Division of Vascular Surgery

Knowledge Objectives 3rd and 4th year medical students

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Division of Vascular Surgery
Appendix

(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
                    Indices (ABI),toe-pressures,
                     and wave forms                                          ______       _______

               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
                   aneurysm                                                      ______       _______

               c. Palpation of  a popliteal pulse                   ______       _______

               d. Palpation of a lower extremity

                              graft pulse                                          ______       _______

              

               e. Auscultation of a femoral bruit                   ______       _______

                                           
                                         
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