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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 does the external iliac artery biforcate into
6-0
Femoral arteries
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

2. What is the best approach for an aortofemoral bypass
Arterial bypass
Arteriosclerosis obliterans
Heparin and antibiotics for irrigation
To reinforce the anastomosis

3. sutures for common carotid or subclavian
Vena cava
6-0
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery

4. What is claudication
Cramping pain or a dull ache
Double armed needles - tapered
Vena cava
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

5. Where do the coronary arteries arise from
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate
Carotid endarterectomy
Vertebral arteries

6. What factors influence blood pressure
6-0 or 7-0
In the capillaries
As the heart beats faster there is less blood volume
Ventricular contraction - resistance - blood viscosity - and heart rate

7. Which clamp is removed last
Rubber shods
Internal carotid artery
A closed system of vessels that transport blood from the heart to the body and back
Vessels that are between the arteriols and venule

8. What medication is added to saline
Heparin and antibiotics for irrigation
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Papaverine
Hyline cartilage

9. What should be done before tying polypropylene sutures
As the heart beats faster there is less blood volume
The surgeons hands should be wet
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

10. In What procedure is a fogarty catheter used
#11 on a #7 handle
Flush then clamp proximal then distal
Arterial embolectomy
The force that blood exerts on the internal walls of the vessels

11. What are capillaries
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
3-0 or 4-0
Cramping pain or a dull ache

12. What is the pt position for carotid endoarterectomy
The force that blood exerts on the internal walls of the vessels
Supine with head turned 45 degrees to the unaffected side
Esophagus
Left & right common iliac arteries are at the 4th lumbar

13. What is blood pressure
Suprarenal artery
Knitted polyester - woven polyester
Splenic artery
The force that blood exerts on the internal walls of the vessels

14. When is arterial blood volume decreased
To reinforce the anastomosis
6-0 or 7-0
Flush then clamp proximal then distal
As the heart beats faster there is less blood volume

15. What drugs are used in vascular surgery
Flush then clamp proximal then distal
The popliteal vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arteriosclerosis obliterans

16. What procedure is used for an iliac artery obstruction
Splenic artery
Femorofemoral bypass
Rubber shods
The popliteal vein

17. Where does gas exchange take place
Through the artery to compress the plaque against the wall of the artery
Flush then clamp proximal then distal
Femoral arteries
In the capillaries

18. What are delicate sutures tagged with
Arterial embolectomy
Weitlaner self-retaining retractor
Rubber shods
Coronary arteries

19. What communicate in the circle of willis
Arterial bypass
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The surgeons hands should be wet
Arterial embolectomy

20. sutures for femoral - popliteal arteries
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery
5-0 or 6-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

21. What are the deep veins of the foot
Dorsal venus arch
Incision into an artery
Femoral arteries
A closed system of vessels that transport blood from the heart to the body and back

22. What are the layers of the heart
Carotid endarterectomy
Arterial embolectomy
Arterial bypass
Epicardium - myocardium - and endocardium

23. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Weitlaner self-retaining retractor
5-0 or 6-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

24. What type of blade is used for an arteriotomy
3-0 or 4-0
Weitlaner self-retaining retractor
#11 on a #7 handle
A closed system of vessels that transport blood from the heart to the body and back

25. What organs does the superior mesenteric artery feed
Dorsal venus arch
Vertebral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The surgeons hands should be wet

26. What is the peripheral vascular system
Supine with head turned 45 degrees to the unaffected side
Tunica intima - tunica media - & tunica adventita
A closed system of vessels that transport blood from the heart to the body and back
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

27. Which artery feeds the upper digestive tract - spleen - and liver
Coronary arteries
Splenic artery
The surgeons hands should be wet
Papaverine

28. From What vein is the blood taken to pre-clot the graft
Vena cava
In the capillaries
6-0 or 7-0
Saphenous vein

29. What is the location of the biforcation of the aorta and What vessels are involved
Right common carotid artery and external carotid artery
As the heart beats faster there is less blood volume
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar

30. 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
Midabdomen to toes & leg circumferentially
Stainless steel mesh - titanium - polypropylene
#11 on a #7 handle

31. What organ does the gastric artery feed
Basilic vein
6-0 or 7-0
In the capillaries
Esophagus

32. What are the sutures for the aorta
Papaverine
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid artery
3-0 or 4-0

33. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
6-0 or 7-0
Esophagus
Epicardium - myocardium - and endocardium

34. What structures keep the trachea from collapsing
Water
Cramping pain or a dull ache
Rubber shods
Hyline cartilage

35. What structure is the pacemaker of the heart
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Midabdomen to toes & leg circumferentially
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
SA node

36. What is an ateriotomy
Femoral arteries
Incision into an artery
Water
Midabdomen to toes & leg circumferentially

37. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Water
Right common carotid artery and external carotid artery
As the heart beats faster there is less blood volume

38. What vein is on the lateral side of the arm
Double armed needles - tapered
Basilic vein
Epicardium - myocardium - and endocardium
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

39. What solution is not used during grafting procedures
Through the artery to compress the plaque against the wall of the artery
Double armed needles - tapered
Water
Vessels that are between the arteriols and venule

40. What arteries supply the myocardium
Cramping pain or a dull ache
Coronary arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Arterial bypass

41. What arteries supply the brain - head - and neck
Arterial embolectomy
Right common carotid artery and external carotid artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Rubber shods

42. How is the fogarty baloon catheter used
Esophagus
Through the artery to compress the plaque against the wall of the artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The force that blood exerts on the internal walls of the vessels

43. What type of retractor is used in an aortofemoral bypass
Saphenous vein
Water
Weitlaner self-retaining retractor
Stainless steel mesh - titanium - polypropylene

44. What vessels are clamped during a carotid endarterectomy
Dorsal venus arch
In the capillaries
Internal carotid then the external carotid then the common carotid artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

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

46. What type of needle is used for vessels
SA node
Epicardium - myocardium - and endocardium
Saphenous vein
Double armed needles - tapered

47. What is the largest vein
To reinforce the anastomosis
Ascending aorta
The popliteal vein
Saphenous vein

48. What disease leads to atheroma formation
Arteriosclerosis obliterans
Hyline cartilage
Water
Femoral arteries

49. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Right common carotid artery and external carotid artery

50. What are the general characteristics of veins
A closed system of vessels that transport blood from the heart to the body and back
Knitted polyester - woven polyester
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The surgeons hands should be wet