Test your basic knowledge |

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. From What vein is the blood taken to pre-clot the graft
Vena cava
Hyline cartilage
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

2. What type of retractor is used in an aortofemoral bypass
Sarot clamp?
Stainless steel mesh - titanium - polypropylene
Weitlaner self-retaining retractor
To reinforce the anastomosis

3. What should be done before tying polypropylene sutures
Vessels that are between the arteriols and venule
The surgeons hands should be wet
Femorofemoral bypass
#11 on a #7 handle

4. What communicate in the circle of willis
In the capillaries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
6-0
Arterial bypass

5. sutures for femoral - popliteal arteries
Saphenous vein
Femorofemoral bypass
5-0 or 6-0
Splenic artery

6. What are the 3 branches of the aortic arch
Suprarenal artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
3-0 or 4-0
Heparin and antibiotics for irrigation

7. How is the fogarty baloon catheter used
The force that blood exerts on the internal walls of the vessels
Through the artery to compress the plaque against the wall of the artery
Arteriosclerosis obliterans
4-0 or 5-0

8. sutures for common carotid or subclavian
5-0 or 6-0
Vertebral arteries
Sarot clamp?
6-0

9. What is the prep area for a femoropopliteal bypass
Internal carotid then the external carotid then the common carotid artery
Knitted polyester - woven polyester
Incision into an artery
Midabdomen to toes & leg circumferentially

10. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Basilic vein
Arterial embolectomy
3-0 or 4-0

11. What are pledgets used for
To reinforce the anastomosis
Arteriosclerosis obliterans
Dorsal venus arch
4-0 or 5-0

12. What materials are used for stents
Hyline cartilage
Rubber shods
Stainless steel mesh - titanium - polypropylene
Splenic artery

13. When is arterial blood volume decreased
Through the artery to compress the plaque against the wall of the artery
As the heart beats faster there is less blood volume
Vertebral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

14. What are the characteristics of abdominal aneurysms
Vena cava
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

15. What is an ateriotomy
Flush then clamp proximal then distal
Incision into an artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

16. What solution is not used during grafting procedures
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Suprarenal artery
Weitlaner self-retaining retractor
Water

17. What are the layers of the heart
5-0 or 6-0
Incision into an artery
Epicardium - myocardium - and endocardium
Basilic vein

18. In What procedure is a fogarty catheter used
Hyline cartilage
Arterial embolectomy
Vessels that are between the arteriols and venule
Esophagus

19. What are the general characteristics of veins
In the capillaries
Splenic artery
Cramping pain or a dull ache
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

20. What type of needle is used for vessels
Femoral arteries
Double armed needles - tapered
The popliteal vein
Weitlaner self-retaining retractor

21. What instrument is used to isolate an artery
Papaverine
Sarot clamp?
Dorsal venus arch
Water

22. What medication is added to saline
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Heparin and antibiotics for irrigation
SA node
Blood - fat - air - or portions of tumors that break free

23. What is the best approach for an aortofemoral bypass
Arterial bypass
The force that blood exerts on the internal walls of the vessels
Coronary arteries
Midabdomen to toes & leg circumferentially

24. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
3-0 or 4-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Carotid endarterectomy

25. What is the largest vein
Rubber shods
Right common carotid artery and external carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Saphenous vein

26. What vein is on the lateral side of the arm
Basilic vein
6-0
Through the artery to compress the plaque against the wall of the artery
6-0 or 7-0

27. What are the sutures for the aorta
As the heart beats faster there is less blood volume
Arterial bypass
Arteriosclerosis obliterans
3-0 or 4-0

28. What structures keep the trachea from collapsing
Ventricular contraction - resistance - blood viscosity - and heart rate
Hyline cartilage
Epicardium - myocardium - and endocardium
Supine with head turned 45 degrees to the unaffected side

29. What does the external iliac artery biforcate into
Vessels that are between the arteriols and venule
Internal carotid artery
Femoral arteries
Right common carotid artery and external carotid artery

30. 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
Through the artery to compress the plaque against the wall of the artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
#11 on a #7 handle

31. What is blood pressure
Vena cava
Flush then clamp proximal then distal
Midabdomen to toes & leg circumferentially
The force that blood exerts on the internal walls of the vessels

32. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Dorsal venus arch
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
6-0 or 7-0
Hyline cartilage

33. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Vessels that are between the arteriols and venule
4-0 or 5-0

34. What disease leads to atheroma formation
Tunica intima - tunica media - & tunica adventita
Incision into an artery
5-0 or 6-0
Arteriosclerosis obliterans

35. What are some special conseriderations for patients undergoing peripheral vascular surgery
6-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water
To reinforce the anastomosis

36. Which arteries supply the spinal cord
Vessels that are between the arteriols and venule
Vertebral arteries
Sarot clamp?
Flush then clamp proximal then distal

37. What procedure is the javid shunt used for
Carotid endarterectomy
Papaverine
Arterial bypass
Midabdomen to toes & leg circumferentially

38. What are capillaries
Vessels that are between the arteriols and venule
Femorofemoral bypass
Sarot clamp?
Cramping pain or a dull ache

39. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Through the artery to compress the plaque against the wall of the artery
Sarot clamp?
Femoral arteries

40. What structure is the pacemaker of the heart
The surgeons hands should be wet
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
SA node
Blood - fat - air - or portions of tumors that break free

41. Where do the coronary arteries arise from
Ascending aorta
Arteriosclerosis obliterans
3-0 or 4-0
Vena cava

42. What procedure is used for an iliac artery obstruction
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
4-0 or 5-0
Femorofemoral bypass

43. What are the deep veins of the foot
Papaverine
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery
Dorsal venus arch

44. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Saphenous vein
In the capillaries
Esophagus

45. What factors influence blood pressure
Knitted polyester - woven polyester
4-0 or 5-0
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate

46. What are the sutures for the iliac artery
Arterial bypass
Left & right common iliac arteries are at the 4th lumbar
4-0 or 5-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

47. Where does gas exchange take place
3-0 or 4-0
In the capillaries
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar

48. What is claudication
Ventricular contraction - resistance - blood viscosity - and heart rate
Cramping pain or a dull ache
#11 on a #7 handle
Vessels that are between the arteriols and venule

49. Which artery feeds the adrenal glands
Midabdomen to toes & leg circumferentially
Suprarenal artery
Through the artery to compress the plaque against the wall of the artery
Esophagus

50. Which clamp is removed last
Vertebral arteries
Sarot clamp?
Midabdomen to toes & leg circumferentially
Internal carotid artery