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Peripheral Vascular Surgery

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. How is the fogarty baloon catheter used
To reinforce the anastomosis
Epicardium - myocardium - and endocardium
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery

2. What is claudication
Cramping pain or a dull ache
The force that blood exerts on the internal walls of the vessels
Right common carotid artery and external carotid artery
The popliteal vein

3. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Through the artery to compress the plaque against the wall of the artery
Splenic artery
As the heart beats faster there is less blood volume

4. What are the layers of the heart
Epicardium - myocardium - and endocardium
Through the artery to compress the plaque against the wall of the artery
A closed system of vessels that transport blood from the heart to the body and back
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

5. Which arteries supply the spinal cord
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Esophagus
Carotid endarterectomy
Vertebral arteries

6. What do the anterior and posterior tibial veins unite to become
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The force that blood exerts on the internal walls of the vessels
The popliteal vein
Basilic vein

7. What are the characteristics of abdominal aneurysms
Sarot clamp?
Cramping pain or a dull ache
Double armed needles - tapered
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

8. When is arterial blood volume decreased
Water
As the heart beats faster there is less blood volume
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

9. What arteries supply the brain - head - and neck
A closed system of vessels that transport blood from the heart to the body and back
Arterial bypass
Right common carotid artery and external carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

10. What medication is added to saline
Through the artery to compress the plaque against the wall of the artery
Coronary arteries
Heparin and antibiotics for irrigation
Weitlaner self-retaining retractor

11. What is the pt position for carotid endoarterectomy
Ascending aorta
Vena cava
Supine with head turned 45 degrees to the unaffected side
Vessels that are between the arteriols and venule

12. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Carotid endarterectomy
Arteriosclerosis obliterans

13. What structure is the pacemaker of the heart
Water
Femoral arteries
SA node
Through the artery to compress the plaque against the wall of the artery

14. What procedure is used for an iliac artery obstruction
To reinforce the anastomosis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femorofemoral bypass
Arteriosclerosis obliterans

15. What is an ateriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene
6-0
Incision into an artery

16. What is the largest vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Saphenous vein
#11 on a #7 handle
Femorofemoral bypass

17. What are some special conseriderations for patients undergoing peripheral vascular surgery
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
As the heart beats faster there is less blood volume
Esophagus

18. What does the external iliac artery biforcate into
Femoral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
As the heart beats faster there is less blood volume
Dorsal venus arch

19. What arteries supply the myocardium
The popliteal vein
Suprarenal artery
Coronary arteries
Vertebral arteries

20. Which artery feeds the upper digestive tract - spleen - and liver
Blood - fat - air - or portions of tumors that break free
Splenic artery
Carotid endarterectomy
Midabdomen to toes & leg circumferentially

21. What are the general characteristics of veins
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Blood - fat - air - or portions of tumors that break free
Arterial bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

22. What are the layers of vessels
Left & right common iliac arteries are at the 4th lumbar
Tunica intima - tunica media - & tunica adventita
Right common carotid artery and external carotid artery
To reinforce the anastomosis

23. What vessels are clamped during a carotid endarterectomy
Carotid endarterectomy
4-0 or 5-0
Internal carotid then the external carotid then the common carotid artery
Left & right common iliac arteries are at the 4th lumbar

24. What vein is on the lateral side of the arm
Vena cava
6-0 or 7-0
Stainless steel mesh - titanium - polypropylene
Basilic vein

25. What materials are used for stents
Internal carotid artery
Midabdomen to toes & leg circumferentially
Double armed needles - tapered
Stainless steel mesh - titanium - polypropylene

26. What are the sutures for the iliac artery
Suprarenal artery
4-0 or 5-0
Water
6-0 or 7-0

27. What are the 3 branches of the aortic arch
Water
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vessels that are between the arteriols and venule

28. What are the sutures for the aorta
The force that blood exerts on the internal walls of the vessels
3-0 or 4-0
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita

29. What organs does the superior mesenteric artery feed
Carotid endarterectomy
Vena cava
Splenic artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

30. What solution is not used during grafting procedures
Stainless steel mesh - titanium - polypropylene
Ascending aorta
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water

31. What drugs are used in vascular surgery
Suprarenal artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
In the capillaries
Internal carotid artery

32. What is the prep area for a femoropopliteal bypass
Flush then clamp proximal then distal
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Midabdomen to toes & leg circumferentially
Stainless steel mesh - titanium - polypropylene

33. What factors influence blood pressure
Saphenous vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels

34. What are capillaries
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
#11 on a #7 handle
The popliteal vein

35. What is the location of the biforcation of the aorta and What vessels are involved
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar
Ascending aorta
Vessels that are between the arteriols and venule

36. Which clamp is removed last
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Double armed needles - tapered
The surgeons hands should be wet

37. What should be done before tying polypropylene sutures
The surgeons hands should be wet
In the capillaries
Carotid endarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

38. What type of needle is used for vessels
In the capillaries
Water
The popliteal vein
Double armed needles - tapered

39. What are pledgets used for
To reinforce the anastomosis
Dorsal venus arch
Basilic vein
Internal carotid then the external carotid then the common carotid artery

40. From What vein is the blood taken to pre-clot the graft
Vena cava
Cramping pain or a dull ache
Dorsal venus arch
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

41. Which artery feeds the adrenal glands
Internal carotid artery
Cramping pain or a dull ache
Vena cava
Suprarenal artery

42. What drug is used for arterial vasospasms
Splenic artery
A closed system of vessels that transport blood from the heart to the body and back
In the capillaries
Papaverine

43. sutures for femoral - popliteal arteries
Heparin and antibiotics for irrigation
Flush then clamp proximal then distal
5-0 or 6-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

44. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Coronary arteries
A closed system of vessels that transport blood from the heart to the body and back
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

45. What structures keep the trachea from collapsing
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The surgeons hands should be wet
Dorsal venus arch
Hyline cartilage

46. What is blood pressure
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Midabdomen to toes & leg circumferentially
Supine with head turned 45 degrees to the unaffected side
The force that blood exerts on the internal walls of the vessels

47. sutures for common carotid or subclavian
Blood - fat - air - or portions of tumors that break free
6-0
Knitted polyester - woven polyester
Arteriosclerosis obliterans

48. What instrument is used to isolate an artery
Sarot clamp?
Incision into an artery
Right common carotid artery and external carotid artery
Basilic vein

49. What are the deep veins of the foot
Dorsal venus arch
5-0 or 6-0
Rubber shods
The surgeons hands should be wet

50. What disease leads to atheroma formation
6-0 or 7-0
Papaverine
Cramping pain or a dull ache
Arteriosclerosis obliterans