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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. What organ does the gastric artery feed
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0
Esophagus
In the capillaries

2. What communicate in the circle of willis
Epicardium - myocardium - and endocardium
5-0 or 6-0
Femoral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

3. What graft material is not used in the popliteal area
Flush then clamp proximal then distal
4-0 or 5-0
Tunica intima - tunica media - & tunica adventita
Knitted polyester - woven polyester

4. What medication is added to saline
Left & right common iliac arteries are at the 4th lumbar
Heparin and antibiotics for irrigation
6-0
Weitlaner self-retaining retractor

5. sutures for common carotid or subclavian
Basilic vein
Blood - fat - air - or portions of tumors that break free
Arterial embolectomy
6-0

6. What are the characteristics of abdominal aneurysms
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The force that blood exerts on the internal walls of the vessels

7. What are the general characteristics of veins
Through the artery to compress the plaque against the wall of the artery
Double armed needles - tapered
Knitted polyester - woven polyester
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

8. What type of blade is used for an arteriotomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arteriosclerosis obliterans
#11 on a #7 handle
The force that blood exerts on the internal walls of the vessels

9. What is the location of the biforcation of the aorta and What vessels are involved
Internal carotid then the external carotid then the common carotid artery
Vena cava
Left & right common iliac arteries are at the 4th lumbar
Arteriosclerosis obliterans

10. What organs does the superior mesenteric artery feed
Sarot clamp?
Tunica intima - tunica media - & tunica adventita
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
5-0 or 6-0

11. What is an ateriotomy
Incision into an artery
Ventricular contraction - resistance - blood viscosity - and heart rate
As the heart beats faster there is less blood volume
Ascending aorta

12. sutures for femoral - popliteal arteries
5-0 or 6-0
Ascending aorta
Carotid endarterectomy
Rubber shods

13. What are the sutures for the aorta
3-0 or 4-0
Tunica intima - tunica media - & tunica adventita
Weitlaner self-retaining retractor
Hyline cartilage

14. What is the prep area for a femoropopliteal bypass
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially
Femorofemoral bypass
Suprarenal artery

15. When is arterial blood volume decreased
Papaverine
Through the artery to compress the plaque against the wall of the artery
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially

16. What type of needle is used for vessels
Supine with head turned 45 degrees to the unaffected side
Hyline cartilage
Suprarenal artery
Double armed needles - tapered

17. What structure is the pacemaker of the heart
Vessels that are between the arteriols and venule
SA node
Double armed needles - tapered
Femoral arteries

18. Which artery feeds the upper digestive tract - spleen - and liver
Femoral arteries
6-0
Rubber shods
Splenic artery

19. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Sarot clamp?
6-0 or 7-0
Internal carotid then the external carotid then the common carotid artery

20. What are the layers of the heart
Dorsal venus arch
Basilic vein
Epicardium - myocardium - and endocardium
Arterial bypass

21. What are the sutures for the iliac artery
4-0 or 5-0
Sarot clamp?
Arteriosclerosis obliterans
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

22. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Blood - fat - air - or portions of tumors that break free
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Knitted polyester - woven polyester

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

24. What are some special conseriderations for patients undergoing peripheral vascular surgery
Arterial bypass
The force that blood exerts on the internal walls of the vessels
#11 on a #7 handle
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

25. From What vein is the blood taken to pre-clot the graft
Vena cava
Hyline cartilage
Stainless steel mesh - titanium - polypropylene
Dorsal venus arch

26. What structures keep the trachea from collapsing
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Incision into an artery
Arterial embolectomy
Hyline cartilage

27. What are delicate sutures tagged with
6-0
Rubber shods
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

28. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Supine with head turned 45 degrees to the unaffected side
Ascending aorta

29. Where does gas exchange take place
Papaverine
Flush then clamp proximal then distal
In the capillaries
Vertebral arteries

30. What materials are used for stents
Vessels that are between the arteriols and venule
The surgeons hands should be wet
Stainless steel mesh - titanium - polypropylene
Knitted polyester - woven polyester

31. What should be done before tying polypropylene sutures
Splenic artery
The surgeons hands should be wet
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate

32. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Right common carotid artery and external carotid artery
The popliteal vein

33. What is the best approach for an aortofemoral bypass
Arterial bypass
To reinforce the anastomosis
Blood - fat - air - or portions of tumors that break free
As the heart beats faster there is less blood volume

34. What is claudication
SA node
The force that blood exerts on the internal walls of the vessels
Cramping pain or a dull ache
Splenic artery

35. What procedure is the javid shunt used for
Papaverine
Carotid endarterectomy
SA node
5-0 or 6-0

36. What instrument is used to isolate an artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Dorsal venus arch
Sarot clamp?
Right common carotid artery and external carotid artery

37. Which artery feeds the adrenal glands
Suprarenal artery
Basilic vein
Vena cava
Carotid endarterectomy

38. Which arteries supply the spinal cord
Femoral arteries
Esophagus
Vertebral arteries
As the heart beats faster there is less blood volume

39. What type of retractor is used in an aortofemoral bypass
In the capillaries
Vertebral arteries
Cramping pain or a dull ache
Weitlaner self-retaining retractor

40. What is the sequence of clamping in an ateriotomy
Right common carotid artery and external carotid artery
Vena cava
#11 on a #7 handle
Flush then clamp proximal then distal

41. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
4-0 or 5-0
SA node
To reinforce the anastomosis

42. Which clamp is removed last
Femorofemoral bypass
Internal carotid artery
Esophagus
Blood - fat - air - or portions of tumors that break free

43. What solution is not used during grafting procedures
Water
Dorsal venus arch
Double armed needles - tapered
A closed system of vessels that transport blood from the heart to the body and back

44. 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
Ventricular contraction - resistance - blood viscosity - and heart rate
Right common carotid artery and external carotid artery

45. What are pledgets used for
3-0 or 4-0
To reinforce the anastomosis
Supine with head turned 45 degrees to the unaffected side
Right common carotid artery and external carotid artery

46. What arteries supply the myocardium
Coronary arteries
5-0 or 6-0
Arteriosclerosis obliterans
Vertebral arteries

47. What does the external iliac artery biforcate into
In the capillaries
4-0 or 5-0
Femoral arteries
Dorsal venus arch

48. In What procedure is a fogarty catheter used
Arterial embolectomy
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
Vena cava

49. What drugs are used in vascular surgery
Suprarenal artery
Papaverine
Ascending aorta
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

50. What vessels are clamped during a carotid endarterectomy
Esophagus
Internal carotid then the external carotid then the common carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Splenic artery

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Peripheral Vascular Surgery

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