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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 organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid then the external carotid then the common carotid artery
Dorsal venus arch
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

2. What instrument is used to isolate an artery
Left & right common iliac arteries are at the 4th lumbar
Heparin and antibiotics for irrigation
Sarot clamp?
Cramping pain or a dull ache

3. What organ does the gastric artery feed
Weitlaner self-retaining retractor
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
Esophagus

4. Which arteries supply the spinal cord
Arterial embolectomy
Vertebral arteries
Papaverine
Esophagus

5. What arteries supply the brain - head - and neck
Vena cava
Basilic vein
Carotid endarterectomy
Right common carotid artery and external carotid artery

6. Which artery feeds the upper digestive tract - spleen - and liver
Coronary arteries
To reinforce the anastomosis
Splenic artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

7. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Vertebral arteries
Sarot clamp?
3-0 or 4-0

8. What medication is added to saline
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Heparin and antibiotics for irrigation
The popliteal vein
Arteriosclerosis obliterans

9. What are the deep veins of the foot
Dorsal venus arch
Arterial embolectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Double armed needles - tapered

10. What is an ateriotomy
Weitlaner self-retaining retractor
Coronary arteries
Incision into an artery
Arteriosclerosis obliterans

11. What drug is used for arterial vasospasms
Arterial embolectomy
6-0 or 7-0
In the capillaries
Papaverine

12. What structure is the pacemaker of the heart
Weitlaner self-retaining retractor
SA node
The popliteal vein
4-0 or 5-0

13. What are the sutures for the iliac artery
Blood - fat - air - or portions of tumors that break free
Tunica intima - tunica media - & tunica adventita
Basilic vein
4-0 or 5-0

14. What graft material is not used in the popliteal area
Suprarenal artery
Esophagus
Knitted polyester - woven polyester
Arterial bypass

15. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Arterial embolectomy
A closed system of vessels that transport blood from the heart to the body and back
Tunica intima - tunica media - & tunica adventita

16. What communicate in the circle of willis
Double armed needles - tapered
Knitted polyester - woven polyester
As the heart beats faster there is less blood volume
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

17. What is the best approach for an aortofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Arterial bypass
6-0 or 7-0
6-0

18. What are pledgets used for
Flush then clamp proximal then distal
To reinforce the anastomosis
Basilic vein
Vertebral arteries

19. What disease leads to atheroma formation
Arteriosclerosis obliterans
As the heart beats faster there is less blood volume
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Femorofemoral bypass

20. What is the largest vein
Saphenous vein
Blood - fat - air - or portions of tumors that break free
Incision into an artery
4-0 or 5-0

21. What is the sequence of clamping in an ateriotomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The force that blood exerts on the internal walls of the vessels
Flush then clamp proximal then distal
Hyline cartilage

22. 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
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Through the artery to compress the plaque against the wall of the artery

23. What type of blade is used for an arteriotomy
Flush then clamp proximal then distal
Blood - fat - air - or portions of tumors that break free
#11 on a #7 handle
Arteriosclerosis obliterans

24. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
Sarot clamp?

25. Where does gas exchange take place
Coronary arteries
In the capillaries
Epicardium - myocardium - and endocardium
Water

26. What structures keep the trachea from collapsing
Arteriosclerosis obliterans
5-0 or 6-0
Hyline cartilage
Coronary arteries

27. What factors influence blood pressure
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Dorsal venus arch
Ventricular contraction - resistance - blood viscosity - and heart rate
Blood - fat - air - or portions of tumors that break free

28. What are capillaries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vessels that are between the arteriols and venule
Midabdomen to toes & leg circumferentially
4-0 or 5-0

29. Which artery feeds the adrenal glands
Suprarenal artery
Heparin and antibiotics for irrigation
SA node
Carotid endarterectomy

30. What should be done before tying polypropylene sutures
Coronary arteries
Internal carotid then the external carotid then the common carotid artery
Arterial bypass
The surgeons hands should be wet

31. 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
3-0 or 4-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Left & right common iliac arteries are at the 4th lumbar

32. Where do the coronary arteries arise from
Arteriosclerosis obliterans
Carotid endarterectomy
To reinforce the anastomosis
Ascending aorta

33. What materials are used for stents
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Stainless steel mesh - titanium - polypropylene
Arterial embolectomy
Right common carotid artery and external carotid artery

34. When is arterial blood volume decreased
Papaverine
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
6-0 or 7-0

35. What procedure is the javid shunt used for
Carotid endarterectomy
Left & right common iliac arteries are at the 4th lumbar
Flush then clamp proximal then distal
Rubber shods

36. What vein is on the lateral side of the arm
Midabdomen to toes & leg circumferentially
In the capillaries
Femoral arteries
Basilic vein

37. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
The force that blood exerts on the internal walls of the vessels
Right common carotid artery and external carotid artery
In the capillaries

38. What are the general characteristics of veins
Dorsal venus arch
Carotid endarterectomy
Epicardium - myocardium - and endocardium
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

39. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Suprarenal artery
In the capillaries
5-0 or 6-0

40. sutures for common carotid or subclavian
Flush then clamp proximal then distal
6-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Left & right common iliac arteries are at the 4th lumbar

41. What type of retractor is used in an aortofemoral bypass
5-0 or 6-0
Carotid endarterectomy
Weitlaner self-retaining retractor
Supine with head turned 45 degrees to the unaffected side

42. What type of needle is used for vessels
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Double armed needles - tapered
Saphenous vein
Vessels that are between the arteriols and venule

43. What is claudication
Incision into an artery
Cramping pain or a dull ache
Hyline cartilage
Femoral arteries

44. What is the peripheral vascular system
5-0 or 6-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle
A closed system of vessels that transport blood from the heart to the body and back

45. From What vein is the blood taken to pre-clot the graft
Vena cava
Vessels that are between the arteriols and venule
Saphenous vein
Right common carotid artery and external carotid artery

46. Which clamp is removed last
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

47. What are the layers of vessels
Sarot clamp?
Incision into an artery
A closed system of vessels that transport blood from the heart to the body and back
Tunica intima - tunica media - & tunica adventita

48. What does the external iliac artery biforcate into
Blood - fat - air - or portions of tumors that break free
Femoral arteries
Ascending aorta
Weitlaner self-retaining retractor

49. What are the 3 branches of the aortic arch
Saphenous vein
Midabdomen to toes & leg circumferentially
Flush then clamp proximal then distal
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

50. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Rubber shods
Esophagus
Water