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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 drug is used for arterial vasospasms
Left & right common iliac arteries are at the 4th lumbar
Coronary arteries
Papaverine
Vena cava

2. Where do the coronary arteries arise from
Ascending aorta
Vena cava
Tunica intima - tunica media - & tunica adventita
Splenic artery

3. How is the fogarty baloon catheter used
Dorsal venus arch
Through the artery to compress the plaque against the wall of the artery
5-0 or 6-0
Vertebral arteries

4. 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
Hyline cartilage
Saphenous vein
In the capillaries

5. What is claudication
Cramping pain or a dull ache
Dorsal venus arch
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Supine with head turned 45 degrees to the unaffected side

6. What organs does the superior mesenteric artery feed
Sarot clamp?
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Through the artery to compress the plaque against the wall of the artery
SA node

7. In What procedure is a fogarty catheter used
Water
Femorofemoral bypass
Arterial embolectomy
As the heart beats faster there is less blood volume

8. What arteries supply the myocardium
Coronary arteries
SA node
Arteriosclerosis obliterans
4-0 or 5-0

9. What type of needle is used for vessels
Double armed needles - tapered
Weitlaner self-retaining retractor
Hyline cartilage
Stainless steel mesh - titanium - polypropylene

10. What are the sutures for the aorta
3-0 or 4-0
Arteriosclerosis obliterans
Splenic artery
Weitlaner self-retaining retractor

11. Which artery feeds the adrenal glands
Vessels that are between the arteriols and venule
Suprarenal artery
Stainless steel mesh - titanium - polypropylene
Dorsal venus arch

12. What is the location of the biforcation of the aorta and What vessels are involved
Water
Left & right common iliac arteries are at the 4th lumbar
As the heart beats faster there is less blood volume
Basilic vein

13. What are the layers of the heart
Epicardium - myocardium - and endocardium
Femoral arteries
Arterial embolectomy
Internal carotid then the external carotid then the common carotid artery

14. Which arteries supply the spinal cord
Vertebral arteries
Vena cava
3-0 or 4-0
The surgeons hands should be wet

15. What communicate in the circle of willis
Carotid endarterectomy
6-0 or 7-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
6-0

16. Which clamp is removed last
Internal carotid artery
#11 on a #7 handle
Vertebral arteries
Papaverine

17. What are the deep veins of the foot
A closed system of vessels that transport blood from the heart to the body and back
Right common carotid artery and external carotid artery
Dorsal venus arch
Saphenous vein

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

19. Where does gas exchange take place
A closed system of vessels that transport blood from the heart to the body and back
Midabdomen to toes & leg circumferentially
In the capillaries
As the heart beats faster there is less blood volume

20. What is the pt position for carotid endoarterectomy
Femorofemoral bypass
Knitted polyester - woven polyester
SA node
Supine with head turned 45 degrees to the unaffected side

21. What vein is on the lateral side of the arm
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Basilic vein
Saphenous vein
Femorofemoral bypass

22. What arteries supply the brain - head - and neck
In the capillaries
Right common carotid artery and external carotid artery
Water
As the heart beats faster there is less blood volume

23. What instrument is used to isolate an artery
The surgeons hands should be wet
4-0 or 5-0
Basilic vein
Sarot clamp?

24. What should be done before tying polypropylene sutures
To reinforce the anastomosis
Basilic vein
The surgeons hands should be wet
Right common carotid artery and external carotid artery

25. What solution is not used during grafting procedures
In the capillaries
The force that blood exerts on the internal walls of the vessels
Water
Femoral arteries

26. From What vein is the blood taken to pre-clot the graft
Femorofemoral bypass
The force that blood exerts on the internal walls of the vessels
Vena cava
6-0

27. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Supine with head turned 45 degrees to the unaffected side
5-0 or 6-0
Saphenous vein

28. What procedure is the javid shunt used for
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Cramping pain or a dull ache
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy

29. What is blood pressure
Dorsal venus arch
Tunica intima - tunica media - & tunica adventita
The force that blood exerts on the internal walls of the vessels
Basilic vein

30. What are delicate sutures tagged with
Arterial bypass
Ascending aorta
Rubber shods
The force that blood exerts on the internal walls of the vessels

31. What is the best approach for an aortofemoral bypass
Arterial bypass
Splenic artery
Flush then clamp proximal then distal
Internal carotid then the external carotid then the common carotid artery

32. What are the 3 branches of the aortic arch
Flush then clamp proximal then distal
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Splenic artery

33. When is arterial blood volume decreased
Incision into an artery
As the heart beats faster there is less blood volume
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Tunica intima - tunica media - & tunica adventita

34. What structure is the pacemaker of the heart
Carotid endarterectomy
Basilic vein
SA node
Arterial embolectomy

35. What is an ateriotomy
Weitlaner self-retaining retractor
Coronary arteries
Incision into an artery
Hyline cartilage

36. What structures keep the trachea from collapsing
As the heart beats faster there is less blood volume
Hyline cartilage
4-0 or 5-0
Vertebral arteries

37. sutures for femoral - popliteal arteries
As the heart beats faster there is less blood volume
Incision into an artery
3-0 or 4-0
5-0 or 6-0

38. What organ does the gastric artery feed
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Esophagus
In the capillaries
Vessels that are between the arteriols and venule

39. What factors influence blood pressure
SA node
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Right common carotid artery and external carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

40. What is the peripheral vascular system
Knitted polyester - woven polyester
A closed system of vessels that transport blood from the heart to the body and back
Vertebral arteries
Water

41. What does the external iliac artery biforcate into
Femoral arteries
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
Heparin and antibiotics for irrigation

42. What type of blade is used for an arteriotomy
Epicardium - myocardium - and endocardium
As the heart beats faster there is less blood volume
#11 on a #7 handle
Arterial embolectomy

43. What is the sequence of clamping in an ateriotomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The surgeons hands should be wet
Flush then clamp proximal then distal
To reinforce the anastomosis

44. What graft material is not used in the popliteal area
Supine with head turned 45 degrees to the unaffected side
3-0 or 4-0
Knitted polyester - woven polyester
4-0 or 5-0

45. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Ascending aorta
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Rubber shods

46. What are the characteristics of abdominal aneurysms
Sarot clamp?
Basilic vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

47. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Esophagus
Saphenous vein
To reinforce the anastomosis
6-0 or 7-0

48. What procedure is used for an iliac artery obstruction
Hyline cartilage
Arteriosclerosis obliterans
Femorofemoral bypass
6-0 or 7-0

49. What disease leads to atheroma formation
Arteriosclerosis obliterans
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus
Coronary arteries

50. What is an atrial embolism
In the capillaries
Coronary arteries
Blood - fat - air - or portions of tumors that break free
Knitted polyester - woven polyester