Venous Insufficiency and Varicose Veins Quiz
18 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most common risk factor for arterial insufficiency?

  • Diabetes (correct)
  • Smoking
  • Hypertension
  • Valvular incompetence

Which of the following is a common risk factor that accelerates atherosclerosis?

  • Venous reflux
  • Valvular incompetence
  • Diabetes (correct)
  • Hypertension

How is arterial insufficiency diagnosed according to USMLE preferences?

  • Arteriography
  • Ankle-brachial indices (ABI) (correct)
  • Doppler ultrasound of the calves
  • Duplex ultrasound of the calves

What is the key method for diagnosing arterial insufficiency after performing ankle-brachial indices?

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

Which of the following symptoms is characteristic of arterial insufficiency?

<p>Punched-out ulcer on foot with intermittent claudication (B)</p> Signup and view all the answers

What is the primary cause of venous insufficiency?

<p>Valvular incompetence (A)</p> Signup and view all the answers

What is the general approach to transfusion when Hb is 7 g/dL or lower?

<p>Consider transfusion as a general propensity rather than a mandatory answer (A)</p> Signup and view all the answers

What is the first-line treatment for hypertension in patients with pre-diabetes, diabetes, or any cardiovascular/cerebrovascular disease?

<p>ACE inhibitor (ACEi) or ARB (D)</p> Signup and view all the answers

Why might an ACE inhibitor (ACEi) or ARB not be the first choice for treating hypertension in a typical middle-aged American male without risk factors?

<p>Lack of evidence showing improvement in morbidity/mortality for this patient group (C)</p> Signup and view all the answers

What side effect is commonly associated with dihydropyridine CCBs like nifedipine?

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

Which condition is a known side effect of thiazides?

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

In the context of treating hypertension, why is it important to consider different treatment approaches based on patient risk factors?

<p>To tailor treatment for optimal outcomes based on specific patient characteristics (D)</p> Signup and view all the answers

What is the initial treatment approach for arterial insufficiency?

<p>Exercise regimen (B)</p> Signup and view all the answers

In the context of arterial insufficiency treatment, what should be done if a patient has an abnormal baseline ECG?

<p>Perform an echo stress test (A)</p> Signup and view all the answers

What is the recommended diagnostic procedure if a patient with arterial insufficiency cannot exercise?

<p>Dobutamine-echo stress test (B)</p> Signup and view all the answers

If a patient develops stable angina after minimal exertion, what is the next recommended step in the management of arterial insufficiency?

<p>Order a myocardial perfusion scan (D)</p> Signup and view all the answers

When should coronary angiography be considered in the management of arterial insufficiency?

<p>If there is severe ischemia on stress test or myocardial perfusion scan (C)</p> Signup and view all the answers

What is the next step after performing coronary angiography in a patient with arterial insufficiency and significant coronary artery disease?

<p>Refer for cardiac surgery (D)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser