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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 should be done before tying polypropylene sutures
3-0 or 4-0
The surgeons hands should be wet
#11 on a #7 handle
Through the artery to compress the plaque against the wall of the artery

2. What type of needle is used for vessels
Double armed needles - tapered
Incision into an artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
5-0 or 6-0

3. Which artery feeds the adrenal glands
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
In the capillaries
3-0 or 4-0

4. Where does gas exchange take place
3-0 or 4-0
In the capillaries
Through the artery to compress the plaque against the wall of the artery
Internal carotid artery

5. What factors influence blood pressure
Cramping pain or a dull ache
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Right common carotid artery and external carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

6. What is the largest vein
Heparin and antibiotics for irrigation
To reinforce the anastomosis
Hyline cartilage
Saphenous vein

7. What do the anterior and posterior tibial veins unite to become
The popliteal vein
6-0 or 7-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Weitlaner self-retaining retractor

8. What arteries supply the brain - head - and neck
Incision into an artery
Dorsal venus arch
Right common carotid artery and external carotid artery
SA node

9. What vein is on the lateral side of the arm
Vena cava
Basilic vein
Saphenous vein
Epicardium - myocardium - and endocardium

10. What procedure is used for an iliac artery obstruction
#11 on a #7 handle
Water
Carotid endarterectomy
Femorofemoral bypass

11. What vessels are clamped during a carotid endarterectomy
Splenic artery
Internal carotid then the external carotid then the common carotid artery
To reinforce the anastomosis
A closed system of vessels that transport blood from the heart to the body and back

12. What are delicate sutures tagged with
Midabdomen to toes & leg circumferentially
Femoral arteries
Arterial bypass
Rubber shods

13. What are the sutures for the iliac artery
4-0 or 5-0
Sarot clamp?
Femoral arteries
To reinforce the anastomosis

14. What is the best approach for an aortofemoral bypass
4-0 or 5-0
Rubber shods
Ventricular contraction - resistance - blood viscosity - and heart rate
Arterial bypass

15. What organs does the superior mesenteric artery feed
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
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

16. What are capillaries
Internal carotid artery
Flush then clamp proximal then distal
Vessels that are between the arteriols and venule
Tunica intima - tunica media - & tunica adventita

17. What are the layers of the heart
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Epicardium - myocardium - and endocardium
Midabdomen to toes & leg circumferentially

18. What organ does the gastric artery feed
SA node
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Esophagus
Hyline cartilage

19. What does the external iliac artery biforcate into
Coronary arteries
Femoral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
3-0 or 4-0

20. What instrument is used to isolate an artery
Cramping pain or a dull ache
Water
#11 on a #7 handle
Sarot clamp?

21. What is the location of the biforcation of the aorta and What vessels are involved
3-0 or 4-0
Left & right common iliac arteries are at the 4th lumbar
Vena cava
Epicardium - myocardium - and endocardium

22. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Carotid endarterectomy
Vessels that are between the arteriols and venule
Hyline cartilage

23. In What procedure is a fogarty catheter used
Arterial embolectomy
6-0 or 7-0
#11 on a #7 handle
SA node

24. sutures for femoral - popliteal arteries
5-0 or 6-0
A closed system of vessels that transport blood from the heart to the body and back
Arteriosclerosis obliterans
In the capillaries

25. Which artery feeds the upper digestive tract - spleen - and liver
Esophagus
Vessels that are between the arteriols and venule
Splenic artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

26. What is the sequence of clamping in an ateriotomy
Blood - fat - air - or portions of tumors that break free
Saphenous vein
The surgeons hands should be wet
Flush then clamp proximal then distal

27. What solution is not used during grafting procedures
Epicardium - myocardium - and endocardium
Water
Papaverine
Internal carotid then the external carotid then the common carotid artery

28. What are the 3 branches of the aortic arch
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Hyline cartilage
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Midabdomen to toes & leg circumferentially

29. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Ascending aorta
Weitlaner self-retaining retractor
6-0 or 7-0
Left & right common iliac arteries are at the 4th lumbar

30. Which arteries supply the spinal cord
Femoral arteries
Basilic vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vertebral arteries

31. What drugs are used in vascular surgery
Incision into an artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery

32. What are the layers of vessels
Basilic vein
The surgeons hands should be wet
Right common carotid artery and external carotid artery
Tunica intima - tunica media - & tunica adventita

33. How is the fogarty baloon catheter used
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Through the artery to compress the plaque against the wall of the artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries

34. What is claudication
Internal carotid then the external carotid then the common carotid artery
Cramping pain or a dull ache
Weitlaner self-retaining retractor
Sarot clamp?

35. What disease leads to atheroma formation
4-0 or 5-0
Arteriosclerosis obliterans
Midabdomen to toes & leg circumferentially
Basilic vein

36. What are the sutures for the aorta
A closed system of vessels that transport blood from the heart to the body and back
3-0 or 4-0
Arteriosclerosis obliterans
Saphenous vein

37. What are some special conseriderations for patients undergoing peripheral vascular surgery
6-0 or 7-0
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
Right common carotid artery and external carotid artery

38. Which clamp is removed last
Internal carotid artery
3-0 or 4-0
A closed system of vessels that transport blood from the heart to the body and back
The surgeons hands should be wet

39. What are the deep veins of the foot
Heparin and antibiotics for irrigation
Midabdomen to toes & leg circumferentially
Carotid endarterectomy
Dorsal venus arch

40. What graft material is not used in the popliteal area
Splenic artery
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery

41. What is an atrial embolism
Vertebral arteries
Femoral arteries
Ascending aorta
Blood - fat - air - or portions of tumors that break free

42. What procedure is the javid shunt used for
Vessels that are between the arteriols and venule
SA node
Carotid endarterectomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

43. What structures keep the trachea from collapsing
The surgeons hands should be wet
Basilic vein
Hyline cartilage
To reinforce the anastomosis

44. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Internal carotid then the external carotid then the common carotid artery
Vertebral arteries
Tunica intima - tunica media - & tunica adventita

45. What type of retractor is used in an aortofemoral bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Weitlaner self-retaining retractor
Internal carotid artery
Through the artery to compress the plaque against the wall of the artery

46. Where do the coronary arteries arise from
Ascending aorta
The popliteal vein
Femorofemoral bypass
Incision into an artery

47. What is an ateriotomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The force that blood exerts on the internal walls of the vessels
Incision into an artery

48. What structure is the pacemaker of the heart
3-0 or 4-0
Knitted polyester - woven polyester
Saphenous vein
SA node

49. When is arterial blood volume decreased
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Basilic vein
As the heart beats faster there is less blood volume
SA node

50. What is blood pressure
6-0 or 7-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered
The force that blood exerts on the internal walls of the vessels