Are we going to the gym for PE?
Why are you going to treat me like that?
You're testing my patients
What the what?
Symptomatics
100
A common physical finding in pulmonary embolism?
A. Apnea B. Bradycardia C. Thrombocytopenia D. Bradypenia E. Tachypnea
100
The agent of choice in the initial management of a PE is:
Double Jeopardy
100
The most reliable method for establishing the diagnosis of pulmonary embolism is:
A. Duplex ultrasound B. Pulmonary angiography C. V/Q scan D. Chest X-ray E. ECG
100
What is Homan's sign?
What is A. A highly specific sign for lower extremity venous thrombosis. B. Calf discomfort on passive dorsiflexion. C. A highly specific sign for upper extremity venous thrombosis. D. Numbness of the digits with hyperextension of an extremity.
100
Which of the following is a sign of chronic venous insufficiency?
What is A. Dyspnea B. Shooting pains in the extremity C. Numbness D. Hyperpigmentation
200
Al of the following may be found in the clinical presentation of pulmonary embolism EXCEPT:
A. Chest pain B. Dyspnea C. Pleural effusion D. Positive lower extremity venous ultrasound E. Tachypea
200
You are providing ultrasound guidance for administration of tumescent anesthesia during a venous ablation procedure. What is the preferred size of the zone of local anesthesia around the vein to be treated, e.g, the GSV?
A. 5 mm B. 10 mm C. 15 mm D. 20 mm
200
Descending venography is performed to diagnose:
A. Femoral venous thrombosis. B. Valvular insufficiency. C. Popliteal venous thrombosis. D. Superficial venous thrombosis. E. Inferior cava valvular insufficiency
200
Which veins located within the calf muscle are a common site of thrombus formation?
A. Geniculate veins B. Femoral canal perforators (Hunters veins) C. Soleal veins D. Anterior tibial veins
200
A 42 year old female presents with a gradual onset of asymptomatic right lower extremity swelling, which began at the dorsum of the foot and gradually included the whole leg. These findings are most likely associated with:
A. Acute deep venous thrombosis involving the popliteal vein. B. Baker's cyst C. Acute superficial venous thrombosis involving the GSV D. Lymphedema
300
The gold standard test for PE, though it carries its own risk for compromised patients is:
A. Ascending venography B. Descending venography C. V/Q scan D. Pulmonary angiography E. IVC opacification testing
300
An IVC filter is typically placed and anchored at what level?
A. Above the renal veins. B. At the level of the renal veins. C. Below the renal veins. D. In the femoral vein.
300
Your patient is scheduled for a venous ablation procedure to correct reflux of the great saphenous vein (GSV). To properly position the laser sheath or radiofrequency catheter for that procedure, you will use this important landmark:
What is A. Superficial epigastric B. Superior external pudendal C. Anterior accessory D. Posterior accessory
300
What is the effect of expiration on a Doppler waveform obtained in the axillary vein?
A. Augmentation B. No effect C. Cessation D. Reversal
300
A condition characterized by severe swelling of the leg secondary to acute iliofemoral deep venous thrombosis, without redness or cyanosis, is:
A. Pitting edema B. Lipedema C. Phlegmasia alba dolens D. Cellulitis
400
Commonly performed methods of vena cava interruption for recurrent PE includes all of the following EXCEPT:
A. The bird's nest filter. B. The Greenfield filter. C. The nitinol filter. D. The vena Tech filter. E. The Jones wire arch filter.
400
How far away from the saphenofemoral junction should the tip of the catheter be during the ablation procedure?
A. 1 cm B. 1.5 cm C. 2.0 cm D. 2.5 cm
400
Contrast venography is NOT frequently performed today because:
What is A. Its inaccurate B. There is a high rate of severe allergic reactions. C. Contrast venography cannot detect partially occlusive thrombus. D. Duplex scanning is an accurate, noninvasive alternative.
400
The jugular vein carries blood into which vessel?
A. External jugular vein B. Subclavian vein C. Superior vena cave D. Innominate vein E. Cephalic vein
400
What's the best statement regarding the comparison of venous and arterial ulcers?
A. Venous ulcers are usually not painful and are located on the foot. B. Venous ulcers are usually not painful and are located cephalad to the foot. C. Venous ulcers are usually painful and are located cephalad to the foot. D. Venous ulcers are associated with decreased arterial pulses. E. Arterial ulcers are treated with Unna boots.
500
Possible complications of vena cave interruption for recurrent pulmonary embolism include all of the following EXCEPT:
A. Diminished cardiac output B. Edema C. Leg ulcers D. Venous claudication E. Night cramps
500
The drug heparin:
A. Affects the prothrombin time. B. Directly attacks formed thrombi. C. Is reversed by administration of Vitamin K. D. Is safe E. Can cause thrombocytopenia
500
A radioisotope test for pulmonary embolism that involves both breathing and injection of the isotope, and is usually reported in "high, medium, or low probability" of pulmonary embolus, is called:
A. IVC opacification testing B. V/Q scan C. Swan-Ganz catheterization D. Arterial blood gasses E. Pulmonary function testing.
500
If the lower and upper extremity superficial vein are not suitable as an arterial conduit for coronary artery bypass surgery, which vessel will most likely be considered for this procedure?
Double jeopardy!!!
500
Patients with a swollen limb who have just returned from a country where filariasis is endemic may be suspected of having:
A. Deep venous thrombosis B. Lymphedema C. renal failure D. Klippel-Trenaunay syndrome E. Lipidemia
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