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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. What type of blade is used for an arteriotomy
Water
Left & right common iliac arteries are at the 4th lumbar
#11 on a #7 handle
Knitted polyester - woven polyester

2. What organ does the gastric artery feed
Flush then clamp proximal then distal
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
Esophagus

3. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Femorofemoral bypass
Femoral arteries
Tunica intima - tunica media - & tunica adventita

4. What communicate in the circle of willis
Basilic vein
Blood - fat - air - or portions of tumors that break free
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Cramping pain or a dull ache

5. What organs does the superior mesenteric artery feed
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water

6. What do the anterior and posterior tibial veins unite to become
The surgeons hands should be wet
6-0 or 7-0
The popliteal vein
Ascending aorta

7. What instrument is used to isolate an artery
Dorsal venus arch
Cramping pain or a dull ache
Sarot clamp?
Knitted polyester - woven polyester

8. sutures for femoral - popliteal arteries
A closed system of vessels that transport blood from the heart to the body and back
5-0 or 6-0
Right common carotid artery and external carotid artery
Ascending aorta

9. Where does gas exchange take place
Coronary arteries
Ascending aorta
Arterial bypass
In the capillaries

10. What arteries supply the myocardium
Coronary arteries
The surgeons hands should be wet
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar

11. What is the pt position for carotid endoarterectomy
Heparin and antibiotics for irrigation
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
Coronary arteries

12. When is arterial blood volume decreased
Heparin and antibiotics for irrigation
As the heart beats faster there is less blood volume
Epicardium - myocardium - and endocardium
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

13. What are the general characteristics of veins
Left & right common iliac arteries are at the 4th lumbar
Incision into an artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Double armed needles - tapered

14. What are the sutures for the iliac artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene
Arterial bypass
4-0 or 5-0

15. What is blood pressure
As the heart beats faster there is less blood volume
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
Rubber shods

16. What vessels are clamped during a carotid endarterectomy
Vessels that are between the arteriols and venule
Internal carotid artery
Internal carotid then the external carotid then the common carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

17. What medication is added to saline
A closed system of vessels that transport blood from the heart to the body and back
The popliteal vein
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene

18. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Vena cava
Knitted polyester - woven polyester
Water

19. What drug is used for arterial vasospasms
Splenic artery
Papaverine
Double armed needles - tapered
Epicardium - myocardium - and endocardium

20. What solution is not used during grafting procedures
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Water
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Dorsal venus arch

21. Which artery feeds the upper digestive tract - spleen - and liver
Arterial bypass
Left & right common iliac arteries are at the 4th lumbar
Knitted polyester - woven polyester
Splenic artery

22. sutures for common carotid or subclavian
6-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
3-0 or 4-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

23. What are the characteristics of abdominal aneurysms
Water
Dorsal venus arch
Tunica intima - tunica media - & tunica adventita
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

24. What type of needle is used for vessels
#11 on a #7 handle
Double armed needles - tapered
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Ventricular contraction - resistance - blood viscosity - and heart rate

25. What structure is the pacemaker of the heart
5-0 or 6-0
SA node
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Carotid endarterectomy

26. What are the layers of the heart
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation

27. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Papaverine
Internal carotid then the external carotid then the common carotid artery
Ascending aorta

28. What are pledgets used for
Stainless steel mesh - titanium - polypropylene
Saphenous vein
To reinforce the anastomosis
Arterial bypass

29. Which artery feeds the adrenal glands
Water
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Suprarenal artery
Internal carotid then the external carotid then the common carotid artery

30. What are some special conseriderations for patients undergoing peripheral vascular surgery
Cramping pain or a dull ache
Carotid endarterectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
3-0 or 4-0

31. What does the external iliac artery biforcate into
Femorofemoral bypass
The surgeons hands should be wet
Arterial embolectomy
Femoral arteries

32. Which clamp is removed last
Midabdomen to toes & leg circumferentially
5-0 or 6-0
Arterial embolectomy
Internal carotid artery

33. What is the best approach for an aortofemoral bypass
Incision into an artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Arterial bypass
Saphenous vein

34. What is the largest vein
Saphenous vein
Suprarenal artery
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0

35. What materials are used for stents
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Stainless steel mesh - titanium - polypropylene
Hyline cartilage
Water

36. What procedure is the javid shunt used for
Suprarenal artery
In the capillaries
Supine with head turned 45 degrees to the unaffected side
Carotid endarterectomy

37. What procedure is used for an iliac artery obstruction
4-0 or 5-0
Right common carotid artery and external carotid artery
Femorofemoral bypass
The surgeons hands should be wet

38. Which arteries supply the spinal cord
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
5-0 or 6-0
Vertebral arteries
As the heart beats faster there is less blood volume

39. What are the deep veins of the foot
Cramping pain or a dull ache
Dorsal venus arch
A closed system of vessels that transport blood from the heart to the body and back
Vena cava

40. What are capillaries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0
Vessels that are between the arteriols and venule
Femorofemoral bypass

41. What is the prep area for a femoropopliteal bypass
Water
Tunica intima - tunica media - & tunica adventita
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially

42. What is claudication
Saphenous vein
Vessels that are between the arteriols and venule
Cramping pain or a dull ache
Sarot clamp?

43. Where do the coronary arteries arise from
Ascending aorta
Internal carotid artery
Carotid endarterectomy
SA node

44. What drugs are used in vascular surgery
To reinforce the anastomosis
SA node
Weitlaner self-retaining retractor
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

45. What is an ateriotomy
The popliteal vein
Arterial bypass
Sarot clamp?
Incision into an artery

46. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
3-0 or 4-0
Arterial bypass
6-0 or 7-0
Hyline cartilage

47. What are the layers of vessels
Arterial embolectomy
Tunica intima - tunica media - & tunica adventita
Arteriosclerosis obliterans
As the heart beats faster there is less blood volume

48. What structures keep the trachea from collapsing
Arterial embolectomy
Saphenous vein
To reinforce the anastomosis
Hyline cartilage

49. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Hyline cartilage
Midabdomen to toes & leg circumferentially
Arteriosclerosis obliterans

50. What are the sutures for the aorta
3-0 or 4-0
Arterial embolectomy
5-0 or 6-0
Incision into an artery

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Peripheral Vascular Surgery

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