Surgery Practice

20 learning units • 10 questions per unit • 200 explained questions

Module 15 — Vascular Disease & the Threatened Limb

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Question 01 • Single best answer

Which pattern suggests intermittent claudication?

A. Reproducible exertional leg discomfort relieved by rest B. Constant itching unrelated to activity C. A painless skin tag D. Sudden deafness

Question 02 • Single best answer

What suggests more advanced arterial disease than uncomplicated claudication?

A. Comfortable walking without symptoms B. Ischemic rest pain or tissue loss C. Normal intact skin alone D. A stable old bruise

Question 03 • Single best answer

Why can ankle pressure measurements be misleading in some patients with diabetes?

A. Diabetes guarantees normal arteries B. Arterial calcification can make vessels poorly compressible C. The test measures only glucose D. All pulses disappear in diabetes

Question 04 • Single best answer

Sudden cold painful leg with new weakness most warrants what?

A. Immediate vascular assessment B. Routine review in several months C. Exercise advice alone D. Reassurance because no ulcer is present

Question 05 • Single best answer

Must all classical acute ischemia signs be present before escalation?

A. Yes, without exception B. Only if the patient has diabetes C. Only after a week D. No

Question 06 • Single best answer

What should be assessed before compression for a leg ulcer?

A. Arterial perfusion and contraindications B. Only the bandage color C. Only the weather D. Only the patient’s height

Question 07 • Single best answer

Can examination alone reliably exclude deep venous thrombosis?

A. No, use an appropriate diagnostic pathway B. Yes, if the skin is not red C. Yes, if pain is mild D. Yes, if the patient is young

Question 08 • Single best answer

Sudden back pain and collapse in a patient with an aortic aneurysm raise concern for what?

A. Rupture or leak B. An uncomplicated skin infection C. A stable incidental finding by definition D. An anal fissure

Question 09 • Single best answer

Why may a serious diabetic foot lesion be painless?

A. Painlessness proves no infection B. Neuropathy can reduce protective sensation C. Ischemia cannot occur in diabetes D. All foot wounds are superficial

Question 10 • Single best answer

Why address cardiovascular risk in peripheral arterial disease?

A. It affects only the skin B. It excludes coronary disease C. It often reflects wider atherosclerotic disease D. It has no relationship to tobacco exposure