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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 structure is the pacemaker of the heart
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Supine with head turned 45 degrees to the unaffected side
Ascending aorta
SA node

2. What instrument is used to isolate an artery
3-0 or 4-0
Internal carotid artery
Sarot clamp?
Vessels that are between the arteriols and venule

3. What is the prep area for a femoropopliteal bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially
5-0 or 6-0

4. What arteries supply the myocardium
The popliteal vein
Coronary arteries
Knitted polyester - woven polyester
Weitlaner self-retaining retractor

5. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
As the heart beats faster there is less blood volume
Ascending aorta
Incision into an artery

6. What disease leads to atheroma formation
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene
Arteriosclerosis obliterans
#11 on a #7 handle

7. Which artery feeds the adrenal glands
Suprarenal artery
Tunica intima - tunica media - & tunica adventita
#11 on a #7 handle
Ventricular contraction - resistance - blood viscosity - and heart rate

8. What are some special conseriderations for patients undergoing peripheral vascular surgery
Basilic vein
Vertebral arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Saphenous vein

9. What type of blade is used for an arteriotomy
Ascending aorta
#11 on a #7 handle
Suprarenal artery
Right common carotid artery and external carotid artery

10. What materials are used for stents
A closed system of vessels that transport blood from the heart to the body and back
Blood - fat - air - or portions of tumors that break free
Stainless steel mesh - titanium - polypropylene
Internal carotid then the external carotid then the common carotid artery

11. What is the sequence of clamping in an ateriotomy
Internal carotid artery
Flush then clamp proximal then distal
5-0 or 6-0
Papaverine

12. What vessels are clamped during a carotid endarterectomy
Arterial bypass
The force that blood exerts on the internal walls of the vessels
Through the artery to compress the plaque against the wall of the artery
Internal carotid then the external carotid then the common carotid artery

13. What is an ateriotomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid artery
Incision into an artery
The force that blood exerts on the internal walls of the vessels

14. What graft material is not used in the popliteal area
Dorsal venus arch
In the capillaries
Knitted polyester - woven polyester
Arterial embolectomy

15. sutures for common carotid or subclavian
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester

16. How is the fogarty baloon catheter used
Hyline cartilage
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
Vessels that are between the arteriols and venule

17. What are the characteristics of abdominal aneurysms
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Suprarenal artery
Supine with head turned 45 degrees to the unaffected side

18. What solution is not used during grafting procedures
Vertebral arteries
Water
In the capillaries
Blood - fat - air - or portions of tumors that break free

19. What are the sutures for the aorta
Ventricular contraction - resistance - blood viscosity - and heart rate
In the capillaries
Flush then clamp proximal then distal
3-0 or 4-0

20. What are the sutures for the iliac artery
4-0 or 5-0
Femorofemoral bypass
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

21. What is the largest vein
The surgeons hands should be wet
In the capillaries
Saphenous vein
Double armed needles - tapered

22. Which arteries supply the spinal cord
Vertebral arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ascending aorta
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

23. What type of retractor is used in an aortofemoral bypass
Double armed needles - tapered
Weitlaner self-retaining retractor
Knitted polyester - woven polyester
Internal carotid artery

24. What is the best approach for an aortofemoral bypass
SA node
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The popliteal vein
Arterial bypass

25. What are the deep veins of the foot
Dorsal venus arch
6-0 or 7-0
Tunica intima - tunica media - & tunica adventita
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

26. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
In the capillaries
Vena cava
Dorsal venus arch

27. What is the pt position for carotid endoarterectomy
Internal carotid artery
Hyline cartilage
Supine with head turned 45 degrees to the unaffected side
Basilic vein

28. What factors influence blood pressure
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0 or 7-0

29. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Flush then clamp proximal then distal
SA node

30. What are the general characteristics of veins
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Femorofemoral bypass

31. What type of needle is used for vessels
Double armed needles - tapered
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Arterial bypass

32. What should be done before tying polypropylene sutures
The surgeons hands should be wet
SA node
Supine with head turned 45 degrees to the unaffected side
Ascending aorta

33. What is the location of the biforcation of the aorta and What vessels are involved
Midabdomen to toes & leg circumferentially
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Basilic vein
Left & right common iliac arteries are at the 4th lumbar

34. What organs does the superior mesenteric artery feed
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
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Splenic artery

35. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Hyline cartilage
Through the artery to compress the plaque against the wall of the artery
Double armed needles - tapered

36. What does the external iliac artery biforcate into
Femorofemoral bypass
Femoral arteries
Through the artery to compress the plaque against the wall of the artery
Splenic artery

37. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial embolectomy
Splenic artery

38. Where does gas exchange take place
In the capillaries
Femoral arteries
Cramping pain or a dull ache
Carotid endarterectomy

39. What arteries supply the brain - head - and neck
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene
Rubber shods
Right common carotid artery and external carotid artery

40. What are delicate sutures tagged with
Coronary arteries
Right common carotid artery and external carotid artery
Papaverine
Rubber shods

41. What are the layers of the heart
3-0 or 4-0
The popliteal vein
6-0
Epicardium - myocardium - and endocardium

42. Where do the coronary arteries arise from
Basilic vein
Ascending aorta
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Epicardium - myocardium - and endocardium

43. What vein is on the lateral side of the arm
As the heart beats faster there is less blood volume
Vertebral arteries
Basilic vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

44. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Tunica intima - tunica media - & tunica adventita
The force that blood exerts on the internal walls of the vessels

45. What are pledgets used for
Hyline cartilage
Blood - fat - air - or portions of tumors that break free
To reinforce the anastomosis
Tunica intima - tunica media - & tunica adventita

46. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Coronary arteries
Papaverine
A closed system of vessels that transport blood from the heart to the body and back

47. From What vein is the blood taken to pre-clot the graft
3-0 or 4-0
6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava

48. What drug is used for arterial vasospasms
Internal carotid then the external carotid then the common carotid artery
Papaverine
Splenic artery
3-0 or 4-0

49. What do the anterior and posterior tibial veins unite to become
#11 on a #7 handle
Epicardium - myocardium - and endocardium
Carotid endarterectomy
The popliteal vein

50. sutures for femoral - popliteal arteries
Rubber shods
Splenic artery
Water
5-0 or 6-0