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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. sutures for common carotid or subclavian
Through the artery to compress the plaque against the wall of the artery
Coronary arteries
Left & right common iliac arteries are at the 4th lumbar
6-0

2. sutures for femoral - popliteal arteries
Sarot clamp?
5-0 or 6-0
Flush then clamp proximal then distal
3-0 or 4-0

3. What procedure is the javid shunt used for
Dorsal venus arch
Carotid endarterectomy
Double armed needles - tapered
Ventricular contraction - resistance - blood viscosity - and heart rate

4. When is arterial blood volume decreased
3-0 or 4-0
4-0 or 5-0
As the heart beats faster there is less blood volume
In the capillaries

5. What structure is the pacemaker of the heart
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially
SA node
Sarot clamp?

6. What materials are used for stents
Splenic artery
3-0 or 4-0
Weitlaner self-retaining retractor
Stainless steel mesh - titanium - polypropylene

7. What are the deep veins of the foot
Epicardium - myocardium - and endocardium
Suprarenal artery
Dorsal venus arch
Knitted polyester - woven polyester

8. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Cramping pain or a dull ache
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

9. What is the prep area for a femoropopliteal bypass
Heparin and antibiotics for irrigation
Vena cava
Papaverine
Midabdomen to toes & leg circumferentially

10. Which artery feeds the adrenal glands
Saphenous vein
Rubber shods
Suprarenal artery
Ascending aorta

11. What are the general characteristics of veins
Arterial embolectomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Water
Cramping pain or a dull ache

12. What do the anterior and posterior tibial veins unite to become
The popliteal vein
The surgeons hands should be wet
Left & right common iliac arteries are at the 4th lumbar
Saphenous vein

13. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Basilic vein
Through the artery to compress the plaque against the wall of the artery
Papaverine

14. What structures keep the trachea from collapsing
Right common carotid artery and external carotid artery
Hyline cartilage
#11 on a #7 handle
Through the artery to compress the plaque against the wall of the artery

15. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Incision into an artery
Femorofemoral bypass
4-0 or 5-0

16. Where does gas exchange take place
In the capillaries
Left & right common iliac arteries are at the 4th lumbar
A closed system of vessels that transport blood from the heart to the body and back
Tunica intima - tunica media - & tunica adventita

17. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Arteriosclerosis obliterans
Rubber shods
Vena cava

18. What graft material is not used in the popliteal area
Flush then clamp proximal then distal
Arterial embolectomy
Knitted polyester - woven polyester
Coronary arteries

19. What organ does the gastric artery feed
Internal carotid artery
#11 on a #7 handle
Esophagus
Arteriosclerosis obliterans

20. What are the sutures for the aorta
Papaverine
Dorsal venus arch
3-0 or 4-0
5-0 or 6-0

21. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Ascending aorta
Saphenous vein
Sarot clamp?

22. Which artery feeds the upper digestive tract - spleen - and liver
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Splenic artery
3-0 or 4-0
Weitlaner self-retaining retractor

23. What arteries supply the myocardium
Water
Coronary arteries
Vena cava
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

24. What are the layers of the heart
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Epicardium - myocardium - and endocardium
6-0 or 7-0
Cramping pain or a dull ache

25. Where do the coronary arteries arise from
Ascending aorta
3-0 or 4-0
Femoral arteries
Saphenous vein

26. How is the fogarty baloon catheter used
Suprarenal artery
Through the artery to compress the plaque against the wall of the artery
Midabdomen to toes & leg circumferentially
A closed system of vessels that transport blood from the heart to the body and back

27. What disease leads to atheroma formation
#11 on a #7 handle
Right common carotid artery and external carotid artery
SA node
Arteriosclerosis obliterans

28. What is the largest vein
Left & right common iliac arteries are at the 4th lumbar
A closed system of vessels that transport blood from the heart to the body and back
Saphenous vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

29. What communicate in the circle of willis
Blood - fat - air - or portions of tumors that break free
To reinforce the anastomosis
Hyline cartilage
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

30. Which arteries supply the spinal cord
Vertebral arteries
Flush then clamp proximal then distal
Arterial embolectomy
The popliteal vein

31. What procedure is used for an iliac artery obstruction
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femorofemoral bypass
Internal carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

32. What drug is used for arterial vasospasms
Flush then clamp proximal then distal
Papaverine
Heparin and antibiotics for irrigation
Blood - fat - air - or portions of tumors that break free

33. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
The popliteal vein
Ascending aorta
Tunica intima - tunica media - & tunica adventita

34. What are the 3 branches of the aortic arch
Ventricular contraction - resistance - blood viscosity - and heart rate
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Right common carotid artery and external carotid artery
Hyline cartilage

35. What are pledgets used for
Arterial embolectomy
Vena cava
To reinforce the anastomosis
Vessels that are between the arteriols and venule

36. Which clamp is removed last
Internal carotid artery
As the heart beats faster there is less blood volume
Vessels that are between the arteriols and venule
Ventricular contraction - resistance - blood viscosity - and heart rate

37. What are some special conseriderations for patients undergoing peripheral vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Rubber shods
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

38. What type of needle is used for vessels
Double armed needles - tapered
Arteriosclerosis obliterans
Saphenous vein
SA node

39. What factors influence blood pressure
Femoral arteries
Rubber shods
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

40. What are capillaries
5-0 or 6-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Ventricular contraction - resistance - blood viscosity - and heart rate
Vessels that are between the arteriols and venule

41. What are the sutures for the iliac artery
Arteriosclerosis obliterans
Ventricular contraction - resistance - blood viscosity - and heart rate
4-0 or 5-0
As the heart beats faster there is less blood volume

42. What is an atrial embolism
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
Blood - fat - air - or portions of tumors that break free
As the heart beats faster there is less blood volume

43. What vessels are clamped during a carotid endarterectomy
Double armed needles - tapered
Hyline cartilage
Weitlaner self-retaining retractor
Internal carotid then the external carotid then the common carotid artery

44. What medication is added to saline
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Midabdomen to toes & leg circumferentially
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Heparin and antibiotics for irrigation

45. What is the location of the biforcation of the aorta and What vessels are involved
Esophagus
Blood - fat - air - or portions of tumors that break free
Femorofemoral bypass
Left & right common iliac arteries are at the 4th lumbar

46. What is blood pressure
Arterial bypass
Vena cava
The force that blood exerts on the internal walls of the vessels
Stainless steel mesh - titanium - polypropylene

47. What instrument is used to isolate an artery
Through the artery to compress the plaque against the wall of the artery
Femorofemoral bypass
Internal carotid artery
Sarot clamp?

48. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Midabdomen to toes & leg circumferentially
Basilic vein
The popliteal vein

49. In What procedure is a fogarty catheter used
Esophagus
Arterial embolectomy
Weitlaner self-retaining retractor
3-0 or 4-0

50. From What vein is the blood taken to pre-clot the graft
Vena cava
#11 on a #7 handle
Tunica intima - tunica media - & tunica adventita
Double armed needles - tapered