USMLE Forum Archives - USMLE Step 2 CK - vascular surgery
vascular surgery
bingousmle - 05-20-10 06:59
A 67-year-old white male retired factory worker was found to have an abdominal aortic aneurysm on routine physical examination. A vascular surgeon has recommended operative repair. The patient is a former smoker, with a 10-pack-year smoking history. Three years ago, while under the stress of a forced retirement, he had angina which responded well to sublingual nitroglycerin. He has had no angina for 1 year. Which one of the following conditions would be the most likely cause of perioperative death in
this patient?
a.Pulmonary complications
b.Peripheral embolization
c.Operative site infection
d.Myocardial infarction
e.Cerebral infarction
bingousmle - 05-20-10 06:59
A 67-year-old white male retired factory worker was found to have an abdominal aortic aneurysm on routine physical examination. A vascular surgeon has recommended operative repair. The patient is a former smoker, with a 10-pack-year smoking history. Three years ago, while under the stress of a forced retirement, he had angina which responded well to sublingual nitroglycerin. He has had no angina for 1 year. Which one of the following conditions would be the most likely cause of perioperative death in
this patient?
a.Pulmonary complications
b.Peripheral embolization
c.Operative site infection
d.Myocardial infarction
e.Cerebral infarction
The correct answer and explanation will be available after you answer.
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#1
Re: vascular surgery babbu5508 - 05-20-10 14:04 My answer is: a.
Contraindications for operative intervention of abdominal aortic aneurysms (AAAs) include severe COPD, severe cardiac disease, active infection, and medical problems that preclude operative intervention. These patients may benefit best from endovascular stenting of the aneurysm.
#2
Re: vascular surgery
bingousmle - 05-20-10 14:39 My answer is: d.
.Myocardial infarction off all the conditions listed is most likely cause of perioperative death given especially that he has a history of angina... so option d is most relevant
#4
Re: vascular surgery mtniharika - 05-25-10 04:27 My answer is: d.
Which one of the following conditions would be the most likely cause of perioperative death in this patient...d.Myocardial infarction
#5
Re: vascular surgery bingousmle - 05-25-10 06:29 
posted by babbu5508 on 05-21-10 02:21
yeah...good one...
yeah...good one...
hmmm
#13
Re: vascular surgery rahmath - 05-10-12 22:46 My answer is: d.
it is myocardial infarction becuase he already got angina once plus he has risk factor as smoking,,
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