Test your basic knowledge |

Peripheral Vascular Surgery

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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 type of retractor is used in an aortofemoral bypass
Blood - fat - air - or portions of tumors that break free
Weitlaner self-retaining retractor
Arterial embolectomy
Esophagus

2. What arteries supply the myocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
#11 on a #7 handle
Coronary arteries
Dorsal venus arch

3. What type of blade is used for an arteriotomy
#11 on a #7 handle
Left & right common iliac arteries are at the 4th lumbar
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Carotid endarterectomy

4. What is the pt position for carotid endoarterectomy
The force that blood exerts on the internal walls of the vessels
Suprarenal artery
Supine with head turned 45 degrees to the unaffected side
#11 on a #7 handle

5. What is claudication
Suprarenal artery
Dorsal venus arch
Cramping pain or a dull ache
Blood - fat - air - or portions of tumors that break free

6. What is the sequence of clamping in an ateriotomy
Heparin and antibiotics for irrigation
The force that blood exerts on the internal walls of the vessels
Supine with head turned 45 degrees to the unaffected side
Flush then clamp proximal then distal

7. What communicate in the circle of willis
Sarot clamp?
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
6-0 or 7-0
Splenic artery

8. What are the sutures for the aorta
Splenic artery
3-0 or 4-0
4-0 or 5-0
Stainless steel mesh - titanium - polypropylene

9. Which artery feeds the upper digestive tract - spleen - and liver
5-0 or 6-0
Splenic artery
Blood - fat - air - or portions of tumors that break free
Papaverine

10. Which artery feeds the adrenal glands
4-0 or 5-0
Flush then clamp proximal then distal
Suprarenal artery
Tunica intima - tunica media - & tunica adventita

11. What type of needle is used for vessels
Epicardium - myocardium - and endocardium
Double armed needles - tapered
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery

12. What instrument is used to isolate an artery
Tunica intima - tunica media - & tunica adventita
Sarot clamp?
SA node
Femorofemoral bypass

13. What procedure is the javid shunt used for
Tunica intima - tunica media - & tunica adventita
Carotid endarterectomy
In the capillaries
Water

14. What drug is used for arterial vasospasms
Basilic vein
Dorsal venus arch
Papaverine
Flush then clamp proximal then distal

15. From What vein is the blood taken to pre-clot the graft
Esophagus
Vena cava
Weitlaner self-retaining retractor
Knitted polyester - woven polyester

16. What arteries supply the brain - head - and neck
Cramping pain or a dull ache
Right common carotid artery and external carotid artery
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

17. What is the largest vein
Saphenous vein
Femoral arteries
Dorsal venus arch
Through the artery to compress the plaque against the wall of the artery

18. What are the general characteristics of veins
Vertebral arteries
Midabdomen to toes & leg circumferentially
Cramping pain or a dull ache
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

19. What is an ateriotomy
The popliteal vein
Double armed needles - tapered
Incision into an artery
Ventricular contraction - resistance - blood viscosity - and heart rate

20. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Sarot clamp?
6-0
Suprarenal artery

21. Where does gas exchange take place
Ascending aorta
Incision into an artery
Through the artery to compress the plaque against the wall of the artery
In the capillaries

22. What are delicate sutures tagged with
Rubber shods
Sarot clamp?
Papaverine
Double armed needles - tapered

23. What should be done before tying polypropylene sutures
Flush then clamp proximal then distal
The surgeons hands should be wet
5-0 or 6-0
Stainless steel mesh - titanium - polypropylene

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

25. What is blood pressure
Suprarenal artery
The force that blood exerts on the internal walls of the vessels
Through the artery to compress the plaque against the wall of the artery
Left & right common iliac arteries are at the 4th lumbar

26. What are capillaries
To reinforce the anastomosis
Vessels that are between the arteriols and venule
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
SA node

27. What are pledgets used for
Double armed needles - tapered
To reinforce the anastomosis
Heparin and antibiotics for irrigation
4-0 or 5-0

28. What medication is added to saline
4-0 or 5-0
Heparin and antibiotics for irrigation
3-0 or 4-0
Vertebral arteries

29. What disease leads to atheroma formation
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
A closed system of vessels that transport blood from the heart to the body and back
In the capillaries

30. What organs does the superior mesenteric artery feed
SA node
#11 on a #7 handle
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vena cava

31. What is the prep area for a femoropopliteal bypass
Water
Papaverine
5-0 or 6-0
Midabdomen to toes & leg circumferentially

32. What does the external iliac artery biforcate into
Sarot clamp?
Femoral arteries
Dorsal venus arch
Knitted polyester - woven polyester

33. sutures for common carotid or subclavian
6-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vessels that are between the arteriols and venule
4-0 or 5-0

34. What solution is not used during grafting procedures
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Water
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene

35. What are the sutures for the iliac artery
4-0 or 5-0
SA node
Water
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

36. What is the best approach for an aortofemoral bypass
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial bypass
5-0 or 6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

37. What are the deep veins of the foot
To reinforce the anastomosis
Internal carotid artery
Dorsal venus arch
As the heart beats faster there is less blood volume

38. What are the layers of the heart
Epicardium - myocardium - and endocardium
SA node
Femoral arteries
Weitlaner self-retaining retractor

39. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Sarot clamp?
Blood - fat - air - or portions of tumors that break free
Dorsal venus arch

40. What is an atrial embolism
#11 on a #7 handle
Blood - fat - air - or portions of tumors that break free
Carotid endarterectomy
As the heart beats faster there is less blood volume

41. What vessels are clamped during a carotid endarterectomy
To reinforce the anastomosis
Internal carotid then the external carotid then the common carotid artery
Suprarenal artery
Saphenous vein

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

43. What vein is on the lateral side of the arm
Vertebral arteries
Water
Basilic vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

44. What organ does the gastric artery feed
In the capillaries
Esophagus
Femoral arteries
The force that blood exerts on the internal walls of the vessels

45. What are the 3 branches of the aortic arch
5-0 or 6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ascending aorta
Right common carotid artery and external carotid artery

46. What structure is the pacemaker of the heart
Vessels that are between the arteriols and venule
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vertebral arteries
SA node

47. What graft material is not used in the popliteal area
3-0 or 4-0
Sarot clamp?
Esophagus
Knitted polyester - woven polyester

48. When is arterial blood volume decreased
Sarot clamp?
Papaverine
Vessels that are between the arteriols and venule
As the heart beats faster there is less blood volume

49. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Femoral arteries
Double armed needles - tapered
6-0 or 7-0

50. Which arteries supply the spinal cord
Vertebral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Vena cava