Vascular disease

Question 1

Two types & each with an example

Answer 1

occlusive (e.g. intermittent claudication)
vasospastic (e.g. Raynauds)

Question 2

How does occlusive peripheral vascular disease occur

Answer 2

occlusion of peripheral arteries caused by atherosclerosis

Question 3

Peripheral arterial occlusive disease is associated with…

Answer 3

increased risk of CV events

Reduce by lifestyle changes e.g. smoking cessation, controlling BP, regulating blood lipids, antiplatelet therapy, diet and exercise etc.

Question 4

What is intermittent claudication in occlusive peripheral vascular disease

Answer 4

pain affecting calf, and less commonly the thigh and buttock, that is induced by exercise and relieved by rest

Question 5

Management of Raynaud’s

Answer 5

○ Avoidance of exposure to cold
○ Smoking cessation
○ If lifestyle modifications fail and symptoms are having a significant negative impact, consider trial of nifedipine as prophylaxis