Vascular Surgery Questions

Question 1

What statement best describes an abdominal aortic aneurysm?

Answer 1

Usually located below the Renal Arteries

Question 2

In a patient with a ruptured AAA, based on the choices below, what
would be the most appropriate initial management for these
patients?

Answer 2

provide analgesia and oxygen support

Question 3

The following are indications for abdominal aortic aneurysm repair EXCEPT?

Answer 3

• asymptomatic patients with an aneurysm larger than 4.0 cm and has
  grown by more than 1 cm in 1 year
• B. asymptomatic patients and aneurysm size of 5.5 cm or larger
• C. hypotensive patients with severe abdominal pain and pulsatile mass
  above the umbilicus
• D. all of the above
• E. none of the above

Question 4

Which of the following patients should undergo carotid endarterectomy (CEA)?

Answer 4

70-year-old male with a history of transient painless right eye vision loss and
75% stenosis of the right internal carotid artery (ICA).

Question 4

A 70-year-old male presents with right calf pain after walking three blocks, forcing
him to stop and rest. He denies pain at rest in his foot. He smokes one pack per day.
His PR is 74/min, RR is 16/min, and BP is 136/86 mmHg. PE reveals diminished pulses
in his right foot. ABPI on the right leg is 0.7.

What is the next step in the management is

Answer 4

Smoking Cessation

Question 5

Which of the following is the definitive treatment for a Type A aortic
dissection?

Answer 5

Immediate open surgical repair

Question 6

Which of the following is the primary cause of varicose veins

Answer 6

Incompetent valves in superficial veins

Question 7

Which of the following is the most significant risk factor for
developing an aortic dissection?

Answer 7

Hypertension

Question 8

A 67-year-old male smoker with a known AAA comes to the A&E with the acute
onset of flank pain. On PE, his BP= 71/49 mmHg, PR= 121/min, temp= 37.8 °C,
and RR=22/min. His abdominal exam reveals distention, a pulsatile abdominal
mass, and diffuse tenderness without rebound.

What is the most appropriate next step in management?

Answer 8

Immediate surgery

Question 9

Which patients with PAD should go directly to an invasive therapeutic
approach rather than an initial attempt at medical management?

Ans None of the above

Answer 9

patients who are asymptomatic but with PAD
* B. patients with mild claudication
* C. patients with moderate claudication
* D. patients with severe claudication
* E. none of the above