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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 are the layers of vessels
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Suprarenal artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Tunica intima - tunica media - & tunica adventita

2. What graft material is not used in the popliteal area
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
Internal carotid artery

3. What are some special conseriderations for patients undergoing peripheral vascular surgery
Ascending aorta
Tunica intima - tunica media - & tunica adventita
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Dorsal venus arch

4. Which clamp is removed last
Femoral arteries
Blood - fat - air - or portions of tumors that break free
Carotid endarterectomy
Internal carotid artery

5. Which arteries supply the spinal cord
Water
Vessels that are between the arteriols and venule
Carotid endarterectomy
Vertebral arteries

6. What does the external iliac artery biforcate into
Epicardium - myocardium - and endocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arterial bypass
Femoral arteries

7. What type of needle is used for vessels
Double armed needles - tapered
Internal carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Carotid endarterectomy

8. What disease leads to atheroma formation
Arteriosclerosis obliterans
Arterial embolectomy
Sarot clamp?
Ventricular contraction - resistance - blood viscosity - and heart rate

9. What are the general characteristics of veins
Flush then clamp proximal then distal
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The force that blood exerts on the internal walls of the vessels
Internal carotid artery

10. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Carotid endarterectomy

11. What type of blade is used for an arteriotomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
#11 on a #7 handle
Through the artery to compress the plaque against the wall of the artery
Hyline cartilage

12. From What vein is the blood taken to pre-clot the graft
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vena cava
Arteriosclerosis obliterans
#11 on a #7 handle

13. Which artery feeds the adrenal glands
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Suprarenal artery
Papaverine

14. What is the best approach for an aortofemoral bypass
Splenic artery
Arterial bypass
Arterial embolectomy
A closed system of vessels that transport blood from the heart to the body and back

15. sutures for common carotid or subclavian
Carotid endarterectomy
Stainless steel mesh - titanium - polypropylene
6-0
Internal carotid artery

16. What arteries supply the myocardium
Coronary arteries
Cramping pain or a dull ache
Vessels that are between the arteriols and venule
Supine with head turned 45 degrees to the unaffected side

17. Where do the coronary arteries arise from
Papaverine
Vena cava
Through the artery to compress the plaque against the wall of the artery
Ascending aorta

18. What drugs are used in vascular surgery
6-0
Splenic artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Rubber shods

19. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

20. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Carotid endarterectomy
Splenic artery
Dorsal venus arch

21. What is blood pressure
The popliteal vein
The force that blood exerts on the internal walls of the vessels
Dorsal venus arch
Epicardium - myocardium - and endocardium

22. What is the location of the biforcation of the aorta and What vessels are involved
Sarot clamp?
Left & right common iliac arteries are at the 4th lumbar
Incision into an artery
Splenic artery

23. What instrument is used to isolate an artery
Epicardium - myocardium - and endocardium
Sarot clamp?
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

24. What are pledgets used for
Water
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
To reinforce the anastomosis
Cramping pain or a dull ache

25. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Incision into an artery
Hyline cartilage
Water

26. What organs does the superior mesenteric artery feed
Midabdomen to toes & leg circumferentially
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
Heparin and antibiotics for irrigation

27. What structures keep the trachea from collapsing
Cramping pain or a dull ache
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester
Hyline cartilage

28. What solution is not used during grafting procedures
5-0 or 6-0
Water
Ascending aorta
Coronary arteries

29. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Femoral arteries
6-0 or 7-0

30. What are the layers of the heart
Right common carotid artery and external carotid artery
SA node
Epicardium - myocardium - and endocardium
5-0 or 6-0

31. What is claudication
Arterial bypass
Cramping pain or a dull ache
Sarot clamp?
Blood - fat - air - or portions of tumors that break free

32. What should be done before tying polypropylene sutures
Coronary arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The surgeons hands should be wet
Incision into an artery

33. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Supine with head turned 45 degrees to the unaffected side
Weitlaner self-retaining retractor
Stainless steel mesh - titanium - polypropylene

34. Where does gas exchange take place
The force that blood exerts on the internal walls of the vessels
Midabdomen to toes & leg circumferentially
Supine with head turned 45 degrees to the unaffected side
In the capillaries

35. What are the characteristics of abdominal aneurysms
Knitted polyester - woven polyester
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Rubber shods

36. What drug is used for arterial vasospasms
Rubber shods
Left & right common iliac arteries are at the 4th lumbar
Stainless steel mesh - titanium - polypropylene
Papaverine

37. Which artery feeds the upper digestive tract - spleen - and liver
Internal carotid artery
Midabdomen to toes & leg circumferentially
Flush then clamp proximal then distal
Splenic artery

38. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery
Hyline cartilage
Ventricular contraction - resistance - blood viscosity - and heart rate

39. What are the sutures for the iliac artery
Papaverine
4-0 or 5-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Epicardium - myocardium - and endocardium

40. What is the largest vein
Saphenous vein
Papaverine
Double armed needles - tapered
6-0 or 7-0

41. In What procedure is a fogarty catheter used
Arterial embolectomy
3-0 or 4-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Ascending aorta

42. What is the pt position for carotid endoarterectomy
Sarot clamp?
Supine with head turned 45 degrees to the unaffected side
Rubber shods
Tunica intima - tunica media - & tunica adventita

43. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Basilic vein
Double armed needles - tapered

44. What is an ateriotomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Hyline cartilage
Incision into an artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

45. What are the sutures for the aorta
Internal carotid artery
Right common carotid artery and external carotid artery
3-0 or 4-0
Stainless steel mesh - titanium - polypropylene

46. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Basilic vein
The surgeons hands should be wet
The force that blood exerts on the internal walls of the vessels

47. What do the anterior and posterior tibial veins unite to become
Papaverine
The popliteal vein
Internal carotid then the external carotid then the common carotid artery
Knitted polyester - woven polyester

48. sutures for femoral - popliteal arteries
Vena cava
Blood - fat - air - or portions of tumors that break free
Internal carotid artery
5-0 or 6-0

49. What structure is the pacemaker of the heart
Cramping pain or a dull ache
Papaverine
SA node
Stainless steel mesh - titanium - polypropylene

50. What is the prep area for a femoropopliteal bypass
5-0 or 6-0
Rubber shods
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially