Vascular

Question 1

AAA screening

Answer 1

Single US for men aged 65+

Question 2

What velocity is high risk for AAA?

Answer 2

> 1 cm / year

Question 3

What diameter is high risk for AAA?

Answer 3

> 5.5 cm

Question 4

Secondary prevention of CVD in patients with PVD?

Answer 4

Clopidogrel 75mg OD

Atorvastation 80mg OD

Question 5

Acute limb ischaemia and syncope - likely vessel + cause?

Answer 5

AF –> embolus in axillary artery

Question 6

Abdominal aortic diameter > 5.5cm + clinically well - management?

Answer 6

Refer to surgeons to be seen within 2 weeks

Question 7

Abdominal aortic diameter 3.0 - 5.4cm + clinically well - management?

Answer 7

Refer to surgeons to be seen within 12 weeks

Question 8

Young asian patient with absent peripheral pulses - diagnosis?

Answer 8

Takayasu’s arteritis

Question 9

ABPI uses which mode of imaging?

Answer 9

Hand-held doppler

Question 10

Lymphoedema - what imaging?

Answer 10

1st –> colour duplex US

2nd –> lymphoscintigraphy

Question 11

Acute DVT - imaging?

Answer 11

Colour duplex US

Question 12

Fracture of shaft of humerus - what artery most commonly affected?

Answer 12

Brachial

Question 13

Which vessel supplies blood to the thigh muscles?

Answer 13

Profunda femoris

Question 14

Which artery supplies lateral compartment of lower leg?

Answer 14

Peroneal artery

Question 15

Provoked VTE (e.g. surgery) –> length of warfarin treatment?

Answer 15

3 months

Question 16

Unprovoked VTE –> length of warfarin treatment?

Answer 16

6 months

Question 17

Bulge lateral to pubic tubercle on crying - diagnosis?

Answer 17

inguinal hernia, due to patent process vaginalis

Question 18

Bulge lateral to pubic tubercle on crying - management?

Answer 18

six/two rule:

< 6 weeks = 2 days
< 6 months = 2 weeks
< 6 years = correct within 2 months

Question 19

Dislocation of the proximal radioulnar joint in association with an ulnar fracture

Answer 19

Monteggia fracture