Vascular Disrases

Question 0

Thoracic aneurysm

Answer 0

2:1 male
Descending aorta
Make>70 female>80
TAA > 5 cm survival 60%

Question 1

AAA

Answer 1

> 3 cm

50% increase in size to proximal segment

Question 2

AAA

Answer 2

70% asymptomatic
>5 has 25% chance of rupture
7.” Has 75% chance

Question 3

AAA

Answer 3

EAVR low risk upfront but equalizes to open repair in12 mos

Question 4

Lower extremity aneurysms

Answer 4

Diameter >2 mm
Iliac 20% popliteal 80%
59^ bilateral
50% asptomatic 
Can cause DVT limb ischemia
50% associated withAAA

Question 5

Dissection

Answer 5

3-5% death 
Acute2 weeks
HTN 
Marfan
Bicuspid 
Coarctation 
Cocaine

Question 6

Dissection

Answer 6

Debater 1 Stamford A proximal

Stanford B debakey 3 distal

Question 7

Dissection

Answer 7

Treatment
Nipride esmolol
Surgery

Question 8

PVD treatment

Answer 8

Only cilostazol is useful

But don’t use in CHF

Question 9

Dissection therapy

Answer 9

Ascending open surgery
Descending endo vascular
AAA below renal endo vascular

Question 10

PVD

Answer 10

Normal people 10 year survival 90%
Asymptomatic pvd 40%
Symptomatic 75%

Question 11

Check for pvd

Answer 11

All over 70

50-69 DM and smoker

Question 12

ABI

Answer 12

Highest arm pressure
For left highest on the left
For right highest on the right

Question 13

Pvd

Therapy

Answer 13

Anti platelet 1
Antihypertensive <70 
Antiplatelet single therapy class1
Exercise class 1
Cilostazol class1

Question 14

Endovascular therapy

Answer 14

Disabling life style class- 1
Failure medical therapy class 1
No stents in femoral popliteal or tibial
For cli class 1

Question 15

Treatment for stroke

Answer 15

Asa persantine and Lipitor

Question 16

Etiology of ischemia

Answer 16

30% aortic

30% cardio

Question 17

Tia

Answer 17

Typically less than 1 hour

Risk of stroke 10% in 3 mos

Question 18

Aaa

Answer 18

Less common in woman but more likely to rupture

Question 19

Stroke

Answer 19

Kills more woman than breast cancer

Question 20

Stroke

Answer 20

Blacks double the risk
Twice likely to die
Sickle cell is a risk

Question 21

Stroke

Answer 21

SBP 220/120 no BP meds no tPA
Sbp 185-220 lower BP them tPA
Nicardipine, Labetalol

Question 22

Major stroke

Answer 22

Ecst surgical 2.8 medical 16.8
Nascet surgical 9% medical 26%
Vascular surgical 7.8% medical 25%

Question 23

High risk CEA

Answer 23

80 years CHF angina copd crf mi
Lesion above c2
Below clavicle
Contra lateral occlusion
Prior CEA
Laryngeal ca
Xrt
Laryngeal nerve paralysis contes lateral

Question 24

Crest study

Answer 24

Stent and CEA identical

Question 25

Renovascular hypertension intervention

Answer 25

Failure to control BP with 3 meds
High bilateral renal stenosis
Unilateral in single kidney
CHF flash pulm edema

Question 26

Fibromuscular disease

Answer 26

POBA only no stent
Fibromuscular may have carotid fibromuscular as well
HTN cure in 70%

Question 27

Meaenteric

Answer 27

More than 50% are elderly woman

Question 28

Vasculitis

Answer 28

Large
Temporal arteritis high esr female steroids
Takayashu mra brain and kidney

Question 29

Medium arteries

Answer 29

Pan destructin on intima renal failure

Sle

Question 30

Raynaud

Answer 30

Woman blanching of mcp
Scleroderma

Burgers cork-screw angio smoking

Question 31

Thoracic outlet

Answer 31

Ads on test for cervical rib

Question 32

Takayasu

Answer 32

Pulse less disease