* 1.) A patient presents with buttock claudication with walking one block. On examination, femoral pulses are normal. What is the most appropriate screening test to assess the severity of the iliac stenoses?

• Resting ankle-brachial index
• Resting and exercise ankle-brachial index
• Magnetic resonance angiography
• Computed tomography angiography

Show answer

* 2.) Which of the following features would not be considered favorable for endovascular iliac intervention?

• Stenosis length of 4 cm
• Focal occlusion
• Two patent runoff vessels
• Calcified lesion

Show answer

* 3.) Which of the following is the strongest indication for bypass surgery?

• Bilateral common iliac occlusion
• >10 cm unilateral occlusion of common and external iliac artery
• Operator inexperience with endovascular intervention
• Heavily calcified lesion

Show answer

* 4.) Which modality has the least favorable outcome for common iliac lesions?

• Balloon angioplasty alone
• Balloon-expandable bare-metal stent
• Balloon-expandable covered stent
• Anatomical bypass graft

Show answer

* 5.) A 63-year-old man complains of lower back and buttock claudication with ambulation. At an outside hospital, he underwent stent implantationto the left common iliac artery. However, his symptoms did not improve. Based on the angiogram shown below, what is the next appropriate step in his management?

• Reexpand the left common iliac artery stent
• PTA and stent of the right hypogastric artery
• Refer to pain management clinic
• Obtain CT to evaluate his lumbosacral spine

Show answer