Buy Closure Devices Discussion Questions

Buy Closure Devices Discussion Questions
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Buy Closure Devices Discussion Questions
1 The potential benefits of vascular closure devices
include all of the following, except:
(A) Reduction in time to hemostasis
(B) Earlier ambulation of patients
(C) Lower incidence of hematoma and pseudoaneurysm
(D) Increased patient comfort
(E) Earlier discharge for some patients
2 Which of the following is a patented product that
enhances the natural method of achieving hemostasis
by delivering collagen extravascularly to the surface
of the femoral artery?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
3 Which of the following is an arch with a pneumatic
pressure dome, connection tubing, and a two-way
stopcock, a belt, and a pump for inflation?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
Buy Closure Devices Discussion Questions
4 Which of the following is a device that creates a
mechanical seal by sandwiching the arteriotomy
between a bioabsorbable anchor and the collagen
sponge, which dissolves within 8 to 12 weeks?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
5 Which of the following is a suture-mediated closure
device that can be used in anticoagulant patients?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
6 Which of the following is a balloon catheter
that initiates hemostasis and ensures the precise
placement of procoagulant (a flowable mixture of
thrombin, collagen, and diluent) at the puncture site
in the entire tissue tract?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
7 Which of the following is made of a soft, white, sterile,
nonwoven pad of cellulosic polymer, and poly-Nacetyl glucosamine isolated from a microalgae?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
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Closure Devices 165
8 Clinical studies have suggested increased vascular
complications with which of the following devices?
(A) Angio-Seal
(B) Duett
(C) FemoStop
(D) Perclose
(E) Syvek
(F) VasoSeal
9 The incidence of which complication is higher with
vascular closure devices than with concomitant use
of glycoprotein (GP) IIb/IIIa inhibitors:
(A) Local hematoma
(B) Arteriovenous fistula
(C) Pseudoaneurysm
(D) Retroperitoneal hematoma
(E) Femoral vein thrombosis
10 The most common infectious complication associated with percutaneous vascular closure devices is:
(A) Generalized sepsis
(B) Infective endocarditis
(C) Mycotic pseudoaneurysm
(D) Carbuncle
(E) Femoral endarteritis
11 A 45-year-old woman undergoes a diagnostic
catheterization after having a positive stress test for
atypical chest pain. She is found to have mild luminal
irregularities, and the cardiologist decides to use an
Angio-Seal device to close her groin. She responds
well and is sent to the recovery room with instructions to return home in 2 hours. An hour after the
procedure, she is found to be pulseless and have pain,
pallor, and paresthesia of her right leg. What should
you do next?
(A) Give pain pills for relief
(B) IV heparin and GPIIb/IIIa inhibitor
(C) IV fibrinolytic therapy
(D) Urgent surgery consult or urgent percutaneous
peripheral vascular intervention
Buy Closure Devices Discussion Questions
12 The patient mentioned in the preceding text responds well to the treatment and is discharged after
2 weeks in the hospital. She returns to your office
demanding to know what had happened. She is convinced that the closure device is unsafe and should
have never been used on her. She wants to know
whether manual pressure would have been safer to
use. Is she correct?
(A) Yes, in a large analysis, manual pressure was
safer compared with vascular closure devices
regardless of the type of case
(B) No, in a large analysis, manual pressure was safer
only in diagnostic cases, but not in percutaneous
coronary intervention (PCI) cases
(C) No, in a large analysis, both manual pressure
and vascular closure devices had similar major
complication rates
(D) No, in a large analysis, manual pressure was safer
only in PCI cases, but not in diagnostic cases
13 The same patient wants to know why she had femoral
artery thrombosis. All of the following are risk factors
for femoral artery thrombosis, except:
(A) Small femoral artery size
(B) Peripheral vascular disease
(C) Diabetes
(D) Female gender
(E) Obesity
14 A 67-year-old woman presents to your office for a
second opinion. She underwent PCI 3 months ago
and did well. On a routine physical examination she
was found to have a pulsatile mass in her right groin.
She then has a duplex ultrasound, which shows a
3.8 cm pseudoaneurysm. She was seen by a vascular
surgeon and was given thrombin injection. However,
her pseudoaneurysm is unchanged. She has been told
that she will need surgery. She is convinced that this
is because her groin was sealed with vascular closure
device. Is the incidence of pseudoaneurysm higher
with vascular closure devices?
(A) No, it is the same with manual and vascular
closure devices
(B) Yes, it is higher with vascular closure devices
(C) No, it is higher with manual pressure
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