American Board of Surgery Qualifying Exam (ABS QE) Practice Test

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Prepare for the American Board of Surgery Qualifying Exam with detailed quizzes. Study with flashcards and multiple-choice questions to master the ABS QE topics. Get all the hints and explanations you need to succeed on your first attempt!

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What is the typical management for a Type 4 endoleak?

Immediate repair
Observation and possibly replacement of the stent
Prolonged follow-up imaging
Endovascular embolization

The correct answer is: Observation and possibly replacement of the stent

In the case of a Type 4 endoleak, which is typically associated with the absorption of the polymer in the construction of the graft or sometimes due to fabric defects, the management primarily involves observation. Type 4 endoleaks are often self-limiting and may resolve without intervention. The management strategy may include ongoing follow-up with imaging studies to monitor the situation. If the endoleak persists and leads to clinical concerns, replacement or revision of the stent graft may be required. Therefore, while immediate repair is not indicated, continued observation to evaluate the status of the endoleak and determine if stent graft replacement is needed is the recommended approach. This method allows for cautious monitoring and avoids the risks associated with more invasive procedures unless absolutely necessary.