Popliteal Artery Abnormalities Quiz
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Questions and Answers

What is the cornerstone of therapy for Buerger disease?

  • Amputation
  • Arterial bypass surgery
  • Smoking cessation (correct)
  • Immunosuppressive therapy

Why is arterial bypass not typically feasible in Buerger disease?

  • Lack of distal targets (correct)
  • Poor response to bypass surgery
  • High risk of surgical complications
  • Presence of severe arterial blockages

What may indicate the need for amputation in Buerger disease?

  • Cellular immunity against arterial antigens
  • Elevated circulatory immune complexes
  • Specific humoral antiarterial antibodies
  • Persistent pain or gangrene (correct)

What happens if a patient with Buerger disease can stop smoking?

<p>The disease becomes dormant (C)</p> Signup and view all the answers

Why is smoking cessation particularly difficult in patients with Buerger disease?

<p>The disease causes psychological dependence on smoking (D)</p> Signup and view all the answers

Which imaging technique is particularly sensitive and can define areas of injury as well as areas of infarction in the brain?

<p>Diffusion-weighted MRI (B)</p> Signup and view all the answers

What can Doppler spectral velocity analysis determine rapidly and with reasonable accuracy?

<p>The degree of stenosis (C)</p> Signup and view all the answers

Which imaging technique can assess the degree of stenosis at the carotid bifurcation and provide information on the configuration of the aortic arch?

<p>CTA (C)</p> Signup and view all the answers

What does CTA display that can assist in planning clamp placement and the extent of distal exposure necessary for carotid endarterectomy?

<p>Calcifications (C)</p> Signup and view all the answers

Which imaging technique is often used for confirmation of duplex findings and planning interventional procedures?

<p>CTA (C)</p> Signup and view all the answers

What is the principal indication for the Burgess technique?

<p>Gangrene of several toes or the great toe (D)</p> Signup and view all the answers

Why is good blood supply needed for the Burgess technique?

<p>To ensure proper healing of the incision (D)</p> Signup and view all the answers

What type of flap is used in the Burgess technique?

<p>Posterior flap (B)</p> Signup and view all the answers

How are the metatarsal bones treated in the Burgess technique?

<p>Cut shorter than those in the middle (A)</p> Signup and view all the answers

Does transmetatarsal amputation require a prosthesis?

<p>No, it is not mandatory (C)</p> Signup and view all the answers

What is the mainstay of therapy for popliteal entrapment syndrome according to the text?

<p>Open surgery (B)</p> Signup and view all the answers

What is the role of MRI and CT studies in the diagnosis of popliteal entrapment syndrome, based on the text?

<p>They are most useful in confirming the diagnosis (C)</p> Signup and view all the answers

What is the purpose of open surgery in treating popliteal entrapment syndrome, as per the text?

<p>To return the popliteal artery to its normal anatomic course (C)</p> Signup and view all the answers

What is notably absent in cases of popliteal entrapment syndrome, according to the text?

<p>Atherosclerotic changes in the popliteal artery (A)</p> Signup and view all the answers

How can popliteal entrapment syndrome be treated surgically according to the text?

<p>From a medial or posterior approach (D)</p> Signup and view all the answers

What is the purpose of selective intra-arterial infusion of thrombolytic agents?

<p>To limit systemic effects while concentrating in the clot (B)</p> Signup and view all the answers

In the Burgess technique, what is the significance of the catheter inserted through a remote arteriotomy?

<p>It allows high concentrations of thrombolytic agent in the clot (A)</p> Signup and view all the answers

What is the consequence of not performing an embolectomy within the first few hours?

<p>The clot may become adherent and subsequent revascularization becomes less successful (C)</p> Signup and view all the answers

What role does thrombolysis play in cases of thrombosis on preexisting atherosclerotic lesions?

<p>It reveals the underlying lesions that will require treatment (A)</p> Signup and view all the answers

What is one of the uses of intraoperative infusion of thrombolytic agents?

<p>To aid in embolectomy (A)</p> Signup and view all the answers

What is the most common symptom of popliteal artery cystic degeneration?

<p>Intermittent claudication (B)</p> Signup and view all the answers

Which medical sign involves the disappearance of the pedal pulses with knee flexion?

<p>Ishikawa sign (C)</p> Signup and view all the answers

What imaging technique can be used to demonstrate the cyst within the popliteal artery wall, showing displacement of the arterial flow lumen?

<p>Ultrasound (C)</p> Signup and view all the answers

What may appear only on lateral exposures in cases of popliteal artery cystic degeneration?

<p>Arterial stenosis (D)</p> Signup and view all the answers

What is the recommended range of treatments for popliteal artery cystic degeneration, based on the text?

<p>Simple cyst aspiration to cyst excision to excision and replacement of the affected arterial segment (D)</p> Signup and view all the answers

What is the primary goal of endovascular therapy?

<p>To treat diseased arterial segments from within the vessel (B)</p> Signup and view all the answers

How is access to the arterial system typically established in endovascular therapy?

<p>Percutaneously by inserting valved sheaths into the access vessel (B)</p> Signup and view all the answers

Which of the following is NOT a therapeutic maneuver that can be performed in endovascular therapy?

<p>Open surgical procedures (B)</p> Signup and view all the answers

What has led to the expanded application of endovascular interventions to patients with certain disease characteristics?

<p>Technologic advances in endovascular therapy (C)</p> Signup and view all the answers

Why is endovascular therapy more commonly used than open surgical therapy in many arterial beds?

<p>As it is minimally invasive and reduces short-term morbidity and mortality (A)</p> Signup and view all the answers

What is the purpose of inserting valved sheaths into the access vessel in endovascular therapy?

<p>To establish access to the arterial system (D)</p> Signup and view all the answers

Which of the following is a potential therapeutic maneuver in endovascular therapy?

<p>Angioplasty using drug-coated balloons (A)</p> Signup and view all the answers

What guides the passage of steerable wires and catheters in endovascular therapy?

<p>Fluoroscopic guidance (D)</p> Signup and view all the answers

Why are endovascular interventions now applied to patients with disease characteristics once thought to preclude such interventions?

<p>'Continued technologic advances' (D)</p> Signup and view all the answers

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