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. How is the fogarty baloon catheter used
In the capillaries
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
A closed system of vessels that transport blood from the heart to the body and back

2. What is the sequence of clamping in an ateriotomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Flush then clamp proximal then distal
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Blood - fat - air - or portions of tumors that break free

3. What are the layers of the heart
3-0 or 4-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Carotid endarterectomy
Epicardium - myocardium - and endocardium

4. What structures keep the trachea from collapsing
Arterial bypass
A closed system of vessels that transport blood from the heart to the body and back
Hyline cartilage
4-0 or 5-0

5. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
#11 on a #7 handle
Femorofemoral bypass
Internal carotid artery

6. From What vein is the blood taken to pre-clot the graft
Vena cava
Internal carotid then the external carotid then the common carotid artery
Midabdomen to toes & leg circumferentially
Ventricular contraction - resistance - blood viscosity - and heart rate

7. What is an ateriotomy
Ventricular contraction - resistance - blood viscosity - and heart rate
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sarot clamp?
Incision into an artery

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
Cramping pain or a dull ache
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Splenic artery

9. What organ does the gastric artery feed
Hyline cartilage
Esophagus
Weitlaner self-retaining retractor
Right common carotid artery and external carotid artery

10. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sarot clamp?
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0

11. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Ventricular contraction - resistance - blood viscosity - and heart rate
As the heart beats faster there is less blood volume
4-0 or 5-0

12. What is claudication
Ventricular contraction - resistance - blood viscosity - and heart rate
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femoral arteries
Cramping pain or a dull ache

13. Which artery feeds the upper digestive tract - spleen - and liver
Saphenous vein
Sarot clamp?
Splenic artery
Midabdomen to toes & leg circumferentially

14. What drug is used for arterial vasospasms
Papaverine
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Weitlaner self-retaining retractor
Femorofemoral bypass

15. What procedure is used for an iliac artery obstruction
The popliteal vein
4-0 or 5-0
Femorofemoral bypass
Saphenous vein

16. What structure is the pacemaker of the heart
The force that blood exerts on the internal walls of the vessels
5-0 or 6-0
SA node
Left & right common iliac arteries are at the 4th lumbar

17. What are the general characteristics of veins
As the heart beats faster there is less blood volume
Saphenous vein
The force that blood exerts on the internal walls of the vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

18. What is blood pressure
Left & right common iliac arteries are at the 4th lumbar
The force that blood exerts on the internal walls of the vessels
Water
Carotid endarterectomy

19. Which clamp is removed last
Ascending aorta
Dorsal venus arch
Rubber shods
Internal carotid artery

20. What disease leads to atheroma formation
Arteriosclerosis obliterans
6-0 or 7-0
In the capillaries
Femoral arteries

21. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
The force that blood exerts on the internal walls of the vessels
Tunica intima - tunica media - & tunica adventita
3-0 or 4-0

22. What materials are used for stents
Ventricular contraction - resistance - blood viscosity - and heart rate
Left & right common iliac arteries are at the 4th lumbar
The popliteal vein
Stainless steel mesh - titanium - polypropylene

23. What are the deep veins of the foot
Dorsal venus arch
Vena cava
Midabdomen to toes & leg circumferentially
The force that blood exerts on the internal walls of the vessels

24. What instrument is used to isolate an artery
Ascending aorta
Arterial embolectomy
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Sarot clamp?

25. What procedure is the javid shunt used for
Tunica intima - tunica media - & tunica adventita
#11 on a #7 handle
Carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side

26. What are the sutures for the aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Suprarenal artery
3-0 or 4-0
Vertebral arteries

27. What communicate in the circle of willis
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
A closed system of vessels that transport blood from the heart to the body and back
5-0 or 6-0

28. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Right common carotid artery and external carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

29. What type of needle is used for vessels
Vertebral arteries
Incision into an artery
Papaverine
Double armed needles - tapered

30. What type of blade is used for an arteriotomy
Hyline cartilage
Blood - fat - air - or portions of tumors that break free
#11 on a #7 handle
Sarot clamp?

31. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
The popliteal vein
Arteriosclerosis obliterans
Tunica intima - tunica media - & tunica adventita
6-0 or 7-0

32. What is the best approach for an aortofemoral bypass
Epicardium - myocardium - and endocardium
Arterial bypass
Flush then clamp proximal then distal
Femorofemoral bypass

33. sutures for common carotid or subclavian
Water
6-0
Tunica intima - tunica media - & tunica adventita
Epicardium - myocardium - and endocardium

34. Where does gas exchange take place
Cramping pain or a dull ache
Vena cava
In the capillaries
3-0 or 4-0

35. What should be done before tying polypropylene sutures
Ventricular contraction - resistance - blood viscosity - and heart rate
The surgeons hands should be wet
Arteriosclerosis obliterans
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

36. When is arterial blood volume decreased
Water
As the heart beats faster there is less blood volume
Papaverine
Ascending aorta

37. What arteries supply the myocardium
As the heart beats faster there is less blood volume
The force that blood exerts on the internal walls of the vessels
Left & right common iliac arteries are at the 4th lumbar
Coronary arteries

38. What are the sutures for the iliac artery
4-0 or 5-0
3-0 or 4-0
Double armed needles - tapered
Left & right common iliac arteries are at the 4th lumbar

39. What is the prep area for a femoropopliteal bypass
Rubber shods
Midabdomen to toes & leg circumferentially
Heparin and antibiotics for irrigation
Ascending aorta

40. sutures for femoral - popliteal arteries
Esophagus
5-0 or 6-0
Left & right common iliac arteries are at the 4th lumbar
Arterial embolectomy

41. Which arteries supply the spinal cord
Vertebral arteries
Internal carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The popliteal vein

42. What drugs are used in vascular surgery
Papaverine
Internal carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Epicardium - myocardium - and endocardium

43. Which artery feeds the adrenal glands
Vena cava
Carotid endarterectomy
Double armed needles - tapered
Suprarenal artery

44. In What procedure is a fogarty catheter used
Arterial embolectomy
The popliteal vein
Weitlaner self-retaining retractor
Vertebral arteries

45. 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
Coronary arteries
Knitted polyester - woven polyester
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

46. What do the anterior and posterior tibial veins unite to become
Arterial embolectomy
Vena cava
The popliteal vein
Arteriosclerosis obliterans

47. What does the external iliac artery biforcate into
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
In the capillaries
Incision into an artery
Femoral arteries

48. What is the location of the biforcation of the aorta and What vessels are involved
Femoral arteries
Arterial embolectomy
Left & right common iliac arteries are at the 4th lumbar
4-0 or 5-0

49. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Cramping pain or a dull ache
Suprarenal artery

50. What arteries supply the brain - head - and neck
Saphenous vein
Right common carotid artery and external carotid artery
SA node
Weitlaner self-retaining retractor