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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 organ does the gastric artery feed
Esophagus
The surgeons hands should be wet
Vena cava
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

2. What is an atrial embolism
Ventricular contraction - resistance - blood viscosity - and heart rate
Arteriosclerosis obliterans
Knitted polyester - woven polyester
Blood - fat - air - or portions of tumors that break free

3. What is blood pressure
6-0 or 7-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Coronary arteries
The force that blood exerts on the internal walls of the vessels

4. What procedure is used for an iliac artery obstruction
The surgeons hands should be wet
Basilic vein
Femorofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

5. What are delicate sutures tagged with
Vessels that are between the arteriols and venule
Arterial bypass
Incision into an artery
Rubber shods

6. What are the general characteristics of veins
Epicardium - myocardium - and endocardium
Through the artery to compress the plaque against the wall of the artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
As the heart beats faster there is less blood volume

7. What is the peripheral vascular system
Femoral arteries
A closed system of vessels that transport blood from the heart to the body and back
The surgeons hands should be wet
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

8. What type of needle is used for vessels
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered
Sarot clamp?
4-0 or 5-0

9. What disease leads to atheroma formation
Knitted polyester - woven polyester
SA node
Internal carotid then the external carotid then the common carotid artery
Arteriosclerosis obliterans

10. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The surgeons hands should be wet
Blood - fat - air - or portions of tumors that break free
Basilic vein

11. Where does gas exchange take place
Arterial embolectomy
Vena cava
Water
In the capillaries

12. What is the pt position for carotid endoarterectomy
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
Supine with head turned 45 degrees to the unaffected side
Heparin and antibiotics for irrigation

13. What organs does the superior mesenteric artery feed
Through the artery to compress the plaque against the wall of the artery
Femorofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Papaverine

14. What is the prep area for a femoropopliteal bypass
6-0
Ascending aorta
Midabdomen to toes & leg circumferentially
Flush then clamp proximal then distal

15. sutures for femoral - popliteal arteries
5-0 or 6-0
Femoral arteries
Carotid endarterectomy
Splenic artery

16. What are the layers of the heart
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
3-0 or 4-0
Epicardium - myocardium - and endocardium
In the capillaries

17. What are the deep veins of the foot
Tunica intima - tunica media - & tunica adventita
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ascending aorta

18. In What procedure is a fogarty catheter used
Arterial embolectomy
#11 on a #7 handle
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery

19. What instrument is used to isolate an artery
Left & right common iliac arteries are at the 4th lumbar
Water
Rubber shods
Sarot clamp?

20. Which arteries supply the spinal cord
Vertebral arteries
To reinforce the anastomosis
Sarot clamp?
Water

21. What drug is used for arterial vasospasms
Papaverine
Dorsal venus arch
Ventricular contraction - resistance - blood viscosity - and heart rate
Coronary arteries

22. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Arterial bypass
Weitlaner self-retaining retractor
Arteriosclerosis obliterans

23. What are the layers of vessels
Rubber shods
Femorofemoral bypass
SA node
Tunica intima - tunica media - & tunica adventita

24. What structures keep the trachea from collapsing
Epicardium - myocardium - and endocardium
Hyline cartilage
Arterial embolectomy
6-0

25. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Dorsal venus arch
In the capillaries
Weitlaner self-retaining retractor

26. 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
Cramping pain or a dull ache
Water

27. What do the anterior and posterior tibial veins unite to become
The popliteal vein
SA node
Arteriosclerosis obliterans
4-0 or 5-0

28. What are the 3 branches of the aortic arch
Ascending aorta
Internal carotid then the external carotid then the common carotid artery
Stainless steel mesh - titanium - polypropylene
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

29. What are the sutures for the aorta
3-0 or 4-0
Midabdomen to toes & leg circumferentially
Heparin and antibiotics for irrigation
The surgeons hands should be wet

30. What materials are used for stents
Flush then clamp proximal then distal
Cramping pain or a dull ache
Supine with head turned 45 degrees to the unaffected side
Stainless steel mesh - titanium - polypropylene

31. What procedure is the javid shunt used for
Carotid endarterectomy
In the capillaries
To reinforce the anastomosis
Left & right common iliac arteries are at the 4th lumbar

32. Where do the coronary arteries arise from
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vena cava
Ascending aorta
Left & right common iliac arteries are at the 4th lumbar

33. What are pledgets used for
To reinforce the anastomosis
Water
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ascending aorta

34. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
3-0 or 4-0
Suprarenal artery
Epicardium - myocardium - and endocardium

35. What are the sutures for the iliac artery
Midabdomen to toes & leg circumferentially
In the capillaries
4-0 or 5-0
Epicardium - myocardium - and endocardium

36. sutures for common carotid or subclavian
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Internal carotid artery
6-0
Basilic vein

37. What is an ateriotomy
Femorofemoral bypass
Incision into an artery
Stainless steel mesh - titanium - polypropylene
Flush then clamp proximal then distal

38. What is the best approach for an aortofemoral bypass
Suprarenal artery
Arterial bypass
Knitted polyester - woven polyester
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

39. What are capillaries
Internal carotid artery
Vertebral arteries
Vessels that are between the arteriols and venule
Incision into an artery

40. What solution is not used during grafting procedures
Vertebral arteries
Splenic artery
Left & right common iliac arteries are at the 4th lumbar
Water

41. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Cramping pain or a dull ache
Supine with head turned 45 degrees to the unaffected side
Rubber shods

42. What factors influence blood pressure
Double armed needles - tapered
Ventricular contraction - resistance - blood viscosity - and heart rate
3-0 or 4-0
Midabdomen to toes & leg circumferentially

43. From What vein is the blood taken to pre-clot the graft
Vena cava
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Right common carotid artery and external carotid artery
Femorofemoral bypass

44. What should be done before tying polypropylene sutures
Left & right common iliac arteries are at the 4th lumbar
5-0 or 6-0
#11 on a #7 handle
The surgeons hands should be wet

45. What is the largest vein
Coronary arteries
To reinforce the anastomosis
Saphenous vein
The force that blood exerts on the internal walls of the vessels

46. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
Water

47. What are some special conseriderations for patients undergoing peripheral vascular surgery
Femoral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Stainless steel mesh - titanium - polypropylene
Incision into an artery

48. What is claudication
Esophagus
Left & right common iliac arteries are at the 4th lumbar
Cramping pain or a dull ache
The surgeons hands should be wet

49. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
As the heart beats faster there is less blood volume
The surgeons hands should be wet
Carotid endarterectomy
6-0 or 7-0

50. What vessels are clamped during a carotid endarterectomy
Rubber shods
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Sarot clamp?
Internal carotid then the external carotid then the common carotid artery

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Peripheral Vascular Surgery

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