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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. How is the fogarty baloon catheter used
5-0 or 6-0
Rubber shods
Through the artery to compress the plaque against the wall of the artery
Midabdomen to toes & leg circumferentially

2. What procedure is the javid shunt used for
Carotid endarterectomy
A closed system of vessels that transport blood from the heart to the body and back
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

3. Which artery feeds the adrenal glands
Water
Suprarenal artery
Vessels that are between the arteriols and venule
Blood - fat - air - or portions of tumors that break free

4. What are pledgets used for
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
To reinforce the anastomosis
5-0 or 6-0
Femorofemoral bypass

5. What organ does the gastric artery feed
Hyline cartilage
Esophagus
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0 or 7-0

6. What are delicate sutures tagged with
Rubber shods
Water
Knitted polyester - woven polyester
4-0 or 5-0

7. What structures keep the trachea from collapsing
Supine with head turned 45 degrees to the unaffected side
Hyline cartilage
3-0 or 4-0
Arterial embolectomy

8. In What procedure is a fogarty catheter used
#11 on a #7 handle
Esophagus
As the heart beats faster there is less blood volume
Arterial embolectomy

9. What communicate in the circle of willis
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Ascending aorta

10. What drug is used for arterial vasospasms
Papaverine
Supine with head turned 45 degrees to the unaffected side
Epicardium - myocardium - and endocardium
Weitlaner self-retaining retractor

11. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Saphenous vein
Basilic vein
The popliteal vein

12. Which arteries supply the spinal cord
Carotid endarterectomy
Knitted polyester - woven polyester
Vertebral arteries
Right common carotid artery and external carotid artery

13. What does the external iliac artery biforcate into
Arteriosclerosis obliterans
To reinforce the anastomosis
Femoral arteries
In the capillaries

14. What disease leads to atheroma formation
Double armed needles - tapered
Supine with head turned 45 degrees to the unaffected side
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans

15. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ascending aorta
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage

16. What is the largest vein
In the capillaries
Rubber shods
Knitted polyester - woven polyester
Saphenous vein

17. What graft material is not used in the popliteal area
Dorsal venus arch
Femoral arteries
Left & right common iliac arteries are at the 4th lumbar
Knitted polyester - woven polyester

18. What is the location of the biforcation of the aorta and What vessels are involved
3-0 or 4-0
Double armed needles - tapered
Sarot clamp?
Left & right common iliac arteries are at the 4th lumbar

19. Where do the coronary arteries arise from
The popliteal vein
Weitlaner self-retaining retractor
Blood - fat - air - or portions of tumors that break free
Ascending aorta

20. sutures for femoral - popliteal arteries
5-0 or 6-0
The force that blood exerts on the internal walls of the vessels
4-0 or 5-0
Stainless steel mesh - titanium - polypropylene

21. What structure is the pacemaker of the heart
SA node
Internal carotid artery
Internal carotid then the external carotid then the common carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

22. Where does gas exchange take place
Carotid endarterectomy
In the capillaries
Arteriosclerosis obliterans
Ascending aorta

23. What is claudication
#11 on a #7 handle
3-0 or 4-0
Carotid endarterectomy
Cramping pain or a dull ache

24. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Hyline cartilage
6-0 or 7-0
Vena cava

25. What is the best approach for an aortofemoral bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
3-0 or 4-0
Arterial bypass
The surgeons hands should be wet

26. What instrument is used to isolate an artery
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
4-0 or 5-0
Midabdomen to toes & leg circumferentially

27. What is the sequence of clamping in an ateriotomy
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Splenic artery
Flush then clamp proximal then distal

28. What are the sutures for the aorta
As the heart beats faster there is less blood volume
Supine with head turned 45 degrees to the unaffected side
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
3-0 or 4-0

29. Which clamp is removed last
Knitted polyester - woven polyester
Internal carotid artery
3-0 or 4-0
The surgeons hands should be wet

30. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid artery
6-0

31. What medication is added to saline
Rubber shods
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Heparin and antibiotics for irrigation
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

32. What organs does the superior mesenteric artery feed
Midabdomen to toes & leg circumferentially
Blood - fat - air - or portions of tumors that break free
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

33. What is the pt position for carotid endoarterectomy
To reinforce the anastomosis
Dorsal venus arch
Supine with head turned 45 degrees to the unaffected side
In the capillaries

34. What arteries supply the myocardium
Splenic artery
In the capillaries
Coronary arteries
Internal carotid artery

35. What vein is on the lateral side of the arm
6-0 or 7-0
Splenic artery
The force that blood exerts on the internal walls of the vessels
Basilic vein

36. Which artery feeds the upper digestive tract - spleen - and liver
Right common carotid artery and external carotid artery
Incision into an artery
Splenic artery
Double armed needles - tapered

37. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Left & right common iliac arteries are at the 4th lumbar
Splenic artery
Water

38. What is the peripheral vascular system
Knitted polyester - woven polyester
Internal carotid artery
Ascending aorta
A closed system of vessels that transport blood from the heart to the body and back

39. What solution is not used during grafting procedures
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
Arterial bypass
Water

40. What type of needle is used for vessels
Double armed needles - tapered
To reinforce the anastomosis
Tunica intima - tunica media - & tunica adventita
Ascending aorta

41. What procedure is used for an iliac artery obstruction
Incision into an artery
Femorofemoral bypass
As the heart beats faster there is less blood volume
Weitlaner self-retaining retractor

42. What are the 3 branches of the aortic arch
Supine with head turned 45 degrees to the unaffected side
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?

43. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
6-0
Femorofemoral bypass
Vessels that are between the arteriols and venule

44. What are capillaries
6-0
Vessels that are between the arteriols and venule
Arterial embolectomy
Water

45. What is an ateriotomy
Incision into an artery
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femorofemoral bypass

46. From What vein is the blood taken to pre-clot the graft
5-0 or 6-0
Vena cava
6-0 or 7-0
Suprarenal artery

47. What are the deep veins of the foot
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Cramping pain or a dull ache
#11 on a #7 handle
Dorsal venus arch

48. What drugs are used in vascular surgery
3-0 or 4-0
Tunica intima - tunica media - & tunica adventita
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

49. What are the layers of the heart
Epicardium - myocardium - and endocardium
Flush then clamp proximal then distal
4-0 or 5-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

50. 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
As the heart beats faster there is less blood volume
Stainless steel mesh - titanium - polypropylene
6-0