Chapter 61: Arterial disorders

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Multiple Choice Question 1 of 5

1. Question
When it comes to arterial stenosis and occlusion, which of the following is true?
- Pain of intermittent claudication (IC) comes on after taking the first step.
- Rest pain occurs at night.
- Clinical presentation reflects the site of obstruction.
- Severity of symptoms depends upon the size of the vessel and if the onset is acute or chronic.
- The most common cause is atheroma.
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Multiple Choice Question 2 of 5

2. Question
When it comes to Investigations for arterial occlusive disease, which of the following is false?
- Concomitant diseases must be excluded in all patients.
- Doppler ultrasound should be the initial vascular investigation.
- Duplex scanning is ideal to visualise the aorto-iliac segment.
- A treadmill accurately assesses the claudication distance.
- All of the above.
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Multiple Choice Question 3 of 5

3. Question
Regarding management of arterial stenosis or occlusion, which of the following statements is true?
- Intervention (surgical or radiological) should be considered at the first consultation before the obstruction gets worse.
- Conservative management must be the first line of treatment in all cases.
- Conservative management must be the first line of treatment in all cases.
- Percutaneous transluminal angioplasty (PTA) should be the second interventional procedure to be tried.
- Operations for vascular reconstruction is carried out in minor disease where PTA has succeeded.
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Multiple Choice Question 4 of 5

4. Question
Regarding other sites of atheromatous occlusive disease, which of the following is false?
- Transient ischaemic attacks (TIAs) are a symptom of internal carotid stenosis.
- Subclavian steal syndrome is the result of vertebrobasilar insufficiency.
- Thoracic inlet syndrome can cause vascular insufficiency of the upper limb.
- Renovascular hypertension is always due to atherosclerotic stenosis.
- Ischaemic colitis is due to occlusion of the inferior mesenteric artery.
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Multiple Choice Question 5 of 5

5. Question
When it comes to gangrene, which of the following is false?
- Wet gangrene occurs when there is infection.
- Neuropathy is an important factor in diabetic gangrene.
- Frostbite is gangrene caused by cold injury to the vessel wall.
- Bedsore is a type of gangrene.
- Amputation of the affected limb should be done in all cases at the earliest to prevent the spread of life-threatening sepsis.
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Chapter 61: Arterial disorders

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