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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. sutures for femoral - popliteal arteries
6-0 or 7-0
Femoral arteries
5-0 or 6-0
Sarot clamp?

2. What does the external iliac artery biforcate into
To reinforce the anastomosis
Femoral arteries
Ascending aorta
As the heart beats faster there is less blood volume

3. What drugs are used in vascular surgery
Epicardium - myocardium - and endocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0

4. What structure is the pacemaker of the heart
The surgeons hands should be wet
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
SA node
Weitlaner self-retaining retractor

5. What factors influence blood pressure
Weitlaner self-retaining retractor
Ventricular contraction - resistance - blood viscosity - and heart rate
Vena cava
Stainless steel mesh - titanium - polypropylene

6. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
3-0 or 4-0
Weitlaner self-retaining retractor
4-0 or 5-0

7. What organ does the gastric artery feed
Carotid endarterectomy
Weitlaner self-retaining retractor
Esophagus
Internal carotid artery

8. What is the peripheral vascular system
Internal carotid then the external carotid then the common carotid artery
Ascending aorta
Vena cava
A closed system of vessels that transport blood from the heart to the body and back

9. What is the best approach for an aortofemoral bypass
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Rubber shods
Arterial bypass
Splenic artery

10. What are the sutures for the iliac artery
Basilic vein
4-0 or 5-0
As the heart beats faster there is less blood volume
Tunica intima - tunica media - & tunica adventita

11. What are the 3 branches of the aortic arch
Supine with head turned 45 degrees to the unaffected side
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0 or 7-0
Right common carotid artery and external carotid artery

12. 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 popliteal vein
Ascending aorta
Internal carotid artery

13. What is the largest vein
Splenic artery
Saphenous vein
Double armed needles - tapered
Carotid endarterectomy

14. What is claudication
Cramping pain or a dull ache
Vertebral arteries
Dorsal venus arch
6-0 or 7-0

15. What do the anterior and posterior tibial veins unite to become
As the heart beats faster there is less blood volume
Cramping pain or a dull ache
The popliteal vein
Arteriosclerosis obliterans

16. What materials are used for stents
Internal carotid then the external carotid then the common carotid artery
Arterial embolectomy
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene

17. What organs does the superior mesenteric artery feed
The surgeons hands should be wet
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ascending aorta
Vessels that are between the arteriols and venule

18. What vessels are clamped during a carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
Internal carotid artery
Internal carotid then the external carotid then the common carotid artery
SA node

19. Which artery feeds the upper digestive tract - spleen - and liver
Carotid endarterectomy
Double armed needles - tapered
5-0 or 6-0
Splenic artery

20. From What vein is the blood taken to pre-clot the graft
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
Vena cava
Double armed needles - tapered

21. What arteries supply the brain - head - and neck
Flush then clamp proximal then distal
Carotid endarterectomy
Midabdomen to toes & leg circumferentially
Right common carotid artery and external carotid artery

22. Which clamp is removed last
Knitted polyester - woven polyester
Left & right common iliac arteries are at the 4th lumbar
Internal carotid artery
Dorsal venus arch

23. Where does gas exchange take place
Hyline cartilage
In the capillaries
Esophagus
A closed system of vessels that transport blood from the heart to the body and back

24. When is arterial blood volume decreased
Tunica intima - tunica media - & tunica adventita
SA node
Stainless steel mesh - titanium - polypropylene
As the heart beats faster there is less blood volume

25. What type of blade is used for an arteriotomy
In the capillaries
#11 on a #7 handle
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

26. What structures keep the trachea from collapsing
Hyline cartilage
Dorsal venus arch
Heparin and antibiotics for irrigation
Flush then clamp proximal then distal

27. What graft material is not used in the popliteal area
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
A closed system of vessels that transport blood from the heart to the body and back
Knitted polyester - woven polyester
As the heart beats faster there is less blood volume

28. What disease leads to atheroma formation
Heparin and antibiotics for irrigation
Femorofemoral bypass
Right common carotid artery and external carotid artery
Arteriosclerosis obliterans

29. Where do the coronary arteries arise from
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ascending aorta
Basilic vein

30. What are pledgets used for
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
To reinforce the anastomosis
As the heart beats faster there is less blood volume
Saphenous vein

31. What are delicate sutures tagged with
Cramping pain or a dull ache
5-0 or 6-0
Arteriosclerosis obliterans
Rubber shods

32. What type of needle is used for vessels
In the capillaries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered
5-0 or 6-0

33. What medication is added to saline
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Flush then clamp proximal then distal
Heparin and antibiotics for irrigation
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

34. What is the pt position for carotid endoarterectomy
5-0 or 6-0
As the heart beats faster there is less blood volume
Supine with head turned 45 degrees to the unaffected side
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

35. What is the sequence of clamping in an ateriotomy
Stainless steel mesh - titanium - polypropylene
Saphenous vein
Vessels that are between the arteriols and venule
Flush then clamp proximal then distal

36. What are the deep veins of the foot
Sarot clamp?
Dorsal venus arch
4-0 or 5-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

37. What is the prep area for a femoropopliteal bypass
Arterial embolectomy
Midabdomen to toes & leg circumferentially
Sarot clamp?
Femoral arteries

38. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Ascending aorta
4-0 or 5-0
Internal carotid artery

39. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Incision into an artery
Supine with head turned 45 degrees to the unaffected side

40. What drug is used for arterial vasospasms
Arterial bypass
Hyline cartilage
Papaverine
Supine with head turned 45 degrees to the unaffected side

41. What are the layers of the heart
Incision into an artery
Rubber shods
Epicardium - myocardium - and endocardium
Blood - fat - air - or portions of tumors that break free

42. What is blood pressure
The popliteal vein
#11 on a #7 handle
Internal carotid then the external carotid then the common carotid artery
The force that blood exerts on the internal walls of the vessels

43. What are capillaries
Arteriosclerosis obliterans
Vessels that are between the arteriols and venule
Stainless steel mesh - titanium - polypropylene
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

44. What are the general characteristics of veins
3-0 or 4-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
To reinforce the anastomosis
Knitted polyester - woven polyester

45. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
5-0 or 6-0
Hyline cartilage
SA node

46. What solution is not used during grafting procedures
Supine with head turned 45 degrees to the unaffected side
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Water
The surgeons hands should be wet

47. Which arteries supply the spinal cord
Vena cava
Vertebral arteries
4-0 or 5-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

48. Which artery feeds the adrenal glands
Suprarenal artery
Through the artery to compress the plaque against the wall of the artery
Arterial bypass
Left & right common iliac arteries are at the 4th lumbar

49. What arteries supply the myocardium
Double armed needles - tapered
Coronary arteries
Basilic vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

50. What is an ateriotomy
Incision into an artery
Hyline cartilage
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Cramping pain or a dull ache