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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 vessels are clamped during a carotid endarterectomy
#11 on a #7 handle
Blood - fat - air - or portions of tumors that break free
Internal carotid then the external carotid then the common carotid artery
Coronary arteries

2. What medication is added to saline
Heparin and antibiotics for irrigation
Incision into an artery
Double armed needles - tapered
Weitlaner self-retaining retractor

3. What vein is on the lateral side of the arm
Arterial bypass
The force that blood exerts on the internal walls of the vessels
Basilic vein
Tunica intima - tunica media - & tunica adventita

4. What are the deep veins of the foot
Double armed needles - tapered
Flush then clamp proximal then distal
The popliteal vein
Dorsal venus arch

5. What is the largest vein
The force that blood exerts on the internal walls of the vessels
Saphenous vein
Hyline cartilage
Carotid endarterectomy

6. Where does gas exchange take place
A closed system of vessels that transport blood from the heart to the body and back
Hyline cartilage
In the capillaries
Splenic artery

7. What organs does the superior mesenteric artery feed
5-0 or 6-0
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

8. sutures for common carotid or subclavian
Ascending aorta
6-0
Left & right common iliac arteries are at the 4th lumbar
Supine with head turned 45 degrees to the unaffected side

9. What is an ateriotomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Hyline cartilage
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Incision into an artery

10. What does the external iliac artery biforcate into
Arterial embolectomy
The force that blood exerts on the internal walls of the vessels
6-0
Femoral arteries

11. What do the anterior and posterior tibial veins unite to become
Rubber shods
Ventricular contraction - resistance - blood viscosity - and heart rate
Heparin and antibiotics for irrigation
The popliteal vein

12. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Vertebral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0 or 7-0

13. What should be done before tying polypropylene sutures
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Suprarenal artery
Papaverine
The surgeons hands should be wet

14. Where do the coronary arteries arise from
In the capillaries
Splenic artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Ascending aorta

15. What structures keep the trachea from collapsing
Rubber shods
Hyline cartilage
The surgeons hands should be wet
Ventricular contraction - resistance - blood viscosity - and heart rate

16. 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
Femorofemoral bypass
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water

17. sutures for femoral - popliteal arteries
6-0
5-0 or 6-0
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

18. What is the peripheral vascular system
Heparin and antibiotics for irrigation
Dorsal venus arch
Splenic artery
A closed system of vessels that transport blood from the heart to the body and back

19. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Sarot clamp?
Dorsal venus arch
Water

20. What are pledgets used for
To reinforce the anastomosis
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0 or 7-0
In the capillaries

21. What is claudication
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Cramping pain or a dull ache
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

22. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Splenic artery
Arterial bypass
Basilic vein

23. What are the general characteristics of veins
3-0 or 4-0
Midabdomen to toes & leg circumferentially
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

24. What is blood pressure
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
Arterial embolectomy
Heparin and antibiotics for irrigation

25. What is the sequence of clamping in an ateriotomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus
Flush then clamp proximal then distal
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

26. What are capillaries
Basilic vein
Vessels that are between the arteriols and venule
The popliteal vein
Dorsal venus arch

27. From What vein is the blood taken to pre-clot the graft
Suprarenal artery
Vena cava
Epicardium - myocardium - and endocardium
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

28. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
5-0 or 6-0
Incision into an artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0 or 7-0

29. How is the fogarty baloon catheter used
6-0 or 7-0
Through the artery to compress the plaque against the wall of the artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Arteriosclerosis obliterans

30. What procedure is the javid shunt used for
Through the artery to compress the plaque against the wall of the artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Carotid endarterectomy
5-0 or 6-0

31. What communicate in the circle of willis
Stainless steel mesh - titanium - polypropylene
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sarot clamp?
Epicardium - myocardium - and endocardium

32. What type of blade is used for an arteriotomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Cramping pain or a dull ache
SA node
#11 on a #7 handle

33. What are the layers of vessels
Saphenous vein
Esophagus
Tunica intima - tunica media - & tunica adventita
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

34. What drug is used for arterial vasospasms
Blood - fat - air - or portions of tumors that break free
The force that blood exerts on the internal walls of the vessels
Sarot clamp?
Papaverine

35. What instrument is used to isolate an artery
Esophagus
The popliteal vein
Sarot clamp?
Saphenous vein

36. What is the best approach for an aortofemoral bypass
Arterial bypass
Epicardium - myocardium - and endocardium
Dorsal venus arch
Ascending aorta

37. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Rubber shods
Femorofemoral bypass
Water

38. Which clamp is removed last
Internal carotid artery
Epicardium - myocardium - and endocardium
Suprarenal artery
Through the artery to compress the plaque against the wall of the artery

39. When is arterial blood volume decreased
Rubber shods
As the heart beats faster there is less blood volume
6-0 or 7-0
Stainless steel mesh - titanium - polypropylene

40. In What procedure is a fogarty catheter used
Rubber shods
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vertebral arteries
Arterial embolectomy

41. Which arteries supply the spinal cord
Vertebral arteries
Basilic vein
Coronary arteries
Heparin and antibiotics for irrigation

42. What organ does the gastric artery feed
Heparin and antibiotics for irrigation
Esophagus
To reinforce the anastomosis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

43. What procedure is used for an iliac artery obstruction
5-0 or 6-0
Femorofemoral bypass
Midabdomen to toes & leg circumferentially
Cramping pain or a dull ache

44. What are the sutures for the iliac artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
4-0 or 5-0
Rubber shods
3-0 or 4-0

45. What are the sutures for the aorta
Femoral arteries
Internal carotid then the external carotid then the common carotid artery
3-0 or 4-0
Vertebral arteries

46. Which artery feeds the upper digestive tract - spleen - and liver
Knitted polyester - woven polyester
Splenic artery
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

47. What materials are used for stents
Hyline cartilage
Dorsal venus arch
Stainless steel mesh - titanium - polypropylene
Vertebral arteries

48. What graft material is not used in the popliteal area
Ventricular contraction - resistance - blood viscosity - and heart rate
Arteriosclerosis obliterans
Tunica intima - tunica media - & tunica adventita
Knitted polyester - woven polyester

49. What structure is the pacemaker of the heart
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
SA node
Femorofemoral bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

50. What is the prep area for a femoropopliteal bypass
Tunica intima - tunica media - & tunica adventita
Weitlaner self-retaining retractor
3-0 or 4-0
Midabdomen to toes & leg circumferentially