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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 is the prep area for a femoropopliteal bypass
Double armed needles - tapered
Flush then clamp proximal then distal
Midabdomen to toes & leg circumferentially
Vertebral arteries

2. 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
Stainless steel mesh - titanium - polypropylene
Supine with head turned 45 degrees to the unaffected side
Vertebral arteries

3. sutures for femoral - popliteal arteries
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery
Flush then clamp proximal then distal
6-0

4. What structures keep the trachea from collapsing
To reinforce the anastomosis
Hyline cartilage
Vertebral arteries
Incision into an artery

5. What are the sutures for the aorta
Cramping pain or a dull ache
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Esophagus
3-0 or 4-0

6. sutures for common carotid or subclavian
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Flush then clamp proximal then distal
6-0
Supine with head turned 45 degrees to the unaffected side

7. What are pledgets used for
Water
Vertebral arteries
To reinforce the anastomosis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

8. What procedure is the javid shunt used for
Rubber shods
The surgeons hands should be wet
Carotid endarterectomy
Internal carotid artery

9. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Midabdomen to toes & leg circumferentially
Ascending aorta
Basilic vein

10. What is claudication
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery
Cramping pain or a dull ache
Hyline cartilage

11. When is arterial blood volume decreased
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid artery

12. What is an ateriotomy
Left & right common iliac arteries are at the 4th lumbar
Saphenous vein
The force that blood exerts on the internal walls of the vessels
Incision into an artery

13. Which clamp is removed last
Basilic vein
Heparin and antibiotics for irrigation
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid artery

14. What procedure is used for an iliac artery obstruction
Arteriosclerosis obliterans
Femorofemoral bypass
Arterial embolectomy
Flush then clamp proximal then distal

15. What are delicate sutures tagged with
Coronary arteries
Hyline cartilage
Rubber shods
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

16. What are the deep veins of the foot
The force that blood exerts on the internal walls of the vessels
In the capillaries
Dorsal venus arch
Blood - fat - air - or portions of tumors that break free

17. What vein is on the lateral side of the arm
Basilic vein
The popliteal vein
Ventricular contraction - resistance - blood viscosity - and heart rate
Carotid endarterectomy

18. What are some special conseriderations for patients undergoing peripheral vascular surgery
Supine with head turned 45 degrees to the unaffected side
Vertebral arteries
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

19. What do the anterior and posterior tibial veins unite to become
The popliteal vein
#11 on a #7 handle
Femoral arteries
Suprarenal artery

20. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Internal carotid then the external carotid then the common carotid artery
Midabdomen to toes & leg circumferentially
Dorsal venus arch

21. From What vein is the blood taken to pre-clot the graft
Epicardium - myocardium - and endocardium
Vena cava
4-0 or 5-0
Stainless steel mesh - titanium - polypropylene

22. What arteries supply the myocardium
Cramping pain or a dull ache
Supine with head turned 45 degrees to the unaffected side
Hyline cartilage
Coronary arteries

23. What structure is the pacemaker of the heart
SA node
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The popliteal vein
Internal carotid then the external carotid then the common carotid artery

24. Where do the coronary arteries arise from
Epicardium - myocardium - and endocardium
Carotid endarterectomy
A closed system of vessels that transport blood from the heart to the body and back
Ascending aorta

25. What are the layers of the heart
Flush then clamp proximal then distal
Blood - fat - air - or portions of tumors that break free
Epicardium - myocardium - and endocardium
Papaverine

26. What is blood pressure
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Epicardium - myocardium - and endocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The force that blood exerts on the internal walls of the vessels

27. What is the largest vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle
As the heart beats faster there is less blood volume
Saphenous vein

28. What factors influence blood pressure
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
Stainless steel mesh - titanium - polypropylene
Internal carotid artery

29. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Flush then clamp proximal then distal
Stainless steel mesh - titanium - polypropylene

30. What is an atrial embolism
5-0 or 6-0
Blood - fat - air - or portions of tumors that break free
Heparin and antibiotics for irrigation
Rubber shods

31. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Arterial bypass
Knitted polyester - woven polyester
Through the artery to compress the plaque against the wall of the artery

32. In What procedure is a fogarty catheter used
Arterial embolectomy
Vessels that are between the arteriols and venule
Internal carotid then the external carotid then the common carotid artery
The force that blood exerts on the internal walls of the vessels

33. What materials are used for stents
Internal carotid then the external carotid then the common carotid artery
The force that blood exerts on the internal walls of the vessels
Ventricular contraction - resistance - blood viscosity - and heart rate
Stainless steel mesh - titanium - polypropylene

34. What vessels are clamped during a carotid endarterectomy
5-0 or 6-0
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery
3-0 or 4-0

35. What is the pt position for carotid endoarterectomy
6-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Blood - fat - air - or portions of tumors that break free
Supine with head turned 45 degrees to the unaffected side

36. What organ does the gastric artery feed
Arterial embolectomy
Esophagus
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Tunica intima - tunica media - & tunica adventita

37. What does the external iliac artery biforcate into
To reinforce the anastomosis
Saphenous vein
Femoral arteries
Sarot clamp?

38. What solution is not used during grafting procedures
Sarot clamp?
In the capillaries
Right common carotid artery and external carotid artery
Water

39. What should be done before tying polypropylene sutures
4-0 or 5-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Left & right common iliac arteries are at the 4th lumbar
The surgeons hands should be wet

40. What is the sequence of clamping in an ateriotomy
Right common carotid artery and external carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Flush then clamp proximal then distal

41. What are the sutures for the iliac artery
4-0 or 5-0
3-0 or 4-0
Tunica intima - tunica media - & tunica adventita
Flush then clamp proximal then distal

42. Which artery feeds the adrenal glands
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Suprarenal artery

43. What is the best approach for an aortofemoral bypass
Arterial bypass
Midabdomen to toes & leg circumferentially
Carotid endarterectomy
Knitted polyester - woven polyester

44. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Left & right common iliac arteries are at the 4th lumbar
A closed system of vessels that transport blood from the heart to the body and back
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

45. What instrument is used to isolate an artery
Vena cava
Epicardium - myocardium - and endocardium
4-0 or 5-0
Sarot clamp?

46. How is the fogarty baloon catheter used
Vertebral arteries
Through the artery to compress the plaque against the wall of the artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Blood - fat - air - or portions of tumors that break free

47. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Basilic vein
6-0 or 7-0
Saphenous vein

48. What type of retractor is used in an aortofemoral bypass
Cramping pain or a dull ache
SA node
5-0 or 6-0
Weitlaner self-retaining retractor

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

50. What medication is added to saline
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation
#11 on a #7 handle
Cramping pain or a dull ache