Vascular

Question 1

Obstructed R femoral artery with pain going up stairs. What treatment?
a) Angioplasty b) Heparin

c) Clopidogrel d) Warfarin
e) Exercise

Answer 1

Always recommend targeted walking exercise. The results of exercise training are as effective as angioplasty

Question 2

Blocked R femoral artery. Lady has AF. What to do in addition to heparin?
a) Percutaneous suction thrombectomy
b) Percutaneous wave thrombolysis
c) Embolectomy
d) Transcutaneous shock wave therapy
e) Warfarin

Answer 2

Embolectomy

Question 3

Old dude with claudication after 100m. 2cm long occlusion (90%) of femoral artery. What’s the treatment?
a) Stent/angioplasty
b) Exercise review in 3 months
c) Femoral popliteal bypass

Answer 3

Exercise review -

claudication distance less than 50 metres… surgical review

Question 4

Reynaud’s syndrome. Treatment?
a) Nifedipine
b) Propranolol

Answer 4

Nifedipine (CCB)

Question 5

Reynaud’s syndrome. Drug to avoid? a) CCB
b) Beta blocker

Answer 5

BB, espeically nonselective like propanalol