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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 should be done before tying polypropylene sutures
Arterial embolectomy
Tunica intima - tunica media - & tunica adventita
The surgeons hands should be wet
Arteriosclerosis obliterans

2. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Vertebral arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0

3. What are the 3 branches of the aortic arch
3-0 or 4-0
#11 on a #7 handle
Rubber shods
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

4. What medication is added to saline
Vertebral arteries
6-0
SA node
Heparin and antibiotics for irrigation

5. Where do the coronary arteries arise from
Splenic artery
Left & right common iliac arteries are at the 4th lumbar
Dorsal venus arch
Ascending aorta

6. In What procedure is a fogarty catheter used
Internal carotid artery
Femoral arteries
Arterial embolectomy
Weitlaner self-retaining retractor

7. What organs does the superior mesenteric artery feed
Vena cava
Sarot clamp?
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
In the capillaries

8. What vessels are clamped during a carotid endarterectomy
A closed system of vessels that transport blood from the heart to the body and back
Vertebral arteries
Internal carotid then the external carotid then the common carotid artery
Hyline cartilage

9. Where does gas exchange take place
Vertebral arteries
Supine with head turned 45 degrees to the unaffected side
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
In the capillaries

10. sutures for common carotid or subclavian
Rubber shods
Tunica intima - tunica media - & tunica adventita
Cramping pain or a dull ache
6-0

11. What is an atrial embolism
The surgeons hands should be wet
Blood - fat - air - or portions of tumors that break free
Epicardium - myocardium - and endocardium
6-0 or 7-0

12. What is the best approach for an aortofemoral bypass
In the capillaries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Coronary arteries
Arterial bypass

13. 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
Rubber shods
Femorofemoral bypass
Cramping pain or a dull ache

14. What is blood pressure
#11 on a #7 handle
The force that blood exerts on the internal walls of the vessels
Rubber shods
Arteriosclerosis obliterans

15. What communicate in the circle of willis
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

16. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Arterial bypass
3-0 or 4-0
6-0 or 7-0

17. sutures for femoral - popliteal arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
5-0 or 6-0
Water
Blood - fat - air - or portions of tumors that break free

18. What are the layers of the heart
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation
#11 on a #7 handle
Internal carotid artery

19. What arteries supply the myocardium
Vessels that are between the arteriols and venule
Coronary arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Supine with head turned 45 degrees to the unaffected side

20. Which clamp is removed last
Hyline cartilage
Internal carotid artery
Midabdomen to toes & leg circumferentially
Cramping pain or a dull ache

21. What procedure is the javid shunt used for
The surgeons hands should be wet
3-0 or 4-0
Carotid endarterectomy
Midabdomen to toes & leg circumferentially

22. What is the largest vein
Vena cava
Knitted polyester - woven polyester
6-0 or 7-0
Saphenous vein

23. From What vein is the blood taken to pre-clot the graft
Knitted polyester - woven polyester
Internal carotid artery
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

24. Which artery feeds the upper digestive tract - spleen - and liver
Left & right common iliac arteries are at the 4th lumbar
Splenic artery
Coronary arteries
Right common carotid artery and external carotid artery

25. What is an ateriotomy
#11 on a #7 handle
Incision into an artery
Knitted polyester - woven polyester
4-0 or 5-0

26. What vein is on the lateral side of the arm
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Basilic vein
3-0 or 4-0

27. What materials are used for stents
Femorofemoral bypass
The surgeons hands should be wet
Vena cava
Stainless steel mesh - titanium - polypropylene

28. Which artery feeds the adrenal glands
Internal carotid then the external carotid then the common carotid artery
Blood - fat - air - or portions of tumors that break free
Suprarenal artery
6-0

29. What organ does the gastric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Esophagus
Arterial bypass
Incision into an artery

30. What are delicate sutures tagged with
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Incision into an artery
Saphenous vein
Rubber shods

31. What do the anterior and posterior tibial veins unite to become
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The popliteal vein
Tunica intima - tunica media - & tunica adventita
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

32. What are the sutures for the aorta
In the capillaries
3-0 or 4-0
To reinforce the anastomosis
Ventricular contraction - resistance - blood viscosity - and heart rate

33. What structure is the pacemaker of the heart
Supine with head turned 45 degrees to the unaffected side
Sarot clamp?
SA node
6-0 or 7-0

34. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0 or 7-0
Supine with head turned 45 degrees to the unaffected side

35. What are the sutures for the iliac artery
In the capillaries
Arteriosclerosis obliterans
4-0 or 5-0
Supine with head turned 45 degrees to the unaffected side

36. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Right common carotid artery and external carotid artery
Rubber shods
Saphenous vein

37. Which arteries supply the spinal cord
Flush then clamp proximal then distal
Vertebral arteries
Incision into an artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

38. 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
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sarot clamp?
#11 on a #7 handle

39. What type of blade is used for an arteriotomy
Knitted polyester - woven polyester
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle
Vertebral arteries

40. What are pledgets used for
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
To reinforce the anastomosis
SA node

41. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Saphenous vein
Splenic artery

42. What is the pt position for carotid endoarterectomy
Arteriosclerosis obliterans
Papaverine
Midabdomen to toes & leg circumferentially
Supine with head turned 45 degrees to the unaffected side

43. What disease leads to atheroma formation
Papaverine
Arteriosclerosis obliterans
Vessels that are between the arteriols and venule
Carotid endarterectomy

44. What solution is not used during grafting procedures
SA node
Left & right common iliac arteries are at the 4th lumbar
Stainless steel mesh - titanium - polypropylene
Water

45. What instrument is used to isolate an artery
In the capillaries
3-0 or 4-0
Sarot clamp?
Arteriosclerosis obliterans

46. What arteries supply the brain - head - and neck
Sarot clamp?
Arteriosclerosis obliterans
Ventricular contraction - resistance - blood viscosity - and heart rate
Right common carotid artery and external carotid artery

47. What are some special conseriderations for patients undergoing peripheral vascular surgery
#11 on a #7 handle
Splenic artery
Supine with head turned 45 degrees to the unaffected side
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

48. What does the external iliac artery biforcate into
Femoral arteries
A closed system of vessels that transport blood from the heart to the body and back
Arteriosclerosis obliterans
Weitlaner self-retaining retractor

49. What procedure is used for an iliac artery obstruction
Sarot clamp?
Femorofemoral bypass
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

50. What structures keep the trachea from collapsing
Through the artery to compress the plaque against the wall of the artery
Hyline cartilage
Tunica intima - tunica media - & tunica adventita
The surgeons hands should be wet