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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 does the external iliac artery biforcate into
To reinforce the anastomosis
Midabdomen to toes & leg circumferentially
3-0 or 4-0
Femoral arteries

2. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Papaverine
Esophagus
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

3. What is an atrial embolism
5-0 or 6-0
6-0
Blood - fat - air - or portions of tumors that break free
SA node

4. What is the peripheral vascular system
4-0 or 5-0
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
The popliteal vein

5. What are the sutures for the aorta
Supine with head turned 45 degrees to the unaffected side
A closed system of vessels that transport blood from the heart to the body and back
3-0 or 4-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

6. What type of blade is used for an arteriotomy
#11 on a #7 handle
Sarot clamp?
Knitted polyester - woven polyester
Vertebral arteries

7. What communicate in the circle of willis
The surgeons hands should be wet
Through the artery to compress the plaque against the wall of the artery
Knitted polyester - woven polyester
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

8. What drug is used for arterial vasospasms
Sarot clamp?
#11 on a #7 handle
Basilic vein
Papaverine

9. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Esophagus
A closed system of vessels that transport blood from the heart to the body and back
Tunica intima - tunica media - & tunica adventita

10. What is blood pressure
Double armed needles - tapered
5-0 or 6-0
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free

11. What materials are used for stents
Ascending aorta
Flush then clamp proximal then distal
Stainless steel mesh - titanium - polypropylene
Coronary arteries

12. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
A closed system of vessels that transport blood from the heart to the body and back
Supine with head turned 45 degrees to the unaffected side
Incision into an artery

13. What are the deep veins of the foot
Dorsal venus arch
As the heart beats faster there is less blood volume
Carotid endarterectomy
Splenic artery

14. What are the characteristics of abdominal aneurysms
Blood - fat - air - or portions of tumors that break free
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Dorsal venus arch
Femorofemoral bypass

15. What solution is not used during grafting procedures
Internal carotid then the external carotid then the common carotid artery
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
Water

16. What type of needle is used for vessels
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Double armed needles - tapered
Through the artery to compress the plaque against the wall of the artery
Dorsal venus arch

17. What are the general characteristics of veins
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Right common carotid artery and external carotid artery
Supine with head turned 45 degrees to the unaffected side
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

18. What is the best approach for an aortofemoral bypass
Arterial bypass
The surgeons hands should be wet
Rubber shods
In the capillaries

19. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Papaverine
Epicardium - myocardium - and endocardium
Basilic vein

20. What is the location of the biforcation of the aorta and What vessels are involved
Vessels that are between the arteriols and venule
Dorsal venus arch
Flush then clamp proximal then distal
Left & right common iliac arteries are at the 4th lumbar

21. What are some special conseriderations for patients undergoing peripheral vascular surgery
Incision into an artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

22. What is the sequence of clamping in an ateriotomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Flush then clamp proximal then distal
Incision into an artery
SA node

23. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
A closed system of vessels that transport blood from the heart to the body and back
Water
SA node

24. What are pledgets used for
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
To reinforce the anastomosis
As the heart beats faster there is less blood volume
Ascending aorta

25. What vein is on the lateral side of the arm
Supine with head turned 45 degrees to the unaffected side
Right common carotid artery and external carotid artery
3-0 or 4-0
Basilic vein

26. sutures for common carotid or subclavian
6-0
The force that blood exerts on the internal walls of the vessels
Arteriosclerosis obliterans
Cramping pain or a dull ache

27. sutures for femoral - popliteal arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
5-0 or 6-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Through the artery to compress the plaque against the wall of the artery

28. Where do the coronary arteries arise from
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
SA node
Carotid endarterectomy

29. What arteries supply the myocardium
Suprarenal artery
Coronary arteries
4-0 or 5-0
Heparin and antibiotics for irrigation

30. What are delicate sutures tagged with
Vessels that are between the arteriols and venule
The force that blood exerts on the internal walls of the vessels
Rubber shods
Carotid endarterectomy

31. What should be done before tying polypropylene sutures
Weitlaner self-retaining retractor
The surgeons hands should be wet
A closed system of vessels that transport blood from the heart to the body and back
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

32. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Arterial bypass
Double armed needles - tapered
Vena cava

33. From What vein is the blood taken to pre-clot the graft
Vena cava
Tunica intima - tunica media - & tunica adventita
Water
Rubber shods

34. Which clamp is removed last
4-0 or 5-0
Internal carotid artery
Papaverine
Suprarenal artery

35. What graft material is not used in the popliteal area
Dorsal venus arch
3-0 or 4-0
Heparin and antibiotics for irrigation
Knitted polyester - woven polyester

36. Which artery feeds the adrenal glands
Papaverine
Saphenous vein
Suprarenal artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

37. What is an ateriotomy
Incision into an artery
Esophagus
Splenic artery
Suprarenal artery

38. What organ does the gastric artery feed
Tunica intima - tunica media - & tunica adventita
A closed system of vessels that transport blood from the heart to the body and back
Stainless steel mesh - titanium - polypropylene
Esophagus

39. What vessels are clamped during a carotid endarterectomy
3-0 or 4-0
Midabdomen to toes & leg circumferentially
Internal carotid then the external carotid then the common carotid artery
6-0

40. What structures keep the trachea from collapsing
Vertebral arteries
3-0 or 4-0
SA node
Hyline cartilage

41. Where does gas exchange take place
6-0 or 7-0
In the capillaries
Heparin and antibiotics for irrigation
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

42. What structure is the pacemaker of the heart
Left & right common iliac arteries are at the 4th lumbar
Papaverine
Midabdomen to toes & leg circumferentially
SA node

43. What procedure is the javid shunt used for
Papaverine
Water
Carotid endarterectomy
Ventricular contraction - resistance - blood viscosity - and heart rate

44. What is claudication
Water
Heparin and antibiotics for irrigation
Cramping pain or a dull ache
Tunica intima - tunica media - & tunica adventita

45. Which arteries supply the spinal cord
Vertebral arteries
Saphenous vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
#11 on a #7 handle

46. What disease leads to atheroma formation
Arteriosclerosis obliterans
Basilic vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The force that blood exerts on the internal walls of the vessels

47. What are the 3 branches of the aortic arch
Sarot clamp?
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vertebral arteries
Incision into an artery

48. What do the anterior and posterior tibial veins unite to become
Right common carotid artery and external carotid artery
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The popliteal vein

49. What is the largest vein
Double armed needles - tapered
Midabdomen to toes & leg circumferentially
Hyline cartilage
Saphenous vein

50. When is arterial blood volume decreased
Weitlaner self-retaining retractor
The surgeons hands should be wet
A closed system of vessels that transport blood from the heart to the body and back
As the heart beats faster there is less blood volume