Vascular Surgery Quizzes: Test Your Knowledge in Vascular Procedures

Question 1

In adults over 50 years of age, what is the most common cause of an abdominal aortic aneurysm that requires surgical repair?

Accepted Answer

Atherosclerosis

Answer

Hypertension

Answer

Smoking

Answer

Family history

Question 2

What is the initial treatment of choice for acute limb ischemia due to an arterial embolism?

Accepted Answer

Embolectomy

Answer

Thrombolytic therapy

Answer

Bypass surgery

Answer

Conservative management

Question 3

Prior to vascular surgery, which imaging modality provides the most comprehensive evaluation of arterial anatomy?

Accepted Answer

Computed tomography angiography (CTA)

Answer

Magnetic resonance angiography (MRA)

Answer

Doppler ultrasound

Answer

Intraoperative angiography

Question 4

Which type of peripheral arterial disease is characterized by progressive narrowing of the arteries due to plaque buildup?

Accepted Answer

Atherosclerosis

Answer

Buerger's disease

Answer

Ehlers-Danlos syndrome

Answer

Raynaud's disease

Question 5

What is the primary goal of an aortic aneurysm repair?

Accepted Answer

To prevent rupture

Answer

To improve blood flow

Answer

To reduce pain

Answer

To prevent infection

Question 6

Which of the following is a contraindication to peripheral artery bypass surgery?

Accepted Answer

Active infection

Answer

Uncontrolled diabetes

Answer

Severe peripheral vascular disease

Answer

Chronic kidney disease

Question 7

Which of the following is a symptom of lymphedema?

Accepted Answer

Swelling

Answer

Pain

Answer

Redness

Answer

Fever

Question 8

What is the most common cause of aortoenteric fistula?

Accepted Answer

Aortic aneurysm

Answer

Infection

Answer

Trauma

Answer

Radiation therapy

Question 9

Summarize the principles of endovascular aneurysm repair (EVAR), highlighting its benefits and drawbacks relative to open surgical repair.

Accepted Answer

EVAR typically leads to a quicker recovery than open surgical repair.

Accepted Answer

Open surgical repair provides a more long-lasting solution than EVAR, with a reduced risk of complications over time.

Answer

EVAR entails creating a new pathway within the weakened blood vessel.

Answer

EVAR is suitable for all aneurysms, irrespective of their location or size.

Question 10

Which surgical procedure involves the creation of a new pathway for blood flow around an obstructed artery?

Accepted Answer

Arterial bypass

Answer

Carotid endarterectomy

Answer

Endarterectomy

Answer

Aneurysm repair

Question 11

A localized, abnormal widening of an artery is known as:

Accepted Answer

Aneurysm

Answer

Stenosis

Answer

Thrombus

Answer

Embolism

Question 12

Which endovascular technique involves the insertion of a stent into an artery to widen it?

Accepted Answer

Stent placement

Answer

PTA (percutaneous transluminal angioplasty)

Answer

Laser ablation

Answer

Embolization

Question 13

Surgical repair of a ruptured abdominal aortic aneurysm is typically performed using:

Accepted Answer

Open surgery

Answer

Laparoscopic surgery

Answer

Endovascular repair

Answer

Hybrid repair

Question 14

The primary objective of carotid endarterectomy is to:

Accepted Answer

Prevent stroke

Answer

Improve blood flow to the brain

Answer

Reduce the size of a carotid plaque

Answer

Decrease blood pressure

Question 15

The most reliable method for diagnosing peripheral artery disease is:

Accepted Answer

Arterial duplex ultrasound

Answer

Angiography

Answer

Physical examination

Answer

Blood pressure measurement

Question 16

The fundamental principle of endovascular aneurysm repair (EVAR) is to:

Accepted Answer

Exclude the aneurysm from the circulatory system

Answer

Strengthen the aneurysm wall

Answer

Reduce blood flow to the aneurysm

Answer

Increase blood pressure in the aneurysm

Question 17

In peripheral arterial bypass grafting, which autologous graft is most commonly used?

