Test your basic knowledge |

Peripheral Vascular Surgery

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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 drug is used for arterial vasospasms
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
5-0 or 6-0
Papaverine

2. When is arterial blood volume decreased
Suprarenal artery
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial embolectomy

3. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Flush then clamp proximal then distal
5-0 or 6-0
The popliteal vein

4. What arteries supply the myocardium
Coronary arteries
Stainless steel mesh - titanium - polypropylene
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Midabdomen to toes & leg circumferentially

5. What should be done before tying polypropylene sutures
Left & right common iliac arteries are at the 4th lumbar
The surgeons hands should be wet
Midabdomen to toes & leg circumferentially
Heparin and antibiotics for irrigation

6. How is the fogarty baloon catheter used
Stainless steel mesh - titanium - polypropylene
Through the artery to compress the plaque against the wall of the artery
Ascending aorta
5-0 or 6-0

7. What organ does the gastric artery feed
3-0 or 4-0
Esophagus
Flush then clamp proximal then distal
Rubber shods

8. Where does gas exchange take place
The popliteal vein
In the capillaries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sarot clamp?

9. sutures for common carotid or subclavian
6-0
Hyline cartilage
Coronary arteries
Saphenous vein

10. What vein is on the lateral side of the arm
Through the artery to compress the plaque against the wall of the artery
Basilic vein
Suprarenal artery
Blood - fat - air - or portions of tumors that break free

11. What structure is the pacemaker of the heart
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Vena cava
SA node
Cramping pain or a dull ache

12. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
To reinforce the anastomosis
Papaverine
3-0 or 4-0

13. What drugs are used in vascular surgery
Internal carotid artery
4-0 or 5-0
Stainless steel mesh - titanium - polypropylene
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

14. Where do the coronary arteries arise from
#11 on a #7 handle
Ascending aorta
Vertebral arteries
Knitted polyester - woven polyester

15. Which artery feeds the adrenal glands
Water
Suprarenal artery
Blood - fat - air - or portions of tumors that break free
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

16. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
3-0 or 4-0
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0
Vena cava

17. What are the 3 branches of the aortic arch
Cramping pain or a dull ache
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Carotid endarterectomy

18. What is an ateriotomy
Incision into an artery
Weitlaner self-retaining retractor
6-0
6-0 or 7-0

19. What are the deep veins of the foot
Incision into an artery
Dorsal venus arch
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Basilic vein

20. What procedure is used for an iliac artery obstruction
A closed system of vessels that transport blood from the heart to the body and back
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Femorofemoral bypass
To reinforce the anastomosis

21. What graft material is not used in the popliteal area
Arterial bypass
SA node
Knitted polyester - woven polyester
Flush then clamp proximal then distal

22. What are pledgets used for
In the capillaries
Supine with head turned 45 degrees to the unaffected side
Midabdomen to toes & leg circumferentially
To reinforce the anastomosis

23. sutures for femoral - popliteal arteries
Vena cava
Water
Internal carotid then the external carotid then the common carotid artery
5-0 or 6-0

24. What is the largest vein
Stainless steel mesh - titanium - polypropylene
Sarot clamp?
Cramping pain or a dull ache
Saphenous vein

25. What do the anterior and posterior tibial veins unite to become
Splenic artery
Papaverine
Basilic vein
The popliteal vein

26. What factors influence blood pressure
Flush then clamp proximal then distal
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels
Arterial embolectomy

27. What are the layers of the heart
Knitted polyester - woven polyester
Epicardium - myocardium - and endocardium
A closed system of vessels that transport blood from the heart to the body and back
Suprarenal artery

28. What are the characteristics of abdominal aneurysms
Incision into an artery
Femoral arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Ascending aorta

29. What is the location of the biforcation of the aorta and What vessels are involved
Knitted polyester - woven polyester
Left & right common iliac arteries are at the 4th lumbar
To reinforce the anastomosis
Ventricular contraction - resistance - blood viscosity - and heart rate

30. What are some special conseriderations for patients undergoing peripheral vascular surgery
Double armed needles - tapered
Arteriosclerosis obliterans
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

31. What organs does the superior mesenteric artery feed
Coronary arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Midabdomen to toes & leg circumferentially
Vena cava

32. What type of blade is used for an arteriotomy
Midabdomen to toes & leg circumferentially
Papaverine
#11 on a #7 handle
As the heart beats faster there is less blood volume

33. What are the sutures for the iliac artery
3-0 or 4-0
4-0 or 5-0
Arterial embolectomy
Arterial bypass

34. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Left & right common iliac arteries are at the 4th lumbar
Through the artery to compress the plaque against the wall of the artery

35. What arteries supply the brain - head - and neck
Femorofemoral bypass
Femoral arteries
Right common carotid artery and external carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

36. What type of needle is used for vessels
Rubber shods
Through the artery to compress the plaque against the wall of the artery
SA node
Double armed needles - tapered

37. What vessels are clamped during a carotid endarterectomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid then the external carotid then the common carotid artery
As the heart beats faster there is less blood volume
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

38. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
As the heart beats faster there is less blood volume
Suprarenal artery
Epicardium - myocardium - and endocardium

39. What solution is not used during grafting procedures
Supine with head turned 45 degrees to the unaffected side
As the heart beats faster there is less blood volume
Water
The surgeons hands should be wet

40. What is claudication
Splenic artery
Vena cava
Heparin and antibiotics for irrigation
Cramping pain or a dull ache

41. What materials are used for stents
Internal carotid then the external carotid then the common carotid artery
Knitted polyester - woven polyester
Femoral arteries
Stainless steel mesh - titanium - polypropylene

42. In What procedure is a fogarty catheter used
5-0 or 6-0
Supine with head turned 45 degrees to the unaffected side
Arterial embolectomy
Stainless steel mesh - titanium - polypropylene

43. What are capillaries
Arteriosclerosis obliterans
6-0
Vessels that are between the arteriols and venule
6-0 or 7-0

44. What instrument is used to isolate an artery
The surgeons hands should be wet
Vena cava
Tunica intima - tunica media - & tunica adventita
Sarot clamp?

45. What are the general characteristics of veins
Flush then clamp proximal then distal
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sarot clamp?
4-0 or 5-0

46. What medication is added to saline
Supine with head turned 45 degrees to the unaffected side
Basilic vein
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene

47. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
The popliteal vein
6-0 or 7-0
Flush then clamp proximal then distal

48. What communicate in the circle of willis
Internal carotid then the external carotid then the common carotid artery
Internal carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Epicardium - myocardium - and endocardium

49. What procedure is the javid shunt used for
In the capillaries
Carotid endarterectomy
Epicardium - myocardium - and endocardium
Internal carotid then the external carotid then the common carotid artery

50. What is the sequence of clamping in an ateriotomy
Midabdomen to toes & leg circumferentially
Suprarenal artery
Flush then clamp proximal then distal
The surgeons hands should be wet