Continuing Medical Education Certification Test! Quiz
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Hemodynamic Consequences of Deep Venous Obstructive Disease
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PROGRAM OBJECTIVES
This activity is designed for physicians and allied health professionals. This course includes videos and questions from the 2015 Annual Meeting, Allied Health Symposium. Upon completion of this course, you will receive a customized CME certificate.
HARDWARE/SOFTWARE REQUIREMENTS
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DISCLOSURE POLICY
In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. Therefore, it is mandatory that both the program planning committee and speakers complete disclosure forms. Members of the program committee were required to disclose all financial relationships and speakers were required to disclose any financial relationship as it pertains to the content of the presentations. The ACCME defines a ‘commercial interest’ as “any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients”. It does not consider providers of clinical service directly to patients to be commercial interests. The ACCME considers “relevant” financial relationships as financial transactions (in any amount) that may create a conflict of interest and occur within the 12 months preceding the time that the individual is being asked to assume a role controlling content of the educational activity.
The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the session.
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Nonthrombotic Venous Obstructions Cause Pelvic Congestion Syndrome
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Endovascular Recanalization of the Non-Malignant Chronically Occluded Inferior Vena Cava
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Effects of Venous Stent Placement on Cutaneous Microvascular Function in Iliocaval Venous Obstruction
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The Short term Outcomes of Neovalve Deep Venous Reconstructive Surgery
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Reintervention in Patients Undergoing Ilio-femoral Venous Stenting
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Randomized Double-blinded Study Comparing Clinical Versus Endovascular Treatment of Iliac Vein Obstruction
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The Diagnostic Value of the Pubic Collateral in Deep Venous Obstructive Disease
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If you are an ACS member, what is your member number?
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Please explain any specific instance(s) of bias or conflict of interest:
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Additional Comments
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Are you an ACS member?
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Yes
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No
Correct Answer
A. YesExplanation
The correct answer is "Yes" because the question asks if the person is an ACS member, and the individual responds with "Yes." This indicates that they are indeed a member of the ACS.Rate this question:
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- 13.
Overall, how would you rate this educational activity?
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Excellent
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Very Good
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Good
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Fair
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Poor
Correct Answer
A. ExcellentExplanation
The given correct answer for this question is "Excellent". This suggests that the person rating the educational activity believes it to be of the highest quality. They likely found the activity to be extremely beneficial, well-designed, and engaging. They may have gained a lot of knowledge or skills from the activity and had a positive overall experience.Rate this question:
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- 14.
Program topics and content met the stated objectives
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Strongly Agree
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Agree
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Neutral
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Disagree
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Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer, "Strongly Agree," suggests that the program topics and content successfully met the stated objectives. This implies that the program covered the intended subjects and material in a comprehensive and effective manner, aligning with the desired outcomes. The respondent strongly believes that the program successfully achieved its goals and objectives.Rate this question:
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- 15.
Content was relevant to my educational needs
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Strongly Agree
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Agree
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Neutral
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Disagree
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Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer, "Strongly Agree," suggests that the content provided was highly relevant to the individual's educational needs. This implies that the content aligned well with the person's specific learning goals and requirements, providing them with valuable information and knowledge that directly catered to their educational needs.Rate this question:
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- 16.
Program was fair, objective, and unbiased toward any product or program
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Strongly Agree
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Agree
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Neutral
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Disagree
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Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The given answer "Strongly Agree" suggests that the program was fair, objective, and unbiased towards any product or program. This means that the program did not show favoritism or prejudice towards any particular product or program, and it provided an equal and impartial treatment to all.Rate this question:
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- 17.
A 23-year-old woman with a history of DVT presents with complaints of venous claudication. Duplex ultrasonography and magnetic resonance venography both show a post-thrombotic left common iliac vein. Pressures in the dorsal foot vein and common femoral vein of both limbs are measured. What statement below is true?
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In the supine position, both pressures in the left limb are circa 25% higher than in the right limb.
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In erect position, pressure in the dorsal foot veins is higher than the contralateral limb.
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Dorsal foot vein pressure of the left limb is a good parameter in identifying iliofemoral deep venous obstruction in this patient.
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During walking, pressure in the common femoral vein of the left limb increases considerably.
Correct Answer
A. During walking, pressure in the common femoral vein of the left limb increases considerably.Explanation
Hemodynamic Consequences of Deep Venous Obstructive DiseaseRate this question:
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- 18.
A 37 year-old woman presents complaining of chronic left lower extremity pain and edema. There is no reported history of deep vein thrombosis. She responds to a questionnaire that she experiences chronic pelvic pain and dyspareunia which is severe enough that she limits the frequency of intercourse. Physical exam reveals only a few small varices in the lower extremities. What is the most likely cause of the symptoms?
