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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 type of retractor is used in an aortofemoral bypass
Splenic artery
Papaverine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Weitlaner self-retaining retractor

2. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0 or 7-0
Arterial bypass
Ascending aorta

3. What are the characteristics of abdominal aneurysms
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vertebral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

4. What medication is added to saline
Heparin and antibiotics for irrigation
Rubber shods
Papaverine
Arterial embolectomy

5. In What procedure is a fogarty catheter used
Tunica intima - tunica media - & tunica adventita
Left & right common iliac arteries are at the 4th lumbar
Arterial embolectomy
6-0

6. What vein is on the lateral side of the arm
Basilic vein
Hyline cartilage
Tunica intima - tunica media - & tunica adventita
Left & right common iliac arteries are at the 4th lumbar

7. What are the general characteristics of veins
5-0 or 6-0
Tunica intima - tunica media - & tunica adventita
#11 on a #7 handle
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

8. What are some special conseriderations for patients undergoing peripheral vascular surgery
Sarot clamp?
Left & right common iliac arteries are at the 4th lumbar
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Basilic vein

9. sutures for common carotid or subclavian
A closed system of vessels that transport blood from the heart to the body and back
Epicardium - myocardium - and endocardium
Vertebral arteries
6-0

10. What is the best approach for an aortofemoral bypass
Arterial bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Internal carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

11. What materials are used for stents
Carotid endarterectomy
Sarot clamp?
Stainless steel mesh - titanium - polypropylene
Blood - fat - air - or portions of tumors that break free

12. What instrument is used to isolate an artery
Knitted polyester - woven polyester
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sarot clamp?
Arteriosclerosis obliterans

13. What is an ateriotomy
Flush then clamp proximal then distal
Dorsal venus arch
Incision into an artery
Arterial bypass

14. What structure is the pacemaker of the heart
Tunica intima - tunica media - & tunica adventita
Arteriosclerosis obliterans
#11 on a #7 handle
SA node

15. What procedure is the javid shunt used for
Carotid endarterectomy
Sarot clamp?
Arteriosclerosis obliterans
Cramping pain or a dull ache

16. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Flush then clamp proximal then distal
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Knitted polyester - woven polyester

17. Where does gas exchange take place
Arterial bypass
In the capillaries
Arterial embolectomy
#11 on a #7 handle

18. What are the 3 branches of the aortic arch
Tunica intima - tunica media - & tunica adventita
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

19. When is arterial blood volume decreased
To reinforce the anastomosis
Internal carotid artery
Double armed needles - tapered
As the heart beats faster there is less blood volume

20. What is the location of the biforcation of the aorta and What vessels are involved
#11 on a #7 handle
Vessels that are between the arteriols and venule
Rubber shods
Left & right common iliac arteries are at the 4th lumbar

21. What does the external iliac artery biforcate into
6-0
Through the artery to compress the plaque against the wall of the artery
Femoral arteries
Carotid endarterectomy

22. What are capillaries
Vessels that are between the arteriols and venule
Hyline cartilage
Sarot clamp?
Heparin and antibiotics for irrigation

23. How is the fogarty baloon catheter used
Incision into an artery
Through the artery to compress the plaque against the wall of the artery
Femorofemoral bypass
Supine with head turned 45 degrees to the unaffected side

24. What is the largest vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Saphenous vein
Weitlaner self-retaining retractor
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

25. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Double armed needles - tapered
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Flush then clamp proximal then distal

26. What are the sutures for the aorta
Papaverine
Midabdomen to toes & leg circumferentially
6-0
3-0 or 4-0

27. What vessels are clamped during a carotid endarterectomy
Double armed needles - tapered
Internal carotid then the external carotid then the common carotid artery
Cramping pain or a dull ache
Weitlaner self-retaining retractor

28. Which artery feeds the adrenal glands
Ascending aorta
Through the artery to compress the plaque against the wall of the artery
Suprarenal artery
Weitlaner self-retaining retractor

29. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
To reinforce the anastomosis
Internal carotid artery
Vessels that are between the arteriols and venule

30. What are delicate sutures tagged with
Through the artery to compress the plaque against the wall of the artery
Double armed needles - tapered
Stainless steel mesh - titanium - polypropylene
Rubber shods

31. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Blood - fat - air - or portions of tumors that break free
Supine with head turned 45 degrees to the unaffected side
A closed system of vessels that transport blood from the heart to the body and back

32. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Through the artery to compress the plaque against the wall of the artery
4-0 or 5-0
Sarot clamp?

33. What are the deep veins of the foot
Dorsal venus arch
Incision into an artery
5-0 or 6-0
Carotid endarterectomy

34. What solution is not used during grafting procedures
Water
Vertebral arteries
Basilic vein
As the heart beats faster there is less blood volume

35. What do the anterior and posterior tibial veins unite to become
Midabdomen to toes & leg circumferentially
The popliteal vein
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis

36. What procedure is used for an iliac artery obstruction
To reinforce the anastomosis
Femorofemoral bypass
Suprarenal artery
Vena cava

37. What type of blade is used for an arteriotomy
Hyline cartilage
#11 on a #7 handle
Coronary arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

38. What drug is used for arterial vasospasms
Stainless steel mesh - titanium - polypropylene
The force that blood exerts on the internal walls of the vessels
Papaverine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

39. From What vein is the blood taken to pre-clot the graft
Vena cava
Blood - fat - air - or portions of tumors that break free
3-0 or 4-0
Hyline cartilage

40. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
4-0 or 5-0
The popliteal vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

41. What disease leads to atheroma formation
Ascending aorta
Arteriosclerosis obliterans
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Flush then clamp proximal then distal

42. What is claudication
Cramping pain or a dull ache
Weitlaner self-retaining retractor
#11 on a #7 handle
Arterial bypass

43. What organs does the superior mesenteric artery feed
Right common carotid artery and external carotid artery
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
Vessels that are between the arteriols and venule

44. What organ does the gastric artery feed
Esophagus
Left & right common iliac arteries are at the 4th lumbar
Epicardium - myocardium - and endocardium
The force that blood exerts on the internal walls of the vessels

45. What should be done before tying polypropylene sutures
The surgeons hands should be wet
The force that blood exerts on the internal walls of the vessels
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

46. What structures keep the trachea from collapsing
The popliteal vein
Supine with head turned 45 degrees to the unaffected side
Hyline cartilage
As the heart beats faster there is less blood volume

47. What is the peripheral vascular system
Midabdomen to toes & leg circumferentially
Arterial bypass
6-0 or 7-0
A closed system of vessels that transport blood from the heart to the body and back

48. What arteries supply the myocardium
Carotid endarterectomy
Splenic artery
Coronary arteries
Saphenous vein

49. What are the layers of the heart
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Epicardium - myocardium - and endocardium
Esophagus
Incision into an artery

50. What type of needle is used for vessels
Tunica intima - tunica media - & tunica adventita
A closed system of vessels that transport blood from the heart to the body and back
Rubber shods
Double armed needles - tapered