SDMS CME Credit – Complications of Delayed Arterial Injury After a Gun Shot Wound to the Upper Extremity: A Case Study

SDMS members can earn SDMS CME credit by successfully completing the complimentary online CME test in the SDMS Learning Center at learn.sdms.org. Non-members may access the online CME test for a fee. Note: questions may appear in random order online.

Authors: Jordan J. Goetsch, BS, RDMS, RVT and Douglas W. Clem, PhD, EdS, RDCS, RVT

Category: Vascular [VT]

Credit: 0.75 SDMS CME Credit

Objectives: After studying the article, you should be able to:

• Recognize different methods to identify arterial injury.

• Explain how an arterial injury can be delayed.

• Identify what a pseudoaneurysm looks like using duplex ultrasound.

1. Which method is the gold standard for identifying vascular injuries?

2. B. Magnetic Resonance Angiography (MRA)

3. C. Computed Tomography Angiography (CTA)

4. D. Duplex Ultrasound (DUS)

What is an example of a “hard” diagnostic sign of a pseudoaneurysm?

A. Diminished pulses

B. Neurologic deficits in the area of injury

C. Enlarging hematoma

D. Trauma near an artery

A true aneurysm involves how many layers of the arterial wall?

A. One

B. Two

C. Three

D. Four

What percentage of sensitivity for the diagnosis of vascular injury was found in a 2014 study for duplex ultrasound?

A. 88

B. 94

C. 97

D. 100

Which sign demonstrates a pseudoaneurysm?

A. Peace

B. Ampersand

C. Dollar

D. Ying-yang