Vascular

Question 1

When do you surgically fix an AAA?

Answer 1

> 5.5 cm

Question 2

Older patient with back pain + a pulsetile mass?

Answer 2

AAA

Question 3

Diag for AAA?

Answer 3

US

Question 4

tearing pain radiating to the back?

Answer 4

Dissection

Question 5

StanfordA vs B?

Answer 5

A = Ascending (surgery), B (BB)

Question 6

Xray of dissection has…

Answer 6

Lost of aortic knob

Question 7

Claudaication Leriche’s, and ED that is better with rest is…

Answer 7

PAD -poikilothermia = cold

Question 8

Classic presentation of Afib and an arterial occlusion?

Answer 8

Pain outta proportion. SMA, IMA = abdomen

Question 9

How do you Diag PAD?

Answer 9

Angiography* US duplex, MRA, ABI

Question 10

What disease is associated with Giant Cell

Answer 10

Polymyalgia Rhematica

Question 11

Diag of Temporal arteritis?

Answer 11

Very high CRP/ESR

Question 12

Complication of Temporal Arteritis?

Answer 12

Blindness

Question 13

Tx of Temporal Arterities?

Answer 13

High dose Steroids.

Question 14

Veinous occlusion, palpable cord, induration is…

Answer 14

thromboplebitis

Question 15

how do you tx thrombophlebitis?

Answer 15

Heat and elevation

Question 16

Varicose vein TX?

Answer 16

stocking and elevation

Question 17

Painless ulcer at the heal is?

Answer 17

Chronic venous insufficiency

Question 18

Unilateral calf swelling + protein S deficiency is?

Answer 18

DVT

Question 19

How do you diag DVT?

Answer 19

Non compress US or D-dimer

Question 20

How do you tx DVT?

Answer 20

LMWH

Question 21

What is a TIA?

Answer 21

Sudden onset for a few minute ischemia (Warning sign)

Question 22

How do you diagnose a TIA?

Answer 22

nonCT + Echo to see where the clot is from

Question 23

What is the Tx to TIA?

Answer 23

ASA, Clopidegrol, BP and Lipid control

Question 24

What is a ischemic stroke

Answer 24

80% of strokes - embolic from A fib.

Question 25

If the ischemia leads to speed/gait issues, where is it?

Answer 25

Cerebellum

Question 26

How do you diag a Stroke?

Answer 26

1st Glucose, 2nd CT (R/o Hemorragic) 3rd MRA + ECG

Question 27

What is the tx of thrombotic stroke?

Answer 27

tPA, altaplace + ASA/Clop

Question 28

Contraindications to tPA?

HIS ID

Answer 28

Hemorragic stroke, intracranial mass, stroke > 1 year, Internal bleed, Dissection

Question 29

Sudden onset worst headache, BP, Neck stiffness and syncope presentation is?

Answer 29

SAH

Question 30

SAH diagnoses?

Answer 30

CT–> LP any RBC or Xanthochromia (bleeding)

Question 31

How do you treat a SAH?

Answer 31

Clipping or coiling aneurysm.

Question 32

How do you treat Raynauds?

Answer 32

CCB and Alpha1s

Question 33

Protein C deficiency can cause?

Answer 33

Warfarin necrosis

Question 34

What auscultatory sound is associated with STEMI?

Answer 34

S4 gallop (increased atrial contraction against resistance).

Question 35

Side effect of lidocaine? Like Buspirone

Answer 35

Seizure

Question 36

2 or more runs of unsustained V tach needs with CAD?

Answer 36

ICD placement

Question 37

viral, radiation, RA, and Uremia can all cause what?

Answer 37

Pericarditis

Question 38

Does ketoconazole affect warfarin?

Answer 38

Yes

Question 39

AV node reentry is what? and 1st line is?

Answer 39

PSVT, vasalgaval - adenosine

Question 40

Do use short CCB in angina with CAD like (nif/nica)

Answer 40

No

Question 41

What med helps in a patient with both CHF and Afib/

Answer 41

Beta blockers

Question 42

What med can increase LDL levels?

Answer 42

Thiazides or beta blockers

Question 43

PAD prevention med (vs acute med) is?

Answer 43

Statins

Question 44

what do you give a patient when underwent a PCI?

Answer 44

ASA or P2Y12