The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

A 74 year old gentleman presented with a temporary, sudden onset loss of vision in his right eye whilst on holiday in Spain. The episode lasted about 2-3 mins. Upon further inquiry he claimed he felt pins and needles in his left hand and felt some weakness in his left arm for approximately half an hour. On examination his vision was normal and there was no evidence of any focal neurological deficit. He smokes 5 cigarettes a day. He received a carotid doppler scan which revealed a 75% stenosis in his right common carotid artery and a 40% stenosis on the left.

Which one of the following statements regarding this patient is INCORRECT?

Please select one of the following:

The patient’s symptoms are most likely due to amaurosis fugax and a TIA from emboli released by the stenotic plaques in his right common carotid artery.
This patient is a candidate for a carotid endarterectomy on the right but not on the left
This patient is a candidate for bilateral carotid endarterectomies on the left as well as the right
Angioplasty and stenting of the carotid vessels is not an accepted method of treatment for carotid artery stenosis

Question By Mr. Kasun Wanigasooriya MBCHB, MRCS.