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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 is the sequence of clamping in an ateriotomy
In the capillaries
Flush then clamp proximal then distal
Knitted polyester - woven polyester
Double armed needles - tapered

2. From What vein is the blood taken to pre-clot the graft
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vertebral arteries
Vena cava

3. What is the pt position for carotid endoarterectomy
Stainless steel mesh - titanium - polypropylene
The force that blood exerts on the internal walls of the vessels
Supine with head turned 45 degrees to the unaffected side
Incision into an artery

4. What procedure is used for an iliac artery obstruction
Left & right common iliac arteries are at the 4th lumbar
Splenic artery
Femorofemoral bypass
Cramping pain or a dull ache

5. Which artery feeds the adrenal glands
Suprarenal artery
The force that blood exerts on the internal walls of the vessels
A closed system of vessels that transport blood from the heart to the body and back
Femoral arteries

6. What graft material is not used in the popliteal area
Cramping pain or a dull ache
A closed system of vessels that transport blood from the heart to the body and back
Knitted polyester - woven polyester
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

7. What do the anterior and posterior tibial veins unite to become
Arteriosclerosis obliterans
Incision into an artery
Left & right common iliac arteries are at the 4th lumbar
The popliteal vein

8. In What procedure is a fogarty catheter used
Arterial embolectomy
Suprarenal artery
Internal carotid artery
A closed system of vessels that transport blood from the heart to the body and back

9. Which arteries supply the spinal cord
In the capillaries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vena cava
Vertebral arteries

10. What arteries supply the brain - head - and neck
The popliteal vein
Right common carotid artery and external carotid artery
Hyline cartilage
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

11. What materials are used for stents
Arterial bypass
Stainless steel mesh - titanium - polypropylene
Arterial embolectomy
Carotid endarterectomy

12. What type of needle is used for vessels
A closed system of vessels that transport blood from the heart to the body and back
Knitted polyester - woven polyester
Internal carotid artery
Double armed needles - tapered

13. What drugs are used in vascular surgery
Incision into an artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Sarot clamp?
Dorsal venus arch

14. What type of blade is used for an arteriotomy
3-0 or 4-0
#11 on a #7 handle
Saphenous vein
Papaverine

15. What should be done before tying polypropylene sutures
Femorofemoral bypass
As the heart beats faster there is less blood volume
Arterial bypass
The surgeons hands should be wet

16. What drug is used for arterial vasospasms
Papaverine
Heparin and antibiotics for irrigation
Basilic vein
Flush then clamp proximal then distal

17. What are the layers of the heart
Left & right common iliac arteries are at the 4th lumbar
A closed system of vessels that transport blood from the heart to the body and back
Epicardium - myocardium - and endocardium
SA node

18. What is claudication
Internal carotid artery
Arteriosclerosis obliterans
Rubber shods
Cramping pain or a dull ache

19. What procedure is the javid shunt used for
Rubber shods
Arterial bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Carotid endarterectomy

20. Which artery feeds the upper digestive tract - spleen - and liver
In the capillaries
Splenic artery
Saphenous vein
Midabdomen to toes & leg circumferentially

21. What are the 3 branches of the aortic arch
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Stainless steel mesh - titanium - polypropylene

22. What is the largest vein
Heparin and antibiotics for irrigation
Water
Saphenous vein
As the heart beats faster there is less blood volume

23. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ascending aorta
Femoral arteries
Tunica intima - tunica media - & tunica adventita

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

25. What is an atrial embolism
Vessels that are between the arteriols and venule
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Blood - fat - air - or portions of tumors that break free
5-0 or 6-0

26. What medication is added to saline
Vertebral arteries
Heparin and antibiotics for irrigation
Weitlaner self-retaining retractor
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

27. Where does gas exchange take place
Internal carotid artery
In the capillaries
Femoral arteries
5-0 or 6-0

28. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Hyline cartilage
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Knitted polyester - woven polyester

29. How is the fogarty baloon catheter used
6-0
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita
Through the artery to compress the plaque against the wall of the artery

30. What are the sutures for the iliac artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
4-0 or 5-0
#11 on a #7 handle
Arteriosclerosis obliterans

31. What solution is not used during grafting procedures
A closed system of vessels that transport blood from the heart to the body and back
Water
Right common carotid artery and external carotid artery
Supine with head turned 45 degrees to the unaffected side

32. What are the deep veins of the foot
The force that blood exerts on the internal walls of the vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vessels that are between the arteriols and venule
Dorsal venus arch

33. What are the sutures for the aorta
3-0 or 4-0
Rubber shods
6-0
Internal carotid then the external carotid then the common carotid artery

34. What structures keep the trachea from collapsing
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vena cava
Double armed needles - tapered
Hyline cartilage

35. What is the peripheral vascular system
Stainless steel mesh - titanium - polypropylene
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid then the external carotid then the common carotid artery
Saphenous vein

36. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Vertebral arteries
Left & right common iliac arteries are at the 4th lumbar
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

37. What vein is on the lateral side of the arm
Papaverine
#11 on a #7 handle
Basilic vein
Suprarenal artery

38. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Midabdomen to toes & leg circumferentially
Heparin and antibiotics for irrigation
Internal carotid artery

39. What factors influence blood pressure
Saphenous vein
Femorofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
Arterial bypass

40. What are the characteristics of abdominal aneurysms
Through the artery to compress the plaque against the wall of the artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
As the heart beats faster there is less blood volume
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

41. What are delicate sutures tagged with
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Rubber shods
4-0 or 5-0
Saphenous vein

42. sutures for common carotid or subclavian
6-0
Vertebral arteries
To reinforce the anastomosis
Arterial bypass

43. Where do the coronary arteries arise from
Ascending aorta
#11 on a #7 handle
Knitted polyester - woven polyester
Carotid endarterectomy

44. What are some special conseriderations for patients undergoing peripheral vascular surgery
Vertebral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Sarot clamp?
6-0 or 7-0

45. What is the best approach for an aortofemoral bypass
Midabdomen to toes & leg circumferentially
Arterial bypass
Tunica intima - tunica media - & tunica adventita
4-0 or 5-0

46. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Left & right common iliac arteries are at the 4th lumbar
Internal carotid artery
Esophagus

47. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Arteriosclerosis obliterans
Femorofemoral bypass
Femoral arteries

48. What disease leads to atheroma formation
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial bypass
Basilic vein

49. What is the location of the biforcation of the aorta and What vessels are involved
Splenic artery
Left & right common iliac arteries are at the 4th lumbar
In the capillaries
Dorsal venus arch

50. What are capillaries
Vessels that are between the arteriols and venule
Hyline cartilage
Left & right common iliac arteries are at the 4th lumbar
Flush then clamp proximal then distal