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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 are delicate sutures tagged with
6-0
Rubber shods
3-0 or 4-0
#11 on a #7 handle

2. What drugs are used in vascular surgery
Dorsal venus arch
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Ventricular contraction - resistance - blood viscosity - and heart rate
Heparin and antibiotics for irrigation

3. What is an ateriotomy
Ventricular contraction - resistance - blood viscosity - and heart rate
A closed system of vessels that transport blood from the heart to the body and back
In the capillaries
Incision into an artery

4. What structures keep the trachea from collapsing
Knitted polyester - woven polyester
Hyline cartilage
Esophagus
Right common carotid artery and external carotid artery

5. What should be done before tying polypropylene sutures
Splenic artery
The surgeons hands should be wet
Vertebral arteries
Sarot clamp?

6. What medication is added to saline
Heparin and antibiotics for irrigation
Weitlaner self-retaining retractor
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Rubber shods

7. sutures for common carotid or subclavian
The popliteal vein
Heparin and antibiotics for irrigation
6-0
Ventricular contraction - resistance - blood viscosity - and heart rate

8. What type of blade is used for an arteriotomy
Basilic vein
#11 on a #7 handle
Hyline cartilage
A closed system of vessels that transport blood from the heart to the body and back

9. What do the anterior and posterior tibial veins unite to become
Arteriosclerosis obliterans
The popliteal vein
Vertebral arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

10. What graft material is not used in the popliteal area
Water
Cramping pain or a dull ache
Knitted polyester - woven polyester
In the capillaries

11. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Arteriosclerosis obliterans
Femorofemoral bypass
Double armed needles - tapered

12. What is the best approach for an aortofemoral bypass
Coronary arteries
Arterial bypass
Sarot clamp?
Cramping pain or a dull ache

13. What is the location of the biforcation of the aorta and What vessels are involved
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ascending aorta
Left & right common iliac arteries are at the 4th lumbar
Flush then clamp proximal then distal

14. What materials are used for stents
Femoral arteries
Stainless steel mesh - titanium - polypropylene
Internal carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

15. Which clamp is removed last
Internal carotid artery
Tunica intima - tunica media - & tunica adventita
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0 or 7-0

16. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Ascending aorta
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage

17. What organs does the superior mesenteric artery feed
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial embolectomy

18. What drug is used for arterial vasospasms
Papaverine
To reinforce the anastomosis
Suprarenal artery
Dorsal venus arch

19. In What procedure is a fogarty catheter used
Weitlaner self-retaining retractor
Arterial embolectomy
The popliteal vein
Heparin and antibiotics for irrigation

20. What organ does the gastric artery feed
6-0 or 7-0
4-0 or 5-0
Internal carotid artery
Esophagus

21. What are the sutures for the iliac artery
Arteriosclerosis obliterans
4-0 or 5-0
Femoral arteries
Femorofemoral bypass

22. What are the sutures for the aorta
Vena cava
3-0 or 4-0
Vertebral arteries
4-0 or 5-0

23. What is claudication
Arterial embolectomy
Cramping pain or a dull ache
Flush then clamp proximal then distal
Femoral arteries

24. What are the layers of vessels
5-0 or 6-0
The surgeons hands should be wet
Esophagus
Tunica intima - tunica media - & tunica adventita

25. What vein is on the lateral side of the arm
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially
Papaverine
Basilic vein

26. When is arterial blood volume decreased
Femorofemoral bypass
Incision into an artery
As the heart beats faster there is less blood volume
Splenic artery

27. What are the 3 branches of the aortic arch
Stainless steel mesh - titanium - polypropylene
Vertebral arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Midabdomen to toes & leg circumferentially

28. What are the deep veins of the foot
Blood - fat - air - or portions of tumors that break free
Double armed needles - tapered
Dorsal venus arch
Midabdomen to toes & leg circumferentially

29. What arteries supply the brain - head - and neck
Blood - fat - air - or portions of tumors that break free
Right common carotid artery and external carotid artery
Arterial embolectomy
The popliteal vein

30. What is the peripheral vascular system
Ventricular contraction - resistance - blood viscosity - and heart rate
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
A closed system of vessels that transport blood from the heart to the body and back
Tunica intima - tunica media - & tunica adventita

31. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Femoral arteries
Heparin and antibiotics for irrigation
3-0 or 4-0

32. How is the fogarty baloon catheter used
Weitlaner self-retaining retractor
The popliteal vein
Through the artery to compress the plaque against the wall of the artery
As the heart beats faster there is less blood volume

33. What is the pt position for carotid endoarterectomy
Cramping pain or a dull ache
#11 on a #7 handle
Flush then clamp proximal then distal
Supine with head turned 45 degrees to the unaffected side

34. What arteries supply the myocardium
Coronary arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Supine with head turned 45 degrees to the unaffected side
Blood - fat - air - or portions of tumors that break free

35. What vessels are clamped during a carotid endarterectomy
Knitted polyester - woven polyester
Vertebral arteries
Internal carotid then the external carotid then the common carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

36. Where does gas exchange take place
Rubber shods
In the capillaries
Ventricular contraction - resistance - blood viscosity - and heart rate
A closed system of vessels that transport blood from the heart to the body and back

37. What structure is the pacemaker of the heart
Saphenous vein
SA node
Midabdomen to toes & leg circumferentially
Blood - fat - air - or portions of tumors that break free

38. What procedure is the javid shunt used for
Hyline cartilage
Double armed needles - tapered
Carotid endarterectomy
Suprarenal artery

39. What is an atrial embolism
Femorofemoral bypass
6-0
Epicardium - myocardium - and endocardium
Blood - fat - air - or portions of tumors that break free

40. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Arterial bypass
In the capillaries
6-0 or 7-0
Splenic artery

41. What type of needle is used for vessels
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Through the artery to compress the plaque against the wall of the artery
Double armed needles - tapered
Vessels that are between the arteriols and venule

42. What type of retractor is used in an aortofemoral bypass
The surgeons hands should be wet
Femorofemoral bypass
Weitlaner self-retaining retractor
Epicardium - myocardium - and endocardium

43. What does the external iliac artery biforcate into
Supine with head turned 45 degrees to the unaffected side
Femoral arteries
The surgeons hands should be wet
Left & right common iliac arteries are at the 4th lumbar

44. What are pledgets used for
Vertebral arteries
5-0 or 6-0
Flush then clamp proximal then distal
To reinforce the anastomosis

45. sutures for femoral - popliteal arteries
6-0
Rubber shods
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
5-0 or 6-0

46. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Incision into an artery
Carotid endarterectomy
Suprarenal artery

47. What disease leads to atheroma formation
Arterial embolectomy
Arteriosclerosis obliterans
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femoral arteries

48. What are capillaries
Right common carotid artery and external carotid artery
Cramping pain or a dull ache
Vessels that are between the arteriols and venule
Femorofemoral bypass

49. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Splenic artery
The surgeons hands should be wet
Rubber shods

50. Which arteries supply the spinal cord
Water
Double armed needles - tapered
Vertebral arteries
Flush then clamp proximal then distal