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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 arteries supply the myocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Heparin and antibiotics for irrigation
Basilic vein
Coronary arteries

2. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Arteriosclerosis obliterans
Heparin and antibiotics for irrigation
The surgeons hands should be wet

3. What drugs are used in vascular surgery
Knitted polyester - woven polyester
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation

4. Which artery feeds the adrenal glands
Sarot clamp?
Splenic artery
Water
Suprarenal artery

5. What do the anterior and posterior tibial veins unite to become
Basilic vein
The popliteal vein
Incision into an artery
Femoral arteries

6. What drug is used for arterial vasospasms
Papaverine
#11 on a #7 handle
Carotid endarterectomy
Weitlaner self-retaining retractor

7. What is claudication
Cramping pain or a dull ache
Blood - fat - air - or portions of tumors that break free
Coronary arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

8. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
SA node
Flush then clamp proximal then distal
Dorsal venus arch

9. Which artery feeds the upper digestive tract - spleen - and liver
The surgeons hands should be wet
Knitted polyester - woven polyester
Vena cava
Splenic artery

10. What are the sutures for the aorta
The surgeons hands should be wet
Femorofemoral bypass
3-0 or 4-0
SA node

11. sutures for common carotid or subclavian
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The surgeons hands should be wet
6-0
Arteriosclerosis obliterans

12. What procedure is the javid shunt used for
Saphenous vein
Esophagus
Midabdomen to toes & leg circumferentially
Carotid endarterectomy

13. What are pledgets used for
Blood - fat - air - or portions of tumors that break free
Flush then clamp proximal then distal
Arterial bypass
To reinforce the anastomosis

14. What structures keep the trachea from collapsing
Hyline cartilage
The popliteal vein
Flush then clamp proximal then distal
Tunica intima - tunica media - & tunica adventita

15. What are delicate sutures tagged with
Knitted polyester - woven polyester
Rubber shods
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered

16. What organ does the gastric artery feed
5-0 or 6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Arterial bypass
Esophagus

17. What instrument is used to isolate an artery
Heparin and antibiotics for irrigation
Sarot clamp?
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

18. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Flush then clamp proximal then distal
Heparin and antibiotics for irrigation
Right common carotid artery and external carotid artery
6-0 or 7-0

19. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Saphenous vein
Tunica intima - tunica media - & tunica adventita
Ascending aorta

20. What materials are used for stents
Vessels that are between the arteriols and venule
Double armed needles - tapered
Ventricular contraction - resistance - blood viscosity - and heart rate
Stainless steel mesh - titanium - polypropylene

21. What vessels are clamped during a carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side
Internal carotid then the external carotid then the common carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Left & right common iliac arteries are at the 4th lumbar

22. What communicate in the circle of willis
5-0 or 6-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Flush then clamp proximal then distal
Weitlaner self-retaining retractor

23. What are the characteristics of abdominal aneurysms
A closed system of vessels that transport blood from the heart to the body and back
Blood - fat - air - or portions of tumors that break free
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

24. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Tunica intima - tunica media - & tunica adventita
Coronary arteries
Rubber shods

25. What vein is on the lateral side of the arm
6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Basilic vein
Tunica intima - tunica media - & tunica adventita

26. What are the general characteristics of veins
Incision into an artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
4-0 or 5-0
Papaverine

27. From What vein is the blood taken to pre-clot the graft
The force that blood exerts on the internal walls of the vessels
Esophagus
Carotid endarterectomy
Vena cava

28. What arteries supply the brain - head - and neck
Esophagus
Splenic artery
To reinforce the anastomosis
Right common carotid artery and external carotid artery

29. What are the layers of vessels
#11 on a #7 handle
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene
Vena cava

30. What are the layers of the heart
Internal carotid then the external carotid then the common carotid artery
4-0 or 5-0
SA node
Epicardium - myocardium - and endocardium

31. What is blood pressure
Femorofemoral bypass
The force that blood exerts on the internal walls of the vessels
Sarot clamp?
Coronary arteries

32. Which arteries supply the spinal cord
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Midabdomen to toes & leg circumferentially
Vertebral arteries
Epicardium - myocardium - and endocardium

33. What type of needle is used for vessels
Cramping pain or a dull ache
Double armed needles - tapered
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Water

34. What does the external iliac artery biforcate into
Femoral arteries
Arterial bypass
The popliteal vein
Right common carotid artery and external carotid artery

35. What is an ateriotomy
Incision into an artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Coronary arteries
The surgeons hands should be wet

36. What is the peripheral vascular system
Vessels that are between the arteriols and venule
Saphenous vein
4-0 or 5-0
A closed system of vessels that transport blood from the heart to the body and back

37. What graft material is not used in the popliteal area
Esophagus
Sarot clamp?
Femorofemoral bypass
Knitted polyester - woven polyester

38. In What procedure is a fogarty catheter used
Left & right common iliac arteries are at the 4th lumbar
Arterial bypass
Arterial embolectomy
Esophagus

39. What type of blade is used for an arteriotomy
Vena cava
Vertebral arteries
#11 on a #7 handle
Hyline cartilage

40. What is the location of the biforcation of the aorta and What vessels are involved
Supine with head turned 45 degrees to the unaffected side
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage

41. What disease leads to atheroma formation
Vena cava
Femoral arteries
4-0 or 5-0
Arteriosclerosis obliterans

42. What are the 3 branches of the aortic arch
Tunica intima - tunica media - & tunica adventita
Carotid endarterectomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The force that blood exerts on the internal walls of the vessels

43. What is the best approach for an aortofemoral bypass
Rubber shods
Arterial bypass
Midabdomen to toes & leg circumferentially
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

44. What is the largest vein
Saphenous vein
Left & right common iliac arteries are at the 4th lumbar
Double armed needles - tapered
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

45. What organs does the superior mesenteric artery feed
Ascending aorta
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vertebral arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

46. What structure is the pacemaker of the heart
SA node
In the capillaries
Water
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

47. What solution is not used during grafting procedures
Basilic vein
As the heart beats faster there is less blood volume
Vena cava
Water

48. What are the deep veins of the foot
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Dorsal venus arch

49. What procedure is used for an iliac artery obstruction
Coronary arteries
4-0 or 5-0
Vertebral arteries
Femorofemoral bypass

50. Where does gas exchange take place
Arteriosclerosis obliterans
In the capillaries
Internal carotid artery
To reinforce the anastomosis