Item 465
Which of the following statements about carotid endarterectomy is NOT true?
Patients with asymptomatic critical stenosis benefit from carotid endarterectomy
The risk of contralateral stroke is reduced after carotid endarterectomy
Operative mortality is less than 2%
It prolongs survival when compared with patients treated medically (E) It should be accompanied by antiplatelet medication
Item 474
The indications for carotid endarterectomy in a patient with a 75% diameter stenosis of the left internal carotid artery are established for all of the following EXCEPT
history of left amaurosis fugax
asymptomatic 60-year-old man
history of stroke with marked residual right arm paresis
preceding coronary artery bypass for tight stenosis of the left main coronary artery
history of aphasia lasting 20 minutes
For the question in item 465, select the one answer that is best of the five given, and for the incomplete statement in item 474, select the one completion that is best of the five given.
For the critique of Items 465 and 474 see page 220.
Footnotes
(Reproduced by permission from SESAP ’96–’98 Syllabus: Surgical Education and Self-Assessment Program, Volume 2, 9th edition. For enrolment in the Surgical Education and Self-Assessment Program, please apply to the American College of Surgeons, 55 East Erie St., Chicago, IL 60611, USA.)