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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 procedure is the javid shunt used for
Double armed needles - tapered
Carotid endarterectomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arteriosclerosis obliterans

2. What is an atrial embolism
Left & right common iliac arteries are at the 4th lumbar
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Blood - fat - air - or portions of tumors that break free
Splenic artery

3. What factors influence blood pressure
Carotid endarterectomy
Dorsal venus arch
Ventricular contraction - resistance - blood viscosity - and heart rate
Knitted polyester - woven polyester

4. What vein is on the lateral side of the arm
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Basilic vein
To reinforce the anastomosis
Dorsal venus arch

5. What are the sutures for the aorta
3-0 or 4-0
Weitlaner self-retaining retractor
Knitted polyester - woven polyester
Carotid endarterectomy

6. What are capillaries
Vessels that are between the arteriols and venule
Blood - fat - air - or portions of tumors that break free
Femoral arteries
To reinforce the anastomosis

7. What should be done before tying polypropylene sutures
Femorofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
Arterial bypass
The surgeons hands should be wet

8. What are the sutures for the iliac artery
Stainless steel mesh - titanium - polypropylene
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
4-0 or 5-0
Papaverine

9. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid artery
Femorofemoral bypass

10. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
4-0 or 5-0
6-0 or 7-0
To reinforce the anastomosis

11. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
In the capillaries
Internal carotid then the external carotid then the common carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

12. What arteries supply the myocardium
Coronary arteries
Papaverine
Vessels that are between the arteriols and venule
Arterial bypass

13. What is blood pressure
Epicardium - myocardium - and endocardium
The force that blood exerts on the internal walls of the vessels
Arterial bypass
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

14. What is the prep area for a femoropopliteal bypass
6-0
Femoral arteries
Midabdomen to toes & leg circumferentially
Vessels that are between the arteriols and venule

15. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Femoral arteries
Flush then clamp proximal then distal
Saphenous vein

16. What is the best approach for an aortofemoral bypass
Rubber shods
Arterial bypass
6-0 or 7-0
Arteriosclerosis obliterans

17. sutures for common carotid or subclavian
Splenic artery
Heparin and antibiotics for irrigation
4-0 or 5-0
6-0

18. sutures for femoral - popliteal arteries
5-0 or 6-0
6-0 or 7-0
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene

19. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The popliteal vein
Carotid endarterectomy
Esophagus

20. What is the peripheral vascular system
Suprarenal artery
4-0 or 5-0
Blood - fat - air - or portions of tumors that break free
A closed system of vessels that transport blood from the heart to the body and back

21. What drug is used for arterial vasospasms
4-0 or 5-0
Dorsal venus arch
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Papaverine

22. What materials are used for stents
Vessels that are between the arteriols and venule
Basilic vein
Arterial embolectomy
Stainless steel mesh - titanium - polypropylene

23. What are the layers of the heart
Midabdomen to toes & leg circumferentially
Tunica intima - tunica media - & tunica adventita
Incision into an artery
Epicardium - myocardium - and endocardium

24. What does the external iliac artery biforcate into
The force that blood exerts on the internal walls of the vessels
Femoral arteries
Knitted polyester - woven polyester
Internal carotid artery

25. Where do the coronary arteries arise from
Weitlaner self-retaining retractor
Ascending aorta
Suprarenal artery
Arterial embolectomy

26. What are pledgets used for
Vertebral arteries
To reinforce the anastomosis
6-0 or 7-0
Saphenous vein

27. What type of blade is used for an arteriotomy
#11 on a #7 handle
To reinforce the anastomosis
Vessels that are between the arteriols and venule
Vertebral arteries

28. What type of retractor is used in an aortofemoral bypass
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
Weitlaner self-retaining retractor
Femorofemoral bypass

29. In What procedure is a fogarty catheter used
Blood - fat - air - or portions of tumors that break free
Sarot clamp?
Arterial embolectomy
Flush then clamp proximal then distal

30. What type of needle is used for vessels
Blood - fat - air - or portions of tumors that break free
Double armed needles - tapered
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sarot clamp?

31. What procedure is used for an iliac artery obstruction
Splenic artery
Suprarenal artery
Sarot clamp?
Femorofemoral bypass

32. What are the characteristics of abdominal aneurysms
Tunica intima - tunica media - & tunica adventita
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Left & right common iliac arteries are at the 4th lumbar

33. Which artery feeds the adrenal glands
Midabdomen to toes & leg circumferentially
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Carotid endarterectomy
Suprarenal artery

34. What is claudication
Flush then clamp proximal then distal
Internal carotid artery
Cramping pain or a dull ache
Ascending aorta

35. What is the pt position for carotid endoarterectomy
To reinforce the anastomosis
The force that blood exerts on the internal walls of the vessels
Supine with head turned 45 degrees to the unaffected side
Hyline cartilage

36. What disease leads to atheroma formation
Carotid endarterectomy
Double armed needles - tapered
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arteriosclerosis obliterans

37. Which arteries supply the spinal cord
Vertebral arteries
Femorofemoral bypass
6-0
Right common carotid artery and external carotid artery

38. What instrument is used to isolate an artery
Sarot clamp?
Right common carotid artery and external carotid artery
Arterial bypass
Dorsal venus arch

39. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Esophagus
Vertebral arteries
Basilic vein

40. What are delicate sutures tagged with
Right common carotid artery and external carotid artery
Splenic artery
Rubber shods
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

41. What structure is the pacemaker of the heart
Vessels that are between the arteriols and venule
Basilic vein
5-0 or 6-0
SA node

42. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid artery
6-0
6-0 or 7-0

43. Where does gas exchange take place
A closed system of vessels that transport blood from the heart to the body and back
Ascending aorta
Through the artery to compress the plaque against the wall of the artery
In the capillaries

44. What is the location of the biforcation of the aorta and What vessels are involved
Blood - fat - air - or portions of tumors that break free
Through the artery to compress the plaque against the wall of the artery
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar

45. What are the deep veins of the foot
SA node
Double armed needles - tapered
6-0
Dorsal venus arch

46. What are the layers of vessels
Suprarenal artery
Blood - fat - air - or portions of tumors that break free
Tunica intima - tunica media - & tunica adventita
Vessels that are between the arteriols and venule

47. How is the fogarty baloon catheter used
The surgeons hands should be wet
Through the artery to compress the plaque against the wall of the artery
Incision into an artery
Vena cava

48. From What vein is the blood taken to pre-clot the graft
Vena cava
The popliteal vein
Ascending aorta
Cramping pain or a dull ache

49. What is the largest vein
Splenic artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ascending aorta
Saphenous vein

50. What graft material is not used in the popliteal area
Papaverine
Knitted polyester - woven polyester
Sarot clamp?
Supine with head turned 45 degrees to the unaffected side