FRCS Vascular Surgery Practice Questions - Intercollegiate Specialty Fellowship Examination in Vascular Surgery (FRCS Vasc) Exam - FRCS Vascular Surgery Practice Questions - Intercollegiate Specialty Fellowship Examination in Vascular Surgery (FRCS Vasc) Exam

Question 1

A 74-year-old man is found on abdominal ultrasound during AAA screening to have an asymptomatic infrarenal abdominal aortic aneurysm measuring 4.2 cm in maximum anteroposterior diameter. According to the UK NAAASP / NICE pathway, what is the appropriate management?

Refer urgently for elective open or endovascular repair Surveillance ultrasound every 3 months Surveillance ultrasound at 12-month intervals Discharge with no further follow-up

Correct Answer:

Surveillance ultrasound at 12-month intervals

Question 2

A 78-year-old man presents collapsed with sudden severe back pain, hypotension (BP 80/50) and a known 6 cm AAA. CT angiography confirms a contained retroperitoneal rupture. Which of the following is the most appropriate immediate haemodynamic target while arranging emergency repair?

Aggressive crystalloid resuscitation to a systolic BP > 120 mmHg Withhold all fluids until the aorta is clamped Immediate vasopressor infusion to a mean arterial pressure of 100 mmHg Permissive hypotension, maintaining a systolic BP around 70–90 mmHg if the patient is conscious

Correct Answer:

Permissive hypotension, maintaining a systolic BP around 70–90 mmHg if the patient is conscious

Question 3

During endovascular aneurysm repair (EVAR) for an infrarenal AAA, completion angiography demonstrates contrast filling the sac arising from flow between the two overlapping stent-graft components at the iliac limb junction. Which type of endoleak does this describe?

Type I endoleak Type II endoleak Type III endoleak Type IV endoleak

Correct Answer:

Type III endoleak

Question 4

A 68-year-old woman undergoes surveillance CT after EVAR. The sac has enlarged by 8 mm over 12 months. Imaging shows contrast within the aneurysm sac fed retrogradely by a patent inferior mesenteric artery and lumbar vessels, with no graft junctional defect. What is the most appropriate next step for this persistent sac-enlarging endoleak?

Immediate open conversion and graft explantation Proximal cuff extension at the aortic neck Reassurance and routine annual surveillance only Embolisation of the feeding vessels / sac (e.g. coil or glue embolisation)

Correct Answer:

Embolisation of the feeding vessels / sac (e.g. coil or glue embolisation)

Question 5

Which anatomical feature is the single most important determinant of suitability for standard infrarenal EVAR using a commercially available bifurcated stent graft?

Maximum aneurysm sac diameter Degree of mural thrombus within the sac Patency of the inferior mesenteric artery Proximal aortic neck length, diameter and angulation

Correct Answer:

Proximal aortic neck length, diameter and angulation

Exam overview

About this Exam

Prepare with the FRCS Vascular Surgery Practice Questions - Intercollegiate Specialty Fellowship Examination in Vascular Surgery (FRCS Vasc) Exam practice quiz. This question bank includes 100 questions covering year-old, artery, patient, carotid, and vein. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FRCS Vascular Surgery Practice Questions - Intercollegiate Specialty Fellowship Examination in Vascular Surgery (FRCS Vasc) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, artery, patient, carotid, and vein. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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FRCS Vascular Surgery Practice Questions - Intercollegiate Specialty Fellowship Examination in Vascular Surgery (FRCS Vasc) Exam

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