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Back to Knowledge and Performance Objectives
(Appendix VI) Vascular Surgery Quiz (Return to 424 CSB before receiving evaluation/credit for rotation) 1. True or False Kinetic, not viscous (Poiseuille’s law), energy losses account for most of the pressure drop across a stenosis. 2. The most useful method(s)of diagnosing deep venous thrombosis is/are a. clinical examination b. continuous wave Doppler wave form analysis c. duplex doppler ultrasound d. magnetic resonance angiography e. all of the above 3. True or False Continuous wave doppler ultrasound has primary clinical applicability in obtaining pressure measurements, indices, and arterial wave form analysis. 4. Indications for duplex doppler study include all the following, except a. possible cerebrovascular disease b. initial evaluation of lower extremity claudication c. clinical suspicion of deep venous thrombosis d. follow-up of lower extremity autogenous vein arterial bypass e. renal artery exam when renovascular hypertension is suspected 5. A 57 year old diabetic has a 5th toe ulcer without forefoot sepsis, no palpable pulses and an ABI= 1.0. The following are applicable: a. gangrene is inevitable, followed by major amputation b. circulation is adequate to achieve wound healing c. determination of PPG-derived toe pressures better predicts forefoot perfusion d. transcutaneous pO2 or laser doppler determination of forefoot flow are not indicated 6. True or False Most patients with acute popliteal or iliofemoral deep venous thrombosis will have diminished augmentation and respiratory variation of flow with poor compressibility of the vein during duplex scanning. (Appendix VII) DOCUMENTATION OF PERFORMANCE OBJECTIVES FOR PG 1 GENERAL SURGERY RESIDENTS ON VASCULAR SURGERY (See Above) (Return to 424 CSB before receiving evaluation/credit for rotation)
POSTGRADUATE YEAR ONE ________________________________ (Please Print) DATE INITIALS Performance Objectives 1. a. Knot tying b. Wound closure ______ _______ 2. a. Aortic reconstruction ______ _______ b. Carotid endarterectomy and intraoperative duplex scan ______ _______ c. Lower extremity bypass ______ _______ d. Major amputation ______ _______ 3. a. 2 sets of doppler -derived Ankle Brachial b. Observe one carotid duplex scan ______ _______ c. Observe one deep venous duplex exam ______ _______ 4. a. Central line placement ______ _______ b. Change of catheter over guidewire ______ _______ 5. a. Auscultation of a carotid bruit ______ _______ b. Palpation of an abdominal aortic c. Palpation of a popliteal pulse ______ _______ d. Palpation of a lower extremity graft pulse ______ _______
e. Auscultation of a femoral bruit ______ _______ |
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