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Peripheral Vascular Surgery

Instructions:

Answer 50 questions in 15 minutes.
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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 drug is used for arterial vasospasms
Vertebral arteries
Stainless steel mesh - titanium - polypropylene
The force that blood exerts on the internal walls of the vessels
Papaverine

2. What are the general characteristics of veins
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The surgeons hands should be wet
As the heart beats faster there is less blood volume

3. What medication is added to saline
Heparin and antibiotics for irrigation
Sarot clamp?
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

4. What vessels are clamped during a carotid endarterectomy
5-0 or 6-0
Splenic artery
Dorsal venus arch
Internal carotid then the external carotid then the common carotid artery

5. What instrument is used to isolate an artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
#11 on a #7 handle
Epicardium - myocardium - and endocardium
Sarot clamp?

6. What are the layers of vessels
5-0 or 6-0
Arterial bypass
Tunica intima - tunica media - & tunica adventita
Weitlaner self-retaining retractor

7. What are delicate sutures tagged with
Water
Internal carotid artery
Rubber shods
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

8. What is an ateriotomy
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Incision into an artery
3-0 or 4-0

9. Which clamp is removed last
The popliteal vein
Internal carotid artery
Stainless steel mesh - titanium - polypropylene
Water

10. What are the deep veins of the foot
Ascending aorta
Saphenous vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Dorsal venus arch

11. What materials are used for stents
Saphenous vein
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0
Incision into an artery

12. What procedure is used for an iliac artery obstruction
Arterial bypass
Femorofemoral bypass
6-0 or 7-0
Double armed needles - tapered

13. What are the sutures for the iliac artery
Basilic vein
4-0 or 5-0
6-0
Blood - fat - air - or portions of tumors that break free

14. Which arteries supply the spinal cord
Hyline cartilage
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vertebral arteries
Ventricular contraction - resistance - blood viscosity - and heart rate

15. sutures for femoral - popliteal arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Coronary arteries
5-0 or 6-0
Incision into an artery

16. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Tunica intima - tunica media - & tunica adventita
Saphenous vein
Arterial bypass

17. What arteries supply the brain - head - and neck
Epicardium - myocardium - and endocardium
Right common carotid artery and external carotid artery
As the heart beats faster there is less blood volume
Heparin and antibiotics for irrigation

18. From What vein is the blood taken to pre-clot the graft
Right common carotid artery and external carotid artery
As the heart beats faster there is less blood volume
Vena cava
Dorsal venus arch

19. What are pledgets used for
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
To reinforce the anastomosis

20. What should be done before tying polypropylene sutures
Arteriosclerosis obliterans
Internal carotid then the external carotid then the common carotid artery
The surgeons hands should be wet
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

21. What graft material is not used in the popliteal area
Sarot clamp?
Knitted polyester - woven polyester
Arteriosclerosis obliterans
Basilic vein

22. What are the characteristics of abdominal aneurysms
Esophagus
Femoral arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

23. What is an atrial embolism
Papaverine
Blood - fat - air - or portions of tumors that break free
Sarot clamp?
Weitlaner self-retaining retractor

24. What organ does the gastric artery feed
Esophagus
Arterial embolectomy
Through the artery to compress the plaque against the wall of the artery
Vena cava

25. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
3-0 or 4-0
Arterial bypass
Vertebral arteries

26. What communicate in the circle of willis
#11 on a #7 handle
Suprarenal artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Weitlaner self-retaining retractor

27. What procedure is the javid shunt used for
In the capillaries
Carotid endarterectomy
Incision into an artery
Flush then clamp proximal then distal

28. What type of retractor is used in an aortofemoral bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arterial bypass
To reinforce the anastomosis
Weitlaner self-retaining retractor

29. Which artery feeds the adrenal glands
Coronary arteries
Suprarenal artery
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

30. Where does gas exchange take place
6-0 or 7-0
Flush then clamp proximal then distal
The surgeons hands should be wet
In the capillaries

31. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
#11 on a #7 handle
6-0 or 7-0
The force that blood exerts on the internal walls of the vessels
Basilic vein

32. What is blood pressure
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Suprarenal artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The force that blood exerts on the internal walls of the vessels

33. What structures keep the trachea from collapsing
Basilic vein
Hyline cartilage
Esophagus
Coronary arteries

34. How is the fogarty baloon catheter used
Ventricular contraction - resistance - blood viscosity - and heart rate
Through the artery to compress the plaque against the wall of the artery
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule

35. What disease leads to atheroma formation
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The force that blood exerts on the internal walls of the vessels
3-0 or 4-0

36. What is the location of the biforcation of the aorta and What vessels are involved
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid artery
4-0 or 5-0
Left & right common iliac arteries are at the 4th lumbar

37. sutures for common carotid or subclavian
6-0
Carotid endarterectomy
Tunica intima - tunica media - & tunica adventita
Midabdomen to toes & leg circumferentially

38. Where do the coronary arteries arise from
The surgeons hands should be wet
Ascending aorta
Through the artery to compress the plaque against the wall of the artery
Arteriosclerosis obliterans

39. What is the prep area for a femoropopliteal bypass
Supine with head turned 45 degrees to the unaffected side
Ascending aorta
Midabdomen to toes & leg circumferentially
4-0 or 5-0

40. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Blood - fat - air - or portions of tumors that break free
Right common carotid artery and external carotid artery
A closed system of vessels that transport blood from the heart to the body and back

41. What type of needle is used for vessels
Femorofemoral bypass
Double armed needles - tapered
Basilic vein
Dorsal venus arch

42. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
6-0 or 7-0
4-0 or 5-0
A closed system of vessels that transport blood from the heart to the body and back

43. What structure is the pacemaker of the heart
Ascending aorta
Right common carotid artery and external carotid artery
Knitted polyester - woven polyester
SA node

44. What is the sequence of clamping in an ateriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Femoral arteries
Coronary arteries
Flush then clamp proximal then distal

45. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Through the artery to compress the plaque against the wall of the artery
In the capillaries

46. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Internal carotid then the external carotid then the common carotid artery
Epicardium - myocardium - and endocardium
3-0 or 4-0

47. What vein is on the lateral side of the arm
The force that blood exerts on the internal walls of the vessels
Basilic vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Saphenous vein

48. What type of blade is used for an arteriotomy
To reinforce the anastomosis
#11 on a #7 handle
Vena cava
Arteriosclerosis obliterans

49. What is the best approach for an aortofemoral bypass
Arterial bypass
Incision into an artery
Suprarenal artery
3-0 or 4-0

50. What is the peripheral vascular system
3-0 or 4-0
Coronary arteries
The force that blood exerts on the internal walls of the vessels
A closed system of vessels that transport blood from the heart to the body and back