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Final Year - Passmed > Vascular > Flashcards

Vascular Flashcards

1
Q

ruptured AAA

management?

A

immediate vascular review

CT angiogram if stable
endovascular repair

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2
Q

peripheral arterial disease medications?

dose?

A

statin 80mg

and antiplatelet (clopidogrel)

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3
Q

Drugs licensed for use in peripheral arterial disease

A

naftidrofuryl oxalate
vasodilator

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4
Q

cilostazol

A

phosphodiesterase III inhibitor

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5
Q

endovascular revascularization

A

<10cm short segment stenosis

aortic iliac disease
high risk patients

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6
Q

surgeical revascularization?

A

long segment lesions >10cm

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7
Q

group and save

A

find out and store sample

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8
Q

crossmatch

A

confirm blood type and select suitable blood products

then mix small amount to check for reaction

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9
Q

screening for aaa?

A

single abdominal USS
>65 men

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10
Q

superficial thrombophlebitis

A

ensure USS to exclude DVT

> anti embolism stockings
LMWH / fondaparinux

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11
Q

embolic acute limb ischaemia

A

pale
pulseless
painful
paralysed
paraesthetic
perishingly cold

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12
Q

Ix acute limb ischaemia?

A

handheld arterial doppler exam

abI

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13
Q

thrombotic or embolic?

suggesting embolic?

A

sudden onset
Afib / MI

normal pulses

proximal aneurysm?

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14
Q

Mx of Ischaemic limb

A

ABC
analgesia

IV heparin
vasc review

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15
Q

when do you rescan in 12 months AAA?

A

3-4.4 cm

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16
Q

velocity of growth which is indicative of surgery?

A

0.3cm over 6 month
0.6cm /1 year

17
Q

high rupture risk

18
Q

lipodermatosclerosis

A

tightened, hardened skin

19
Q

venous ulcer

A

shallow/ irregular

20
Q

haemosiderin deposition

A

skin hyperpigmentation

21
Q

investigation of chronic venous insufficiency?

A

venous duplex USS

22
Q

venous duplex USS

A

retrograde venous flow

23
Q

peripheral artery disease IX

A

duplex USS
> MRA

24
Q

interpreting ABPI

claudication
rest pain

A

0.6-0.9
0.3-0.6

25
Q

assessing intermittent claudication?

A

aching / burning

femoral / popliteal / posterior tibialis
dorsalis pedis pulses

ABPI
Duplex USS
MRA

26
Q

ABPI >1cm?

A

diabetes

vessel calcification

27
Q

angioplasty?

A

minimally invasive procedure which widens the narrowed or obstructed vessel

improves blood flow
alleviates symptoms

28
Q

Mx of acute limb ischaemia?

A

analgesia
IV heparin
vascular review

29
Q

acute limb ischaemia Initial steps?

A

handheld doppler pulse examination

ABPI

30
Q

cervical rib can cause?

A

thoracic outlet syndrome

31
Q

Subclavian steal syndrome

A

proximal stenotic lesion of subclavian artery

syncopal symptoms

32
Q

initial mx of acute limb ischaemia

A

paracetamol
codeine
IV heparin

vascular review

33
Q

neuropathic ulcer

A

pressure point
painless

34
Q

Marjolin’s ulcer

A

SCC
lower limb

35
Q

venous ulcer

A

medial malleolus
painless

Final Year - Passmed (47 decks)

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