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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
Arteriosclerosis obliterans
Papaverine
Splenic artery
Femorofemoral bypass

2. What procedure is used for an iliac artery obstruction
Through the artery to compress the plaque against the wall of the artery
Supine with head turned 45 degrees to the unaffected side
Femorofemoral bypass
6-0 or 7-0

3. What is an ateriotomy
Water
Incision into an artery
Femoral arteries
Splenic artery

4. What is the best approach for an aortofemoral bypass
To reinforce the anastomosis
Ventricular contraction - resistance - blood viscosity - and heart rate
Arterial bypass
Femoral arteries

5. What drugs are used in vascular surgery
Right common carotid artery and external carotid artery
Left & right common iliac arteries are at the 4th lumbar
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
To reinforce the anastomosis

6. What vessels are clamped during a carotid endarterectomy
Ventricular contraction - resistance - blood viscosity - and heart rate
Internal carotid then the external carotid then the common carotid artery
Stainless steel mesh - titanium - polypropylene
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

7. What is the sequence of clamping in an ateriotomy
Water
Epicardium - myocardium - and endocardium
Saphenous vein
Flush then clamp proximal then distal

8. What are the characteristics of abdominal aneurysms
Blood - fat - air - or portions of tumors that break free
6-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

9. Which clamp is removed last
Basilic vein
Internal carotid artery
Hyline cartilage
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

10. What type of blade is used for an arteriotomy
#11 on a #7 handle
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Blood - fat - air - or portions of tumors that break free
Midabdomen to toes & leg circumferentially

11. What are delicate sutures tagged with
6-0
Saphenous vein
Femorofemoral bypass
Rubber shods

12. What is blood pressure
5-0 or 6-0
Blood - fat - air - or portions of tumors that break free
The force that blood exerts on the internal walls of the vessels
Epicardium - myocardium - and endocardium

13. What are pledgets used for
Dorsal venus arch
To reinforce the anastomosis
Arteriosclerosis obliterans
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

14. What vein is on the lateral side of the arm
#11 on a #7 handle
Basilic vein
Tunica intima - tunica media - & tunica adventita
The surgeons hands should be wet

15. What is the location of the biforcation of the aorta and What vessels are involved
Internal carotid then the external carotid then the common carotid artery
Left & right common iliac arteries are at the 4th lumbar
Cramping pain or a dull ache
Arterial bypass

16. What arteries supply the myocardium
Basilic vein
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
Coronary arteries

17. Where do the coronary arteries arise from
Ascending aorta
Femorofemoral bypass
6-0
Rubber shods

18. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Arteriosclerosis obliterans
6-0 or 7-0
Stainless steel mesh - titanium - polypropylene
A closed system of vessels that transport blood from the heart to the body and back

19. In What procedure is a fogarty catheter used
Coronary arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
3-0 or 4-0
Arterial embolectomy

20. What do the anterior and posterior tibial veins unite to become
3-0 or 4-0
The popliteal vein
Arterial embolectomy
In the capillaries

21. What materials are used for stents
Dorsal venus arch
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene
Flush then clamp proximal then distal

22. What is the pt position for carotid endoarterectomy
Vessels that are between the arteriols and venule
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Through the artery to compress the plaque against the wall of the artery
Supine with head turned 45 degrees to the unaffected side

23. Which arteries supply the spinal cord
Vertebral arteries
Heparin and antibiotics for irrigation
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

24. What solution is not used during grafting procedures
6-0
Tunica intima - tunica media - & tunica adventita
Vena cava
Water

25. What organs does the superior mesenteric artery feed
Internal carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Flush then clamp proximal then distal
Stainless steel mesh - titanium - polypropylene

26. What are the layers of the heart
Right common carotid artery and external carotid artery
Epicardium - myocardium - and endocardium
Double armed needles - tapered
Esophagus

27. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
6-0 or 7-0
Vertebral arteries
Papaverine

28. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femorofemoral bypass
A closed system of vessels that transport blood from the heart to the body and back
Heparin and antibiotics for irrigation

29. What does the external iliac artery biforcate into
Femoral arteries
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
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

30. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Vertebral arteries
Knitted polyester - woven polyester
Papaverine

31. sutures for common carotid or subclavian
Papaverine
The force that blood exerts on the internal walls of the vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0

32. What medication is added to saline
Supine with head turned 45 degrees to the unaffected side
Heparin and antibiotics for irrigation
Vessels that are between the arteriols and venule
Basilic vein

33. What instrument is used to isolate an artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
6-0
Sarot clamp?
The popliteal vein

34. What is the peripheral vascular system
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
A closed system of vessels that transport blood from the heart to the body and back
Carotid endarterectomy
Flush then clamp proximal then distal

35. What are the deep veins of the foot
Stainless steel mesh - titanium - polypropylene
Dorsal venus arch
Weitlaner self-retaining retractor
4-0 or 5-0

36. What are the sutures for the aorta
3-0 or 4-0
Heparin and antibiotics for irrigation
6-0
Femorofemoral bypass

37. What are the general characteristics of veins
Ascending aorta
6-0 or 7-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Flush then clamp proximal then distal

38. What type of needle is used for vessels
5-0 or 6-0
In the capillaries
Double armed needles - tapered
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

39. What structure is the pacemaker of the heart
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid artery
Arteriosclerosis obliterans
SA node

40. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Water
Ventricular contraction - resistance - blood viscosity - and heart rate
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

41. What are capillaries
Rubber shods
Vessels that are between the arteriols and venule
As the heart beats faster there is less blood volume
Ascending aorta

42. sutures for femoral - popliteal arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
5-0 or 6-0
Arterial bypass
Basilic vein

43. What procedure is the javid shunt used for
6-0 or 7-0
Femoral arteries
Carotid endarterectomy
SA node

44. What are the sutures for the iliac artery
Femoral arteries
4-0 or 5-0
Vena cava
Dorsal venus arch

45. What are some special conseriderations for patients undergoing peripheral vascular surgery
Dorsal venus arch
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

46. What should be done before tying polypropylene sutures
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The surgeons hands should be wet
Weitlaner self-retaining retractor
Ventricular contraction - resistance - blood viscosity - and heart rate

47. What type of retractor is used in an aortofemoral bypass
Knitted polyester - woven polyester
Arterial bypass
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially

48. What arteries supply the brain - head - and neck
The surgeons hands should be wet
Internal carotid then the external carotid then the common carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Right common carotid artery and external carotid artery

49. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Basilic vein
Vessels that are between the arteriols and venule
Ascending aorta

50. From What vein is the blood taken to pre-clot the graft
Rubber shods
Vena cava
5-0 or 6-0
6-0 or 7-0