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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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1. When is arterial blood volume decreased
Vena cava
Carotid endarterectomy
Stainless steel mesh - titanium - polypropylene
As the heart beats faster there is less blood volume

2. What materials are used for stents
Arteriosclerosis obliterans
Stainless steel mesh - titanium - polypropylene
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Basilic vein

3. What procedure is the javid shunt used for
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
Rubber shods
Internal carotid then the external carotid then the common carotid artery

4. Which artery feeds the upper digestive tract - spleen - and liver
Knitted polyester - woven polyester
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Splenic artery
Water

5. What organs does the superior mesenteric artery feed
Saphenous vein
SA node
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
To reinforce the anastomosis

6. What is the pt position for carotid endoarterectomy
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vena cava
Supine with head turned 45 degrees to the unaffected side

7. What arteries supply the brain - head - and neck
Rubber shods
3-0 or 4-0
Suprarenal artery
Right common carotid artery and external carotid artery

8. What are the sutures for the aorta
#11 on a #7 handle
3-0 or 4-0
The force that blood exerts on the internal walls of the vessels
Vena cava

9. What are delicate sutures tagged with
Splenic artery
A closed system of vessels that transport blood from the heart to the body and back
Rubber shods
As the heart beats faster there is less blood volume

10. What is blood pressure
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels

11. sutures for femoral - popliteal arteries
5-0 or 6-0
As the heart beats faster there is less blood volume
The popliteal vein
Arterial embolectomy

12. What structure is the pacemaker of the heart
3-0 or 4-0
SA node
5-0 or 6-0
Ascending aorta

13. Which clamp is removed last
Internal carotid artery
Through the artery to compress the plaque against the wall of the artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Arterial embolectomy

14. What organ does the gastric artery feed
Esophagus
4-0 or 5-0
6-0 or 7-0
In the capillaries

15. What are the deep veins of the foot
Sarot clamp?
Esophagus
Dorsal venus arch
The force that blood exerts on the internal walls of the vessels

16. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Rubber shods
6-0 or 7-0
Carotid endarterectomy
Left & right common iliac arteries are at the 4th lumbar

17. In What procedure is a fogarty catheter used
Arterial embolectomy
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery
#11 on a #7 handle

18. What does the external iliac artery biforcate into
Cramping pain or a dull ache
Water
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Femoral arteries

19. What is the sequence of clamping in an ateriotomy
Femoral arteries
Flush then clamp proximal then distal
Vessels that are between the arteriols and venule
Vertebral arteries

20. What solution is not used during grafting procedures
Ascending aorta
Water
Arteriosclerosis obliterans
4-0 or 5-0

21. Which artery feeds the adrenal glands
Through the artery to compress the plaque against the wall of the artery
Saphenous vein
4-0 or 5-0
Suprarenal artery

22. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
Papaverine
A closed system of vessels that transport blood from the heart to the body and back
SA node

23. What medication is added to saline
Vena cava
Dorsal venus arch
Esophagus
Heparin and antibiotics for irrigation

24. What procedure is used for an iliac artery obstruction
In the capillaries
Ascending aorta
Femorofemoral bypass
Papaverine

25. What arteries supply the myocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries
SA node
Stainless steel mesh - titanium - polypropylene

26. What type of needle is used for vessels
As the heart beats faster there is less blood volume
Weitlaner self-retaining retractor
Double armed needles - tapered
#11 on a #7 handle

27. What are pledgets used for
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
To reinforce the anastomosis
Dorsal venus arch
Right common carotid artery and external carotid artery

28. What drug is used for arterial vasospasms
Sarot clamp?
Papaverine
As the heart beats faster there is less blood volume
Suprarenal artery

29. Where do the coronary arteries arise from
Ascending aorta
Cramping pain or a dull ache
Femoral arteries
Left & right common iliac arteries are at the 4th lumbar

30. Where does gas exchange take place
Knitted polyester - woven polyester
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Femoral arteries
In the capillaries

31. What vessels are clamped during a carotid endarterectomy
Epicardium - myocardium - and endocardium
4-0 or 5-0
Internal carotid then the external carotid then the common carotid artery
Esophagus

32. What are the layers of the heart
Double armed needles - tapered
Epicardium - myocardium - and endocardium
In the capillaries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

33. What is the peripheral vascular system
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
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
Femorofemoral bypass

34. What factors influence blood pressure
Arterial bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
Rubber shods
Double armed needles - tapered

35. What structures keep the trachea from collapsing
Left & right common iliac arteries are at the 4th lumbar
Vertebral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Hyline cartilage

36. What is claudication
Cramping pain or a dull ache
Flush then clamp proximal then distal
Blood - fat - air - or portions of tumors that break free
Heparin and antibiotics for irrigation

37. What are the sutures for the iliac artery
Vertebral arteries
4-0 or 5-0
As the heart beats faster there is less blood volume
Arteriosclerosis obliterans

38. Which arteries supply the spinal cord
Femoral arteries
The surgeons hands should be wet
The popliteal vein
Vertebral arteries

39. What are capillaries
Vessels that are between the arteriols and venule
Flush then clamp proximal then distal
Arterial bypass
Heparin and antibiotics for irrigation

40. What communicate in the circle of willis
Through the artery to compress the plaque against the wall of the artery
Femoral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

41. How is the fogarty baloon catheter used
Arterial bypass
Through the artery to compress the plaque against the wall of the artery
Knitted polyester - woven polyester
Saphenous vein

42. What type of retractor is used in an aortofemoral bypass
Incision into an artery
Arteriosclerosis obliterans
Weitlaner self-retaining retractor
Cramping pain or a dull ache

43. What instrument is used to isolate an artery
Water
Sarot clamp?
Vessels that are between the arteriols and venule
The surgeons hands should be wet

44. sutures for common carotid or subclavian
Supine with head turned 45 degrees to the unaffected side
Vessels that are between the arteriols and venule
6-0
Sarot clamp?

45. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Supine with head turned 45 degrees to the unaffected side
A closed system of vessels that transport blood from the heart to the body and back
Cramping pain or a dull ache

46. What are the layers of vessels
Carotid endarterectomy
Tunica intima - tunica media - & tunica adventita
4-0 or 5-0
Knitted polyester - woven polyester

47. From What vein is the blood taken to pre-clot the graft
Supine with head turned 45 degrees to the unaffected side
Vena cava
Midabdomen to toes & leg circumferentially
Suprarenal artery

48. What are the characteristics of abdominal aneurysms
Femoral arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
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

49. What is the prep area for a femoropopliteal bypass
Flush then clamp proximal then distal
Midabdomen to toes & leg circumferentially
Internal carotid artery
Epicardium - myocardium - and endocardium

50. What should be done before tying polypropylene sutures
Incision into an artery
3-0 or 4-0
Arteriosclerosis obliterans
The surgeons hands should be wet

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Peripheral Vascular Surgery

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