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</p> Signup and view all the answers

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

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

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

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

    Which technology is used for intraoperative evaluation during amputations?

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

    When should surgery be performed after a bypass operation?

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

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

    <p>Angiosomes</p> Signup and view all the answers

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

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

    Why is preservation of tendon insertion important in amputations?

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

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

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

    What should surgeons check for in patients before performing surgery?

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

    What factor might influence the duration of anticoagulation treatment?

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

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

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

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