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. Where does gas exchange take place
In the capillaries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Hyline cartilage
Supine with head turned 45 degrees to the unaffected side

2. What vessels are clamped during a carotid endarterectomy
Coronary arteries
Internal carotid then the external carotid then the common carotid artery
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

3. What structure is the pacemaker of the heart
SA node
Vertebral arteries
Suprarenal artery
Through the artery to compress the plaque against the wall of the artery

4. What arteries supply the myocardium
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Coronary arteries
Supine with head turned 45 degrees to the unaffected side
In the capillaries

5. From What vein is the blood taken to pre-clot the graft
Femorofemoral bypass
Vena cava
Arterial bypass
3-0 or 4-0

6. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free
Heparin and antibiotics for irrigation
In the capillaries

7. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vessels that are between the arteriols and venule
6-0 or 7-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

8. sutures for common carotid or subclavian
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vessels that are between the arteriols and venule
6-0
Incision into an artery

9. Which artery feeds the upper digestive tract - spleen - and liver
Arterial bypass
Hyline cartilage
Splenic artery
Flush then clamp proximal then distal

10. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
3-0 or 4-0
Papaverine
Arteriosclerosis obliterans

11. What do the anterior and posterior tibial veins unite to become
6-0
The popliteal vein
Hyline cartilage
Ventricular contraction - resistance - blood viscosity - and heart rate

12. What organs does the superior mesenteric artery feed
Vena cava
Incision into an artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
As the heart beats faster there is less blood volume

13. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Coronary arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels

14. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Tunica intima - tunica media - & tunica adventita
Internal carotid then the external carotid then the common carotid artery
In the capillaries

15. What is claudication
Tunica intima - tunica media - & tunica adventita
Splenic artery
Cramping pain or a dull ache
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

16. How is the fogarty baloon catheter used
Stainless steel mesh - titanium - polypropylene
4-0 or 5-0
Heparin and antibiotics for irrigation
Through the artery to compress the plaque against the wall of the artery

17. What type of needle is used for vessels
Tunica intima - tunica media - & tunica adventita
Vertebral arteries
The popliteal vein
Double armed needles - tapered

18. What are the deep veins of the foot
Dorsal venus arch
6-0
Esophagus
Basilic vein

19. What are the sutures for the aorta
6-0 or 7-0
As the heart beats faster there is less blood volume
Suprarenal artery
3-0 or 4-0

20. What is an atrial embolism
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar
Blood - fat - air - or portions of tumors that break free
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

21. What is the largest vein
The surgeons hands should be wet
Right common carotid artery and external carotid artery
A closed system of vessels that transport blood from the heart to the body and back
Saphenous vein

22. What does the external iliac artery biforcate into
Femoral arteries
Vertebral arteries
Splenic artery
6-0 or 7-0

23. What structures keep the trachea from collapsing
Rubber shods
Hyline cartilage
To reinforce the anastomosis
Coronary arteries

24. Where do the coronary arteries arise from
Internal carotid artery
Vessels that are between the arteriols and venule
Vertebral arteries
Ascending aorta

25. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially
Tunica intima - tunica media - & tunica adventita
Knitted polyester - woven polyester

26. What instrument is used to isolate an artery
Midabdomen to toes & leg circumferentially
Sarot clamp?
Right common carotid artery and external carotid artery
Papaverine

27. Which clamp is removed last
Suprarenal artery
Sarot clamp?
Double armed needles - tapered
Internal carotid artery

28. What solution is not used during grafting procedures
Knitted polyester - woven polyester
Water
3-0 or 4-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

29. What drug is used for arterial vasospasms
Papaverine
Arterial embolectomy
Water
In the capillaries

30. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Femorofemoral bypass
Midabdomen to toes & leg circumferentially
Tunica intima - tunica media - & tunica adventita

31. What disease leads to atheroma formation
Esophagus
Arteriosclerosis obliterans
Flush then clamp proximal then distal
Sarot clamp?

32. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Arteriosclerosis obliterans
Flush then clamp proximal then distal
Tunica intima - tunica media - & tunica adventita

33. What are capillaries
Vessels that are between the arteriols and venule
Coronary arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Cramping pain or a dull ache

34. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
As the heart beats faster there is less blood volume
Blood - fat - air - or portions of tumors that break free
SA node

35. 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
Blood - fat - air - or portions of tumors that break free
Right common carotid artery and external carotid artery
Internal carotid then the external carotid then the common carotid artery

36. What is the best approach for an aortofemoral bypass
Rubber shods
Vessels that are between the arteriols and venule
Arterial bypass
Double armed needles - tapered

37. What procedure is used for an iliac artery obstruction
Flush then clamp proximal then distal
Femorofemoral bypass
Arterial embolectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

38. What are the general characteristics of veins
As the heart beats faster there is less blood volume
3-0 or 4-0
Vena cava
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

39. What drugs are used in vascular surgery
5-0 or 6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
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

40. What is the pt position for carotid endoarterectomy
Basilic vein
Ventricular contraction - resistance - blood viscosity - and heart rate
Knitted polyester - woven polyester
Supine with head turned 45 degrees to the unaffected side

41. What vein is on the lateral side of the arm
Through the artery to compress the plaque against the wall of the artery
Knitted polyester - woven polyester
Epicardium - myocardium - and endocardium
Basilic vein

42. What is an ateriotomy
Incision into an artery
Internal carotid then the external carotid then the common carotid artery
6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

43. sutures for femoral - popliteal arteries
5-0 or 6-0
Supine with head turned 45 degrees to the unaffected side
Rubber shods
Right common carotid artery and external carotid artery

44. What communicate in the circle of willis
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

45. What should be done before tying polypropylene sutures
Flush then clamp proximal then distal
The surgeons hands should be wet
Through the artery to compress the plaque against the wall of the artery
Tunica intima - tunica media - & tunica adventita

46. What are the layers of the heart
Internal carotid artery
Epicardium - myocardium - and endocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

47. When is arterial blood volume decreased
Heparin and antibiotics for irrigation
As the heart beats faster there is less blood volume
6-0 or 7-0
Sarot clamp?

48. Which arteries supply the spinal cord
Vertebral arteries
Cramping pain or a dull ache
Saphenous vein
In the capillaries

49. Which artery feeds the adrenal glands
Suprarenal artery
Rubber shods
The surgeons hands should be wet
Vertebral arteries

50. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Cramping pain or a dull ache
Double armed needles - tapered
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents