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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 does the external iliac artery biforcate into
Femoral arteries
Arterial embolectomy
Ascending aorta
6-0

2. Where do the coronary arteries arise from
A closed system of vessels that transport blood from the heart to the body and back
Epicardium - myocardium - and endocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Ascending aorta

3. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Ventricular contraction - resistance - blood viscosity - and heart rate
Suprarenal artery
Blood - fat - air - or portions of tumors that break free

4. Which artery feeds the upper digestive tract - spleen - and liver
Coronary arteries
3-0 or 4-0
Splenic artery
SA node

5. What instrument is used to isolate an artery
The surgeons hands should be wet
Sarot clamp?
Basilic vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

6. What is the sequence of clamping in an ateriotomy
A closed system of vessels that transport blood from the heart to the body and back
Heparin and antibiotics for irrigation
Ascending aorta
Flush then clamp proximal then distal

7. What procedure is the javid shunt used for
Right common carotid artery and external carotid artery
Knitted polyester - woven polyester
Vertebral arteries
Carotid endarterectomy

8. What type of retractor is used in an aortofemoral bypass
Internal carotid then the external carotid then the common carotid artery
Weitlaner self-retaining retractor
To reinforce the anastomosis
Vertebral arteries

9. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Suprarenal artery
Dorsal venus arch
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

10. Which artery feeds the adrenal glands
Suprarenal artery
Arterial bypass
#11 on a #7 handle
3-0 or 4-0

11. What should be done before tying polypropylene sutures
Double armed needles - tapered
Arterial embolectomy
The surgeons hands should be wet
Vena cava

12. What are pledgets used for
Splenic artery
Heparin and antibiotics for irrigation
To reinforce the anastomosis
Suprarenal artery

13. What drug is used for arterial vasospasms
Papaverine
#11 on a #7 handle
Vessels that are between the arteriols and venule
Hyline cartilage

14. What are the layers of the heart
Double armed needles - tapered
Saphenous vein
Weitlaner self-retaining retractor
Epicardium - myocardium - and endocardium

15. What are the characteristics of abdominal aneurysms
The surgeons hands should be wet
Weitlaner self-retaining retractor
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene

16. What is the best approach for an aortofemoral bypass
Arterial bypass
Ascending aorta
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

17. What structures keep the trachea from collapsing
3-0 or 4-0
Hyline cartilage
Femorofemoral bypass
Double armed needles - tapered

18. What is the peripheral vascular system
Arterial embolectomy
A closed system of vessels that transport blood from the heart to the body and back
Water
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

19. What vessels are clamped during a carotid endarterectomy
Carotid endarterectomy
6-0 or 7-0
Esophagus
Internal carotid then the external carotid then the common carotid artery

20. What materials are used for stents
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
In the capillaries
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially

21. sutures for common carotid or subclavian
Vertebral arteries
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0

22. In What procedure is a fogarty catheter used
Supine with head turned 45 degrees to the unaffected side
Vena cava
Arterial embolectomy
4-0 or 5-0

23. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
4-0 or 5-0
Tunica intima - tunica media - & tunica adventita

24. What are the 3 branches of the aortic arch
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
A closed system of vessels that transport blood from the heart to the body and back
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The force that blood exerts on the internal walls of the vessels

25. What is an ateriotomy
Incision into an artery
Papaverine
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage

26. What is the largest vein
6-0 or 7-0
Supine with head turned 45 degrees to the unaffected side
Saphenous vein
To reinforce the anastomosis

27. What type of blade is used for an arteriotomy
#11 on a #7 handle
Femoral arteries
Arterial bypass
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

28. What is the pt position for carotid endoarterectomy
Esophagus
Coronary arteries
Supine with head turned 45 degrees to the unaffected side
Arteriosclerosis obliterans

29. What procedure is used for an iliac artery obstruction
Carotid endarterectomy
4-0 or 5-0
Femorofemoral bypass
Double armed needles - tapered

30. What are the sutures for the aorta
Stainless steel mesh - titanium - polypropylene
3-0 or 4-0
The surgeons hands should be wet
Heparin and antibiotics for irrigation

31. What organs does the superior mesenteric artery feed
Femoral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Weitlaner self-retaining retractor
Arterial bypass

32. What communicate in the circle of willis
Tunica intima - tunica media - & tunica adventita
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sarot clamp?
4-0 or 5-0

33. What organ does the gastric artery feed
Supine with head turned 45 degrees to the unaffected side
4-0 or 5-0
Esophagus
Tunica intima - tunica media - & tunica adventita

34. What are the general characteristics of veins
Esophagus
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation
Knitted polyester - woven polyester

35. sutures for femoral - popliteal arteries
5-0 or 6-0
Femoral arteries
Internal carotid artery
Tunica intima - tunica media - & tunica adventita

36. What arteries supply the brain - head - and neck
3-0 or 4-0
In the capillaries
As the heart beats faster there is less blood volume
Right common carotid artery and external carotid artery

37. What is the location of the biforcation of the aorta and What vessels are involved
Epicardium - myocardium - and endocardium
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy

38. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Vessels that are between the arteriols and venule

39. What are delicate sutures tagged with
Arteriosclerosis obliterans
Left & right common iliac arteries are at the 4th lumbar
Rubber shods
6-0

40. Which clamp is removed last
Saphenous vein
Weitlaner self-retaining retractor
SA node
Internal carotid artery

41. What are the deep veins of the foot
Dorsal venus arch
Stainless steel mesh - titanium - polypropylene
Heparin and antibiotics for irrigation
4-0 or 5-0

42. What solution is not used during grafting procedures
Epicardium - myocardium - and endocardium
5-0 or 6-0
Femoral arteries
Water

43. Where does gas exchange take place
In the capillaries
Carotid endarterectomy
Midabdomen to toes & leg circumferentially
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

44. What disease leads to atheroma formation
Arterial embolectomy
Arteriosclerosis obliterans
6-0 or 7-0
Through the artery to compress the plaque against the wall of the artery

45. What graft material is not used in the popliteal area
As the heart beats faster there is less blood volume
Knitted polyester - woven polyester
Saphenous vein
The surgeons hands should be wet

46. What is blood pressure
Vertebral arteries
5-0 or 6-0
The force that blood exerts on the internal walls of the vessels
Esophagus

47. What arteries supply the myocardium
Blood - fat - air - or portions of tumors that break free
Coronary arteries
6-0
The popliteal vein

48. What do the anterior and posterior tibial veins unite to become
Left & right common iliac arteries are at the 4th lumbar
The popliteal vein
The force that blood exerts on the internal walls of the vessels
Vertebral arteries

49. What structure is the pacemaker of the heart
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
SA node
Through the artery to compress the plaque against the wall of the artery
The popliteal vein

50. What is claudication
Left & right common iliac arteries are at the 4th lumbar
Through the artery to compress the plaque against the wall of the artery
Rubber shods
Cramping pain or a dull ache