Vascular Disorders & Surgical Drains — General Surgery

Vascular Disorders & Surgical Drains MCQs: practice questions

Sample Vascular Disorders & Surgical Drains multiple-choice questions from General Surgery.

1. A patient has unilateral leg swelling after prolonged immobilization. The major concern is

   • A. Increased venous hydrostatic pressure
   • B. A drain may not adequately drain all compartments or may become blocked
   • C. Deep venous thrombosis
   • D. Painful with a punched-out appearance
   • E. They can serve as a route for infection and tissue irritation

2. Which symptom suggests critical limb ischemia rather than uncomplicated claudication?

   • A. Rest pain
   • B. Peripheral arterial disease
   • C. Deep venous thrombosis
   • D. Ruptured abdominal aortic aneurysm
   • E. Inadequate arterial perfusion

3. A drain placed near a bowel anastomosis begins producing enteric-appearing fluid. The concern is

   • A. A drain may not adequately drain all compartments or may become blocked
   • B. Peripheral arterial disease
   • C. They can serve as a route for infection and tissue irritation
   • D. Anastomotic leak
   • E. Increased venous hydrostatic pressure

4. Which intervention is central to preventing complications of chronic venous disease?

   • A. Arterial embolism
   • B. Dependent edema and skin hyperpigmentation
   • C. Rest pain
   • D. Ruptured aneurysm
   • E. Compression therapy when arterial flow is adequate

5. Which finding is part of the classic '6 Ps' of acute limb ischemia?

   • A. Ruptured aneurysm
   • B. Fluid and electrolyte depletion
   • C. Paresthesia
   • D. Rest pain
   • E. Atherosclerotic peripheral arterial disease

6. An ankle-brachial index below approximately 0.9 suggests

7. A closed-suction drain works primarily by

8. A patient with intermittent calf pain while walking that resolves with rest most likely has

9. Which arterial pathology is characterized by atherosclerotic plaques that can thrombose and embolize?

10. A Jackson-Pratt drain is best described as

11. A postoperative drain produces a small amount of clear serous fluid. This most likely represents

12. A drain suddenly produces a large amount of bright red blood. The major concern is

13. A patient with acute painful pulseless limb has the classic vascular emergency of

14. Which vascular emergency involves rupture of an arterial wall with life-threatening hemorrhage?

15. Which general principle should guide drain management after surgery?

16. Which physical finding strongly supports peripheral arterial disease?

17. Which mechanism causes edema in chronic venous insufficiency?

18. Chronic venous insufficiency commonly causes

19. A patient with atrial fibrillation develops sudden leg pain and absent pulses. The likely mechanism is

20. An ischemic arterial ulcer is typically

21. A venous stasis ulcer is most likely to occur

22. A chronic smoker has diminished femoral and pedal pulses with exertional calf pain. The most likely disease is

23. Why should drains generally be removed when no longer needed?

24. A patient with unilateral painful calf swelling should not be reassured by absence of fever because

25. Why can a drain mask an intra-abdominal collection?

26. Which complication can result from prolonged external drainage of intestinal fluid?

27. Which complication of DVT is potentially fatal?

28. A pulsatile abdominal mass with sudden severe back pain and hypotension suggests

29. A patient with severe atherosclerotic disease develops a nonhealing toe ulcer. The underlying problem is most likely

30. Which condition is characterized by dilated tortuous superficial veins due to venous valve incompetence?