Vascular

Question 1

Chronic limb ischemia timeline

Answer 1

> 2 weeks

Question 2

Vorapaxar

MOA

Answer 2

Protease activates receptor (PAR) 1 antagonist

Decreases ALI in patients with PAD

Question 3

AAA surveillance

<3.9 cm

4. 0-4.9
5. 0-5.4

Answer 3

Q3yr
Q12 mo
Q6 mo

Question 4

Endoleak types - there are 5

1
2
3

Which to fix

Answer 4

Leak at prox or distal attachment

Leak from collateral flow

Leak in endograft component

Types 1 and 3

Question 5

Surgical cutoff for TAA in:

Turners
Marfan
Loeys-Dietz
BAV

Answer 5

2. 5 cm/m2
3. 0 cm
4. 0 cm
5. 5 cm

Question 6

Which ACs require 5 day heparin overlap when starting

Answer 6

Edoxaban

Dabigatran

Question 7

Carotid cutoff for >70% by Doppler

Answer 7

PSV >230 cm/s

Velocity ratio ICA/CCA >4

Question 8

TPA time limit for CVA
Thrombectomy time limit
Thromvectomy if perfusion guided

Answer 8

4.5 hr
6 hr
<16-24 hr

Question 9

High grade renal stenosis by Doppler

Answer 9

> 300 cm/s

Question 10

Renovascular hypertension if

Answer 10

New increase BP
Failed Med rx
Increased Cr after ACE
Progressive increasing Cr
FMD in young woman (don’t stent FMD, can balloon)
Recurrent flash pulmonary edema

Question 11

5 Ps of limb ischemia

6

Answer 11

Pain
Pallor
Paralysis
Pulse deficit
Paraesthesia
Poikilothermia