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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. Which arteries supply the spinal cord
Vertebral arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
4-0 or 5-0
Ascending aorta

2. What type of blade is used for an arteriotomy
6-0 or 7-0
#11 on a #7 handle
Basilic vein
Rubber shods

3. What are pledgets used for
Flush then clamp proximal then distal
6-0 or 7-0
To reinforce the anastomosis
A closed system of vessels that transport blood from the heart to the body and back

4. What are the layers of vessels
Rubber shods
Through the artery to compress the plaque against the wall of the artery
Arteriosclerosis obliterans
Tunica intima - tunica media - & tunica adventita

5. Where do the coronary arteries arise from
Ascending aorta
In the capillaries
Basilic vein
6-0 or 7-0

6. What are the characteristics of abdominal aneurysms
Internal carotid artery
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
Arterial embolectomy

7. What arteries supply the brain - head - and neck
Incision into an artery
Esophagus
Arteriosclerosis obliterans
Right common carotid artery and external carotid artery

8. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0
3-0 or 4-0

9. What disease leads to atheroma formation
Arteriosclerosis obliterans
Flush then clamp proximal then distal
Ventricular contraction - resistance - blood viscosity - and heart rate
Esophagus

10. What are delicate sutures tagged with
Rubber shods
#11 on a #7 handle
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid then the external carotid then the common carotid artery

11. What drugs are used in vascular surgery
Hyline cartilage
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Dorsal venus arch
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

12. What are the layers of the heart
Sarot clamp?
Vessels that are between the arteriols and venule
Epicardium - myocardium - and endocardium
6-0 or 7-0

13. Which clamp is removed last
The force that blood exerts on the internal walls of the vessels
Midabdomen to toes & leg circumferentially
Internal carotid artery
Double armed needles - tapered

14. What materials are used for stents
SA node
The popliteal vein
Stainless steel mesh - titanium - polypropylene
Blood - fat - air - or portions of tumors that break free

15. What structures keep the trachea from collapsing
Suprarenal artery
Arteriosclerosis obliterans
Vena cava
Hyline cartilage

16. What is the sequence of clamping in an ateriotomy
Right common carotid artery and external carotid artery
5-0 or 6-0
Flush then clamp proximal then distal
Rubber shods

17. What vein is on the lateral side of the arm
Basilic vein
Stainless steel mesh - titanium - polypropylene
Arterial embolectomy
Double armed needles - tapered

18. What communicate in the circle of willis
Right common carotid artery and external carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Internal carotid artery
SA node

19. What is the largest vein
Femorofemoral bypass
In the capillaries
Internal carotid then the external carotid then the common carotid artery
Saphenous vein

20. What are the sutures for the aorta
Knitted polyester - woven polyester
In the capillaries
Vessels that are between the arteriols and venule
3-0 or 4-0

21. Which artery feeds the adrenal glands
Suprarenal artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Stainless steel mesh - titanium - polypropylene
Flush then clamp proximal then distal

22. What type of needle is used for vessels
Carotid endarterectomy
Basilic vein
6-0
Double armed needles - tapered

23. What procedure is used for an iliac artery obstruction
Flush then clamp proximal then distal
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Papaverine
Femorofemoral bypass

24. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
6-0 or 7-0
Femorofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate

25. sutures for femoral - popliteal arteries
Weitlaner self-retaining retractor
The surgeons hands should be wet
5-0 or 6-0
Sarot clamp?

26. When is arterial blood volume decreased
Suprarenal artery
In the capillaries
As the heart beats faster there is less blood volume
Stainless steel mesh - titanium - polypropylene

27. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered
6-0 or 7-0
Cramping pain or a dull ache

28. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Water
6-0 or 7-0
Coronary arteries
Dorsal venus arch

29. What is the best approach for an aortofemoral bypass
Carotid endarterectomy
Tunica intima - tunica media - & tunica adventita
Arterial bypass
#11 on a #7 handle

30. What are the sutures for the iliac artery
Sarot clamp?
Water
4-0 or 5-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

31. What procedure is the javid shunt used for
Papaverine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy

32. What vessels are clamped during a carotid endarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Internal carotid then the external carotid then the common carotid artery
Basilic vein
6-0

33. What structure is the pacemaker of the heart
Vessels that are between the arteriols and venule
Suprarenal artery
SA node
3-0 or 4-0

34. What graft material is not used in the popliteal area
The popliteal vein
Ascending aorta
3-0 or 4-0
Knitted polyester - woven polyester

35. What are the 3 branches of the aortic arch
Stainless steel mesh - titanium - polypropylene
SA node
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?

36. What are the general characteristics of veins
Vena cava
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation
Right common carotid artery and external carotid artery

37. What is blood pressure
Femoral arteries
The force that blood exerts on the internal walls of the vessels
Vena cava
Sarot clamp?

38. What do the anterior and posterior tibial veins unite to become
5-0 or 6-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The popliteal vein
Left & right common iliac arteries are at the 4th lumbar

39. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Weitlaner self-retaining retractor
Basilic vein
#11 on a #7 handle

40. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Internal carotid artery
The force that blood exerts on the internal walls of the vessels
Dorsal venus arch

41. What is claudication
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Arterial bypass
6-0
Cramping pain or a dull ache

42. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Right common carotid artery and external carotid artery
In the capillaries
The popliteal vein

43. What organs does the superior mesenteric artery feed
Flush then clamp proximal then distal
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

44. What are capillaries
Vessels that are between the arteriols and venule
4-0 or 5-0
The force that blood exerts on the internal walls of the vessels
Splenic artery

45. In What procedure is a fogarty catheter used
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arterial embolectomy
Hyline cartilage

46. What does the external iliac artery biforcate into
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery
Coronary arteries
Femoral arteries

47. What arteries supply the myocardium
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
3-0 or 4-0
A closed system of vessels that transport blood from the heart to the body and back
Coronary arteries

48. Where does gas exchange take place
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery
Incision into an artery
In the capillaries

49. What drug is used for arterial vasospasms
Arterial embolectomy
The popliteal vein
The surgeons hands should be wet
Papaverine

50. What instrument is used to isolate an artery
Sarot clamp?
Heparin and antibiotics for irrigation
Splenic artery
4-0 or 5-0