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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 is an ateriotomy
Femoral arteries
Arteriosclerosis obliterans
Incision into an artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

2. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Papaverine
Heparin and antibiotics for irrigation
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0 or 7-0

3. What are some special conseriderations for patients undergoing peripheral vascular surgery
Femoral arteries
Vessels that are between the arteriols and venule
Saphenous vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

4. What procedure is the javid shunt used for
#11 on a #7 handle
Carotid endarterectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Esophagus

5. Which artery feeds the adrenal glands
Vena cava
Suprarenal artery
4-0 or 5-0
Blood - fat - air - or portions of tumors that break free

6. What type of needle is used for vessels
Double armed needles - tapered
Rubber shods
Vessels that are between the arteriols and venule
Carotid endarterectomy

7. What disease leads to atheroma formation
Rubber shods
#11 on a #7 handle
Arteriosclerosis obliterans
6-0 or 7-0

8. Which arteries supply the spinal cord
Tunica intima - tunica media - & tunica adventita
Vertebral arteries
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate

9. What solution is not used during grafting procedures
Rubber shods
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Water

10. What type of blade is used for an arteriotomy
As the heart beats faster there is less blood volume
#11 on a #7 handle
To reinforce the anastomosis
The surgeons hands should be wet

11. What is the best approach for an aortofemoral bypass
4-0 or 5-0
Hyline cartilage
Heparin and antibiotics for irrigation
Arterial bypass

12. What materials are used for stents
SA node
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Stainless steel mesh - titanium - polypropylene
Splenic artery

13. What are delicate sutures tagged with
Rubber shods
As the heart beats faster there is less blood volume
Sarot clamp?
3-0 or 4-0

14. What are the deep veins of the foot
Dorsal venus arch
Supine with head turned 45 degrees to the unaffected side
#11 on a #7 handle
Arterial embolectomy

15. What are pledgets used for
The popliteal vein
As the heart beats faster there is less blood volume
Ascending aorta
To reinforce the anastomosis

16. What drugs are used in vascular surgery
Incision into an artery
3-0 or 4-0
6-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

17. What organs does the superior mesenteric artery feed
Water
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Stainless steel mesh - titanium - polypropylene

18. What does the external iliac artery biforcate into
Sarot clamp?
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Femoral arteries
Arterial bypass

19. What are capillaries
Femoral arteries
Water
Coronary arteries
Vessels that are between the arteriols and venule

20. What medication is added to saline
Femoral arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Basilic vein
Heparin and antibiotics for irrigation

21. What is claudication
Tunica intima - tunica media - & tunica adventita
Basilic vein
A closed system of vessels that transport blood from the heart to the body and back
Cramping pain or a dull ache

22. sutures for common carotid or subclavian
Epicardium - myocardium - and endocardium
6-0
Splenic artery
The force that blood exerts on the internal walls of the vessels

23. What structure is the pacemaker of the heart
SA node
Arteriosclerosis obliterans
Arterial bypass
Stainless steel mesh - titanium - polypropylene

24. What procedure is used for an iliac artery obstruction
Arterial bypass
Through the artery to compress the plaque against the wall of the artery
Femorofemoral bypass
Coronary arteries

25. In What procedure is a fogarty catheter used
Arterial embolectomy
Water
Weitlaner self-retaining retractor
3-0 or 4-0

26. Where do the coronary arteries arise from
Ventricular contraction - resistance - blood viscosity - and heart rate
Suprarenal artery
Ascending aorta
6-0

27. From What vein is the blood taken to pre-clot the graft
Vena cava
6-0
As the heart beats faster there is less blood volume
4-0 or 5-0

28. What vessels are clamped during a carotid endarterectomy
To reinforce the anastomosis
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery
Flush then clamp proximal then distal

29. What is an atrial embolism
Arterial embolectomy
Blood - fat - air - or portions of tumors that break free
The popliteal vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

30. What are the layers of vessels
The surgeons hands should be wet
Arteriosclerosis obliterans
Rubber shods
Tunica intima - tunica media - & tunica adventita

31. What drug is used for arterial vasospasms
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arterial embolectomy
Epicardium - myocardium - and endocardium

32. What structures keep the trachea from collapsing
The force that blood exerts on the internal walls of the vessels
Water
To reinforce the anastomosis
Hyline cartilage

33. sutures for femoral - popliteal arteries
6-0
Ascending aorta
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery

34. What is blood pressure
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Knitted polyester - woven polyester
Blood - fat - air - or portions of tumors that break free
The force that blood exerts on the internal walls of the vessels

35. What are the 3 branches of the aortic arch
Ascending aorta
Knitted polyester - woven polyester
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Rubber shods

36. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vessels that are between the arteriols and venule
Flush then clamp proximal then distal
SA node

37. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Knitted polyester - woven polyester
SA node
Carotid endarterectomy

38. Which clamp is removed last
Femorofemoral bypass
Internal carotid artery
Esophagus
Vena cava

39. What is the largest vein
Saphenous vein
Blood - fat - air - or portions of tumors that break free
Through the artery to compress the plaque against the wall of the artery
The popliteal vein

40. What graft material is not used in the popliteal area
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Knitted polyester - woven polyester
4-0 or 5-0

41. When is arterial blood volume decreased
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis
As the heart beats faster there is less blood volume

42. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Vessels that are between the arteriols and venule
As the heart beats faster there is less blood volume
Ventricular contraction - resistance - blood viscosity - and heart rate

43. Which artery feeds the upper digestive tract - spleen - and liver
Through the artery to compress the plaque against the wall of the artery
3-0 or 4-0
Splenic artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

44. Where does gas exchange take place
Right common carotid artery and external carotid artery
Through the artery to compress the plaque against the wall of the artery
In the capillaries
5-0 or 6-0

45. What are the sutures for the aorta
3-0 or 4-0
6-0 or 7-0
5-0 or 6-0
Splenic artery

46. What instrument is used to isolate an artery
The surgeons hands should be wet
Internal carotid then the external carotid then the common carotid artery
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

47. What are the layers of the heart
Incision into an artery
Saphenous vein
Epicardium - myocardium - and endocardium
As the heart beats faster there is less blood volume

48. What is the peripheral vascular system
Cramping pain or a dull ache
A closed system of vessels that transport blood from the heart to the body and back
Coronary arteries
6-0

49. What arteries supply the myocardium
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
5-0 or 6-0
Arterial embolectomy
Coronary arteries

50. What are the general characteristics of veins
3-0 or 4-0
Vertebral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation