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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. sutures for common carotid or subclavian
As the heart beats faster there is less blood volume
Papaverine
Double armed needles - tapered
6-0

2. In What procedure is a fogarty catheter used
Basilic vein
Midabdomen to toes & leg circumferentially
The popliteal vein
Arterial embolectomy

3. What instrument is used to isolate an artery
Arterial bypass
Suprarenal artery
A closed system of vessels that transport blood from the heart to the body and back
Sarot clamp?

4. 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
Rubber shods
SA node
Femorofemoral bypass

5. What are the sutures for the aorta
Incision into an artery
Internal carotid artery
3-0 or 4-0
5-0 or 6-0

6. What drug is used for arterial vasospasms
Suprarenal artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

7. What structure is the pacemaker of the heart
To reinforce the anastomosis
SA node
Femorofemoral bypass
Midabdomen to toes & leg circumferentially

8. sutures for femoral - popliteal arteries
Basilic vein
5-0 or 6-0
In the capillaries
Blood - fat - air - or portions of tumors that break free

9. What is an atrial embolism
Rubber shods
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid artery
Blood - fat - air - or portions of tumors that break free

10. What procedure is used for an iliac artery obstruction
Arterial bypass
Suprarenal artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Femorofemoral bypass

11. What solution is not used during grafting procedures
Femoral arteries
Weitlaner self-retaining retractor
Water
Hyline cartilage

12. What are the layers of the heart
Epicardium - myocardium - and endocardium
Stainless steel mesh - titanium - polypropylene
Coronary arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

13. What are the sutures for the iliac artery
Internal carotid then the external carotid then the common carotid artery
As the heart beats faster there is less blood volume
Right common carotid artery and external carotid artery
4-0 or 5-0

14. What is an ateriotomy
Incision into an artery
Weitlaner self-retaining retractor
Dorsal venus arch
Femoral arteries

15. What are capillaries
Through the artery to compress the plaque against the wall of the artery
Internal carotid then the external carotid then the common carotid artery
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule

16. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Esophagus
Internal carotid then the external carotid then the common carotid artery
Vertebral arteries

17. Which clamp is removed last
Internal carotid artery
Esophagus
3-0 or 4-0
Vessels that are between the arteriols and venule

18. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Ascending aorta
Coronary arteries
Dorsal venus arch

19. What are the characteristics of abdominal aneurysms
Cramping pain or a dull ache
SA node
#11 on a #7 handle
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

20. From What vein is the blood taken to pre-clot the graft
Internal carotid then the external carotid then the common carotid artery
The force that blood exerts on the internal walls of the vessels
Vena cava
Femorofemoral bypass

21. What type of needle is used for vessels
Double armed needles - tapered
6-0
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially

22. What drugs are used in vascular surgery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial embolectomy
Splenic artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

23. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Blood - fat - air - or portions of tumors that break free
Papaverine
Hyline cartilage

24. What is the pt position for carotid endoarterectomy
4-0 or 5-0
Supine with head turned 45 degrees to the unaffected side
Carotid endarterectomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

25. What are pledgets used for
4-0 or 5-0
Papaverine
To reinforce the anastomosis
6-0 or 7-0

26. What is the best approach for an aortofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
A closed system of vessels that transport blood from the heart to the body and back
Arterial bypass

27. What graft material is not used in the popliteal area
In the capillaries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Knitted polyester - woven polyester
Vena cava

28. What vein is on the lateral side of the arm
Femoral arteries
Basilic vein
Vena cava
Supine with head turned 45 degrees to the unaffected side

29. What should be done before tying polypropylene sutures
Esophagus
As the heart beats faster there is less blood volume
Suprarenal artery
The surgeons hands should be wet

30. What is the prep area for a femoropopliteal bypass
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis
Knitted polyester - woven polyester
Midabdomen to toes & leg circumferentially

31. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0 or 7-0
3-0 or 4-0
Midabdomen to toes & leg circumferentially

32. What is blood pressure
Blood - fat - air - or portions of tumors that break free
Tunica intima - tunica media - & tunica adventita
The force that blood exerts on the internal walls of the vessels
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

33. What structures keep the trachea from collapsing
Stainless steel mesh - titanium - polypropylene
Hyline cartilage
3-0 or 4-0
Dorsal venus arch

34. What do the anterior and posterior tibial veins unite to become
To reinforce the anastomosis
Papaverine
The popliteal vein
SA node

35. What organs does the superior mesenteric artery feed
4-0 or 5-0
Rubber shods
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ascending aorta

36. What are the deep veins of the foot
Right common carotid artery and external carotid artery
Dorsal venus arch
6-0
Ventricular contraction - resistance - blood viscosity - and heart rate

37. What are delicate sutures tagged with
Tunica intima - tunica media - & tunica adventita
Basilic vein
Rubber shods
Arteriosclerosis obliterans

38. What medication is added to saline
Supine with head turned 45 degrees to the unaffected side
Heparin and antibiotics for irrigation
Ascending aorta
3-0 or 4-0

39. What is the sequence of clamping in an ateriotomy
To reinforce the anastomosis
Right common carotid artery and external carotid artery
Ascending aorta
Flush then clamp proximal then distal

40. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation
4-0 or 5-0

41. When is arterial blood volume decreased
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially
As the heart beats faster there is less blood volume
Right common carotid artery and external carotid artery

42. Where does gas exchange take place
In the capillaries
Knitted polyester - woven polyester
6-0 or 7-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

43. What disease leads to atheroma formation
Arteriosclerosis obliterans
3-0 or 4-0
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

44. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Left & right common iliac arteries are at the 4th lumbar
Ventricular contraction - resistance - blood viscosity - and heart rate
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

45. Which artery feeds the adrenal glands
Suprarenal artery
Weitlaner self-retaining retractor
Internal carotid then the external carotid then the common carotid artery
Esophagus

46. What is the largest vein
Saphenous vein
Incision into an artery
To reinforce the anastomosis
Epicardium - myocardium - and endocardium

47. What are the 3 branches of the aortic arch
Rubber shods
SA node
Coronary arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

48. What organ does the gastric artery feed
Arterial bypass
Ascending aorta
Esophagus
Stainless steel mesh - titanium - polypropylene

49. What does the external iliac artery biforcate into
Incision into an artery
The surgeons hands should be wet
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Femoral arteries

50. What type of retractor is used in an aortofemoral bypass
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered
Incision into an artery
Weitlaner self-retaining retractor