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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 general characteristics of veins
Left & right common iliac arteries are at the 4th lumbar
Basilic vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ventricular contraction - resistance - blood viscosity - and heart rate

2. What drug is used for arterial vasospasms
Stainless steel mesh - titanium - polypropylene
Papaverine
Vertebral arteries
Femorofemoral bypass

3. What do the anterior and posterior tibial veins unite to become
Arterial embolectomy
Vertebral arteries
The popliteal vein
Internal carotid artery

4. What materials are used for stents
Vessels that are between the arteriols and venule
Stainless steel mesh - titanium - polypropylene
In the capillaries
Midabdomen to toes & leg circumferentially

5. What are the layers of vessels
Dorsal venus arch
Arteriosclerosis obliterans
Tunica intima - tunica media - & tunica adventita
4-0 or 5-0

6. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Heparin and antibiotics for irrigation
The surgeons hands should be wet
Weitlaner self-retaining retractor

7. Which artery feeds the adrenal glands
The surgeons hands should be wet
Epicardium - myocardium - and endocardium
Suprarenal artery
A closed system of vessels that transport blood from the heart to the body and back

8. What organs does the superior mesenteric artery feed
Vertebral arteries
Cramping pain or a dull ache
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

9. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans
6-0 or 7-0

10. What type of blade is used for an arteriotomy
#11 on a #7 handle
Incision into an artery
Femoral arteries
SA node

11. What is the pt position for carotid endoarterectomy
Internal carotid artery
Supine with head turned 45 degrees to the unaffected side
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially

12. What vein is on the lateral side of the arm
Basilic vein
Stainless steel mesh - titanium - polypropylene
3-0 or 4-0
Water

13. What solution is not used during grafting procedures
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
As the heart beats faster there is less blood volume
Water
Vessels that are between the arteriols and venule

14. What medication is added to saline
Water
The popliteal vein
Heparin and antibiotics for irrigation
Arterial bypass

15. What disease leads to atheroma formation
Carotid endarterectomy
Tunica intima - tunica media - & tunica adventita
Arteriosclerosis obliterans
Knitted polyester - woven polyester

16. What are the sutures for the iliac artery
4-0 or 5-0
Vessels that are between the arteriols and venule
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0 or 7-0

17. When is arterial blood volume decreased
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Femoral arteries
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially

18. sutures for femoral - popliteal arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
5-0 or 6-0
Splenic artery
Weitlaner self-retaining retractor

19. What are the sutures for the aorta
Basilic vein
Knitted polyester - woven polyester
Right common carotid artery and external carotid artery
3-0 or 4-0

20. What communicate in the circle of willis
Splenic artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Through the artery to compress the plaque against the wall of the artery
Flush then clamp proximal then distal

21. What procedure is the javid shunt used for
Knitted polyester - woven polyester
4-0 or 5-0
Heparin and antibiotics for irrigation
Carotid endarterectomy

22. What is the prep area for a femoropopliteal bypass
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Midabdomen to toes & leg circumferentially
Carotid endarterectomy
In the capillaries

23. Where do the coronary arteries arise from
Heparin and antibiotics for irrigation
Sarot clamp?
Ascending aorta
4-0 or 5-0

24. sutures for common carotid or subclavian
Splenic artery
Ascending aorta
Esophagus
6-0

25. What vessels are clamped during a carotid endarterectomy
Femorofemoral bypass
4-0 or 5-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid then the external carotid then the common carotid artery

26. What is an ateriotomy
6-0 or 7-0
Suprarenal artery
Knitted polyester - woven polyester
Incision into an artery

27. What structures keep the trachea from collapsing
Hyline cartilage
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

28. What are delicate sutures tagged with
Right common carotid artery and external carotid artery
Rubber shods
Water
Vertebral arteries

29. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus
Weitlaner self-retaining retractor

30. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
In the capillaries
Knitted polyester - woven polyester
Supine with head turned 45 degrees to the unaffected side

31. Which clamp is removed last
Midabdomen to toes & leg circumferentially
Internal carotid artery
Arterial embolectomy
Supine with head turned 45 degrees to the unaffected side

32. What are some special conseriderations for patients undergoing peripheral vascular surgery
Coronary arteries
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
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

33. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Vena cava
The surgeons hands should be wet
Ascending aorta

34. What should be done before tying polypropylene sutures
Ventricular contraction - resistance - blood viscosity - and heart rate
Weitlaner self-retaining retractor
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The surgeons hands should be wet

35. What are pledgets used for
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
To reinforce the anastomosis

36. What is the best approach for an aortofemoral bypass
Sarot clamp?
Blood - fat - air - or portions of tumors that break free
Arterial bypass
Dorsal venus arch

37. Which arteries supply the spinal cord
Ascending aorta
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita
Vertebral arteries

38. What arteries supply the myocardium
Coronary arteries
The force that blood exerts on the internal walls of the vessels
In the capillaries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

39. From What vein is the blood taken to pre-clot the graft
Papaverine
Femoral arteries
Arterial embolectomy
Vena cava

40. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Splenic artery
Heparin and antibiotics for irrigation
Vertebral arteries

41. What instrument is used to isolate an artery
4-0 or 5-0
Sarot clamp?
The popliteal vein
Esophagus

42. In What procedure is a fogarty catheter used
Arterial embolectomy
Sarot clamp?
In the capillaries
Arteriosclerosis obliterans

43. Which artery feeds the upper digestive tract - spleen - and liver
Knitted polyester - woven polyester
Splenic artery
Ascending aorta
4-0 or 5-0

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

45. What are capillaries
Right common carotid artery and external carotid artery
Arterial embolectomy
Vessels that are between the arteriols and venule
Internal carotid then the external carotid then the common carotid artery

46. What is an atrial embolism
Flush then clamp proximal then distal
5-0 or 6-0
Blood - fat - air - or portions of tumors that break free
4-0 or 5-0

47. What type of retractor is used in an aortofemoral bypass
Dorsal venus arch
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Weitlaner self-retaining retractor
Hyline cartilage

48. What is claudication
Double armed needles - tapered
Cramping pain or a dull ache
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femorofemoral bypass

49. What are the characteristics of abdominal aneurysms
Cramping pain or a dull ache
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Blood - fat - air - or portions of tumors that break free

50. What are the layers of the heart
Rubber shods
SA node
Epicardium - myocardium - and endocardium
5-0 or 6-0