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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. What are the sutures for the iliac artery
Dorsal venus arch
Weitlaner self-retaining retractor
4-0 or 5-0
The force that blood exerts on the internal walls of the vessels

2. What are the 3 branches of the aortic arch
Internal carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Double armed needles - tapered
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

3. What are pledgets used for
Through the artery to compress the plaque against the wall of the artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vertebral arteries
To reinforce the anastomosis

4. What type of blade is used for an arteriotomy
#11 on a #7 handle
5-0 or 6-0
Ascending aorta
Vertebral arteries

5. What type of retractor is used in an aortofemoral bypass
Arterial embolectomy
Sarot clamp?
The surgeons hands should be wet
Weitlaner self-retaining retractor

6. What are capillaries
Vertebral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial bypass
Vessels that are between the arteriols and venule

7. Which artery feeds the adrenal glands
Suprarenal artery
To reinforce the anastomosis
Dorsal venus arch
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

8. Which clamp is removed last
To reinforce the anastomosis
Heparin and antibiotics for irrigation
Internal carotid artery
Water

9. What type of needle is used for vessels
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
5-0 or 6-0
Internal carotid artery
Double armed needles - tapered

10. What vein is on the lateral side of the arm
Flush then clamp proximal then distal
Weitlaner self-retaining retractor
Basilic vein
Coronary arteries

11. What are the layers of the heart
The force that blood exerts on the internal walls of the vessels
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Epicardium - myocardium - and endocardium

12. What disease leads to atheroma formation
Vena cava
Arteriosclerosis obliterans
Rubber shods
Ascending aorta

13. What structures keep the trachea from collapsing
Stainless steel mesh - titanium - polypropylene
Hyline cartilage
Ventricular contraction - resistance - blood viscosity - and heart rate
A closed system of vessels that transport blood from the heart to the body and back

14. What are the deep veins of the foot
Dorsal venus arch
Heparin and antibiotics for irrigation
Vertebral arteries
Epicardium - myocardium - and endocardium

15. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
6-0
Suprarenal artery
In the capillaries

16. What instrument is used to isolate an artery
Sarot clamp?
Through the artery to compress the plaque against the wall of the artery
The force that blood exerts on the internal walls of the vessels
Epicardium - myocardium - and endocardium

17. What medication is added to saline
Through the artery to compress the plaque against the wall of the artery
Heparin and antibiotics for irrigation
Papaverine
A closed system of vessels that transport blood from the heart to the body and back

18. What are some special conseriderations for patients undergoing peripheral vascular surgery
Double armed needles - tapered
#11 on a #7 handle
Supine with head turned 45 degrees to the unaffected side
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

19. Where does gas exchange take place
In the capillaries
5-0 or 6-0
Weitlaner self-retaining retractor
Through the artery to compress the plaque against the wall of the artery

20. When is arterial blood volume decreased
Arterial bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
5-0 or 6-0
As the heart beats faster there is less blood volume

21. What is the prep area for a femoropopliteal bypass
Arterial embolectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Rubber shods
Midabdomen to toes & leg circumferentially

22. What is the sequence of clamping in an ateriotomy
Left & right common iliac arteries are at the 4th lumbar
Flush then clamp proximal then distal
Cramping pain or a dull ache
Stainless steel mesh - titanium - polypropylene

23. What is claudication
Cramping pain or a dull ache
6-0
Esophagus
Vena cava

24. Where do the coronary arteries arise from
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The popliteal vein
Ascending aorta
Hyline cartilage

25. What is the best approach for an aortofemoral bypass
Knitted polyester - woven polyester
In the capillaries
Arterial bypass
Saphenous vein

26. What drug is used for arterial vasospasms
Saphenous vein
Papaverine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Knitted polyester - woven polyester

27. What solution is not used during grafting procedures
Water
6-0
Vessels that are between the arteriols and venule
4-0 or 5-0

28. What vessels are clamped during a carotid endarterectomy
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Internal carotid then the external carotid then the common carotid artery
Internal carotid artery

29. In What procedure is a fogarty catheter used
Arterial embolectomy
Rubber shods
Arteriosclerosis obliterans
Dorsal venus arch

30. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Femorofemoral bypass
Arterial bypass
Rubber shods

31. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Left & right common iliac arteries are at the 4th lumbar
Arterial bypass

32. What procedure is used for an iliac artery obstruction
Right common carotid artery and external carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Femorofemoral bypass
Flush then clamp proximal then distal

33. What are delicate sutures tagged with
Knitted polyester - woven polyester
6-0
Rubber shods
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

34. What factors influence blood pressure
Flush then clamp proximal then distal
Ventricular contraction - resistance - blood viscosity - and heart rate
Carotid endarterectomy
Basilic vein

35. What structure is the pacemaker of the heart
SA node
Supine with head turned 45 degrees to the unaffected side
Knitted polyester - woven polyester
Ascending aorta

36. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Knitted polyester - woven polyester
5-0 or 6-0
Femorofemoral bypass

37. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Heparin and antibiotics for irrigation
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

38. What are the sutures for the aorta
Supine with head turned 45 degrees to the unaffected side
3-0 or 4-0
Sarot clamp?
Suprarenal artery

39. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
SA node

40. What organ does the gastric artery feed
Vena cava
Knitted polyester - woven polyester
Esophagus
Hyline cartilage

41. How is the fogarty baloon catheter used
#11 on a #7 handle
Through the artery to compress the plaque against the wall of the artery
As the heart beats faster there is less blood volume
Carotid endarterectomy

42. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Knitted polyester - woven polyester
Coronary arteries
Double armed needles - tapered

43. What should be done before tying polypropylene sutures
Weitlaner self-retaining retractor
6-0
The surgeons hands should be wet
Arteriosclerosis obliterans

44. From What vein is the blood taken to pre-clot the graft
Midabdomen to toes & leg circumferentially
Vertebral arteries
Vena cava
5-0 or 6-0

45. What is blood pressure
Femoral arteries
Basilic vein
Carotid endarterectomy
The force that blood exerts on the internal walls of the vessels

46. Which arteries supply the spinal cord
Ventricular contraction - resistance - blood viscosity - and heart rate
Vertebral arteries
Vessels that are between the arteriols and venule
Arterial bypass

47. sutures for common carotid or subclavian
6-0
In the capillaries
Through the artery to compress the plaque against the wall of the artery
Basilic vein

48. What does the external iliac artery biforcate into
Femoral arteries
Supine with head turned 45 degrees to the unaffected side
3-0 or 4-0
Blood - fat - air - or portions of tumors that break free

49. What are the general characteristics of veins
#11 on a #7 handle
Epicardium - myocardium - and endocardium
The surgeons hands should be wet
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

50. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Right common carotid artery and external carotid artery
5-0 or 6-0
Weitlaner self-retaining retractor