Accepted Answer

Saphenous vein

Answer

Femoral vein

Answer

Radial artery

Answer

Gastroepiploic artery

Question 18

In preoperative assessment for vascular surgery, which factor is paramount?

Accepted Answer

Comprehensive medical history and physical examination

Answer

Sole reliance on imaging studies

Answer

Exclusive focus on anesthetic considerations

Answer

Consultation with specialists only

Question 19

The most prevalent type of aneurysm in the abdomen involves which artery?

Accepted Answer

Aorta

Answer

Renal artery

Answer

Iliac artery

Answer

Femoral artery

Question 20

The most common symptom associated with a dissecting aortic aneurysm is:

Accepted Answer

Severe chest pain

Answer

Intense back pain

Answer

Abdominal discomfort

Answer

Leg pain and numbness

Question 21

Which of the following is NOT a contraindication for renal artery stenting?

Accepted Answer

Patient's personal preferences

Answer

Advanced renal insufficiency

Answer

Uncontrolled hypertension

Answer

Recent myocardial infarction

Question 22

Which of the following is the primary indication for carotid endarterectomy?

Accepted Answer

Transient ischemic attack (TIA) with ipsilateral carotid artery stenosis >=70%

Answer

Stroke with ipsilateral carotid artery stenosis >=50%

Answer

Carotid artery stenosis >=90% regardless of symptoms

Answer

Vertebrobasilar insufficiency

Question 23

What is the primary objective of an aortic aneurysm repair?

Accepted Answer

Prevent rupture

Answer

Restore blood flow

Answer

Reduce pain

Answer

Improve circulation

Question 24

Which type of endovascular graft is most commonly used for abdominal aortic aneurysms?

Accepted Answer

Covered stent

Answer

Z-stent

Answer

Balloon-expandable stent

Answer

Self-expanding stent

Question 25

What is the most critical factor to consider when planning an arterial bypass?

Accepted Answer

Recipient vessel size

Answer

Patient's age

Answer

Graft material

Answer

Donor vessel length

Question 26

What is the primary goal of a venous ablation procedure?

Accepted Answer

To remove or block diseased veins

Answer

To improve circulation

Answer

To prevent blood clots

Answer

To reduce pain and swelling

Question 27

What is the most common type of lymphedema?

Accepted Answer

Secondary lymphedema

Answer

Primary lymphedema

Answer

Lipedema

Answer

Milroy's disease

Question 28

Which of the following is a type of arterial bypass surgery used to restore blood flow to a blocked artery between the aorta and the knee?

Accepted Answer

Femoropopliteal bypass

Answer

Gastrectomy (surgery to remove the stomach)

Answer

Nephrectomy (surgery to remove a kidney)

Answer

Tracheostomy (surgery to create an opening in the windpipe)

Question 29

What is the primary indication for performing carotid endarterectomy surgery?

Accepted Answer

Prevention of stroke

Answer

Relief of angina (chest pain caused by reduced blood flow to the heart)

Answer

Treatment of varicose veins

Answer

Repair of an abdominal aortic aneurysm

Question 30

Which of the following is a type of endovascular technique utilized to intervene on blocked arteries without open surgery?

Accepted Answer

Stent placement

Answer

Cryosurgery (surgery using cold to destroy tissue)

Answer

Laparoscopic surgery (minimally invasive surgery using a camera)

Answer

Debridement (removal of damaged tissue)

Question 31

What is the main purpose of abdominal aortic aneurysm repair surgery?

Accepted Answer

To prevent rupture of a weakened and ballooned segment in the aorta

Answer

To prevent infection

Answer

To improve blood flow to the lower extremities

Answer

To alleviate leg pain

Question 32

Which of the following is a major risk factor that contributes to the development of peripheral artery disease (PAD)?

Accepted Answer

Smoking

Answer

Low blood pressure

Answer

High levels of HDL cholesterol (considered good cholesterol)

Answer

Regular physical activity

Question 33

What is the primary purpose of a vascular access?

