Vascular Disorders

Question 1

MC congenital prothrombotic state

Answer 1

Factor V leiden gene mutation

Question 2

Most imp risk factor for DVT

Answer 2

Hospital admission

Question 3

An anatomical factor giving rise to DVT

Answer 3

May Thurner syndrome:
Right iliac artery pressing on left iliac vein causing left iliac vein thrombosis.

Question 4

MC vein affected in dvt

Answer 4

Calf/ soleal veins

Question 5

MC veins causing pulmonary embolism

Answer 5

Ileofemoral veins

Question 6

Phlegmasia cerulea dolens
Painful blue limb

Answer 6

Thrombosis of major axial veins and collaterals

More risk of gangrene

Question 7

Phlegmasia Alba dolens/
Painful white leg/ milk legs

Answer 7

Thrombosis of only major axial veins

Question 8

Criteria for predicting DVT

Answer 8

Modified wells criteria

Question 9

Mickey Mouse sign in varicose vein Doppler is formed by

Answer 9

GSV, Femoral vein, Common Femoral Artery

Question 10

Management of acute arterial occlusion

Answer 10

Early(6-8h)
- thrombolysis and embolectomy (fogarty balloon)

Late (gangrene)
- amputation

Question 11

Procedures done to prevent compartment syndrome

Answer 11

Embolectomy + fasciotomy

Question 12

Features of compartment syndrome

Answer 12

Excessive pain
Pain on passive stretching
Pulsations present

Question 13

Classification of ischemic limb

Answer 13

Fontaine (4)
Rutherford (6)
-functional & critical.

Question 14

Earliest sign of Leriche syndrome

Answer 14

Gluteal claudication

Question 15

ABPI