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Peripheral Vascular Surgery

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. What are the deep veins of the foot
3-0 or 4-0
In the capillaries
Dorsal venus arch
6-0

2. What is an ateriotomy
The force that blood exerts on the internal walls of the vessels
Incision into an artery
Arteriosclerosis obliterans
Vertebral arteries

3. What procedure is the javid shunt used for
To reinforce the anastomosis
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Carotid endarterectomy
4-0 or 5-0

4. What is the pt position for carotid endoarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Esophagus
Epicardium - myocardium - and endocardium
Supine with head turned 45 degrees to the unaffected side

5. sutures for femoral - popliteal arteries
The force that blood exerts on the internal walls of the vessels
5-0 or 6-0
Arterial bypass
A closed system of vessels that transport blood from the heart to the body and back

6. When is arterial blood volume decreased
To reinforce the anastomosis
Splenic artery
The surgeons hands should be wet
As the heart beats faster there is less blood volume

7. What are the 3 branches of the aortic arch
Knitted polyester - woven polyester
Blood - fat - air - or portions of tumors that break free
To reinforce the anastomosis
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

8. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Water
Through the artery to compress the plaque against the wall of the artery

9. What type of blade is used for an arteriotomy
A closed system of vessels that transport blood from the heart to the body and back
#11 on a #7 handle
Vessels that are between the arteriols and venule
Hyline cartilage

10. What procedure is used for an iliac artery obstruction
Incision into an artery
Femorofemoral bypass
Rubber shods
Arterial embolectomy

11. What are the sutures for the aorta
6-0
Esophagus
3-0 or 4-0
Cramping pain or a dull ache

12. What is the best approach for an aortofemoral bypass
Arterial bypass
Esophagus
4-0 or 5-0
Saphenous vein

13. What communicate in the circle of willis
Through the artery to compress the plaque against the wall of the artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vertebral arteries
Dorsal venus arch

14. Where does gas exchange take place
In the capillaries
Left & right common iliac arteries are at the 4th lumbar
Stainless steel mesh - titanium - polypropylene
Weitlaner self-retaining retractor

15. What solution is not used during grafting procedures
Internal carotid then the external carotid then the common carotid artery
Flush then clamp proximal then distal
Carotid endarterectomy
Water

16. What is the largest vein
Saphenous vein
The popliteal vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arterial embolectomy

17. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Coronary arteries
6-0 or 7-0
Vena cava

18. What does the external iliac artery biforcate into
Arteriosclerosis obliterans
Rubber shods
Femoral arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

19. What should be done before tying polypropylene sutures
Ascending aorta
Cramping pain or a dull ache
Rubber shods
The surgeons hands should be wet

20. What arteries supply the myocardium
Arteriosclerosis obliterans
A closed system of vessels that transport blood from the heart to the body and back
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Coronary arteries

21. What materials are used for stents
Papaverine
Blood - fat - air - or portions of tumors that break free
Water
Stainless steel mesh - titanium - polypropylene

22. What factors influence blood pressure
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
As the heart beats faster there is less blood volume
Ventricular contraction - resistance - blood viscosity - and heart rate
Epicardium - myocardium - and endocardium

23. What are the layers of vessels
SA node
Basilic vein
Tunica intima - tunica media - & tunica adventita
4-0 or 5-0

24. What are delicate sutures tagged with
5-0 or 6-0
Midabdomen to toes & leg circumferentially
Rubber shods
Weitlaner self-retaining retractor

25. What are the layers of the heart
Through the artery to compress the plaque against the wall of the artery
Tunica intima - tunica media - & tunica adventita
Epicardium - myocardium - and endocardium
Vessels that are between the arteriols and venule

26. What vein is on the lateral side of the arm
Vessels that are between the arteriols and venule
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Basilic vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

27. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Esophagus
Heparin and antibiotics for irrigation
Knitted polyester - woven polyester

28. What type of needle is used for vessels
As the heart beats faster there is less blood volume
Double armed needles - tapered
Arterial bypass
A closed system of vessels that transport blood from the heart to the body and back

29. What are the sutures for the iliac artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate

30. What graft material is not used in the popliteal area
The popliteal vein
6-0
5-0 or 6-0
Knitted polyester - woven polyester

31. What is claudication
Arteriosclerosis obliterans
Cramping pain or a dull ache
SA node
Knitted polyester - woven polyester

32. What type of retractor is used in an aortofemoral bypass
Coronary arteries
Weitlaner self-retaining retractor
Splenic artery
Through the artery to compress the plaque against the wall of the artery

33. What arteries supply the brain - head - and neck
A closed system of vessels that transport blood from the heart to the body and back
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Right common carotid artery and external carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

34. Which clamp is removed last
Internal carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Flush then clamp proximal then distal

35. What organs does the superior mesenteric artery feed
Right common carotid artery and external carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Weitlaner self-retaining retractor
Coronary arteries

36. What is the prep area for a femoropopliteal bypass
Vertebral arteries
Femorofemoral bypass
Midabdomen to toes & leg circumferentially
Esophagus

37. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Through the artery to compress the plaque against the wall of the artery
Weitlaner self-retaining retractor
4-0 or 5-0

38. How is the fogarty baloon catheter used
Incision into an artery
The force that blood exerts on the internal walls of the vessels
Through the artery to compress the plaque against the wall of the artery
Sarot clamp?

39. Where do the coronary arteries arise from
Ascending aorta
Weitlaner self-retaining retractor
Left & right common iliac arteries are at the 4th lumbar
Double armed needles - tapered

40. From What vein is the blood taken to pre-clot the graft
Vena cava
Blood - fat - air - or portions of tumors that break free
Double armed needles - tapered
Saphenous vein

41. What are some special conseriderations for patients undergoing peripheral vascular surgery
Arteriosclerosis obliterans
Carotid endarterectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Left & right common iliac arteries are at the 4th lumbar

42. What are pledgets used for
As the heart beats faster there is less blood volume
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries

43. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0 or 7-0
Incision into an artery

44. What drug is used for arterial vasospasms
Right common carotid artery and external carotid artery
Papaverine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Weitlaner self-retaining retractor

45. What are capillaries
Vessels that are between the arteriols and venule
Weitlaner self-retaining retractor
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
As the heart beats faster there is less blood volume

46. What do the anterior and posterior tibial veins unite to become
Dorsal venus arch
Vertebral arteries
The popliteal vein
To reinforce the anastomosis

47. sutures for common carotid or subclavian
5-0 or 6-0
6-0
3-0 or 4-0
Ventricular contraction - resistance - blood viscosity - and heart rate

48. What structures keep the trachea from collapsing
3-0 or 4-0
Vertebral arteries
Coronary arteries
Hyline cartilage

49. What structure is the pacemaker of the heart
Hyline cartilage
4-0 or 5-0
The surgeons hands should be wet
SA node

50. Which artery feeds the adrenal glands
Suprarenal artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Dorsal venus arch
6-0 or 7-0