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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 graft material is not used in the popliteal area
Knitted polyester - woven polyester
Esophagus
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Through the artery to compress the plaque against the wall of the artery

2. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Heparin and antibiotics for irrigation
Incision into an artery
Flush then clamp proximal then distal

3. What medication is added to saline
Heparin and antibiotics for irrigation
Right common carotid artery and external carotid artery
Arterial embolectomy
Femorofemoral bypass

4. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
SA node
Dorsal venus arch
#11 on a #7 handle

5. What are the characteristics of abdominal aneurysms
Left & right common iliac arteries are at the 4th lumbar
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

6. sutures for common carotid or subclavian
Vessels that are between the arteriols and venule
Incision into an artery
#11 on a #7 handle
6-0

7. What drugs are used in vascular surgery
Sarot clamp?
SA node
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Heparin and antibiotics for irrigation

8. What drug is used for arterial vasospasms
Papaverine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0 or 7-0
Hyline cartilage

9. How is the fogarty baloon catheter used
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

10. Which clamp is removed last
Heparin and antibiotics for irrigation
In the capillaries
Coronary arteries
Internal carotid artery

11. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Internal carotid artery
Right common carotid artery and external carotid artery
In the capillaries

12. From What vein is the blood taken to pre-clot the graft
Saphenous vein
To reinforce the anastomosis
Arteriosclerosis obliterans
Vena cava

13. What are pledgets used for
To reinforce the anastomosis
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vessels that are between the arteriols and venule

14. What are the sutures for the aorta
3-0 or 4-0
The surgeons hands should be wet
Saphenous vein
Right common carotid artery and external carotid artery

15. When is arterial blood volume decreased
Vertebral arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery

16. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Esophagus
6-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

17. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Rubber shods
#11 on a #7 handle
Double armed needles - tapered

18. What arteries supply the brain - head - and neck
3-0 or 4-0
Saphenous vein
Internal carotid artery
Right common carotid artery and external carotid artery

19. In What procedure is a fogarty catheter used
To reinforce the anastomosis
Vertebral arteries
Arterial embolectomy
Splenic artery

20. What vessels are clamped during a carotid endarterectomy
#11 on a #7 handle
Internal carotid then the external carotid then the common carotid artery
Sarot clamp?
To reinforce the anastomosis

21. What instrument is used to isolate an artery
Sarot clamp?
Coronary arteries
Weitlaner self-retaining retractor
6-0 or 7-0

22. Which arteries supply the spinal cord
Arteriosclerosis obliterans
Vertebral arteries
#11 on a #7 handle
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

23. What are capillaries
Knitted polyester - woven polyester
Through the artery to compress the plaque against the wall of the artery
Vessels that are between the arteriols and venule
Vena cava

24. What is an ateriotomy
As the heart beats faster there is less blood volume
Hyline cartilage
Sarot clamp?
Incision into an artery

25. What materials are used for stents
Knitted polyester - woven polyester
Tunica intima - tunica media - & tunica adventita
As the heart beats faster there is less blood volume
Stainless steel mesh - titanium - polypropylene

26. What organs does the superior mesenteric artery feed
Internal carotid then the external carotid then the common carotid artery
Hyline cartilage
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Splenic artery

27. What type of needle is used for vessels
3-0 or 4-0
Double armed needles - tapered
Through the artery to compress the plaque against the wall of the artery
Papaverine

28. What are the sutures for the iliac artery
Water
4-0 or 5-0
6-0 or 7-0
Internal carotid then the external carotid then the common carotid artery

29. What is the best approach for an aortofemoral bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial bypass
4-0 or 5-0

30. What are delicate sutures tagged with
To reinforce the anastomosis
Right common carotid artery and external carotid artery
Arterial bypass
Rubber shods

31. What is the location of the biforcation of the aorta and What vessels are involved
Ventricular contraction - resistance - blood viscosity - and heart rate
Sarot clamp?
Weitlaner self-retaining retractor
Left & right common iliac arteries are at the 4th lumbar

32. What vein is on the lateral side of the arm
As the heart beats faster there is less blood volume
3-0 or 4-0
Basilic vein
Arterial bypass

33. What is the largest vein
The popliteal vein
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
Epicardium - myocardium - and endocardium

34. Where does gas exchange take place
In the capillaries
Supine with head turned 45 degrees to the unaffected side
Epicardium - myocardium - and endocardium
Vessels that are between the arteriols and venule

35. sutures for femoral - popliteal arteries
Right common carotid artery and external carotid artery
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery
A closed system of vessels that transport blood from the heart to the body and back

36. What procedure is the javid shunt used for
Vessels that are between the arteriols and venule
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Esophagus
Carotid endarterectomy

37. Where do the coronary arteries arise from
To reinforce the anastomosis
Ascending aorta
Cramping pain or a dull ache
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

38. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Weitlaner self-retaining retractor
Internal carotid artery
The popliteal vein

39. What are some special conseriderations for patients undergoing peripheral vascular surgery
Esophagus
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0
Flush then clamp proximal then distal

40. What is the prep area for a femoropopliteal bypass
Tunica intima - tunica media - & tunica adventita
Midabdomen to toes & leg circumferentially
Stainless steel mesh - titanium - polypropylene
The surgeons hands should be wet

41. What factors influence blood pressure
Arterial embolectomy
Ventricular contraction - resistance - blood viscosity - and heart rate
Dorsal venus arch
Stainless steel mesh - titanium - polypropylene

42. What is the peripheral vascular system
Papaverine
A closed system of vessels that transport blood from the heart to the body and back
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sarot clamp?

43. What is claudication
Saphenous vein
The surgeons hands should be wet
Sarot clamp?
Cramping pain or a dull ache

44. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Dorsal venus arch
Cramping pain or a dull ache
As the heart beats faster there is less blood volume

45. What are the deep veins of the foot
Dorsal venus arch
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Midabdomen to toes & leg circumferentially
The force that blood exerts on the internal walls of the vessels

46. What arteries supply the myocardium
Sarot clamp?
Right common carotid artery and external carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Coronary arteries

47. What structures keep the trachea from collapsing
Femoral arteries
Hyline cartilage
Papaverine
Weitlaner self-retaining retractor

48. What does the external iliac artery biforcate into
Flush then clamp proximal then distal
Femoral arteries
Papaverine
Basilic vein

49. What type of retractor is used in an aortofemoral bypass
The popliteal vein
Femorofemoral bypass
Weitlaner self-retaining retractor
Papaverine

50. What structure is the pacemaker of the heart
Vertebral arteries
SA node
Carotid endarterectomy
Midabdomen to toes & leg circumferentially