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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 drug is used for arterial vasospasms
Vena cava
Flush then clamp proximal then distal
Coronary arteries
Papaverine

2. What type of needle is used for vessels
Weitlaner self-retaining retractor
Double armed needles - tapered
Knitted polyester - woven polyester
The surgeons hands should be wet

3. Which clamp is removed last
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Right common carotid artery and external carotid artery
Internal carotid artery
Arterial embolectomy

4. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Blood - fat - air - or portions of tumors that break free
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid then the external carotid then the common carotid artery

5. What graft material is not used in the popliteal area
Hyline cartilage
Right common carotid artery and external carotid artery
6-0 or 7-0
Knitted polyester - woven polyester

6. What organs does the superior mesenteric artery feed
Vessels that are between the arteriols and venule
Left & right common iliac arteries are at the 4th lumbar
6-0 or 7-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

7. Which artery feeds the upper digestive tract - spleen - and liver
6-0 or 7-0
Splenic artery
Double armed needles - tapered
Vertebral arteries

8. What is the sequence of clamping in an ateriotomy
The popliteal vein
Flush then clamp proximal then distal
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Ventricular contraction - resistance - blood viscosity - and heart rate

9. Where do the coronary arteries arise from
Ascending aorta
6-0
The surgeons hands should be wet
Flush then clamp proximal then distal

10. What structures keep the trachea from collapsing
Hyline cartilage
Sarot clamp?
Blood - fat - air - or portions of tumors that break free
Midabdomen to toes & leg circumferentially

11. What procedure is the javid shunt used for
3-0 or 4-0
Cramping pain or a dull ache
To reinforce the anastomosis
Carotid endarterectomy

12. What is blood pressure
The surgeons hands should be wet
The force that blood exerts on the internal walls of the vessels
Midabdomen to toes & leg circumferentially
Rubber shods

13. What are capillaries
Water
Vessels that are between the arteriols and venule
Papaverine
Incision into an artery

14. What are the general characteristics of veins
Sarot clamp?
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The popliteal vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

15. What are the layers of the heart
Heparin and antibiotics for irrigation
Epicardium - myocardium - and endocardium
Right common carotid artery and external carotid artery
Suprarenal artery

16. What are the 3 branches of the aortic arch
Midabdomen to toes & leg circumferentially
Water
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Carotid endarterectomy

17. What is the peripheral vascular system
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
A closed system of vessels that transport blood from the heart to the body and back
Ventricular contraction - resistance - blood viscosity - and heart rate
Water

18. Which artery feeds the adrenal glands
Double armed needles - tapered
Suprarenal artery
Papaverine
Heparin and antibiotics for irrigation

19. What vessels are clamped during a carotid endarterectomy
Arterial bypass
Internal carotid then the external carotid then the common carotid artery
Stainless steel mesh - titanium - polypropylene
Splenic artery

20. What instrument is used to isolate an artery
Carotid endarterectomy
Arterial embolectomy
Sarot clamp?
The popliteal vein

21. How is the fogarty baloon catheter used
Saphenous vein
6-0
Through the artery to compress the plaque against the wall of the artery
Supine with head turned 45 degrees to the unaffected side

22. From What vein is the blood taken to pre-clot the graft
Knitted polyester - woven polyester
Flush then clamp proximal then distal
In the capillaries
Vena cava

23. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Supine with head turned 45 degrees to the unaffected side
Arterial embolectomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

24. What procedure is used for an iliac artery obstruction
Splenic artery
Coronary arteries
Femorofemoral bypass
Dorsal venus arch

25. sutures for femoral - popliteal arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
5-0 or 6-0
Incision into an artery

26. What are the deep veins of the foot
Femoral arteries
SA node
Water
Dorsal venus arch

27. Which arteries supply the spinal cord
Vertebral arteries
Suprarenal artery
Dorsal venus arch
Through the artery to compress the plaque against the wall of the artery

28. What materials are used for stents
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Stainless steel mesh - titanium - polypropylene
The surgeons hands should be wet
Dorsal venus arch

29. What is the largest vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The popliteal vein
Saphenous vein
Femorofemoral bypass

30. What solution is not used during grafting procedures
Water
Vertebral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid then the external carotid then the common carotid artery

31. What are some special conseriderations for patients undergoing peripheral vascular surgery
Right common carotid artery and external carotid artery
SA node
A closed system of vessels that transport blood from the heart to the body and back
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

32. What medication is added to saline
Heparin and antibiotics for irrigation
Weitlaner self-retaining retractor
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femorofemoral bypass

33. What should be done before tying polypropylene sutures
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The surgeons hands should be wet
#11 on a #7 handle
Basilic vein

34. Where does gas exchange take place
4-0 or 5-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water
In the capillaries

35. What communicate in the circle of willis
Dorsal venus arch
The surgeons hands should be wet
To reinforce the anastomosis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

36. What vein is on the lateral side of the arm
3-0 or 4-0
Suprarenal artery
Basilic vein
Cramping pain or a dull ache

37. What are the sutures for the iliac artery
Rubber shods
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar
4-0 or 5-0

38. What type of blade is used for an arteriotomy
Stainless steel mesh - titanium - polypropylene
#11 on a #7 handle
Blood - fat - air - or portions of tumors that break free
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

39. What is an atrial embolism
A closed system of vessels that transport blood from the heart to the body and back
Vena cava
Esophagus
Blood - fat - air - or portions of tumors that break free

40. What does the external iliac artery biforcate into
Epicardium - myocardium - and endocardium
In the capillaries
Basilic vein
Femoral arteries

41. What do the anterior and posterior tibial veins unite to become
Tunica intima - tunica media - & tunica adventita
Coronary arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The popliteal vein

42. What is claudication
Cramping pain or a dull ache
6-0 or 7-0
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

43. What structure is the pacemaker of the heart
Supine with head turned 45 degrees to the unaffected side
Left & right common iliac arteries are at the 4th lumbar
Vessels that are between the arteriols and venule
SA node

44. sutures for common carotid or subclavian
Knitted polyester - woven polyester
The force that blood exerts on the internal walls of the vessels
6-0
Saphenous vein

45. What is an ateriotomy
Incision into an artery
Carotid endarterectomy
6-0
Vertebral arteries

46. When is arterial blood volume decreased
Coronary arteries
Tunica intima - tunica media - & tunica adventita
Sarot clamp?
As the heart beats faster there is less blood volume

47. What are the characteristics of abdominal aneurysms
6-0
3-0 or 4-0
Arterial embolectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

48. What are the layers of vessels
Papaverine
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Right common carotid artery and external carotid artery
Tunica intima - tunica media - & tunica adventita

49. What is the prep area for a femoropopliteal bypass
Epicardium - myocardium - and endocardium
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Midabdomen to toes & leg circumferentially

50. What are the sutures for the aorta
Hyline cartilage
Esophagus
3-0 or 4-0
Femoral arteries