Accepted Answer

Providing access to the bloodstream for hemodialysis in patients with kidney failure

Answer

Drawing blood samples

Answer

Administering chemotherapy

Answer

Monitoring blood pressure

Question 34

What is the primary responsibility of a vascular surgeon?

Accepted Answer

Diagnosing and treating diseases affecting blood vessels

Answer

Managing cancer patients

Answer

Performing heart surgery

Question 35

Which is the primary indication for endovascular aneurysm repair (EVAR)?

Accepted Answer

Abdominal aortic aneurysm

Answer

Thoracic aortic aneurysm

Answer

Peripheral artery disease

Answer

Carotid artery stenosis

Question 36

Which of the following is a well-established risk factor for the development of peripheral artery disease (PAD)?

Accepted Answer

Smoking

Answer

Lupus

Answer

Hyperthyroidism

Answer

Polycythemia

Question 37

What is the most common type of aneurysm encountered in clinical practice?

Accepted Answer

Abdominal aortic aneurysm

Answer

Popliteal aneurysm

Answer

Thoracic aortic aneurysm

Answer

Cerebral aneurysm

Question 38

Which imaging modality is considered the gold standard for diagnosing and evaluating vascular disorders?

Accepted Answer

Angiography

Answer

Magnetic resonance imaging (MRI)

Answer

CT scan

Answer

Ultrasound

Question 39

What is the primary goal of a carotid endarterectomy?

Accepted Answer

To remove atherosclerotic plaque from the carotid artery

Answer

To bypass an occluded artery

Answer

To treat peripheral artery disease

Answer

To repair a ruptured aneurysm

Question 40

Which of the following is a potential complication of vascular surgery?

Accepted Answer

Hemorrhage

Answer

Constipation

Answer

Pneumonia

Answer

Hypertension

Question 41

What is the most common cause of acute limb ischemia?

Accepted Answer

Embolism

Answer

Atherosclerosis

Answer

Thrombosis

Answer

Vasculitis

Question 42

Which of the following is a recognized risk factor for deep vein thrombosis (DVT)?

Accepted Answer

Prolonged immobility

Answer

Vitamin C deficiency

Answer

Low hemoglobin

Answer

High blood sugar

Question 43

In the management of a ruptured abdominal aortic aneurysm, which treatment approach is considered the gold standard?

Accepted Answer

Emergency open repair

Answer

Medication therapy to stabilize the patient

Answer

Endovascular repair using a stent graft

Answer

Conservative management with close monitoring

Question 44

In vascular surgery, which procedure creates a new blood vessel pathway to bypass a blocked or diseased artery?

Accepted Answer

Arterial bypass

Answer

Embolectomy

Answer

Aneurysm repair

Answer

Stent placement

Question 45

What is the primary aim of using endovascular techniques in vascular surgery?

Accepted Answer

Minimally invasive repair of blood vessels

Answer

Bypass of occluded arteries

Answer

Removing atherosclerotic plaque

Answer

Treatment of varicose veins

Question 46

Which type of aneurysm involves a dilatation of the aortic wall?

Accepted Answer

Aortic aneurysm

Answer

Carotid aneurysm

Answer

Renal artery aneurysm

Answer

Popliteal aneurysm

Question 47

What is the primary indication for performing carotid endarterectomy (CEA)?

Accepted Answer

Symptomatic carotid artery stenosis

Answer

Asymptomatic carotid artery stenosis

Answer

Carotid artery dissection

Answer

Carotid artery aneurysm

Question 48

What is the primary function of the vascular endothelium?

Accepted Answer

Regulation of vascular tone and permeability

Answer

Immune surveillance

Answer

Formation of blood clots

Question 49

Which imaging modality is most useful for evaluating the patency of a vascular graft?

Accepted Answer

Ultrasound

Answer

CT scan

Answer

X-ray

Question 50

What is the primary goal of a sympathectomy?

Accepted Answer

To improve blood flow to ischemic limbs

Answer

To manage arrhythmias

Answer

To treat hypertension

Answer

To prevent stroke