Vascular

Question 1

<2-3cm pseudoaneurysm management

Answer 1

Observe with serial US Q2wks

Question 2

Catheter related thrombosis, tx

Answer 2

Therapeutic anticoagulation

Question 3

VTE for major abdominal or pelvic surgery for cancer

Answer 3

4wks

Question 4

Diagnostic test for venous hypertension resulting in dialysis access issues

Answer 4

Fistulogram

Question 5

Conduit of choice for peripheral bypass graft

Answer 5

Autogenous vein

Question 6

Reason for graft failures within 30days

Answer 6

Technical, embolization, inadequate outflow, coag disorder

Question 7

Reason for graft failure 1mo to 2 yrs

Answer 7

Intimal hyperplasia

Question 8

Reason for graft failure > 2yrs

Answer 8

Atherosclerosis

Question 9

Abdominal pain and bloody diarrhea s/p AAA repair; dx and next step

Answer 9

Colonic ischemia, colonoscopy, resuscitate and antibiotics

Question 10

How to prevent life or limb threatening ischemia during AAA repair

Answer 10

Flush through internal iliac artery system

Question 11

Most common location for an embolic event

Answer 11

Common Femoral Artery

Question 12

Diagnostic imaging suppurative thrombophlebitis

Answer 12

duplex US

Question 13

Important landmark during carotid endarterectomy

Answer 13

Facial vein, division provides exposure to carotid bifurcation

Question 14

Diabetic with lower extremity sepsis; tx

Answer 14

Debridement vs amputation, revascularization later

Question 15

Post-thrombotic syndrome; next step in management

Answer 15

LE venogram to determine possible tx

Question 16

Increased risk for post-op renal dysfunction during AAA repair

Answer 16

Age, CKD, Supraceliac clamping

Question 17

Acute mesenteric ischemia due to embolic event; next step

Answer 17

Resuscitate, abxs, anticoagulation, followed by expeditious laparotomy

Question 18

Dyspnea, pleuritic chest pain, cough after cross country flight; dx

Answer 18

PE

Question 19

Endoleak types

Answer 19

I - poor graft seal
II - side branch
III - graft defect
IV - Porous graft
V - No identifiable leak

Question 20

Type of endoleaks that require immediate repair

Answer 20

Type 1 and 3

Question 21

Severe hand pain in dialysis access limb without vascular concern; dx and tx

Answer 21

Ischemic monomelic neuropathy, ligation

Question 22

Management of grade I blunt traumatic aortic injury

Answer 22

BP <100mg and Pulse <100

Question 23

SVC syndrome initial tx

Answer 23

Balloon angioplasty with stent placement

Question 24

Uncomplicated large or failed resolution of small pseudoaneurysm tx

Answer 24

US guided thrombin injection

Question 25

Septic thrombophlebitis tx

Answer 25

Abxs and excision of superficial vein

Question 26

Absolute indications for IVC filter placement

Answer 26

Contraindication to anticoagulation, recurrent thromboembolic dz despite tx, significant bleeding complication while on anticoagulation

Question 27

Pain out of proportion and pain with passive flexion, dx

Answer 27

Compartment syndrome

Question 28

Consideration for dialysis

Answer 28

GFT 10-15 with uremic symptoms or GFR 6 or less

Question 29

Dialysis access site decision tree

Answer 29

Non-dominant hand, distal on extremity using own veins

Question 30

Requirements for AV fistula

Answer 30

Vein 2.5, art 2, no stenosis or calcification, patent palmer arch

Question 30

Requirements for AV fistula

Answer 30

Vein 2.5, art 2, no stenosis or calcification, patent palmer arch

Question 31

Most common form of thoracic outlet syndrome and initial tx

Answer 31

Neurogenic, PT

Question 32

Thoracic outlet syndrome that fails to improve with conservative management; next step

Answer 32

Rib resection, scalenectomy, dissection of brachial plexus

Question 33

Most common affected artery fibromuscular dysplasia

Answer 33

Renal artery

Question 34

Chronic venous insufficiency tx

Answer 34

Compression, wound care, exercise

Question 35

Traumatic knee dislocation with popliteal injury; tx

Answer 35

Contra lateral saphenous vein graft