Dy pe-year-aid womaa devaléped & paint thrombosis yee EeD ree tpper eal cays previeasly. After Fp: Jeg elavatad, she fait better x08 the tendermeer . bed she developed a twinge of chert pain wheb watkiog 203% | ofbasrinees tn the call. Which treatcebat ls mort appropriate? a ae ee sebnn naman pant omen» =P Witrasure sindy. 7 ‘partnrinl infection. * Bopinansibiotios Sor a probable 1 Se acral, We epic. a Soe tent te rm nh oe ero of Wet fot meee es Se 8 SOBRE 1 vn hes 7 Pla om agree oF gees sqrum does got contate the following fectoras a nba Pore - ae ee cas Gator seve? 2 By sntee route ts the administration ot replacement fiuid Rr am F Seripheral WV route fs Gral rove ¢ Central ine di Intrsacterial v All of the above essere a aeeaed yatier local anesth iqdgilying- eter oscter ot}} The post-thrombotic varicose,veing are due to; «Damage te the velves and canseq “6 Destniction of deep © Destruction of superficial vel A Deo-femoral incompetence © Block to the long saphenous vein ct Atherosclerotic _Infrarenal {ie Delow origin of renal arteries). ( (CSaprarenal (e seore orgy ntrersl + "95 % of abdominal aortic aneurysms : all true except : 4 A Abve see 60 yeas . (\ Type of pain of intermittent claudication is: «\ Burning, ( Stabbing, “ OCramping, oe i f Colicky, ¢ Dragging \W Regarding Lariche syndrome, all the following are true EXCEPT: ca- Seen in iliac occlusive disease | &- There is buttock claudication, } © There is buttock atrophy - There is impotence . | ys Commoner in females’ 5 |Uialt \$- The most common catise of embolic acute limb ischemia Acute bactetial endacarditis Qarrhythrsias Lethal ibatstiony ¢ Cardiomyopathy | Aortic aneurysm @ Hypertension. cg oeall Tlman 2# Virehow (triad) Which of the following is true: o. stasis of bleed flow + Hypercoagulability state q ¢, Injury to endothelium , Ww (4 ‘Ail of the above a ‘~ Non of the above \ 3 : | @Deranlia Pedia artery, All ars fuine Kacept; A continuation of puateriar ubial artery aM Felt just redial te the extensor hallucis lem gis tendon | ln population at larg, x absent en abet 10-19% oof etharwin norrnal indie: a ¢ Best felt infront of medial as — © Best felt behind lateral ma ty Gangrene. All are false Krcept: ~~ May be define an mudden cot-ofl of blood supply \ {; Ischemic gangrene ia known as wet xangree, ¢ Diabetic foot gangrene is known ma,dry,qangs0ne J In the foot ischemic uicer send to pecur onthe planter aspert - . be define a ne¢rosis with superadded putrefucdton, » L i DAs as local examination of DVT case is Concerfhed. All ere trig Ex. { & Sbolen lire’ hed 5 6 Blevated temperatura 2. ¢ Tender o . Squeezing calf muscles result in tenderness ‘oman’s sign is the safest test to confinm diagnosis (+) /eriche Syndrome is Caused by atherosclerosis at: o.* Aortic bifurcation 7 oo ae ise Common iliac bifureation ¢ Femoral artery ¢ Popliteal artery ¢ Posterior tibial artery \? SpPphena Wariz is . a” Fxpansile swelling at the saphenous opening ¢ Dilated at the lower ond of the esophagus { Fermora] hermia @ Varicocele ! Enlarged inguinal lymph node i gael Claas aVASCUEAR SURGERY MOQ Cue hha fade ming statements ie PAL SE os tor ae aetete Pentne conenr ned: Ow the dem cun of the Fo fp On Ohe nied fore toon FP Jue) lever) te the tendon of Desor mel = ort Tisst Laceral to 48 teratens of meter Master or eames Absent ba mere than }OM of population —~ Mtoe Jype of pain of intermittent claudication t= L Burning | Stabbing > Camping i Cocky Dragging |. | AS far as Varicose veins concerned, all are trae except Clatsiied primary & secondary The actioicgy of primary is essentially a prodien @ Ge vem wal _ Secondary post-phiebits varicose veig 3 recat of re -tanadzanes ¢ -uer damage Varicose vein ulcer is characterized by punctedout ecge . Saphena Varix is a sitc of incompeteace of sapbeno- femora junction, i) (1 A BB-year-ald woman developed pataful throm beats of 8 super Masai =" Ab the lem upper call 2 deys previously. After spending (be 3 Save oe ot —G leg clowmted, abe felt Detter and the temderuese revatvest: | bed she developed a tings ef right-sided chest pam wha Of hoy Lness in the call. Which treatment 8 most appropriate’ | Check for ieg swelling, tenderness, and Homan’) Ggm. ant stain 4 lhe itensound smdy Begin antibsoacs for « probable sewcadery bacterial mtesuen, A Oricr emergency veougaphy, abt If MS sbeewenal Sages Berens edrnusistration. - lembulanen and discontinue bed rest ther probebir causes! by hyperextension of te knoe no pain on dorsifiecion of the le@ foot reassure Ber bis = engat! = Oe- au? GPM sa embatoe 6, of Lactect@ syndrome 7 e Lynaph actagres v (24 wn teh ei Bas lremied by 4, Manllasied : SE. : mod Bett reaiag by a is at * t laflarrim ator ¥Skernic anilsratic nat the tyephatie channets ‘2? Comoltcatt hecaraies OF varicose veins ingiude ai EXCEPT: Neg a nal ext A Thrombosis, mz & Oeep vein hrembosts G4) tndteatons ot amautation include: GQ Qead limb Sas gangrene Diabetic loot 4 Sever reat pala OAM of the above (EBA Batient is referred with » provisignet “) y18sts of ibromborangiitis . “ ebritarsos Buarger's dissase) . You would inctined t cjeci diagnos!s [SParteund: t @ The patient was a male £Sympicms were contines 19 the tegs The-psiten| was nol Jewisn 5 anon smoker ‘he pe ses were impalpanle @ Goan tai (Zo) AN the followng are teue in the case of ant abdoaing aortic ARETE P RG EX CEPT i lee oe Majority . are, asymptomatic. and detected during couline physical examination. . & [emsy produce pulstatile abdominal mass . "CTT percent ot lhe anciryemir wise lyove he teveloFherenlerterics——. Plain fils of the abdomen Ctequently show caltification of the wall ofthe aneurysm ( ogg shell appearance } - _ ' © Severe back and flank, pain indicates cupture or dissection af encurygen ares! cleo 3. A De ovemrhcimin, followiug chara. Patient age over 60 years Atheroacirecic intra renal origine 2 Coscpre renal origina. Treated surgically OD Regia Bangrenc all of thesfollfwing are true EXCEPT: od Isa remit of crushing injuries GIs caused by olestrida texan’ f © Characterized by Widespread mrasele necrosis # Bas high mortatiny ¢ Best rested by early wide excision 1@ Carotid pulse ig felt & Cy £c3 % majority of at the tbercly Of transverac process of: See abet 1 eta - aS < acs - _ 06s ech er JA Type of pain of intermittent claudication rs Ax Buoning, & Stabbing, (c-Crmmping, zi Colieky, te agging 4o Throbbing pain is characteristic of cv Dissecting aneurysm, + fp» Hage hydrocele, , Abscess, | | t 5 )Myocardim infraction @- Joint pain . eel Thess .2 Abdoming! sortie ancuryam haw eististes: EXCERFT, " a ani ¥ott tissue destructiontibioties. ed rest, elastic suppor hare , leg clevatiog antibiotics a ‘arm vf moist packs , efastic support hose Sake & Hyperkalemia co Hypalharmia d Shifts in the oxyhemogiobia dissodation curve. 1! —-—" All of the above qgoseall Cleoa 5