Absite: Vascular

Front 1

MC congenital hypercoagulable disorder?

Back 1

resistance to activated protein factor(leiden)

Front 2

3 stages of atherosclerosis?

Back 2

foam cell, smooth cell proliferation, intimal disruption causing thrombus formation

Front 3

which vessel layer involved in HTN?

Back 3

media layer

Front 4

what kind of flow seen in ECA?

Back 4

triphasic flow

Front 5

what kind of flow see in ICA?

Back 5

continuous forward flow

Front 6

communication between ICA and ECA?

Back 6

ophthalmic and internal maxillary a.

Front 7

MC diseased intercranial a.?

Back 7

middle cerebral a.

Front 8

what is seen in retinal exam with amaurosis fugax?

Back 8

hollenhorst plaques

Front 9

wait period post stroke for a CEA?

Back 9

4-6wks

Front 10

indications for emergent CEA?

Back 10

fluctuating or evolving TIAs

Front 11

indications for shunt during CEA?

Back 11

stump pressure <50

Front 12

MC nerve injury CEA?

Back 12

vagus nerve

Front 13

innervation of ansa cervicalis?

Back 13

strap muscles

Front 14

management of pulsatile, bleeding mass after CEA?

Back 14

intubate, then repair

Front 15

restenosis rate after CEA?

Back 15

15%

Front 16

some indications for stenting over CEA?

Back 16

>80y/o, MI 4wks prior, CABG 6mo prior, dialysis, EF<30%, severe COPD, contralateral laryngeal nerve palsy

Front 17

tx of carotid body tumors?

Back 17

resection

Front 18

size indication for ascending aortic aneurysmal repair?

Back 18

>7cm(6cm for marfan)

Front 19

extra precaution in descending aortic aneurysm repair?

Back 19

reimplant intercostal vessels below T8

Front 20

debakey classification of dissections?

Back 20

type I-both
type II-ascending
type III-descending

Front 21

layer involved in aortic dissections?

Back 21

media layer

Front 22

at what diameter is there 100% rupture risk within 5yrs for AAA?

Back 22

>8cm

Front 23

MC area of AAA rupture?

Back 23

left posterolateral wall, 2-4cm below renal

Front 24

two risk factors for increasing rupture?

Back 24

diastolic HTN or COPD

Front 25

indication for reimplant of IMA during AAA repair?

Back 25

back pressure <40mm

Front 26

flow maintainence required in at least one int. illiac during AAA repair to avoid?

Back 26

vasculogenic impotence complication caused by what during AAA repair?

Front 27

MC cause of late deathe after AAA repair?

Back 27

renal failure

Front 28

diarrhea(esp. bloody) after AAA repair worrisome for?

Back 28

ischemic colitis

Front 29

MC complication after AAA graft placement?

Back 29

atherosclerotic occulsion

Front 30

inflammatory aneurysms cause adhesions where?

Back 30

adhesion to 3rd and 4th part of duodenum

Front 31

MC cause of mycotic aneurysm?

Back 31

salmonella

Front 32

MC cause of AAA repair graft infection?

Back 32

staph

Front 33

herald bleed with hematemesis 6mo after AAA repair?

Back 33

aortoenteric fistula

Front 34

structures in each compartment of leg?

Back 34

ant.-deep fibular nerve and ant tib a.
lateral- superficial fibular nerve
deep post- tibial nerve, post tib, peroneal a.
sup post-sural nerve

Front 35

innervation of deep peroneal nerve?

Back 35

sensation between 1st and 2nd toe

Front 36

MC site of occulsion in LE?

Back 36

hunter's canal(distal superficial fem a. exits here)

Front 37

ABI numbers and start of symptoms?

Back 37

<0.9-claudication
<0.6-rest pain
<0.5-ulcers
<0.3-gangrene

Front 38

causes of swelling post LE bypass?

Back 38

DVT, then reprofusion injury

Front 39

MC cause or early graft failure? late failure?

Back 39

mechanical, then atherosclerosis

Front 40

vascular ulcer located on 2nd MTP?

Back 40

malperforans ulcer

Front 41

MC leg compartment affected by compartment syndrome?

Back 41

footdrop from deep peroneal n. compression

Front 42

mc way of dx. compartment syndrome?

Back 42

clinical

Front 43

claudication with loss of pulse during plantar flexion?

Back 43

popliteal entrapment syndrome

Front 44

tx. of poplieteal entrapment syndrome?

Back 44

medial head gastroc resection

Front 45

MC of acute art. emboli?

Back 45

a fib.

Front 46

MC location of embolism in periphery?

Back 46

common femoral

Front 47

time window before limb ischemia in embolic events?

Back 47

4-6hrs.

Front 48

blue toe syndrome pathogenesis?

Back 48

flaking emboli off aortoiliac plaques

Front 49

MC renal atheroscoliosis location?

Back 49

proximal 1/3 of left in men

Front 50

MC renal fibromuscular dysplasia?

Back 50

distal 1/3 right in women

Front 51

anatomy pathway of subclavian vein?

Back 51

over 1st rib, passing ant. to ant. scalene

Front 52

anatomy pathway of subclavian a.?

Back 52

over 1st rib, passing post to ant. scalene

Front 53

which UE nerve distribution MC affected with thoracic outlet?

Back 53

ulnar nerve distribution

Front 54

MC visceral aneurysm?

Back 54

splenic

Front 55

indications for splenic a. aneurysm?

Back 55

symptomatic, pregnant, or childbearing age(rupture common in 3rd trimester)

Front 56

which visceral aneurysms can be tx just with exclusion?

Back 56

splenic and hepatic a.

Front 57

size indication for iliac a. aneurysm?

Back 57

>3cm

Front 58

size indication for femoral a. aneurysm?

Back 58

>2.5cm

Front 59

MC complication of popliteal aneurysm?

Back 59

emboli or thormbosis

Front 60

dx. of popliteal a. aneurysm?

Back 60

US

Front 61

tx of femoral pseudoaneurysm?

Back 61

US guided thrombin injection

Front 62

medical tx of raynaud's?

Back 62

CCB and warmth

Front 63

migrating thrombophlebitis indicates?

Back 63

pancreatic CA

Front 64

long term tx of first, and subsequent DVT?

Back 64

1st-warfarin 6mo
2nd-warfarin 1y
3rd of PE-lifetime coumadin