Name * First Name Last Name Email * Chronic Arterial Insufficiency Leicester Year 3 MS Teaching INSTRUCTIONS The in-patient ward 'clients' for a vascular Fy1 will chiefly feature Aortic, Carotid artery, Lower Limb and Dialysis related problems. What proportion of the workload consists of lower limb arterial problems? * 25% 40% 50% 70% The term claudication is eponymously derived from whom? * Claudius Caesar, Roman emperor Claude Debussy, French composer King Claudius, brother of Shakespeare's Hamlet Claudius Amyand, French surgeon Chronic arterial insufficiency predominantly affects the lower limb. Select the arterial segments that are often implicated in lower limb claudication. * common iliac artery popliteal artery subclavian artery infrarenal aorta Select the options that contribute to a diagnosis of chronic limb threatening ischaemia (CLTI)? * Pain in one calf on walking 50 yards Pain in both calves on walking 200 yards Pain in foot while trying to sleep in bed Pain in the stump of a below knee amputation Best Medical Therapy (BMT) is a mainstay of treating patients with chronic arterial insufficiency. Which one of these is NOT part of BMT? * Daily Aspirin 75 mg PO Low dose statin PO HS Treatment of Atrial Fibrillation Smoking cessation Which of these arteries arises below the popliteal artery? * See image relating to this question at the bottom of the page TibioPeroneal Trunk Posterior Tibial Trunk Dorsalis Pedis Trunk Common Peroneal Trunk What are the three vital determinants of the technical success of a bypass graft performed to treat arterial insufficiency? * Surgeon, Anaesthetist and Patient Motivation, Skill and Perseverance Environment, Equipment and Energy Inflow, Conduit and Outflow Mr Aykanno Twalkalot is a 68 year old diabetic who actively supports the tobacco industry. He gets pain in both calves when trying to walk briskly uphill to the off-license. Fortunately, this is relieved when he pauses to browse the shop shelves. Which is the most frequently implicated section of lower limb artery in a relatively typical patient such as Mr Twalkalot? * Infrarenal aorta External Iliac artery Internal Iliac artery Superficial Femoral artery Select the options that represent a form of Endovascular treatment for chronic arterial insufficiency * Femoral endarterectomy Femoral embolectomy Femoropopliteal stent graft Popliteal thrombolysis Intervention for lower limb chronic arterial insufficiency in 2021 is most often by angioplasty. Patients for angioplasty usually attend hospital on a day case basis. The procedure is carried out with the patient fully awake. The intervention can be observed on the screen by the patient in real time. The benefit of successful revascularisation is usually immediately apparent. The risk of serious complications such as severe bleeding or acute arterial injury is approximately 10%. * The paragraph above is true. The paragraph above is false. Thank you!
