Lower Limb Ischaemia And Popliteal Aneurysm Multiple Choice Question And Answers
Question 1. Which of the following is false regarding thromboangiitis obliterans?
- The dorsal pedis and posterior tibial arteries are often affected
- The radial artery may also be affected
- The superficial femoral artery is also affected
- Bruit is present over the femoral artery
Answer: 4. Bruit is present over the femoral artery
Question 2. The following is true for atherosclerotic arterial disease:
- Large-sized arteries are affected
- The upper limb is often affected
- It may be associated with an aortic aneurysm
- A bruit may be present over the artery
Answer: 2. The upper limb is often affected
Question 3. The following are features of thromboangiitis obliterans:
- Raynaud’s phenomenon
- Migrating thrombophlebitis
- Segmental panarteritis
- Polymorphs and giant cells are absent in histopathology
Answer: 4. Polymorphs and giant cells are absent in histopathology
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Question 4. The following are the uses of a Doppler probe:
- To feel the nonpalpable pulse
- To look for pressure index
- To measure blood pressure
- To detect a triphasic pattern
Answer: 4. To detect triphasic pattern
Question 5. Lumbar sympathectomy has the following advantages:
- Rest pain improves to a small extent
- Ulcerations heal
- Claudication and claudication distance improve
- The nutritive value of the blood flow improves
Answer: 3. Claudication and claudication distance improve
Question 6. A Fogarty catheter is used in:
- Chronic arterial occlusion
- Acute arterial embolic occlusion
- Vasospastic disease
- Femoral vein thrombosis
Answer: 2. Acute arterial embolic occlusion
Question 7. The characteristic features of critical limb ischaemia are:
- Intermittent claudication
- Ankle pressure <70 mm of Hg
- Toe systolic pressure <30 mmHg
- Absent pulses
Answer: 3. Toe systolic pressure <30 mmHg
Question 8. The triad of fat embolism includes:
- Respiratory failure, confusion, petechial haemorrhages
- Respiratory failure, confusion, large purpuric spots
- Respiratory failure, alertness, petechial haemorrhages
- Cardiac failure, confusion, petechial haemorrhages
Answer: 1. Respiratory failure, confusion, petechial haemorrhages
Question 9. The following is true for popliteal aneurysm:
- It is caused by atherosclerosis
- It is the most common type of peripheral aneurysm
- It is always unilateral
- Foot drop may occur
Answer: 3. It is always unilateral
Question 10. The following are true about lumbar sympathectomy:
- It is a postganglionic sympathectomy
- The sympathetic trunk is divided below the first sympathetic ganglion
- It is a preganglionic sympathectomy
- It is usually done by an extraperitoneal approach
Answer: 1. It is a postganglionic sympathectomy
Question 11. The following is true for infra-inguinal bypass surgery for diabetic ulcers:
- The long saphenous vein is inferior to the PTFE graft
- Preoperative vein marking is helpful
- 2-year patency is around 70%
- The amputation rate after bypass surgery is still high
Answer: 1. Long saphenous vein is inferior to the PTFE graft
Question 12. The following are major risk factors for atherosclerosis:
- Dyslipidaemia
- Tobacco smoking
- Hyperhomocysteinemia
- Alcohol intake
Answer: 4. Alcohol intake
Question 13. The following is true for profundoplasty except:
- It is done using a patch of Dacron
- It is done using a vein graft
- It is done after an endarterectomy
- It is done in TAO patients
Answer: 4. It is done after an endarterectomy
Question 14. The following are true about tissue plasminogen activators:
- It was first purified from melanoma cells
- It is an endogenous enzyme like urokinase
- It is sometimes elevated in carcinoma stomach
- Streptokinase also has plasminogen-activating action
Answer: 3. It is sometimes elevated in carcinoma stomach
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