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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 largest vein
Right common carotid artery and external carotid artery
SA node
Internal carotid then the external carotid then the common carotid artery
Saphenous vein

2. What type of retractor is used in an aortofemoral bypass
Epicardium - myocardium - and endocardium
Femoral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Weitlaner self-retaining retractor

3. Where does gas exchange take place
Midabdomen to toes & leg circumferentially
In the capillaries
Vessels that are between the arteriols and venule
Ascending aorta

4. What type of blade is used for an arteriotomy
Femorofemoral bypass
Midabdomen to toes & leg circumferentially
#11 on a #7 handle
Saphenous vein

5. What are the sutures for the aorta
3-0 or 4-0
Arteriosclerosis obliterans
Right common carotid artery and external carotid artery
Knitted polyester - woven polyester

6. What are the layers of the heart
SA node
3-0 or 4-0
Epicardium - myocardium - and endocardium
To reinforce the anastomosis

7. What are the characteristics of abdominal aneurysms
Cramping pain or a dull ache
Internal carotid artery
Incision into an artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

8. 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
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0
As the heart beats faster there is less blood volume

9. What graft material is not used in the popliteal area
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
Vertebral arteries

10. What procedure is the javid shunt used for
Carotid endarterectomy
Cramping pain or a dull ache
Arterial bypass
Vessels that are between the arteriols and venule

11. What are some special conseriderations for patients undergoing peripheral vascular surgery
Weitlaner self-retaining retractor
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Suprarenal artery
Tunica intima - tunica media - & tunica adventita

12. What are pledgets used for
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
To reinforce the anastomosis
Femorofemoral bypass
A closed system of vessels that transport blood from the heart to the body and back

13. What structure is the pacemaker of the heart
Femoral arteries
SA node
The force that blood exerts on the internal walls of the vessels
Knitted polyester - woven polyester

14. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Stainless steel mesh - titanium - polypropylene
Vessels that are between the arteriols and venule
Double armed needles - tapered

15. What is an ateriotomy
6-0
Incision into an artery
Arterial embolectomy
Vertebral arteries

16. What is blood pressure
Left & right common iliac arteries are at the 4th lumbar
Ascending aorta
Dorsal venus arch
The force that blood exerts on the internal walls of the vessels

17. What are the deep veins of the foot
Vertebral arteries
3-0 or 4-0
Arterial bypass
Dorsal venus arch

18. sutures for common carotid or subclavian
6-0
Femoral arteries
Internal carotid then the external carotid then the common carotid artery
Ascending aorta

19. What drugs are used in vascular surgery
To reinforce the anastomosis
The popliteal vein
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

20. In What procedure is a fogarty catheter used
Left & right common iliac arteries are at the 4th lumbar
Internal carotid then the external carotid then the common carotid artery
Arterial embolectomy
To reinforce the anastomosis

21. What arteries supply the myocardium
Supine with head turned 45 degrees to the unaffected side
As the heart beats faster there is less blood volume
Coronary arteries
Basilic vein

22. What do the anterior and posterior tibial veins unite to become
SA node
The popliteal vein
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

23. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Internal carotid then the external carotid then the common carotid artery
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0

24. Which clamp is removed last
Internal carotid artery
6-0 or 7-0
Suprarenal artery
Splenic artery

25. What communicate in the circle of willis
Cramping pain or a dull ache
Carotid endarterectomy
Vessels that are between the arteriols and venule
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

26. What organ does the gastric artery feed
Vertebral arteries
Arterial embolectomy
Esophagus
Sarot clamp?

27. sutures for femoral - popliteal arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus
5-0 or 6-0

28. What procedure is used for an iliac artery obstruction
3-0 or 4-0
Femorofemoral bypass
A closed system of vessels that transport blood from the heart to the body and back
Incision into an artery

29. What vein is on the lateral side of the arm
SA node
Basilic vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0

30. Where do the coronary arteries arise from
Flush then clamp proximal then distal
The force that blood exerts on the internal walls of the vessels
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Ascending aorta

31. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
A closed system of vessels that transport blood from the heart to the body and back
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0 or 7-0
Incision into an artery

32. Which arteries supply the spinal cord
6-0
Esophagus
Vertebral arteries
To reinforce the anastomosis

33. What are capillaries
Incision into an artery
Through the artery to compress the plaque against the wall of the artery
Vessels that are between the arteriols and venule
Vena cava

34. What type of needle is used for vessels
Double armed needles - tapered
Arterial embolectomy
Tunica intima - tunica media - & tunica adventita
Incision into an artery

35. What is the best approach for an aortofemoral bypass
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Stainless steel mesh - titanium - polypropylene
Arterial bypass
Rubber shods

36. What medication is added to saline
Left & right common iliac arteries are at the 4th lumbar
Ascending aorta
Heparin and antibiotics for irrigation
Arterial bypass

37. What disease leads to atheroma formation
The popliteal vein
Internal carotid artery
Arteriosclerosis obliterans
3-0 or 4-0

38. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Tunica intima - tunica media - & tunica adventita
The force that blood exerts on the internal walls of the vessels
Rubber shods

39. When is arterial blood volume decreased
Basilic vein
Water
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

40. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Arterial embolectomy
Left & right common iliac arteries are at the 4th lumbar
Right common carotid artery and external carotid artery

41. Which artery feeds the upper digestive tract - spleen - and liver
Vertebral arteries
Papaverine
Splenic artery
Internal carotid artery

42. What does the external iliac artery biforcate into
6-0
Coronary arteries
Femoral arteries
Double armed needles - tapered

43. From What vein is the blood taken to pre-clot the graft
Vena cava
Cramping pain or a dull ache
#11 on a #7 handle
A closed system of vessels that transport blood from the heart to the body and back

44. What drug is used for arterial vasospasms
3-0 or 4-0
Dorsal venus arch
Papaverine
Incision into an artery

45. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0
Hyline cartilage

46. Which artery feeds the adrenal glands
A closed system of vessels that transport blood from the heart to the body and back
The surgeons hands should be wet
Ventricular contraction - resistance - blood viscosity - and heart rate
Suprarenal artery

47. What is an atrial embolism
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Blood - fat - air - or portions of tumors that break free
Saphenous vein
Femoral arteries

48. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Vessels that are between the arteriols and venule
Ventricular contraction - resistance - blood viscosity - and heart rate
Double armed needles - tapered

49. What is claudication
Heparin and antibiotics for irrigation
Vertebral arteries
Cramping pain or a dull ache
As the heart beats faster there is less blood volume

50. What organs does the superior mesenteric artery feed
The force that blood exerts on the internal walls of the vessels
Cramping pain or a dull ache
Arterial bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine