Vascular Diagnosis Chapter 64 Quiz
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Questions and Answers

What is the preferred method to stabilize hindfoot fusions for long-term success?

  • Screws
  • Choparts Amputation
  • External fixation (correct)
  • IM Rod

In which case would insertion of antibiotics be indicated?

  • Nerve compression
  • Tendon injury
  • Osteomyelitis (correct)
  • Ligament sprain

What is essential for stability and function 3 years post-operation?

  • Amputation
  • Inserting JP-7 drain
  • Using Steinman pin or K-wires
  • Fusing the ankle and subtalar joint (correct)

What is a notable complication that may require stabilization through amputation?

<p>Chronic ulcers with osteomyelitis (A)</p> Signup and view all the answers

What procedure did Boyd discuss in the article from October 1939?

<p>Calcaneotibial Arthrodesis (D)</p> Signup and view all the answers

What is a major factor to consider for determining the level of amputation?

<p>Vascular status (D)</p> Signup and view all the answers

Which technology is used for intraoperative evaluation during amputations?

<p>Spy technology with dye and imaging (D)</p> Signup and view all the answers

When should surgery be performed after a bypass operation?

<p>4 to 10 days after the bypass (B)</p> Signup and view all the answers

What concept was derived from plastic surgery to evaluate the healing potential of flaps?

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

What is the purpose of segmental blood pressure measurement in vascular diagnosis?

<p>To assess blood flow (B)</p> Signup and view all the answers

According to Attinger et al, when should surgery be performed after an angioplasty?

<p>30 days after the angioplasty (A)</p> Signup and view all the answers

What is an indication for performing an open transmetatarsal amputation?

<p>Extension of an infectious process to the web space or plantar aspect of the foot (C)</p> Signup and view all the answers

Why is preservation of tendon insertion important in amputations?

<p>To prevent equinus deformity (A)</p> Signup and view all the answers

Which procedure can be performed as an adjunct to transmetatarsal amputation?

<p>TAL or gastric recession (D)</p> Signup and view all the answers

What is the general consensus regarding the use of a tourniquet in patients with previous lower extremity revascularization?

<p>It should not be used due to safety concerns (D)</p> Signup and view all the answers

What should surgeons check for in patients before performing surgery?

<p>Hemoglobin and Hematocrit levels (A)</p> Signup and view all the answers

Why is it important to have at least 2 units of blood available at the time of surgery?

<p>In case of unexpected blood loss (C)</p> Signup and view all the answers

What is a common consideration when deciding on anticoagulation postoperatively?

<p>Need for non-weight bearing (NWB) postoperatively (B)</p> Signup and view all the answers

Which factor is typically NOT considered in the decision-making process for anticoagulation?

<p>Patient's favorite sport (C)</p> Signup and view all the answers

Based on the text, what might be a reason to reach out to the PCP or Hematology?

<p>Seeking guidance on anticoagulation treatment duration (D)</p> Signup and view all the answers

Which option is NOT a common choice for anticoagulation postoperatively according to the text?

<p>Tylenol 500mg PO QID (C)</p> Signup and view all the answers

What factor might influence the duration of anticoagulation treatment?

<p>Need for non-weight bearing postoperatively (A)</p> Signup and view all the answers

According to the information provided, what might be a common risk factor to ask about during assessment?

<p>Previous history of DVT (C)</p> Signup and view all the answers

What is the main function of electrical stimulation in bone healing?

<p>Upregulating TGF-β and BMP's for osteoinduction (C)</p> Signup and view all the answers

What is a contraindication for the use of electrical stimulation in bone treatment?

<p>Synovial pseudoarthrosis (A)</p> Signup and view all the answers

What is the role of Extracorporeal Shock Wave Therapy (ESWT) in bone healing?

<p>Promoting neovascularization and cell differentiation (D)</p> Signup and view all the answers

Which type of bone graft is considered the 'gold standard' due to its properties promoting vascular ingrowth and healing?

<p>Autologous Bone Graft (B)</p> Signup and view all the answers

In Operative Strategy for nonunion treatment, what should be defined initially?

<p>The location of the nonunion (diaphysis vs metaphysis) (A)</p> Signup and view all the answers

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