PAEA Surgery End Of Rotation (EOR) Practice Exam

What is a major indication for the treatment of Peripheral Vascular Disease (PVD)?

1. Severe claudication that is responsive to conservative treatment

2. Tissue necrosis

3. Rest pain

4. Mild claudication

The correct answer is: Tissue necrosis

The major indications for the treatment of Peripheral Vascular Disease (PVD) often include situations where there is significant compromise to tissue viability. Tissue necrosis represents a critical state where blood flow is inadequate to maintain the viability of the tissues, leading to cell death. When necrosis occurs, it usually signifies advanced disease that requires intervention to restore blood flow, prevent further tissue loss, and potentially save the limb. This could involve surgical revascularization or other aggressive treatments aimed at addressing the underlying vascular insufficiency. In contrast, severe claudication responsive to conservative treatment and mild claudication, while potentially significant in managing PVD, generally do not warrant invasive treatments until the situation progresses further. Rest pain, while serious, is tied to an even more complex state of PVD, but tissue necrosis is the most definitive indication for immediate and aggressive intervention. Thus, the presence of tissue necrosis highlights a critical need for urgent treatment to prevent further complications.