Answer 22

22.  D is the correct answer.  Varicose veins are not considered part of Virchow's Triad.  Virchow's Triad is hypercoagulable state, venous, stasis and venous injury.  

Question 22

22.  Which of the following is not considered part of Virchow's triad?

A.  Hypercoagulable State
B.  Venous Stasis
C.  Venous Injury
D.  Varicose Veins

Answer 21

21.  Choice B is the correct answer.  Beta blocker therapy helps reduce the influence of catecholamines on an aneurysm and have been shown to be of benefit.  A TEE is not necessary at this point.  The patient has already had a CT with IV contrast which is adequate to screen for dissection.  This patient does not need to immediately go to surgery.  He is showing no signs of rupture or dissection and is not symptomatic.

Question 21

21.  Your patient is a 65 year old male that presents with a 4.3 cm Thoracic Aneurysm discovered on CT scan with IV contrast.  He has been having atypical chest pain and this was found as an incidental finding.  Which of the following is the best management option?

A.  Order a transesophageal ECHO (TEE) to screen for a dissection
B.  Start on Beta Blocker Therapy and refer to Cardiothoracic Surgery
C.  Refer the patient to Cardiothoracic surgery
D.  Recommend the patient be taken to surgery for immediate repair