Upper Limb Ischemic Gangrene Multiple Choice Question And Answers

Upper Limb Ischaemia And Gangrene Multiple Choice Question And Answers

Question 1. Which of the following is usually not a feature of Raynaud’s disease?

1. Radial artery pulsations are absent
2. The upper limb is involved
3. Cervical sympathectomy is helpful
4. Pallor, cyanosis, and rubor are the colour changes during the attack

Answer: 1. Radial artery pulsations are absent

Question 2. The following is true for cervicQusetion al sympathectomy except:

1. It raises the threshold at which spasm occurs
2. The entire stellate ganglion has to be removed
3. It is the treatment of choice in hyperhidrosis
4. Up to the 3rd thoracic ganglion has to be removed

Answer: 2. The entire stellate ganglion has to be removed

Question 3. Which muscle is the landmark of the thoracic outlet?

1. Scalenus antics
2. Scalenus medius
3. Scalenus posterior
4. Levator scapulae

Answer: 1. Scalenus antics

Question 4. The following are components of giant cell arteritis:

1. Severe headache is a presenting complaint
2. The temporal artery is usually not involved
3. A biopsy from the artery reveals giant cell granulomas
4. CD4+ T lymphocytes are found in histopathology

Answer: 2. The temporal artery is usually not involved

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Question 5. Hypertension is a common finding in the following conditions:

1. Polyarteritis nodosa
2. Phaeochromocytoma
3. Polycystic disease of the kidney
4. Hyperthyroidism

Answer: 4. Hyperthyroidism

Question 6. Which of the following is the treatment of choice for a cervical rib with ischaemia?

1. Excision of the rib
2. Excision of the rib with cervical sympathectomy
3. Excision of the rib with division of the pectoralis minor
4. Excision of the rib with division of the scalenus antics

Answer: 2. Excision of the rib with cervical sympathectomy

Question 7. The following is true for the subclavian artery except:

1. A cervical rib may compress it
2. It gives rise to the internal mammary artery
3. Post-stenotic dilatation occurs once it is compressed by a cervical rib
4. It continues as the axillary artery at the medial border of the first rib

Answer: 4. It continues as the axillary artery at the medial border of the first rib

Question 8. Compression of the subclavian artery is detected by which clinical test?

1. Froment’s sign
2. Adson’s test
3. Allen’s test
4. Halsted test

Answer: 2. Allen’s test

Question 9. The following are the causes of splinter haemorrhages:

1. Bacterial endocarditis
2. Cervical rib
3. Scleroderma
4. Aortic regurgitation

Answer: 4. Aortic regurgitation

Question 10. The following are true about subclavian steal syndrome:

1. It is more common on the left side
2. It presents with vertebrobasilar symptoms
3. Both radial arteries are normal
4. Significant arm symptoms are present

Answer: 3. Both radial arteries are normal

Question 11. The following are the causes of upper limb ischaemia:

1. Ergotamine alkaloids
2. Cervical rib
3. TAO
4. Atheroma of the brachial artery

Answer: 4. Atheroma of the brachial artery

Question 12. Which is the test to detect the dominant arterial supply for hand circulation?

1. Froment’s sign
2. Adson’s test
3. Allen’s test
4. Halsted test

Answer: 3. Allen’s test

Question 13. Nicoladoni Branham sign refers to:

1. Compression causing bradycardia
2. Compression causing tachycardia
3. Hypotension
4. Systolic filling

Answer: 1. Compression causing bradycardia

Question 14. The most common cause of an acquired AV fistula is:

1. Bacterial injection
2. Fungal infection
3. Blunt trauma
4. Penetrating trauma

Answer: 4. Penetrating trauma

Question 15. Bilateral pulseless disease in the upper limbs is caused by:

1. Aortoarteritis
2. Coarctation of the aorta
3. Fibromuscular dysplasia
4. Buerger’s disease

Answer: 1. Aortoarteritis