Vascular Surgery

Question 1

How do you calculate ABPI?

Answer 1

Lower limb systolic pressure divided by highest upper systolic limb pressure

Question 2

What does ABPI 1.2 or greater indicate?

Answer 2

Vessel calcification

Question 3

What is a normal ABPI?

Answer 3

1-1.2

Question 4

How would you manage ABPI 0.5-0.8?

Answer 4

Risk factor management

Question 5

How would you manage ABPI 0.3-0.5?

Answer 5

Duplex scanning to delineate lesions
Compression bandaging contraindicated

Question 6

How would you manage ABPI <0.3?

Answer 6

Urgent detailed imaging

Question 7

Describe the Stanford classification for aortic dissection

Answer 7

A - ascending aorta
B - descending aorta

Question 8

Describe the DeBakey classification

Answer 8

I - Ascending aorta, aortic arch, descending aorta
II - Ascending aorta only
III - Descending aorta distal to left subclavian artery

Question 9

How are aortic dissections managed?

Answer 9

Beta blockers - aim HR 60-80 and SBP 100-120
Aortic root replacement for type A dissections

Question 10

What is a Marjolin’s ulcer?

Answer 10

SCC which occurs at site of chronic inflammation - usually on lower limb

Question 11

What is the treatment for Raynaud’s disease?

Answer 11

Calcium channel blockers

Question 12

What is a Gritti Stokes amputation?

Answer 12

Through the knee preserving the patella to cover the stump