Vascular Disorders

Question 1

Which of the following is the most common cause of abdominal aortic aneurysm?

a) Atherosclerosis
b) Vasculitis
c) Hypertensive crisis
d) Connective tissue disorder

Answer 1

a) Atherosclerosis

Question 2

Complications of all types of aortic dissection include which of the following? 
Select ALL that apply.
a) Abdominal organ ischemia
b) Limb ischemia
c) Ischaemic stroke
d) Paraplegia
e) Thromboembolism
f) Aortic rupture

Answer 2

a) Abdominal organ ischemia
b) Limb ischemia
c) Ischaemic stroke
d) Paraplegia
e) Thromboembolism
f) Aortic rupture

Question 3

Infection is a potential cause of aortoenteric fistula, true or false?

Answer 3

True

Question 4

Which of the following treatment plans is reasonable for the management of symptomatic aortic dissection?

a) Fentanyl 25-50 mcg IV + nitroprusside 0.25-0.5 mcg/kg/min IV
b) Fentanyl 25-50 mcg IV + labetolol 10-20mg bolus then 0.5-2mg/min
c) Esmolol 0.5mg/kg bolus then 50-300 mcg/kg/min + nicardipine 5 mg/h
d) Labetalol 10-20mg bolus then 0.5-2mg/min + nicardipine 5 mg/h

Answer 4

b) Fentanyl 25-50 mcg IV + labetolol 10-20mg bolus then 0.5-2mg/min

Question 5

Which of the following disorders is/are a connective tissue disorder that increase(s) a patient’s risk of developing aortic disease? Select ALL that apply.

a) Marfan syndrome
b) Bechet syndrome
c) Rheumatoid arthritis
d) Ehlers-Danlos syndrome
e) Giant cell arteritis

Answer 5

a) Marfan syndrome

d) Ehlers-Danlos syndrome

Question 6

A weakness in the wall of which of the following arteries is the MOST likely to progress to dissection?

a) Ascending aorta
b) Thoracic aorta
c) Abdominal aorta
d) Carotid artery

Answer 6

a) Ascending aorta

Question 7

A 67-year-old male presents to the ED with chest pain and cough. Based on his CXR, what is his most likely diagnosis?

a) ACS
b) Thoracic aneurysm
c) Lobar collapse
d) Mediastinal mass

Answer 7

b) Thoracic aneurysm

Question 8

This CXR is suggestive of a thoracic aortic dissection. True or False.

Answer 8

True