Test your basic knowledge |

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 solution is not used during grafting procedures
Water
Femorofemoral bypass
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

2. What are the deep veins of the foot
The surgeons hands should be wet
3-0 or 4-0
Cramping pain or a dull ache
Dorsal venus arch

3. What is the best approach for an aortofemoral bypass
Hyline cartilage
Arterial bypass
6-0
Flush then clamp proximal then distal

4. What are some special conseriderations for patients undergoing peripheral vascular surgery
Internal carotid then the external carotid then the common carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
3-0 or 4-0

5. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
4-0 or 5-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
To reinforce the anastomosis

6. What are the layers of the heart
Arteriosclerosis obliterans
Dorsal venus arch
Ascending aorta
Epicardium - myocardium - and endocardium

7. In What procedure is a fogarty catheter used
Arterial embolectomy
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation
Vessels that are between the arteriols and venule

8. What graft material is not used in the popliteal area
Arteriosclerosis obliterans
Knitted polyester - woven polyester
Blood - fat - air - or portions of tumors that break free
Tunica intima - tunica media - & tunica adventita

9. What is the location of the biforcation of the aorta and What vessels are involved
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Left & right common iliac arteries are at the 4th lumbar
Weitlaner self-retaining retractor
Papaverine

10. What organs does the superior mesenteric artery feed
6-0
Incision into an artery
Carotid endarterectomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

11. What organ does the gastric artery feed
Esophagus
Double armed needles - tapered
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans

12. What structures keep the trachea from collapsing
4-0 or 5-0
A closed system of vessels that transport blood from the heart to the body and back
6-0
Hyline cartilage

13. What type of needle is used for vessels
Rubber shods
Ventricular contraction - resistance - blood viscosity - and heart rate
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered

14. What are the 3 branches of the aortic arch
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Blood - fat - air - or portions of tumors that break free
SA node

15. What medication is added to saline
Heparin and antibiotics for irrigation
Femorofemoral bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Water

16. Which artery feeds the upper digestive tract - spleen - and liver
Coronary arteries
Splenic artery
Hyline cartilage
Dorsal venus arch

17. sutures for femoral - popliteal arteries
Tunica intima - tunica media - & tunica adventita
Arteriosclerosis obliterans
5-0 or 6-0
The popliteal vein

18. What are the layers of vessels
Stainless steel mesh - titanium - polypropylene
Tunica intima - tunica media - & tunica adventita
4-0 or 5-0
Femoral arteries

19. What disease leads to atheroma formation
Arteriosclerosis obliterans
Arterial embolectomy
Dorsal venus arch
Water

20. What should be done before tying polypropylene sutures
Supine with head turned 45 degrees to the unaffected side
The surgeons hands should be wet
Internal carotid then the external carotid then the common carotid artery
4-0 or 5-0

21. What are capillaries
Incision into an artery
Basilic vein
Rubber shods
Vessels that are between the arteriols and venule

22. From What vein is the blood taken to pre-clot the graft
4-0 or 5-0
Cramping pain or a dull ache
Vena cava
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

23. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
As the heart beats faster there is less blood volume

24. When is arterial blood volume decreased
Saphenous vein
Femorofemoral bypass
As the heart beats faster there is less blood volume
Hyline cartilage

25. What is the sequence of clamping in an ateriotomy
Epicardium - myocardium - and endocardium
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Flush then clamp proximal then distal
Arterial embolectomy

26. What are the general characteristics of veins
Femorofemoral bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Through the artery to compress the plaque against the wall of the artery

27. What arteries supply the brain - head - and neck
Incision into an artery
Papaverine
Vertebral arteries
Right common carotid artery and external carotid artery

28. What structure is the pacemaker of the heart
A closed system of vessels that transport blood from the heart to the body and back
SA node
Splenic artery
To reinforce the anastomosis

29. Which clamp is removed last
6-0
Femorofemoral bypass
Right common carotid artery and external carotid artery
Internal carotid artery

30. What are pledgets used for
To reinforce the anastomosis
Left & right common iliac arteries are at the 4th lumbar
Basilic vein
#11 on a #7 handle

31. What are the sutures for the iliac artery
4-0 or 5-0
5-0 or 6-0
The force that blood exerts on the internal walls of the vessels
Carotid endarterectomy

32. What are delicate sutures tagged with
The popliteal vein
Rubber shods
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Ascending aorta

33. What is an ateriotomy
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene
The surgeons hands should be wet
Incision into an artery

34. What type of blade is used for an arteriotomy
To reinforce the anastomosis
#11 on a #7 handle
Vessels that are between the arteriols and venule
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

35. What arteries supply the myocardium
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Coronary arteries
Carotid endarterectomy
Splenic artery

36. What vessels are clamped during a carotid endarterectomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid then the external carotid then the common carotid artery
SA node
Coronary arteries

37. What is the largest vein
A closed system of vessels that transport blood from the heart to the body and back
Left & right common iliac arteries are at the 4th lumbar
In the capillaries
Saphenous vein

38. What type of retractor is used in an aortofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Weitlaner self-retaining retractor
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Arterial embolectomy

39. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Rubber shods
The force that blood exerts on the internal walls of the vessels
In the capillaries

40. How is the fogarty baloon catheter used
Femorofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Left & right common iliac arteries are at the 4th lumbar
6-0

41. What factors influence blood pressure
Saphenous vein
#11 on a #7 handle
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels

42. 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
Stainless steel mesh - titanium - polypropylene
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

43. What are the sutures for the aorta
Tunica intima - tunica media - & tunica adventita
Through the artery to compress the plaque against the wall of the artery
#11 on a #7 handle
3-0 or 4-0

44. What drug is used for arterial vasospasms
Carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
#11 on a #7 handle
Papaverine

45. What instrument is used to isolate an artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?
Water
Blood - fat - air - or portions of tumors that break free

46. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Internal carotid artery
5-0 or 6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

47. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Vertebral arteries
6-0 or 7-0
Midabdomen to toes & leg circumferentially
Water

48. Which arteries supply the spinal cord
As the heart beats faster there is less blood volume
Esophagus
Arterial bypass
Vertebral arteries

49. Which artery feeds the adrenal glands
Femorofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Suprarenal artery
Vessels that are between the arteriols and venule

50. What drugs are used in vascular surgery
Flush then clamp proximal then distal
Coronary arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Suprarenal artery