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Self-Assessment Questions

Emergency Medicine

Vascular Emergencies: Review Questions

Stuart Spitalnic, MD

Dr. Spilatnic is an assistant residency director, Brown University Emergency Medicine Residency Program, and an assistant professor of emergency medicine, Brown University, Providence, RI.



Choose the single best answer for each question.

1. All of the following are well-described complications of aortic dissection EXCEPT
  1. Aortic valve insufficiency
  2. Inferior wall myocardial infarction
  3. Lower extremity paralysis
  4. Pericardial tamponade
  5. Pericarditis
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2. Which of the following is the most appropriate imaging modality for confirming the diagnosis of acute rupture of an abdominal aortic aneurysm?

  1. Plain radiograph
  2. Aortic ultrasonography
  3. Abdominal computed tomography (CT) scan
  4. Angiography
  5. Abdominal magnetic resonance imaging
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3. A 61-year-old man with a history of untreated atrial fibrillation presents to the emergency department with several hours of sudden-onset leg pain. On examination, the patient’s left leg is found to be pale, cool, and pulseless. What is the most appropriate management option for this patient?

  1. Elevation, hydration, and bed rest
  2. Fogarty catheter embolectomy
  3. Heparin anticoagulation
  4. Thrombolytic therapy
  5. None of the above
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4. A 57-year-old woman presents to the emergency department with right leg numbness, tingling, and weakness 1 week after coronary angiography. On examination, there is a pulsatile nontender mass in the right groin (the side of the arterial puncture), and the patient states the mass seems to be getting bigger each day. What is this patient’s most likely diagnosis?
  1. Acute arterial occlusion
  2. Arteriovenous fistula
  3. Expanding pseudoaneurysm
  4. Femoral nerve injury after angiography
  5. Infected pseudoaneurysm
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5. Uncomplicated, type B (distal) aortic dissections are usually treated with which of the following?

  1. Anticoagulants
  2. Blood pressure control
  3. Surgery
  4. Intra-aortic balloon pump
  5. None of the above
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