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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. In What procedure is a fogarty catheter used
Arterial embolectomy
Heparin and antibiotics for irrigation
6-0 or 7-0
Carotid endarterectomy

2. What is the prep area for a femoropopliteal bypass
Coronary arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Tunica intima - tunica media - & tunica adventita
Midabdomen to toes & leg circumferentially

3. What is the largest vein
Sarot clamp?
A closed system of vessels that transport blood from the heart to the body and back
Saphenous vein
Epicardium - myocardium - and endocardium

4. What are delicate sutures tagged with
Sarot clamp?
Flush then clamp proximal then distal
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Rubber shods

5. What are pledgets used for
To reinforce the anastomosis
Supine with head turned 45 degrees to the unaffected side
The popliteal vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

6. What structure is the pacemaker of the heart
SA node
Epicardium - myocardium - and endocardium
Internal carotid then the external carotid then the common carotid artery
Cramping pain or a dull ache

7. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Suprarenal artery
In the capillaries
Internal carotid artery

8. What are the deep veins of the foot
In the capillaries
Arterial bypass
Dorsal venus arch
The surgeons hands should be wet

9. What type of blade is used for an arteriotomy
#11 on a #7 handle
Ascending aorta
Femorofemoral bypass
Dorsal venus arch

10. What are the layers of the heart
Hyline cartilage
The surgeons hands should be wet
Epicardium - myocardium - and endocardium
Supine with head turned 45 degrees to the unaffected side

11. What is the best approach for an aortofemoral bypass
Arterial bypass
5-0 or 6-0
Dorsal venus arch
Splenic artery

12. What type of retractor is used in an aortofemoral bypass
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation
Through the artery to compress the plaque against the wall of the artery
Weitlaner self-retaining retractor

13. Where does gas exchange take place
In the capillaries
As the heart beats faster there is less blood volume
Right common carotid artery and external carotid artery
6-0 or 7-0

14. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Left & right common iliac arteries are at the 4th lumbar

15. What procedure is used for an iliac artery obstruction
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy
Midabdomen to toes & leg circumferentially
Femorofemoral bypass

16. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Arterial embolectomy
Through the artery to compress the plaque against the wall of the artery

17. sutures for common carotid or subclavian
Internal carotid then the external carotid then the common carotid artery
6-0
Right common carotid artery and external carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

18. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Left & right common iliac arteries are at the 4th lumbar

19. What vein is on the lateral side of the arm
The popliteal vein
Double armed needles - tapered
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Basilic vein

20. sutures for femoral - popliteal arteries
Midabdomen to toes & leg circumferentially
5-0 or 6-0
Arteriosclerosis obliterans
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

21. What organs does the superior mesenteric artery feed
Vertebral arteries
Knitted polyester - woven polyester
#11 on a #7 handle
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

22. What instrument is used to isolate an artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Papaverine
6-0 or 7-0
Sarot clamp?

23. Which artery feeds the upper digestive tract - spleen - and liver
Left & right common iliac arteries are at the 4th lumbar
Blood - fat - air - or portions of tumors that break free
Sarot clamp?
Splenic artery

24. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Carotid endarterectomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Rubber shods

25. Which clamp is removed last
Saphenous vein
Tunica intima - tunica media - & tunica adventita
Ascending aorta
Internal carotid artery

26. What procedure is the javid shunt used for
Knitted polyester - woven polyester
Dorsal venus arch
Carotid endarterectomy
Sarot clamp?

27. What medication is added to saline
The surgeons hands should be wet
Femoral arteries
Coronary arteries
Heparin and antibiotics for irrigation

28. What is an ateriotomy
5-0 or 6-0
Incision into an artery
Rubber shods
Vessels that are between the arteriols and venule

29. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
The force that blood exerts on the internal walls of the vessels
Hyline cartilage
Flush then clamp proximal then distal

30. How is the fogarty baloon catheter used
4-0 or 5-0
Hyline cartilage
Through the artery to compress the plaque against the wall of the artery
Basilic vein

31. What are some special conseriderations for patients undergoing peripheral vascular surgery
Knitted polyester - woven polyester
Papaverine
Vertebral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

32. What is claudication
Vena cava
Cramping pain or a dull ache
Tunica intima - tunica media - & tunica adventita
Epicardium - myocardium - and endocardium

33. What do the anterior and posterior tibial veins unite to become
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester
The popliteal vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

34. What are the 3 branches of the aortic arch
Vertebral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Left & right common iliac arteries are at the 4th lumbar

35. What materials are used for stents
6-0
Double armed needles - tapered
In the capillaries
Stainless steel mesh - titanium - polypropylene

36. What organ does the gastric artery feed
Arteriosclerosis obliterans
Blood - fat - air - or portions of tumors that break free
Esophagus
Suprarenal artery

37. What communicate in the circle of willis
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial embolectomy
Ascending aorta

38. What structures keep the trachea from collapsing
Water
3-0 or 4-0
Epicardium - myocardium - and endocardium
Hyline cartilage

39. What is the peripheral vascular system
Blood - fat - air - or portions of tumors that break free
Knitted polyester - woven polyester
A closed system of vessels that transport blood from the heart to the body and back
Papaverine

40. What should be done before tying polypropylene sutures
Supine with head turned 45 degrees to the unaffected side
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The surgeons hands should be wet
Stainless steel mesh - titanium - polypropylene

41. What are the sutures for the iliac artery
Suprarenal artery
4-0 or 5-0
Femoral arteries
The popliteal vein

42. What are the characteristics of abdominal aneurysms
Arterial bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
To reinforce the anastomosis
Tunica intima - tunica media - & tunica adventita

43. What are the sutures for the aorta
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vena cava
6-0
3-0 or 4-0

44. What does the external iliac artery biforcate into
Femoral arteries
Left & right common iliac arteries are at the 4th lumbar
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery

45. Which arteries supply the spinal cord
Vertebral arteries
4-0 or 5-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vessels that are between the arteriols and venule

46. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
SA node
The surgeons hands should be wet
Supine with head turned 45 degrees to the unaffected side

47. What factors influence blood pressure
6-0
Rubber shods
Ventricular contraction - resistance - blood viscosity - and heart rate
Water

48. From What vein is the blood taken to pre-clot the graft
Papaverine
A closed system of vessels that transport blood from the heart to the body and back
Basilic vein
Vena cava

49. What are capillaries
Vessels that are between the arteriols and venule
6-0
The force that blood exerts on the internal walls of the vessels
Papaverine

50. Where do the coronary arteries arise from
Internal carotid then the external carotid then the common carotid artery
Ascending aorta
As the heart beats faster there is less blood volume
Sarot clamp?

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Peripheral Vascular Surgery

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