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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 are some special conseriderations for patients undergoing peripheral vascular surgery
Saphenous vein
Coronary arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
4-0 or 5-0

2. What is the sequence of clamping in an ateriotomy
Splenic artery
Coronary arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Flush then clamp proximal then distal

3. What structure is the pacemaker of the heart
Flush then clamp proximal then distal
SA node
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

4. What procedure is used for an iliac artery obstruction
Papaverine
Ascending aorta
Femorofemoral bypass
Splenic artery

5. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The force that blood exerts on the internal walls of the vessels
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

6. What drug is used for arterial vasospasms
Left & right common iliac arteries are at the 4th lumbar
Right common carotid artery and external carotid artery
#11 on a #7 handle
Papaverine

7. What is blood pressure
Splenic artery
Right common carotid artery and external carotid artery
The force that blood exerts on the internal walls of the vessels
Femorofemoral bypass

8. What are pledgets used for
Right common carotid artery and external carotid artery
Arterial bypass
To reinforce the anastomosis
Vena cava

9. What is the location of the biforcation of the aorta and What vessels are involved
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
Left & right common iliac arteries are at the 4th lumbar
Suprarenal artery

10. 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
Flush then clamp proximal then distal
In the capillaries
Arterial embolectomy

11. From What vein is the blood taken to pre-clot the graft
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vena cava
6-0 or 7-0
Water

12. What medication is added to saline
Knitted polyester - woven polyester
Heparin and antibiotics for irrigation
Sarot clamp?
Arteriosclerosis obliterans

13. In What procedure is a fogarty catheter used
Internal carotid then the external carotid then the common carotid artery
Arterial embolectomy
Left & right common iliac arteries are at the 4th lumbar
Blood - fat - air - or portions of tumors that break free

14. Where do the coronary arteries arise from
Ascending aorta
Flush then clamp proximal then distal
Papaverine
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

15. What type of needle is used for vessels
Weitlaner self-retaining retractor
Double armed needles - tapered
Hyline cartilage
Left & right common iliac arteries are at the 4th lumbar

16. What vessels are clamped during a carotid endarterectomy
Flush then clamp proximal then distal
Internal carotid then the external carotid then the common carotid artery
#11 on a #7 handle
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

17. What are the sutures for the aorta
SA node
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
3-0 or 4-0
Incision into an artery

18. What arteries supply the myocardium
Rubber shods
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
To reinforce the anastomosis
Coronary arteries

19. What disease leads to atheroma formation
Papaverine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered
Arteriosclerosis obliterans

20. What is the best approach for an aortofemoral bypass
Arterial bypass
Saphenous vein
To reinforce the anastomosis
Splenic artery

21. What procedure is the javid shunt used for
Heparin and antibiotics for irrigation
Vertebral arteries
Knitted polyester - woven polyester
Carotid endarterectomy

22. What is the largest vein
Basilic vein
Double armed needles - tapered
Saphenous vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

23. What do the anterior and posterior tibial veins unite to become
Ventricular contraction - resistance - blood viscosity - and heart rate
Right common carotid artery and external carotid artery
The popliteal vein
#11 on a #7 handle

24. What are the sutures for the iliac artery
4-0 or 5-0
Dorsal venus arch
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Ventricular contraction - resistance - blood viscosity - and heart rate

25. What materials are used for stents
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Epicardium - myocardium - and endocardium
Blood - fat - air - or portions of tumors that break free
Stainless steel mesh - titanium - polypropylene

26. What does the external iliac artery biforcate into
Coronary arteries
Stainless steel mesh - titanium - polypropylene
Femoral arteries
Suprarenal artery

27. What should be done before tying polypropylene sutures
Arterial bypass
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

28. What structures keep the trachea from collapsing
Right common carotid artery and external carotid artery
5-0 or 6-0
Hyline cartilage
Splenic artery

29. What are capillaries
Femorofemoral bypass
Dorsal venus arch
Tunica intima - tunica media - & tunica adventita
Vessels that are between the arteriols and venule

30. When is arterial blood volume decreased
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
4-0 or 5-0
Arterial bypass
As the heart beats faster there is less blood volume

31. Which clamp is removed last
Flush then clamp proximal then distal
Epicardium - myocardium - and endocardium
Internal carotid artery
Suprarenal artery

32. What are the general characteristics of veins
Blood - fat - air - or portions of tumors that break free
Internal carotid then the external carotid then the common carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ventricular contraction - resistance - blood viscosity - and heart rate

33. Which arteries supply the spinal cord
Internal carotid artery
As the heart beats faster there is less blood volume
6-0 or 7-0
Vertebral arteries

34. What is an ateriotomy
Incision into an artery
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans

35. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Coronary arteries
6-0
The force that blood exerts on the internal walls of the vessels

36. What are the deep veins of the foot
Epicardium - myocardium - and endocardium
Dorsal venus arch
Arterial bypass
As the heart beats faster there is less blood volume

37. How is the fogarty baloon catheter used
5-0 or 6-0
Through the artery to compress the plaque against the wall of the artery
Internal carotid then the external carotid then the common carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

38. What organ does the gastric artery feed
Knitted polyester - woven polyester
Esophagus
Double armed needles - tapered
Ventricular contraction - resistance - blood viscosity - and heart rate

39. What are the layers of vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Tunica intima - tunica media - & tunica adventita
Incision into an artery
Rubber shods

40. What instrument is used to isolate an artery
Supine with head turned 45 degrees to the unaffected side
Femoral arteries
Right common carotid artery and external carotid artery
Sarot clamp?

41. What are delicate sutures tagged with
Saphenous vein
Carotid endarterectomy
Rubber shods
Vessels that are between the arteriols and venule

42. What are the 3 branches of the aortic arch
#11 on a #7 handle
Papaverine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Tunica intima - tunica media - & tunica adventita

43. What is claudication
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Cramping pain or a dull ache
3-0 or 4-0
SA node

44. What vein is on the lateral side of the arm
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Cramping pain or a dull ache
In the capillaries
Basilic vein

45. What is the peripheral vascular system
Basilic vein
4-0 or 5-0
A closed system of vessels that transport blood from the heart to the body and back
Dorsal venus arch

46. What type of retractor is used in an aortofemoral bypass
SA node
Midabdomen to toes & leg circumferentially
Weitlaner self-retaining retractor
3-0 or 4-0

47. What solution is not used during grafting procedures
To reinforce the anastomosis
Arterial bypass
Vertebral arteries
Water

48. sutures for femoral - popliteal arteries
Double armed needles - tapered
5-0 or 6-0
Left & right common iliac arteries are at the 4th lumbar
Splenic artery

49. Which artery feeds the adrenal glands
Water
Suprarenal artery
Basilic vein
5-0 or 6-0

50. What type of blade is used for an arteriotomy
#11 on a #7 handle
The surgeons hands should be wet
3-0 or 4-0
Tunica intima - tunica media - & tunica adventita