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Written Boards - Final > Vascular > Flashcards

Vascular Flashcards

1
Q

Peripheral lesion angioplasty alone vs stent placement should be placed on what medication after

A

ASA

ASA and plavix

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2
Q

Describe the viability of limbs with Rutherford grade 1, 2a, 2b and 3

S/s diff defining each

A

Viable
Marginally threated, needs prompt treatment
Immediately threatened, needs urgent treatment
Irrev damage, amputation

No findings
toes tingling, art duplex absent
weakness, paraesthesias beyond toes
paralysis, profound sens loss

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3
Q

duration after start of ischemia requiring fasciotomy

A

6h

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4
Q

Describe carotid contents

A
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5
Q

Duration definition of TIA

A

24h

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6
Q

PSV at 50% occlusion
at 70%

A

125
230

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7
Q

Annual risk of stroke for patients with asymptomatic CAS less than 70%

risk of recurrent stroke within one month?

A

1%

7.5%

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8
Q

Stenosis % precluding surgery for sympt patients

Target time after stroke

Asymptomatic stenosis % cutoff?

A

50%

2 weeks

70

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9
Q

4 boxes to check prior to CEA

A

ASA and plavix + statin

CTA

Cards risk strat

Consider laryngoscopy

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10
Q

Post CEA surveillance

A

6m for 2 years u/s

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11
Q

ACT target for CEA
hep bolus dosing

A

250
100mg/kg

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12
Q

classic reds finding for fibromuscular dyplasia

A

beads on a string

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13
Q

MC location of blunt thoracic aortic injury

A
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14
Q

MC unaffected artery for LE claudication below knee in diabetic

A

Peroneal

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15
Q

Symptoms of chronic mesenteric ischemia in young patient. kinked celiac

A

median arcuate ligament syndrome

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16
Q

CT angio vs formal in cold foot situation

A

CT will be quicker and decide whether you can pursue endo vs open

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17
Q

What is the double duct sign concerning the biliary tree?

What is the most common cause? Sometimes this…

A

panc and biliary duct dilations

ampullary masses; big gallstone

18
Q

what condition can inhaled anesthetices, daspsone and inhaled nitric oxide all cause?

Tx?

what is the MOA?

A

methemoglobinemia

methylene blue

meth blue reduces iron ferric back to ferrous form

19
Q

GS for pseudo aneurysm treatment at stick sites? Criteria?

A

thrombin injection; narrow necks and less than 5 cm… also no other complications ongoing

20
Q

How long does concerning venous reflux last

A

0.5s

21
Q

absolute contraindications to CVI intervention

A

clots, immobility, active infection

22
Q

parameters for endovascular ablation

A

2mm-25mm diameter and <0.5cm from skin

23
Q

when to use vein stripping or ligation for CVI

A

very little subQ

24
Q

superficial thrombus more than 5cm????

plus one of the following risk factors

A

fondiparnaux

65+, male, prior DVT, cancer, nonvaricose vein thrombosis

25
Q

when should filter be suprarenal

A

pregnancy

26
Q

treatment for spider veins, what do they look like

A

sclerotherapy or laser therapy

27
Q

what are the 2 varicosity sclerosants

A

sodium tetradecyl sulfate (Sotradecol) and polidocanol (Asclera)

28
Q

which side is the great saphenous on ? small saph?

A

medial

lateral - small saph

29
Q

preferred access for IVC filter placement

A

right common fem vein

30
Q

typical distribution of CVI pain

what makes it better

what worsens it

A

thigh and knee

elevation

walking

31
Q

describe DRIL procedure

A
32
Q

besides steal, what are 2 other complications of AV fistula

A

CHF and venouse hypertension

33
Q

what is usually the issue with AV fistula malfunction

A

venous outflow

34
Q

creatinine clearance at which permanent AV access should be considered

A

25

35
Q

relative position of brachial artery, cephalic vein, and basilic vein

describe a AV fistula formation

A
36
Q

maturation time for av fistula autologous vs prosthetic

A

3-6m

2 weeks

37
Q

MC reason for non-maturation in AV fistula

A

small vein

38
Q

AV access clots at 2 years…. culprit?

A

intimal hyperplasia

39
Q

autogenous v prosthetic 2 year patency

A

40-69 vs 18-30

40
Q
A

Written Boards - Final (21 decks)

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