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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 graft material is not used in the popliteal area
Splenic artery
A closed system of vessels that transport blood from the heart to the body and back
The surgeons hands should be wet
Knitted polyester - woven polyester

2. What procedure is the javid shunt used for
Carotid endarterectomy
Splenic artery
Blood - fat - air - or portions of tumors that break free
Water

3. What are the layers of vessels
Water
Tunica intima - tunica media - & tunica adventita
Vessels that are between the arteriols and venule
Cramping pain or a dull ache

4. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Carotid endarterectomy
6-0 or 7-0
The surgeons hands should be wet

5. What organ does the gastric artery feed
A closed system of vessels that transport blood from the heart to the body and back
#11 on a #7 handle
Internal carotid artery
Esophagus

6. What disease leads to atheroma formation
Epicardium - myocardium - and endocardium
Arteriosclerosis obliterans
Hyline cartilage
Midabdomen to toes & leg circumferentially

7. What instrument is used to isolate an artery
Esophagus
Incision into an artery
Sarot clamp?
Flush then clamp proximal then distal

8. sutures for femoral - popliteal arteries
5-0 or 6-0
Incision into an artery
Heparin and antibiotics for irrigation
The surgeons hands should be wet

9. What structures keep the trachea from collapsing
Hyline cartilage
Flush then clamp proximal then distal
Femoral arteries
3-0 or 4-0

10. What are pledgets used for
To reinforce the anastomosis
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0
The force that blood exerts on the internal walls of the vessels

11. What communicate in the circle of willis
Splenic artery
Stainless steel mesh - titanium - polypropylene
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vertebral arteries

12. Which clamp is removed last
Hyline cartilage
Arteriosclerosis obliterans
Internal carotid artery
Sarot clamp?

13. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Through the artery to compress the plaque against the wall of the artery
Femoral arteries
6-0 or 7-0

14. What are the characteristics of abdominal aneurysms
6-0
To reinforce the anastomosis
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
In the capillaries

15. What is the sequence of clamping in an ateriotomy
As the heart beats faster there is less blood volume
Stainless steel mesh - titanium - polypropylene
Rubber shods
Flush then clamp proximal then distal

16. What is an atrial embolism
Sarot clamp?
Ascending aorta
Blood - fat - air - or portions of tumors that break free
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

17. Which arteries supply the spinal cord
Basilic vein
Water
Flush then clamp proximal then distal
Vertebral arteries

18. What are the sutures for the aorta
Double armed needles - tapered
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
3-0 or 4-0
Internal carotid then the external carotid then the common carotid artery

19. What arteries supply the myocardium
A closed system of vessels that transport blood from the heart to the body and back
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries
Suprarenal artery

20. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Papaverine
Heparin and antibiotics for irrigation
#11 on a #7 handle

21. What organs does the superior mesenteric artery feed
SA node
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Dorsal venus arch
A closed system of vessels that transport blood from the heart to the body and back

22. Where does gas exchange take place
Supine with head turned 45 degrees to the unaffected side
In the capillaries
Femoral arteries
5-0 or 6-0

23. What medication is added to saline
In the capillaries
6-0 or 7-0
Heparin and antibiotics for irrigation
Sarot clamp?

24. sutures for common carotid or subclavian
6-0
Esophagus
Suprarenal artery
Vena cava

25. What is an ateriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femoral arteries
Incision into an artery

26. What is blood pressure
4-0 or 5-0
The force that blood exerts on the internal walls of the vessels
Dorsal venus arch
Weitlaner self-retaining retractor

27. What are capillaries
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid then the external carotid then the common carotid artery
As the heart beats faster there is less blood volume

28. When is arterial blood volume decreased
Esophagus
#11 on a #7 handle
As the heart beats faster there is less blood volume
Arterial bypass

29. What drug is used for arterial vasospasms
Midabdomen to toes & leg circumferentially
Papaverine
To reinforce the anastomosis
6-0

30. What is the best approach for an aortofemoral bypass
Saphenous vein
Arterial bypass
The popliteal vein
6-0

31. What vessels are clamped during a carotid endarterectomy
Knitted polyester - woven polyester
6-0 or 7-0
Internal carotid then the external carotid then the common carotid artery
The force that blood exerts on the internal walls of the vessels

32. What does the external iliac artery biforcate into
To reinforce the anastomosis
Arterial bypass
Femoral arteries
Epicardium - myocardium - and endocardium

33. Which artery feeds the adrenal glands
#11 on a #7 handle
Stainless steel mesh - titanium - polypropylene
Suprarenal artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

34. From What vein is the blood taken to pre-clot the graft
Vena cava
Saphenous vein
Hyline cartilage
Internal carotid then the external carotid then the common carotid artery

35. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Flush then clamp proximal then distal
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

36. What are the sutures for the iliac artery
Heparin and antibiotics for irrigation
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0
4-0 or 5-0

37. What are the layers of the heart
Epicardium - myocardium - and endocardium
Blood - fat - air - or portions of tumors that break free
Internal carotid artery
Vena cava

38. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Femoral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Coronary arteries

39. What vein is on the lateral side of the arm
Water
Flush then clamp proximal then distal
Vertebral arteries
Basilic vein

40. What are the general characteristics of veins
Double armed needles - tapered
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Tunica intima - tunica media - & tunica adventita

41. What type of blade is used for an arteriotomy
Knitted polyester - woven polyester
#11 on a #7 handle
Coronary arteries
6-0 or 7-0

42. What is claudication
Saphenous vein
#11 on a #7 handle
Cramping pain or a dull ache
5-0 or 6-0

43. What is the largest vein
In the capillaries
A closed system of vessels that transport blood from the heart to the body and back
Saphenous vein
Dorsal venus arch

44. What drugs are used in vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
5-0 or 6-0

45. What are the 3 branches of the aortic arch
To reinforce the anastomosis
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?
5-0 or 6-0

46. What should be done before tying polypropylene sutures
Splenic artery
To reinforce the anastomosis
Ascending aorta
The surgeons hands should be wet

47. 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
4-0 or 5-0
Ascending aorta
Arteriosclerosis obliterans

48. What type of retractor is used in an aortofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
Basilic vein
Weitlaner self-retaining retractor
Splenic artery

49. What do the anterior and posterior tibial veins unite to become
6-0 or 7-0
The popliteal vein
Arteriosclerosis obliterans
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

50. What is the peripheral vascular system
Vertebral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
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