Study Questions: Chapter 03

Chapter 3: Approach to Patients with Extracranial Carotid Artery Disease

ESTHER S.H. KIM, MD, MPH, FSVM

Study Questions: Chapter 3

* 1.) Which of the following is the most common cause of stroke?
* 2.) An 80%‒99% right internal carotid artery stenosis is detected in a patient referred for carotid duplex ultrasonography. Which of the following should prompt a referral for revascularization?
* 3.) A 68-year-old man with history of tobacco abuse, hypertension, and hyperlipidemia presents for an annual clinic visit with vague symptoms suggestive of TIAs. Which of the following is a true statement?
* 4.) A 67-year-old man with history of hypertension, hyperlipidemia, and smoking presents with an asymptomatic left cervical bruit. Carotid duplex ultrasound shows a 60%‒79% stenosis of the left internal carotid artery.

In addition to starting aspirin and an antihypertensive agent, which of the following medical regimens is optimal?

* 5.) For which of the following scenarios may it be more appropriate to perform carotid endarterectomy over carotid artery stenting?