External iliac: upper thigh
• ^ Common femoral: lower thigh
• ^ Superior femoral: calf