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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. What disease leads to atheroma formation
Femorofemoral bypass
Weitlaner self-retaining retractor
Arteriosclerosis obliterans
Papaverine

2. What does the external iliac artery biforcate into
Femoral arteries
Tunica intima - tunica media - & tunica adventita
Midabdomen to toes & leg circumferentially
Rubber shods

3. What are the sutures for the aorta
3-0 or 4-0
Rubber shods
4-0 or 5-0
Ascending aorta

4. Which artery feeds the adrenal glands
Suprarenal artery
Water
Femoral arteries
The surgeons hands should be wet

5. What do the anterior and posterior tibial veins unite to become
6-0
Dorsal venus arch
The popliteal vein
Basilic vein

6. What type of needle is used for vessels
Double armed needles - tapered
Cramping pain or a dull ache
Through the artery to compress the plaque against the wall of the artery
A closed system of vessels that transport blood from the heart to the body and back

7. 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
Left & right common iliac arteries are at the 4th lumbar
Internal carotid then the external carotid then the common carotid artery
Cramping pain or a dull ache

8. What drug is used for arterial vasospasms
In the capillaries
Papaverine
Heparin and antibiotics for irrigation
Arterial bypass

9. Where do the coronary arteries arise from
#11 on a #7 handle
Vertebral arteries
Arterial bypass
Ascending aorta

10. What are pledgets used for
Arterial embolectomy
Cramping pain or a dull ache
Heparin and antibiotics for irrigation
To reinforce the anastomosis

11. When is arterial blood volume decreased
To reinforce the anastomosis
Vessels that are between the arteriols and venule
Coronary arteries
As the heart beats faster there is less blood volume

12. What is an atrial embolism
Right common carotid artery and external carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0 or 7-0
Blood - fat - air - or portions of tumors that break free

13. What type of blade is used for an arteriotomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vertebral arteries
Weitlaner self-retaining retractor
#11 on a #7 handle

14. What are the sutures for the iliac artery
Knitted polyester - woven polyester
Splenic artery
4-0 or 5-0
Saphenous vein

15. What is the prep area for a femoropopliteal bypass
Vessels that are between the arteriols and venule
Midabdomen to toes & leg circumferentially
Splenic artery
Carotid endarterectomy

16. Which artery feeds the upper digestive tract - spleen - and liver
Saphenous vein
Water
Splenic artery
Supine with head turned 45 degrees to the unaffected side

17. sutures for femoral - popliteal arteries
5-0 or 6-0
Left & right common iliac arteries are at the 4th lumbar
Knitted polyester - woven polyester
Heparin and antibiotics for irrigation

18. sutures for common carotid or subclavian
6-0
Femoral arteries
Left & right common iliac arteries are at the 4th lumbar
Epicardium - myocardium - and endocardium

19. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Weitlaner self-retaining retractor
Through the artery to compress the plaque against the wall of the artery
Tunica intima - tunica media - & tunica adventita

20. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery
Vena cava
Epicardium - myocardium - and endocardium

21. What arteries supply the myocardium
Internal carotid then the external carotid then the common carotid artery
Coronary arteries
Esophagus
Arterial bypass

22. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free
#11 on a #7 handle

23. What instrument is used to isolate an artery
Cramping pain or a dull ache
Supine with head turned 45 degrees to the unaffected side
6-0 or 7-0
Sarot clamp?

24. What materials are used for stents
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene
Papaverine
Blood - fat - air - or portions of tumors that break free

25. What structures keep the trachea from collapsing
Femorofemoral bypass
Vertebral arteries
Hyline cartilage
Internal carotid artery

26. What procedure is the javid shunt used for
4-0 or 5-0
Carotid endarterectomy
Water
Papaverine

27. What are the general characteristics of veins
The force that blood exerts on the internal walls of the vessels
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

28. Where does gas exchange take place
In the capillaries
Carotid endarterectomy
6-0
Right common carotid artery and external carotid artery

29. What are the layers of the heart
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Epicardium - myocardium - and endocardium
Internal carotid then the external carotid then the common carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

30. What is the location of the biforcation of the aorta and What vessels are involved
Esophagus
Internal carotid then the external carotid then the common carotid artery
Left & right common iliac arteries are at the 4th lumbar
Arterial bypass

31. What medication is added to saline
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Knitted polyester - woven polyester

32. What are the 3 branches of the aortic arch
Vena cava
Ventricular contraction - resistance - blood viscosity - and heart rate
Water
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

33. What is the largest vein
3-0 or 4-0
Midabdomen to toes & leg circumferentially
Saphenous vein
As the heart beats faster there is less blood volume

34. What organ does the gastric artery feed
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Blood - fat - air - or portions of tumors that break free
Esophagus
SA node

35. What graft material is not used in the popliteal area
Vena cava
Knitted polyester - woven polyester
Basilic vein
Right common carotid artery and external carotid artery

36. From What vein is the blood taken to pre-clot the graft
Double armed needles - tapered
Vena cava
In the capillaries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

37. How is the fogarty baloon catheter used
Vessels that are between the arteriols and venule
#11 on a #7 handle
5-0 or 6-0
Through the artery to compress the plaque against the wall of the artery

38. What are the characteristics of abdominal aneurysms
Right common carotid artery and external carotid artery
Vena cava
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The popliteal vein

39. What should be done before tying polypropylene sutures
Heparin and antibiotics for irrigation
Incision into an artery
The surgeons hands should be wet
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

40. What organs does the superior mesenteric artery feed
Midabdomen to toes & leg circumferentially
The surgeons hands should be wet
To reinforce the anastomosis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

41. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Internal carotid then the external carotid then the common carotid artery
Left & right common iliac arteries are at the 4th lumbar
6-0 or 7-0
Cramping pain or a dull ache

42. What is an ateriotomy
Incision into an artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially

43. What is the sequence of clamping in an ateriotomy
To reinforce the anastomosis
Coronary arteries
Supine with head turned 45 degrees to the unaffected side
Flush then clamp proximal then distal

44. In What procedure is a fogarty catheter used
Arterial embolectomy
6-0
Left & right common iliac arteries are at the 4th lumbar
Blood - fat - air - or portions of tumors that break free

45. What structure is the pacemaker of the heart
Double armed needles - tapered
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
SA node

46. What is the best approach for an aortofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Arterial bypass
3-0 or 4-0
SA node

47. What solution is not used during grafting procedures
Water
Ventricular contraction - resistance - blood viscosity - and heart rate
Supine with head turned 45 degrees to the unaffected side
Esophagus

48. What is claudication
6-0 or 7-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Cramping pain or a dull ache
The popliteal vein

49. What is the peripheral vascular system
Tunica intima - tunica media - & tunica adventita
Vessels that are between the arteriols and venule
A closed system of vessels that transport blood from the heart to the body and back
The popliteal vein

50. What type of retractor is used in an aortofemoral bypass
Cramping pain or a dull ache
6-0 or 7-0
Ascending aorta
Weitlaner self-retaining retractor

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Peripheral Vascular Surgery

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