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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 are pledgets used for
To reinforce the anastomosis
Stainless steel mesh - titanium - polypropylene
Basilic vein
In the capillaries

2. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Carotid endarterectomy
Internal carotid artery
Flush then clamp proximal then distal

3. What medication is added to saline
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery
Ascending aorta
Water

4. What is the largest vein
Midabdomen to toes & leg circumferentially
Saphenous vein
The popliteal vein
In the capillaries

5. What do the anterior and posterior tibial veins unite to become
5-0 or 6-0
Ventricular contraction - resistance - blood viscosity - and heart rate
The popliteal vein
Arterial bypass

6. What are the characteristics of abdominal aneurysms
Heparin and antibiotics for irrigation
Water
Dorsal venus arch
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

7. What are delicate sutures tagged with
Rubber shods
As the heart beats faster there is less blood volume
4-0 or 5-0
Left & right common iliac arteries are at the 4th lumbar

8. What is the peripheral vascular system
5-0 or 6-0
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered
Knitted polyester - woven polyester

9. Which arteries supply the spinal cord
Midabdomen to toes & leg circumferentially
5-0 or 6-0
Vertebral arteries
Esophagus

10. Which artery feeds the adrenal glands
Internal carotid artery
Suprarenal artery
Carotid endarterectomy
To reinforce the anastomosis

11. What are the sutures for the iliac artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0 or 7-0
Saphenous vein
4-0 or 5-0

12. What is claudication
Cramping pain or a dull ache
Incision into an artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Sarot clamp?

13. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Hyline cartilage
The popliteal vein

14. sutures for common carotid or subclavian
The popliteal vein
Supine with head turned 45 degrees to the unaffected side
Rubber shods
6-0

15. What does the external iliac artery biforcate into
Femoral arteries
Basilic vein
Double armed needles - tapered
5-0 or 6-0

16. How is the fogarty baloon catheter used
Rubber shods
Through the artery to compress the plaque against the wall of the artery
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

17. What structure is the pacemaker of the heart
Internal carotid then the external carotid then the common carotid artery
SA node
Sarot clamp?
Stainless steel mesh - titanium - polypropylene

18. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Tunica intima - tunica media - & tunica adventita
Blood - fat - air - or portions of tumors that break free
6-0 or 7-0
Left & right common iliac arteries are at the 4th lumbar

19. What arteries supply the myocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
SA node
Coronary arteries
Vena cava

20. What communicate in the circle of willis
Tunica intima - tunica media - & tunica adventita
Splenic artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

21. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
#11 on a #7 handle
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Double armed needles - tapered

22. What drugs are used in vascular surgery
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Carotid endarterectomy
Cramping pain or a dull ache

23. What drug is used for arterial vasospasms
6-0
Papaverine
Flush then clamp proximal then distal
Arterial embolectomy

24. What type of retractor is used in an aortofemoral bypass
3-0 or 4-0
Internal carotid artery
SA node
Weitlaner self-retaining retractor

25. What are the general characteristics of veins
Vertebral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus
The surgeons hands should be wet

26. Where do the coronary arteries arise from
Femoral arteries
Arteriosclerosis obliterans
Ascending aorta
Suprarenal artery

27. What type of blade is used for an arteriotomy
Cramping pain or a dull ache
Weitlaner self-retaining retractor
#11 on a #7 handle
Hyline cartilage

28. What organ does the gastric artery feed
Left & right common iliac arteries are at the 4th lumbar
Epicardium - myocardium - and endocardium
Esophagus
Water

29. What solution is not used during grafting procedures
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Water
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

30. What is the sequence of clamping in an ateriotomy
Papaverine
Flush then clamp proximal then distal
Femorofemoral bypass
Rubber shods

31. What should be done before tying polypropylene sutures
5-0 or 6-0
The surgeons hands should be wet
Vena cava
Vessels that are between the arteriols and venule

32. What are the layers of vessels
6-0
Tunica intima - tunica media - & tunica adventita
SA node
Stainless steel mesh - titanium - polypropylene

33. What are some special conseriderations for patients undergoing peripheral vascular surgery
5-0 or 6-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
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

34. What instrument is used to isolate an artery
Sarot clamp?
Knitted polyester - woven polyester
Carotid endarterectomy
Tunica intima - tunica media - & tunica adventita

35. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Splenic artery
Epicardium - myocardium - and endocardium
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

36. Where does gas exchange take place
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water
In the capillaries
#11 on a #7 handle

37. What is the best approach for an aortofemoral bypass
Left & right common iliac arteries are at the 4th lumbar
#11 on a #7 handle
Arterial bypass
Weitlaner self-retaining retractor

38. What are the deep veins of the foot
Incision into an artery
The force that blood exerts on the internal walls of the vessels
SA node
Dorsal venus arch

39. When is arterial blood volume decreased
Cramping pain or a dull ache
3-0 or 4-0
As the heart beats faster there is less blood volume
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

40. Which artery feeds the upper digestive tract - spleen - and liver
To reinforce the anastomosis
Coronary arteries
Splenic artery
Basilic vein

41. What organs does the superior mesenteric artery feed
Flush then clamp proximal then distal
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
5-0 or 6-0

42. What are capillaries
Through the artery to compress the plaque against the wall of the artery
Vessels that are between the arteriols and venule
Arterial bypass
Femorofemoral bypass

43. What type of needle is used for vessels
Double armed needles - tapered
Water
6-0 or 7-0
Supine with head turned 45 degrees to the unaffected side

44. What structures keep the trachea from collapsing
Epicardium - myocardium - and endocardium
Hyline cartilage
Tunica intima - tunica media - & tunica adventita
Arteriosclerosis obliterans

45. What are the layers of the heart
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Epicardium - myocardium - and endocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Supine with head turned 45 degrees to the unaffected side

46. What vein is on the lateral side of the arm
Basilic vein
Flush then clamp proximal then distal
The force that blood exerts on the internal walls of the vessels
Ventricular contraction - resistance - blood viscosity - and heart rate

47. In What procedure is a fogarty catheter used
Cramping pain or a dull ache
Arterial embolectomy
6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

48. What are the sutures for the aorta
6-0
Cramping pain or a dull ache
3-0 or 4-0
Incision into an artery

49. What procedure is the javid shunt used for
Hyline cartilage
Vena cava
The force that blood exerts on the internal walls of the vessels
Carotid endarterectomy

50. sutures for femoral - popliteal arteries
6-0
Arteriosclerosis obliterans
Esophagus
5-0 or 6-0

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Peripheral Vascular Surgery

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