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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. Which arteries supply the spinal cord
Midabdomen to toes & leg circumferentially
Vertebral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Dorsal venus arch

2. What arteries supply the myocardium
A closed system of vessels that transport blood from the heart to the body and back
Saphenous vein
Coronary arteries
Vessels that are between the arteriols and venule

3. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
In the capillaries
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

4. Where does gas exchange take place
Weitlaner self-retaining retractor
In the capillaries
Arterial bypass
Heparin and antibiotics for irrigation

5. What structure is the pacemaker of the heart
SA node
Rubber shods
Left & right common iliac arteries are at the 4th lumbar
Cramping pain or a dull ache

6. What materials are used for stents
Esophagus
Sarot clamp?
Saphenous vein
Stainless steel mesh - titanium - polypropylene

7. What is the largest vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Epicardium - myocardium - and endocardium
Dorsal venus arch
Saphenous vein

8. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Esophagus
Stainless steel mesh - titanium - polypropylene
Rubber shods

9. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Arteriosclerosis obliterans
Arterial embolectomy

10. What are pledgets used for
To reinforce the anastomosis
6-0
Femorofemoral bypass
The force that blood exerts on the internal walls of the vessels

11. What communicate in the circle of willis
Incision into an artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
5-0 or 6-0
To reinforce the anastomosis

12. What procedure is the javid shunt used for
The force that blood exerts on the internal walls of the vessels
4-0 or 5-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Carotid endarterectomy

13. What are the characteristics of abdominal aneurysms
Femorofemoral bypass
Supine with head turned 45 degrees to the unaffected side
Coronary arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

14. Which artery feeds the upper digestive tract - spleen - and liver
Midabdomen to toes & leg circumferentially
Splenic artery
Knitted polyester - woven polyester
5-0 or 6-0

15. What is the pt position for carotid endoarterectomy
Esophagus
Stainless steel mesh - titanium - polypropylene
Arterial embolectomy
Supine with head turned 45 degrees to the unaffected side

16. Where do the coronary arteries arise from
To reinforce the anastomosis
Ascending aorta
Esophagus
Internal carotid artery

17. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Tunica intima - tunica media - & tunica adventita
Internal carotid then the external carotid then the common carotid artery
Sarot clamp?

18. What are the layers of the heart
Vertebral arteries
Epicardium - myocardium - and endocardium
Internal carotid then the external carotid then the common carotid artery
Blood - fat - air - or portions of tumors that break free

19. What factors influence blood pressure
Saphenous vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Flush then clamp proximal then distal
Ventricular contraction - resistance - blood viscosity - and heart rate

20. What is claudication
Epicardium - myocardium - and endocardium
4-0 or 5-0
Cramping pain or a dull ache
#11 on a #7 handle

21. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Internal carotid artery
Supine with head turned 45 degrees to the unaffected side
Flush then clamp proximal then distal

22. What drug is used for arterial vasospasms
Papaverine
Cramping pain or a dull ache
The surgeons hands should be wet
Splenic artery

23. What is an atrial embolism
Vena cava
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free
Arterial embolectomy

24. What organ does the gastric artery feed
Esophagus
4-0 or 5-0
Ascending aorta
Flush then clamp proximal then distal

25. What are the 3 branches of the aortic arch
Cramping pain or a dull ache
Suprarenal artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

26. What type of needle is used for vessels
Papaverine
Double armed needles - tapered
Saphenous vein
The force that blood exerts on the internal walls of the vessels

27. What does the external iliac artery biforcate into
Femoral arteries
Cramping pain or a dull ache
Through the artery to compress the plaque against the wall of the artery
6-0 or 7-0

28. What instrument is used to isolate an artery
Midabdomen to toes & leg circumferentially
Sarot clamp?
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Left & right common iliac arteries are at the 4th lumbar

29. What procedure is used for an iliac artery obstruction
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule
Internal carotid artery
Femorofemoral bypass

30. What structures keep the trachea from collapsing
A closed system of vessels that transport blood from the heart to the body and back
Ventricular contraction - resistance - blood viscosity - and heart rate
4-0 or 5-0
Hyline cartilage

31. When is arterial blood volume decreased
Flush then clamp proximal then distal
As the heart beats faster there is less blood volume
Femorofemoral bypass
In the capillaries

32. What organs does the superior mesenteric artery feed
4-0 or 5-0
Saphenous vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Epicardium - myocardium - and endocardium

33. sutures for common carotid or subclavian
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Supine with head turned 45 degrees to the unaffected side
Internal carotid then the external carotid then the common carotid artery
6-0

34. What are the sutures for the aorta
Vessels that are between the arteriols and venule
Vena cava
3-0 or 4-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

35. What is the peripheral vascular system
Knitted polyester - woven polyester
Rubber shods
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

36. What are delicate sutures tagged with
Rubber shods
Flush then clamp proximal then distal
Vena cava
Coronary arteries

37. What is an ateriotomy
4-0 or 5-0
Incision into an artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femorofemoral bypass

38. What are capillaries
In the capillaries
Epicardium - myocardium - and endocardium
Arteriosclerosis obliterans
Vessels that are between the arteriols and venule

39. What is the best approach for an aortofemoral bypass
Arterial bypass
Blood - fat - air - or portions of tumors that break free
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
SA node

40. What do the anterior and posterior tibial veins unite to become
Sarot clamp?
Knitted polyester - woven polyester
Left & right common iliac arteries are at the 4th lumbar
The popliteal vein

41. What are the deep veins of the foot
Supine with head turned 45 degrees to the unaffected side
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
5-0 or 6-0
Dorsal venus arch

42. What graft material is not used in the popliteal area
To reinforce the anastomosis
Knitted polyester - woven polyester
Incision into an artery
Tunica intima - tunica media - & tunica adventita

43. What vein is on the lateral side of the arm
The surgeons hands should be wet
Arteriosclerosis obliterans
Basilic vein
Weitlaner self-retaining retractor

44. What are some special conseriderations for patients undergoing peripheral vascular surgery
Vessels that are between the arteriols and venule
Splenic artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Incision into an artery

45. What type of blade is used for an arteriotomy
Basilic vein
Vessels that are between the arteriols and venule
Arterial bypass
#11 on a #7 handle

46. What drugs are used in vascular surgery
The popliteal vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Flush then clamp proximal then distal
Right common carotid artery and external carotid artery

47. What type of retractor is used in an aortofemoral bypass
Dorsal venus arch
Stainless steel mesh - titanium - polypropylene
Weitlaner self-retaining retractor
The surgeons hands should be wet

48. sutures for femoral - popliteal arteries
Femoral arteries
Tunica intima - tunica media - & tunica adventita
6-0 or 7-0
5-0 or 6-0

49. From What vein is the blood taken to pre-clot the graft
#11 on a #7 handle
Ascending aorta
Vena cava
Arterial bypass

50. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Carotid endarterectomy
Double armed needles - tapered
A closed system of vessels that transport blood from the heart to the body and back