Vascular Surgery Oral Board Review: Free Sample Scenarios (AEF & Acute Mesenteric Ischemia)
Behind The Knife: The Surgery Podcast
Behind The Knife: The Surgery Podcast
4.8 • 1.4K Ratings
🗓️ 23 April 2026
⏱️ 34 minutes
🧾️ Download transcript
Summary
This episode includes two full, sample vascular scenarios pulled directly from our Vascular Surgery Oral Board Review Course. Listen in and test your clinical pathways in real-time as we walk through the perfect answers and provide high-yield commentary to help you pass the "hot seat."
Sample Scenarios Included in This Episode:
Case 22: Aortoenteric Fistula (AEF). A 78-year-old woman presents to the ER with a massive upper GI bleed and a history of an open AAA repair 10 years ago. We walk you through the immediate stabilization, CTA evaluation, and the definitive operative management—including axillobifemoral bypass, aortic stump closure, and duodenal repair.
Case 27: Acute Mesenteric Ischemia. A 79-year-old woman with a history of atrial fibrillation presents with abdominal pain out of proportion to her physical exam. Test your decision-making on systemic heparinization, SMA embolectomy versus stenting (ROMS), and how to appropriately evaluate bowel viability with a second-look laparotomy.
72 High-Yield Scenarios: Covering everything from carotid stump syndrome to a AAA with a horseshoe kidney.
Dual-Format Learning: Each case includes "Part A" (a straight run-through of the perfect exam response) and "Part B" (the same scenario packed with expert tips, tricks, and commentary).
Free Simulator Access: Every purchase of the course includes access to our new AI-powered Oral Board Simulator, allowing you to practice your verbal responses under pressure.
- Vascular Surgery Oral Board Review Course: https://app.behindtheknife.org/premium/vascular-surgery-oral-board-audio-review
- Oral Board Simulator: https://app.behindtheknife.org/oral-board-simulator
- Download the BTK App on iOS and Android for on-the-go studying.
Transcript
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| 0:00.0 | Behind the Night, The Surgery Podcast, Relevant the Day. |
| 0:17.3 | ...domain the day. |
| 0:35.0 | Welcome back to behind the knife. |
| 0:43.0 | With vascular boards on the near horizon, we wanted to release two of our vascular scenarios from our vascular oral board review course. |
| 0:51.0 | I chose two scenarios that have a high relevance to general surgeons for their future practice and also fair game for the general surgery boards. |
| 0:56.2 | So today we're going to review aorticenteric fistulas and acute mesenteric ischemia. If you're not familiar with the format of our oral board courses, part A is supposed to be a |
| 1:02.5 | perfect scenario. And then part B is the same perfect scenario but interrupted with pertinent |
| 1:07.7 | tips and advice related to the scenario to help better prepare you for your |
| 1:11.0 | boards. Now with every purchase of an oral board course, you get free access to our AI oral board |
| 1:16.5 | simulator, which if you haven't tried it, you need to. This takes you to the next level of preparation |
| 1:21.9 | where you're actively going through scenarios and getting detailed feedback. I hope you enjoy |
| 1:26.6 | these two challenging vascular scenarios. |
| 1:33.0 | Behind the Knife, Premium. Case 22, aorta and Terec Fistula. A 78-year-old woman presents the |
| 1:41.2 | emergency department after a large episode of hematemesis that has |
| 1:44.5 | since resolved. She has a history of an open AAA repair 10 years ago with a tube graft. |
| 1:49.4 | A CTA demonstrates thickening of the third portion of the doodinum near the proximal |
| 1:53.3 | anastomosis distal to the renal arteries. The patient is currently hemodynamicly stable. |
| 1:58.2 | What would you like to do next? |
| 2:00.7 | I'd immediately evaluate the patient |
| 2:02.8 | and obtain a targeted history on prior upper or lower gastrointestinal bleeds, recent weight loss, |
| 2:10.2 | abdominal pain, fevers, or night sweats. I'd also perform a thorough exam of the abdomen, |
| 2:16.3 | heart, lungs, and peripheral vascular vascular |
... |
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