Vascular Diseases

Question 1

Types of peripheral vascular disease

Answer 1

Occlusive e.g., intermittent claudication
Vasospastic e.g., Raynaud’s disease

Question 2

Which type of vascular disease is associated with an increased risk of CVD?

Answer 2

Peripheral arterial occlusive disease

Question 3

How to reduce risk of CVD?

Answer 3

Smoking cessation
BP control
Regulate blood lipids
Optimise glycaemic control in diabetes
Antiplatelet therapy
Diet and weight management
Increasing exercise

Question 4

Treatment of intermittent claudication when lifestyle changes have failed

Answer 4

Naftridrofuryl oxalate (shown greatest increase in max walking distance and pain-free walking)
Cilostazol
Pentoxifylline

Question 5

When should Naftridrofuryl oxalate treatment be reviewed

Answer 5

After 3-6 months
Discontinue if no symptomatic benefit

Question 6

Management of Raynaud’s disease

Answer 6

Smoking cessation
Avoid cold exposure
Lifestyle modifications

Question 7

Prophylaxis of Raynaud’s disease

Answer 7

Trial of nifedipine

Question 8

Treatment of Raynaud’s disease

Answer 8

Naftidrofuryl oxalate
Prazosin
Moxisylyte