84 Surgery

Questions

135.Regarding varicose veins, which of the following is true: (AIIMS2003 NOV)

a.They affect over 30% of the populationb.Over 80% are recurrent varicositiesc.The sural nerve is in danger during stripping of the long saphenousveind.The saphenous nerve is closely associated with the shortsaphenous veine.5% oily phenol is an appropriate sclerosant for venous sclerotherapy

136.Cockett’s and Todd’s operation is for: (JIPMER 94)

a.Burger’s diseaseb.Lymphedema precoxac.AV fistulad.Varicose veins

137.The most reliable sign of deep vein thrombosis is: (KAR 1988)

a.Swelling of a limb distallyb.Positive Homan’s signc.Tendernessd.Dilation of superficial veins

138.Earliest sign of deep vein thrombosis is: (aims 1987, AFMC 2000)

a.Calf tendernessb.Rise in temperaturec.Swelling of calf muscled.Homan’s sign

139.Which of the following test is used to detect perforator incompete-nce in varicose veins: (JIPMER 2000)

a.Trendelenberg testb.Fegan’s testc.Morissey’s testd.Homan’s test

Vascular Disorders

Vascular Disorders 85140.Brodie-Trendelenberg test is for: (Orissa 98)

a.Testing sapheno-femoral junction incompetenceb.DVTc.Mid thigh perforators in Varicose veinsd.Calf Perforators

141.White leg is due to: (TN 1990)

a.Femoral vein thrombosis and lymphatic obstructionb.Deep femoral vein thrombosisc.Lymphatic obstruction onlyd.None of the above

142.The following is the commonest site for venous ulcer: (AIIMS1991)

a.Dorsum of footb.Lower 1/3 leg and anklec.Low 2/3 of legd.Middle 1/3 leg

143.Which of the following is not used as a sclerosant in the treatmentof bleeding varices? (Civil Services 2005)

a.5% Ethanolamine oleateb.0.5% Sodium tetradecyl sulphatec.Ethyl alcohold.Phenol

144.A patient presented with pulsating varicose veins of the lowerlimb. Most probable diagnosis is: (AIIMS 2001 Nov)

a.Klippel Trenaunay syndromeb.Tricuspid regurgitationc.DVTd.Right ventricular failure

145.Varicose vein surgery is contraindicated in :( AIIMS JUNE 2000)

a.Varicose ulcersb.Deep vein thrombosisc.Pigmentation over limbd.Hemorrhoids

146.Bisgaard regimen is for the treatment of: (Kar 2002, SCTIMS 98)

a.Venous ulcerb.Arterial ulcerc.Bothd.An ischaemic ulcer

86 Surgery147.Treatment of a long-standing non-healing venous leg ulcer withvaricose veins in a patient unwilling for surgery or who is inoper-able:

a.Antibiotic therapyb.Bandagingc.Surgical interventiond.Haemorhilogogue therapy

148.Brodie-Trendlenburg test demonstrates: (ORISSA 1998)

a.Mid-thigh perforationb.Deep vein thrombosisc.Sapheno-femoral incompetenced.Calf perforators

149.The direction of flow of venous blood in conditions of valveincompetence affecting perforating veins of lower limb is: (AIIMS2005)

a.Along gravityb.Superficial to deepc.Along osmotic gradientd.Deep to superficial

150.Post thrombotic varicose veins are due to: (UPSC 91)

a.Incompetent communicating veinsb.Destruction of deep veinsc.Destruction of superficial veinsd.Iliofemoral incompetence

151.Kamala, a 59-year-old woman, has a left femoral venousthrombosis during a pregnancy 30 year ago. The left greatersaphenous vein had been stripped at age 21. She now presentswith a large non-healing ulceration over the medial left calf, whichhas continuously progressed despite bed rest, elevation, anduse of a support stocking. Descending phlebography of the leftleg demonstrates a patent deep venous system, with free flow ofdye from the groin to foot. The first profunda femoris valve iscompetent. Appropriate management might include which of thefollowing: (AIPGE 2002)

a.Division of the superficial femoral vein in the groin and transpositionof its distal end into the profunda femoris vein below the level of thecompetent profunda valveb.Saphenous venous crossover graft with anastomosis of the end ofthe right saphenous vein into the side of competent femoral veinc.Ligated iliofemoral venous thrombectomy with creation of thetemporary arteriovenous fistulad.Subfascial ligation of perforating veins in the left calf