What is the most common birth defect?

1.   ?    Hemangioma
2.   ?    Cleft lip
3.   ?    Hypospadias
4.   ?    DownÂ’s syndrome

What percentage of hemangiomas are large and involve vital organs producing life-threatening complications?

1.   ?     Less than 1%
2.   ?     Less than 5%
3.   ?     5 – 10%

T or F: In hemangiomas, males are affected twice as often as females.

1.   ?     True
2.   ?     False

Malignant transformation of hemangiomas is common or rare?

1.   ?     Common
2.   ?     Rare

T or F: Hemangiomas that grow most rapidly have the greatest potential for involution?

1.   ?     True
2.   ?     False

What characterizes hemangiomas histologically?

1.   ?     Endothelial cell proliferation
2.   ?     Giant cells
3.   ?     Mesangial type II cells
4.   ?     Pericytes

Involution of hemangiomas typically begins at what age?

1.   ?     6 months
2.   ?     1.5 years
3.   ?     3 – 4 years
4.   ?     Adolescence

What % of hemangiomas will have regressed by the age of 5 years?

1.   ?     20%
2.   ?     40%
3.   ?     60%
4.   ?     80%

Which syndrome is NOT associated with cutaneous hemangiomas?

1.   ?     Osler's disease
2.   ?     Jaffe's syndrome
3.   ?     MafucciÂ’s syndrome
4.   ?     Cushing's, CobbÂ’s, and Sturge-Weber syndromes
5.   ?     Paget von Schrotter syndrome
6.   ?     von Hippel-Lindau disease

What syndrome involves large hemangiomas trapping platelets, causing thrombocytopenia?

1.   ?     MafucciÂ’s syndrome
2.   ?     Jaffe's syndrome
3.   ?     Kasabach-Merritt syndrome

Which is NOT a indication for resection of a hemangioma?

1.   ?     Large hemangiomas with thrombocytopenia
2.   ?     Uncontrollable ulceration, hemorrhage, or infection
3.   ?     Cardiopulmonary decompensation from arteriovenous shunting
4.   ?     Small lesions excised without a cosmetic or functional risk
5.   ?     All of the above are indications for resection

Which of the six major categories of hemangioma corresponds to nerve branches?

1.   ?     Neonatal staining
2.   ?     Intradermal capillary hemangioma
3.   ?     Juvenile hemangioma
4.   ?     Arteriovenous fistula

Which is NOT a subgroup of intradermal capillary hemangioma?

1.   ?     Salmon patch
2.   ?     Port wine stain
3.   ?     Spider angioma
4.   ?     Cavernous hemangioma

Which is the most common of the sub-categories of juvenile hemangiomas?

1.   ?     Strawberry mark
2.   ?     Strawberry capillary hemangioma
3.   ?     Capillary cavernous hemangioma

T or F: Rapid hemangioma growth in the first years of life is indicative of little likelihood of eventual involution?

1.   ?     True
2.   ?     False

T or F: The juvenile hemangioma least likely to involute, and which causes most complications, is capillary cavernous hemangioma?

1.   ?     True
2.   ?     False

Which is not a category of arterial hemangiomas?

1.   ?     Arterial hemangiomas
2.   ?     Cirsoid angioma
3.   ?     AVM (arteriovenous malformation)

T or F: Arteriovenous fistulas are the most indolent type of hemangioma?

1.   ?     True
2.   ?     False

Which is NOT one of the 3 components of the Klippel-Trenaunay syndrome?

1.   ?     Hemangiomas
2.   ?     Soft tissue hypertrophy
3.   ?     Limb length discrepancy
4.   ?     Varicose veins

Which is NOT one of the treatment modalities for hemangiomas?

1.   ?     High dose steroid therapy
2.   ?     Sclerosing solutions with compression
3.   ?     Cyclophosphamide, aminocaproic acid, alpha interferon, tranexamic acid
4.   ?     All of the of the above are treatments for hemangioma