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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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1. In What procedure is a fogarty catheter used
Suprarenal artery
To reinforce the anastomosis
Arterial embolectomy
Femoral arteries

2. What are capillaries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
To reinforce the anastomosis
Vessels that are between the arteriols and venule
Flush then clamp proximal then distal

3. What are the sutures for the aorta
Blood - fat - air - or portions of tumors that break free
3-0 or 4-0
Flush then clamp proximal then distal
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

4. What is the largest vein
Vessels that are between the arteriols and venule
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Epicardium - myocardium - and endocardium
Saphenous vein

5. What solution is not used during grafting procedures
Water
Right common carotid artery and external carotid artery
Basilic vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

6. What are the general characteristics of veins
Vertebral arteries
The force that blood exerts on the internal walls of the vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Suprarenal artery

7. How is the fogarty baloon catheter used
Saphenous vein
Hyline cartilage
Through the artery to compress the plaque against the wall of the artery
Rubber shods

8. 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
SA node
Arteriosclerosis obliterans
Splenic artery

9. sutures for common carotid or subclavian
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
Epicardium - myocardium - and endocardium
6-0

10. What graft material is not used in the popliteal area
Splenic artery
Through the artery to compress the plaque against the wall of the artery
Coronary arteries
Knitted polyester - woven polyester

11. From What vein is the blood taken to pre-clot the graft
Cramping pain or a dull ache
Vena cava
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

12. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid then the external carotid then the common carotid artery
Blood - fat - air - or portions of tumors that break free
Incision into an artery

13. What do the anterior and posterior tibial veins unite to become
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate
The popliteal vein
Stainless steel mesh - titanium - polypropylene

14. What is the location of the biforcation of the aorta and What vessels are involved
Arterial bypass
Weitlaner self-retaining retractor
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar

15. What type of blade is used for an arteriotomy
5-0 or 6-0
Splenic artery
Right common carotid artery and external carotid artery
#11 on a #7 handle

16. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Ascending aorta
4-0 or 5-0
In the capillaries

17. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
#11 on a #7 handle
A closed system of vessels that transport blood from the heart to the body and back

18. What organ does the gastric artery feed
3-0 or 4-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
As the heart beats faster there is less blood volume
Esophagus

19. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Incision into an artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vessels that are between the arteriols and venule

20. What medication is added to saline
Internal carotid artery
Flush then clamp proximal then distal
#11 on a #7 handle
Heparin and antibiotics for irrigation

21. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Arterial embolectomy
Suprarenal artery
Esophagus

22. What arteries supply the myocardium
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Water
Carotid endarterectomy
Coronary arteries

23. What is claudication
Midabdomen to toes & leg circumferentially
Arterial embolectomy
Supine with head turned 45 degrees to the unaffected side
Cramping pain or a dull ache

24. What factors influence blood pressure
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
SA node
Internal carotid then the external carotid then the common carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

25. What are the deep veins of the foot
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
To reinforce the anastomosis
Dorsal venus arch
Femorofemoral bypass

26. What is the prep area for a femoropopliteal bypass
Through the artery to compress the plaque against the wall of the artery
In the capillaries
Midabdomen to toes & leg circumferentially
Epicardium - myocardium - and endocardium

27. What is blood pressure
Papaverine
Flush then clamp proximal then distal
Sarot clamp?
The force that blood exerts on the internal walls of the vessels

28. What vessels are clamped during a carotid endarterectomy
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule
Internal carotid then the external carotid then the common carotid artery
Carotid endarterectomy

29. What is the best approach for an aortofemoral bypass
Carotid endarterectomy
Internal carotid artery
A closed system of vessels that transport blood from the heart to the body and back
Arterial bypass

30. What procedure is the javid shunt used for
Vena cava
#11 on a #7 handle
Carotid endarterectomy
6-0 or 7-0

31. What structures keep the trachea from collapsing
Hyline cartilage
The surgeons hands should be wet
Arteriosclerosis obliterans
Sarot clamp?

32. What structure is the pacemaker of the heart
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle
SA node
Supine with head turned 45 degrees to the unaffected side

33. What instrument is used to isolate an artery
Incision into an artery
Sarot clamp?
Midabdomen to toes & leg circumferentially
Papaverine

34. What is the pt position for carotid endoarterectomy
Esophagus
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Sarot clamp?
Supine with head turned 45 degrees to the unaffected side

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

36. What type of needle is used for vessels
Midabdomen to toes & leg circumferentially
Incision into an artery
Tunica intima - tunica media - & tunica adventita
Double armed needles - tapered

37. What communicate in the circle of willis
Left & right common iliac arteries are at the 4th lumbar
Heparin and antibiotics for irrigation
Papaverine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

38. What does the external iliac artery biforcate into
Cramping pain or a dull ache
6-0
Femoral arteries
Femorofemoral bypass

39. What are delicate sutures tagged with
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered
Internal carotid then the external carotid then the common carotid artery
Rubber shods

40. Which artery feeds the adrenal glands
Suprarenal artery
Water
3-0 or 4-0
5-0 or 6-0

41. What should be done before tying polypropylene sutures
To reinforce the anastomosis
Femorofemoral bypass
The surgeons hands should be wet
4-0 or 5-0

42. What materials are used for stents
3-0 or 4-0
Stainless steel mesh - titanium - polypropylene
Papaverine
Internal carotid then the external carotid then the common carotid artery

43. What procedure is used for an iliac artery obstruction
SA node
Femorofemoral bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
5-0 or 6-0

44. What drug is used for arterial vasospasms
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Papaverine
Stainless steel mesh - titanium - polypropylene
Left & right common iliac arteries are at the 4th lumbar

45. What disease leads to atheroma formation
Arteriosclerosis obliterans
6-0 or 7-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?

46. What drugs are used in vascular surgery
Midabdomen to toes & leg circumferentially
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water
Femorofemoral bypass

47. What vein is on the lateral side of the arm
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Coronary arteries
Arterial embolectomy
Basilic vein

48. What are pledgets used for
The surgeons hands should be wet
4-0 or 5-0
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis

49. Which clamp is removed last
Midabdomen to toes & leg circumferentially
Ascending aorta
Internal carotid artery
Right common carotid artery and external carotid artery

50. 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
Incision into an artery
3-0 or 4-0

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Peripheral Vascular Surgery

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