Vascular Disease- popcorn

Question 1

Cystic medial necrosis

Answer 1

TAA

Question 2

False channel

Answer 2

TAA

Question 3

Marfans

Answer 3

TAA

Question 4

CP, abdominal pain or back pain

Answer 4

Expanding Aortic aneurysm

Question 5

“False Lumen”

Answer 5

Aortic Dissection

Question 6

Triad:

1. Hypotension
2. Abdominal or back pain
3. Pulsatile abdominal mass

Answer 6

Ruptured AAA

Question 7

60 y/o

Answer 7

avg age of Type A (ascending aorta or aortic arch) aortic dissection

Question 8

mean age 36y/o

Answer 8

Aortic dissection from Marfans

Question 9

Who is aortic dissection most common in?

Answer 9

middle-aged to older males w/ h/o HTN

Question 10

Abrupt onset of pain

Tearing, ripping

Answer 10

Aortic dissection

Question 11

“worst pain ever”

Answer 11

Aortic dissection

Question 12

New high freq. diastolic blowing murmur or AR

Answer 12

Aortic dissection

Question 13

Radiation to the interscapular area

Answer 13

Aortic dissection

Question 14

Gradual, crushing, substernal CP

Answer 14

MI

Question 15

1. BP control with beta blockers
2. smoking cessation
3. control of DM

Answer 15

Patient education for Aortic dissection

Question 16

Chronic vasculitis of large and medium sized vessels

Answer 16

Temporal arteritis (AKA giant cell arteritis)

Question 17

New onset HA >50y/o

Answer 17

Giant cell arteritis

AKA temporal arteritis

Question 18

Auscultate temporal arteries for bruits

Answer 18

Giant cell arteritis

AKA Temporal arteritis

Question 19

Intermittent claudication that resolves in 10 min

“calf pain on exertion”

Answer 19

Peripheral arterial disease

Question 20

Claudication w/ abnormal LE pulses

Answer 20

Peripheral arterial disease

Question 21

Beurger test (Rubor on dependency)

Answer 21

Classic test for PAD

Question 22

well circumscribed, painful ulcers on distal foot/toes

Answer 22

Peripheral arterial disease (PAD)

Question 23

ABI

Answer 23

PAD severity (low= severe)

Question 24

sxs are sudden and dramatic

Answer 24

Acute Arterial occlusion

Question 25

6 Ps:

1. Parasthesia
2. Pain
3. Pallor
4. Pulselessness
5. Paralysis
6. Poikilothermia

Answer 25

Acute Arterial Occlusion

Question 26

Palpable, nodular cord

Answer 26

Superficial thrombophlebitis

Question 27

Elevation, warm compresses, NSAIDs

Answer 27

Tx for superficial thrombophlebitis in absence of other sxs (fever, etc)

Question 28

Job with prolonged periods of standing

Answer 28

Venous insufficiency

Question 29

Swelling of legs and ankles- pitting edema

Answer 29

Venous insufficiency

Question 30

Ulcers that are less defined, painless, random shapes, bigger and on medial to lower leg

Answer 30

venous insufficiency

Question 31

Virchow’s triad-

1. Venous stasis
2. Vessel wall injury
3. Coagulation abnormality

Answer 31

mechanism for development of DVT

Question 32

can cause pulmonary embolism

Answer 32

DVT

Question 33

venous ultrasound

Answer 33

dx of DVT

(gold standard is contrast venography)

Question 34

Short term anticoagulation (3, 6, 12 months)–> Heparin

Answer 34

Tx for DVT

Question 35

From neoplastic or inflammatory conditions in mediastinum

Answer 35

Cause of SVC obstruction

Question 36

Swelling of neck, face, UE

Answer 36

SVC obstruction

Question 37

Rapid onset due to cancer can be fatal in days

Answer 37

SVC obstruction