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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 organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Through the artery to compress the plaque against the wall of the artery
Knitted polyester - woven polyester
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

2. What solution is not used during grafting procedures
Water
Right common carotid artery and external carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ventricular contraction - resistance - blood viscosity - and heart rate

3. What type of needle is used for vessels
Hyline cartilage
The popliteal vein
Double armed needles - tapered
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

4. What are the sutures for the aorta
5-0 or 6-0
3-0 or 4-0
Cramping pain or a dull ache
Stainless steel mesh - titanium - polypropylene

5. What is claudication
4-0 or 5-0
Cramping pain or a dull ache
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femorofemoral bypass

6. What procedure is the javid shunt used for
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis

7. What structures keep the trachea from collapsing
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Hyline cartilage

8. What do the anterior and posterior tibial veins unite to become
Rubber shods
To reinforce the anastomosis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The popliteal vein

9. What are the general characteristics of veins
Double armed needles - tapered
3-0 or 4-0
Vena cava
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

10. What arteries supply the myocardium
Papaverine
#11 on a #7 handle
Coronary arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

11. What drug is used for arterial vasospasms
Through the artery to compress the plaque against the wall of the artery
Arteriosclerosis obliterans
Papaverine
Esophagus

12. Which artery feeds the adrenal glands
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
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
Suprarenal artery

13. What medication is added to saline
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage
Right common carotid artery and external carotid artery
Heparin and antibiotics for irrigation

14. What is the sequence of clamping in an ateriotomy
Vertebral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Flush then clamp proximal then distal

15. What arteries supply the brain - head - and neck
A closed system of vessels that transport blood from the heart to the body and back
Femoral arteries
Water
Right common carotid artery and external carotid artery

16. What are pledgets used for
Rubber shods
Flush then clamp proximal then distal
Epicardium - myocardium - and endocardium
To reinforce the anastomosis

17. Where does gas exchange take place
In the capillaries
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene

18. What are capillaries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
A closed system of vessels that transport blood from the heart to the body and back
Vessels that are between the arteriols and venule
4-0 or 5-0

19. What are the characteristics of abdominal aneurysms
Arterial embolectomy
Epicardium - myocardium - and endocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Dorsal venus arch

20. What is the best approach for an aortofemoral bypass
Carotid endarterectomy
As the heart beats faster there is less blood volume
Sarot clamp?
Arterial bypass

21. What is the peripheral vascular system
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
Vertebral arteries
Carotid endarterectomy

22. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0 or 7-0
Heparin and antibiotics for irrigation
Vessels that are between the arteriols and venule

23. What type of blade is used for an arteriotomy
6-0
Basilic vein
Knitted polyester - woven polyester
#11 on a #7 handle

24. sutures for femoral - popliteal arteries
5-0 or 6-0
Water
Internal carotid then the external carotid then the common carotid artery
Rubber shods

25. What instrument is used to isolate an artery
Sarot clamp?
Esophagus
Double armed needles - tapered
6-0

26. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Rubber shods
The surgeons hands should be wet
Internal carotid artery

27. What is an atrial embolism
In the capillaries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Blood - fat - air - or portions of tumors that break free
Ventricular contraction - resistance - blood viscosity - and heart rate

28. What are the layers of vessels
Basilic vein
Tunica intima - tunica media - & tunica adventita
Right common carotid artery and external carotid artery
5-0 or 6-0

29. What does the external iliac artery biforcate into
Through the artery to compress the plaque against the wall of the artery
Water
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Femoral arteries

30. When is arterial blood volume decreased
In the capillaries
5-0 or 6-0
Arterial bypass
As the heart beats faster there is less blood volume

31. From What vein is the blood taken to pre-clot the graft
Rubber shods
Ascending aorta
Femorofemoral bypass
Vena cava

32. What are the sutures for the iliac artery
4-0 or 5-0
Basilic vein
Incision into an artery
Sarot clamp?

33. sutures for common carotid or subclavian
The popliteal vein
To reinforce the anastomosis
6-0
Epicardium - myocardium - and endocardium

34. What factors influence blood pressure
The popliteal vein
Ventricular contraction - resistance - blood viscosity - and heart rate
3-0 or 4-0
#11 on a #7 handle

35. What vein is on the lateral side of the arm
To reinforce the anastomosis
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Arterial embolectomy
Basilic vein

36. What is the largest vein
Incision into an artery
Suprarenal artery
6-0
Saphenous vein

37. What disease leads to atheroma formation
Vena cava
Femorofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Arteriosclerosis obliterans

38. What are the layers of the heart
Internal carotid then the external carotid then the common carotid artery
Epicardium - myocardium - and endocardium
Carotid endarterectomy
3-0 or 4-0

39. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Carotid endarterectomy
Vessels that are between the arteriols and venule
Stainless steel mesh - titanium - polypropylene

40. What are some special conseriderations for patients undergoing peripheral vascular surgery
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Left & right common iliac arteries are at the 4th lumbar

41. How is the fogarty baloon catheter used
Incision into an artery
The surgeons hands should be wet
Internal carotid artery
Through the artery to compress the plaque against the wall of the artery

42. In What procedure is a fogarty catheter used
Arterial embolectomy
Right common carotid artery and external carotid artery
Femoral arteries
Stainless steel mesh - titanium - polypropylene

43. What structure is the pacemaker of the heart
Vena cava
SA node
Tunica intima - tunica media - & tunica adventita
Saphenous vein

44. What graft material is not used in the popliteal area
Arteriosclerosis obliterans
Knitted polyester - woven polyester
Water
Arterial embolectomy

45. What communicate in the circle of willis
Arteriosclerosis obliterans
Hyline cartilage
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

46. Which arteries supply the spinal cord
Stainless steel mesh - titanium - polypropylene
Vertebral arteries
Sarot clamp?
The force that blood exerts on the internal walls of the vessels

47. What is an ateriotomy
Double armed needles - tapered
6-0
Esophagus
Incision into an artery

48. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Splenic artery
Midabdomen to toes & leg circumferentially
#11 on a #7 handle

49. Which clamp is removed last
Right common carotid artery and external carotid artery
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water

50. What vessels are clamped during a carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side
Internal carotid then the external carotid then the common carotid artery
3-0 or 4-0
Stainless steel mesh - titanium - polypropylene