PAEA Surgery End Of Rotation (EOR) Practice Exam

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What procedure is performed when revascularization is not possible for arterial/venous ulcer disease?

  1. Angioplasty

  2. Venous ablation

  3. Amputation

  4. Endarterectomy

The correct answer is: Amputation

When revascularization is not possible for arterial or venous ulcer disease, amputation is often the necessary procedure. This decision is generally made when the tissue has become necrotic or gangrenous due to insufficient blood flow, representing a critical state that cannot be treated effectively by other means. The primary goal of amputation in this context is to remove the affected limb or part of the limb to prevent further complications, such as systemic infection or sepsis, which can arise from non-healing ulcers and compromised blood supply. In cases where revascularization options like angioplasty or endarterectomy are not viable due to extensive vascular damage or advanced disease, and conservative management or adjunctive treatments fall short, amputation serves as a definitive solution. It can significantly improve the quality of life by alleviating pain and preventing further health deterioration in patients with severe arterial or venous ulcer disease.