Vascular 🪢

Question 1

40 years female with 12 year history of varicosiries , complain of ll edema and heavness when standing , distal pulses are intact and there is bilateral varicoses in great saphenous vein teratory what is your mx?
1. A- sclerotherapy
2. B- endovascular laser
3. C- thermal ablation

Answer 1

B- endovascular laser ✅💛

Question 2

Dm pt with unilateral leg erythema Increases in dependent position, Cold,
Femoral pulse is present, distal pulse can be palpated No tenderness, no
swelling, no fever Otherwise unremarkable Dx?
A. Cellulitis
B. Arterial insufficiency
C. Superficial thrombophlebitis

Answer 2

B. Arterial insufficiency ✅💛

Question 3

a female patient came complaining of venous spider nevi, no other engorged veins, she wanted to treated cosmetically, what investigation should be done next:
A. CT venography
B. Vein plethysmography
C. Venous duplex
D. No need

Answer 3

Venous duplex ✅💛

Question 4

Upper epigastric pain, pulsating, radiating to back. Diagnosis:
A. AAA
B. Pancreatitis
C. Peptic ulcer
D. Gastritis

Answer 4

AAA ✅💛

Question 5

🟡 Medial ulcer are…

Answer 5

venous ✅💛

Question 6

Eledrly with lateral ankle ulcer with intact pulse What is the most appropriate next step in management?
A. Duplex arterial
B. MRA
C. Angiography
D. CT angio

Answer 6

Note

Correct Answer

Venous US ✅💛

Question 7

Elderly with claudication Which drug should he take?
A Warfarin
B heparin
C aspirin

Answer 7

aspirin ✅💛

Question 8

Diabetic patient walks for 300 meters then feels pain in his legs and must
rest, What probably is the causes?
A) Varicose vein
B) Arterial causes
C) infection
D) Diabetic neuropathy

Answer 8

Arterial causes ✅💛

Question 9

Patient with PAD has 100-meter claudication’s, DM, heavy smoker, not
getting better , how to improve his walking distance?
A) Supervised exercise program
B) Strict glycemic control
C) Smoking cessation

Answer 9

Supervised exercise program ✅💛

Question 10

Pt with history of MI ..x rat show thickness of small bowel Dx
A- Occlusion
B- Obstruction

Answer 10

Occlusion ✅💛

Question 11

65 year-old male patient k/c of DM, HTN and PAD, presented with severe claudication, admitted to the hospital as a case of acute limb ischemia and received thrombolytic therapy. Which of the following is a cause of death during hospital admission?
A. Bleeding
B. Hemorrhagic stroke
C. Pulmonary embolism
D. Myocardial infarction

Answer 11

Hemorrhagic stroke ✅💛

Question 12

64 year-old male k/c of DM2, recently diagnosed with symptomatic peripheral artery disease, started supervised exercise program. Which of the following is recommended to prevent cardiac event?
A. Aspirin
B. Warfarin
C. SC heparin
D. Thrombolytic therapy

Answer 12

Aspirin ✅💛

Note :

Risk of non fatal MI or stroke in patients with PAD in 5 years is 20% !!

Aspirin is heavily recommended

Question 13

Pt came to ER with Rt thigh swelling and hotness with Hx of Afib, what is the best definitive Mx?
1- Femoral embolectomy
2-thrombolysis
3-surgical exploration

Answer 13

Femoral embolectomy 💛✅

Question 14

65 year-old male patient k/c of DM, HTN and PAD, presented with severe claudication, admitted to the hospital as a case of acute limb ischemia and received thrombolytic therapy. Which of the following is a cause of death during hospital admission?
A. Bleeding
B. Hemorrhagic stroke
C. Pulmonary embolism
D. Myocardial infarction

Answer 14

The answer is hemorrhagic stroke due to the risk of thromblytic therapy on top of his risk factors (HTN, DM, and smoker). 💛✅