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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 is the sequence of clamping in an ateriotomy
Midabdomen to toes & leg circumferentially
Epicardium - myocardium - and endocardium
Flush then clamp proximal then distal
Left & right common iliac arteries are at the 4th lumbar

2. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
The surgeons hands should be wet
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vessels that are between the arteriols and venule

3. 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
Femorofemoral bypass
The surgeons hands should be wet

4. What should be done before tying polypropylene sutures
#11 on a #7 handle
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0
The surgeons hands should be wet

5. What are the layers of the heart
Epicardium - myocardium - and endocardium
4-0 or 5-0
Sarot clamp?
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

6. What are delicate sutures tagged with
Rubber shods
Vertebral arteries
Water
Stainless steel mesh - titanium - polypropylene

7. What communicate in the circle of willis
As the heart beats faster there is less blood volume
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
The surgeons hands should be wet

8. What structure is the pacemaker of the heart
SA node
Arterial embolectomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
3-0 or 4-0

9. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Right common carotid artery and external carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

10. What are the deep veins of the foot
Suprarenal artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Dorsal venus arch
The force that blood exerts on the internal walls of the vessels

11. Where do the coronary arteries arise from
Hyline cartilage
Suprarenal artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Ascending aorta

12. From What vein is the blood taken to pre-clot the graft
Vena cava
3-0 or 4-0
4-0 or 5-0
Double armed needles - tapered

13. What arteries supply the brain - head - and neck
3-0 or 4-0
Right common carotid artery and external carotid artery
Splenic artery
Esophagus

14. What disease leads to atheroma formation
Arteriosclerosis obliterans
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation

15. What are pledgets used for
3-0 or 4-0
To reinforce the anastomosis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Esophagus

16. Which artery feeds the adrenal glands
The surgeons hands should be wet
Suprarenal artery
Weitlaner self-retaining retractor
Epicardium - myocardium - and endocardium

17. sutures for common carotid or subclavian
6-0 or 7-0
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0

18. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ascending aorta
4-0 or 5-0
Heparin and antibiotics for irrigation

19. What solution is not used during grafting procedures
Water
Left & right common iliac arteries are at the 4th lumbar
Suprarenal artery
Arterial bypass

20. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Saphenous vein
Esophagus
Ascending aorta

21. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Cramping pain or a dull ache
3-0 or 4-0
Heparin and antibiotics for irrigation

22. What are the sutures for the aorta
5-0 or 6-0
3-0 or 4-0
Splenic artery
Basilic vein

23. What drug is used for arterial vasospasms
Dorsal venus arch
Weitlaner self-retaining retractor
Supine with head turned 45 degrees to the unaffected side
Papaverine

24. What type of blade is used for an arteriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arterial embolectomy
Arterial bypass
#11 on a #7 handle

25. What is the location of the biforcation of the aorta and What vessels are involved
Weitlaner self-retaining retractor
Rubber shods
Left & right common iliac arteries are at the 4th lumbar
#11 on a #7 handle

26. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Right common carotid artery and external carotid artery
Splenic artery
SA node

27. What are capillaries
SA node
Supine with head turned 45 degrees to the unaffected side
Ascending aorta
Vessels that are between the arteriols and venule

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

29. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Femoral arteries
Papaverine
To reinforce the anastomosis

30. What structures keep the trachea from collapsing
Epicardium - myocardium - and endocardium
A closed system of vessels that transport blood from the heart to the body and back
#11 on a #7 handle
Hyline cartilage

31. What type of needle is used for vessels
Double armed needles - tapered
Tunica intima - tunica media - & tunica adventita
In the capillaries
Stainless steel mesh - titanium - polypropylene

32. What vessels are clamped during a carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side
Internal carotid then the external carotid then the common carotid artery
4-0 or 5-0
Arterial embolectomy

33. What is the pt position for carotid endoarterectomy
Sarot clamp?
Supine with head turned 45 degrees to the unaffected side
Saphenous vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

34. What is the largest vein
Dorsal venus arch
Saphenous vein
In the capillaries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

35. What are some special conseriderations for patients undergoing peripheral vascular surgery
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Internal carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

36. What organ does the gastric artery feed
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0
4-0 or 5-0
Esophagus

37. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
To reinforce the anastomosis
Knitted polyester - woven polyester
6-0 or 7-0
Weitlaner self-retaining retractor

38. Where does gas exchange take place
4-0 or 5-0
Arterial embolectomy
Ascending aorta
In the capillaries

39. What graft material is not used in the popliteal area
Arterial embolectomy
Supine with head turned 45 degrees to the unaffected side
Knitted polyester - woven polyester
Femorofemoral bypass

40. sutures for femoral - popliteal arteries
5-0 or 6-0
Epicardium - myocardium - and endocardium
Double armed needles - tapered
Arterial bypass

41. What vein is on the lateral side of the arm
A closed system of vessels that transport blood from the heart to the body and back
Basilic vein
Blood - fat - air - or portions of tumors that break free
Incision into an artery

42. Which artery feeds the upper digestive tract - spleen - and liver
Coronary arteries
Knitted polyester - woven polyester
Suprarenal artery
Splenic artery

43. What is an atrial embolism
Right common carotid artery and external carotid artery
Blood - fat - air - or portions of tumors that break free
As the heart beats faster there is less blood volume
Arterial bypass

44. What do the anterior and posterior tibial veins unite to become
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The popliteal vein
Internal carotid then the external carotid then the common carotid artery
Arterial bypass

45. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Epicardium - myocardium - and endocardium
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial bypass

46. What drugs are used in vascular surgery
Vertebral arteries
Coronary arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water

47. What procedure is used for an iliac artery obstruction
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Femorofemoral bypass
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Epicardium - myocardium - and endocardium

48. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Double armed needles - tapered
Papaverine
A closed system of vessels that transport blood from the heart to the body and back

49. In What procedure is a fogarty catheter used
Arterial embolectomy
In the capillaries
#11 on a #7 handle
Coronary arteries

50. What are the characteristics of abdominal aneurysms
Right common carotid artery and external carotid artery
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Splenic artery