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Ovarian vein reflux
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Internal iliac vein reflux
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Iliac vein compression
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Iliac vein thrombosis
Correct Answer
A. Iliac vein compressionExplanation
Nonthrombotic Venous Obstructions Cause Pelvic Congestion SyndromeRate this question:
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- 19.
What percentage of patients have symptom resolution after IVC recanalization?
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10%
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20%
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30%
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50%
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80%
Correct Answer
A. 80%Explanation
Endovascular Recanalization of the Non-Malignant Chronically Occluded Inferior Vena CavaRate this question:
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- 20.
How does iliocaval venous obstruction affect microvascular functions?
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Venous obstruction causes reduced response to vasodilators
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Venous obstruction is associated with increased response to vasodilatation
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Endothelial-dependent vasodilatation is normal limits in venous obstruction
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Endothelial independent vasodilation is well preserved in patients with venous obstruction
Correct Answer
A. Venous obstruction causes reduced response to vasodilatorsExplanation
Effects of Venous Stent Placement on Cutaneous Microvascular Function in Iliocaval Venous ObstructionRate this question:
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- 21.
A 69 year old man who had been diagnosed DVT in the past, has a skin pigmentation and an ulcer on his left lower limb. He reports a heaviness and a swelling on his left leg. Which of the following would be the most useful initial diagnostic study?
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Angiogram
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Venogram
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Duplex ultrasound
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CT
Correct Answer
A. Duplex ultrasoundExplanation
The Short term Outcomes of Neovalve Deep Venous Reconstructive SurgeryRate this question:
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- 22.
A 35 year old woman presents with isolated left lower extremity DVT. MRV suggests external compression of the left common iliac vein. What is the best way of evaluating the severity and morphology of this suspected lesion?
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Duplex ultrasonography
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Intravascular ultrasound
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Clinical examination
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Air plethysmography
Correct Answer
A. Intravascular ultrasoundExplanation
Reintervention in Patients Undergoing Ilio-femoral Venous StentingRate this question:
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- 23.
Patient with CEAP C4 and IVUS Iliac vein obstruction > 50%. What would be the best treatment option?
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A. Coumadin
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B. Venoactive drug
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C. Compression therapy
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D. Iliac vein stenting
Correct Answer
A. D. Iliac vein stentingExplanation
For a patient with CEAP C4 and IVUS Iliac vein obstruction > 50%, the best treatment option would be iliac vein stenting. This is because iliac vein stenting is an effective intervention for treating iliac vein obstruction, which is causing symptoms such as pain, swelling, and skin changes in the patient's lower extremities. Coumadin, a blood thinner, may be used as part of the treatment, but it alone would not address the underlying obstruction. Venoactive drugs and compression therapy may be helpful in managing symptoms, but they would not treat the underlying cause of the obstruction.Rate this question:
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- 24.
A patient presents with cosmetic complaints of varicose veins in both groin and down the GSV tract. In your physical examination you find a varicose vein crossing the pubic region from one SFJ to the other. What is the appropriate course of action?
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A. Sclero-compression treatment
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B. Endovenous thermal ablation
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C. Crossectomy and stripping
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D. Imaging of the iliocaval tract
Correct Answer
A. D. Imaging of the iliocaval tractExplanation
The appropriate course of action in this case is to perform imaging of the iliocaval tract. The patient's presentation of varicose veins in both the groin and down the GSV tract, along with the finding of a varicose vein crossing the pubic region from one SFJ to the other, suggests the possibility of underlying venous insufficiency in the iliocaval tract. Imaging of the iliocaval tract, such as a duplex ultrasound or venography, can help to assess the extent and severity of the venous insufficiency and guide further treatment decisions. Sclero-compression treatment, endovenous thermal ablation, and crossectomy and stripping may be considered as treatment options depending on the findings from the imaging.Rate this question:
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- 25.
Educational format was conducive to learning
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Strongly Agree
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Agree
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Neutral
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Disagree
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Strongly Disagree
Correct Answer
A. Strongly AgreeExplanation
The statement suggests that the educational format was highly favorable for learning. The individual strongly agrees with this statement, indicating that they believe the format provided an environment that was highly conducive to learning. They likely found the format engaging, well-structured, and effective in facilitating their understanding and retention of information.Rate this question:
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- 26.
How Many CME Category 1 Credits are you claiming?
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.25
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.5
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.75
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1.0
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1.25
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1.5
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1.75
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2.0
Correct Answer
A. .25Explanation
The answer .25 represents the number of CME Category 1 Credits that the person is claiming.Rate this question:
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Quiz Review Timeline (Updated): Mar 20, 2023 +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Mar 20, 2023Quiz Edited by
ProProfs Editorial Team -
Feb 23, 2015Quiz Created by
Mia Beans
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