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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
Vertebral arteries
Knitted polyester - woven polyester
Arterial embolectomy
Water

2. Which clamp is removed last
Internal carotid artery
Splenic artery
Coronary arteries
Basilic vein

3. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ventricular contraction - resistance - blood viscosity - and heart rate
Left & right common iliac arteries are at the 4th lumbar

4. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
#11 on a #7 handle
As the heart beats faster there is less blood volume
Vessels that are between the arteriols and venule

5. What vessels are clamped during a carotid endarterectomy
Femorofemoral bypass
5-0 or 6-0
Internal carotid then the external carotid then the common carotid artery
Incision into an artery

6. What type of needle is used for vessels
#11 on a #7 handle
Blood - fat - air - or portions of tumors that break free
Double armed needles - tapered
Midabdomen to toes & leg circumferentially

7. What procedure is the javid shunt used for
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Basilic vein
Splenic artery
Carotid endarterectomy

8. What are capillaries
Epicardium - myocardium - and endocardium
Vessels that are between the arteriols and venule
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
4-0 or 5-0

9. What is the largest vein
Left & right common iliac arteries are at the 4th lumbar
To reinforce the anastomosis
Saphenous vein
#11 on a #7 handle

10. What is the location of the biforcation of the aorta and What vessels are involved
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
Ascending aorta

11. What medication is added to saline
Knitted polyester - woven polyester
Vessels that are between the arteriols and venule
Ascending aorta
Heparin and antibiotics for irrigation

12. What vein is on the lateral side of the arm
Arterial bypass
Ascending aorta
6-0
Basilic vein

13. What are the characteristics of abdominal aneurysms
Hyline cartilage
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Epicardium - myocardium - and endocardium
Right common carotid artery and external carotid artery

14. What arteries supply the brain - head - and neck
Saphenous vein
Double armed needles - tapered
Hyline cartilage
Right common carotid artery and external carotid artery

15. What do the anterior and posterior tibial veins unite to become
Supine with head turned 45 degrees to the unaffected side
The popliteal vein
Vertebral arteries
#11 on a #7 handle

16. What arteries supply the myocardium
Coronary arteries
Internal carotid then the external carotid then the common carotid artery
The force that blood exerts on the internal walls of the vessels
To reinforce the anastomosis

17. sutures for common carotid or subclavian
To reinforce the anastomosis
Esophagus
Vertebral arteries
6-0

18. What structures keep the trachea from collapsing
Hyline cartilage
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
To reinforce the anastomosis

19. What drug is used for arterial vasospasms
Papaverine
#11 on a #7 handle
6-0 or 7-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

20. Which arteries supply the spinal cord
Rubber shods
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vertebral arteries
Vena cava

21. What are the deep veins of the foot
Vena cava
The popliteal vein
Dorsal venus arch
6-0 or 7-0

22. What is the peripheral vascular system
Internal carotid artery
A closed system of vessels that transport blood from the heart to the body and back
Arterial bypass
Double armed needles - tapered

23. What type of blade is used for an arteriotomy
Heparin and antibiotics for irrigation
Supine with head turned 45 degrees to the unaffected side
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
#11 on a #7 handle

24. What are the layers of vessels
Esophagus
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered
Tunica intima - tunica media - & tunica adventita

25. What are some special conseriderations for patients undergoing peripheral vascular surgery
Right common carotid artery and external carotid artery
Rubber shods
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

26. What is the prep area for a femoropopliteal bypass
In the capillaries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Midabdomen to toes & leg circumferentially
Internal carotid artery

27. Where do the coronary arteries arise from
Vessels that are between the arteriols and venule
Ascending aorta
Blood - fat - air - or portions of tumors that break free
Arterial bypass

28. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Carotid endarterectomy
Femoral arteries
Blood - fat - air - or portions of tumors that break free

29. Which artery feeds the upper digestive tract - spleen - and liver
Sarot clamp?
Right common carotid artery and external carotid artery
Arteriosclerosis obliterans
Splenic artery

30. What is an atrial embolism
Incision into an artery
Femorofemoral bypass
Heparin and antibiotics for irrigation
Blood - fat - air - or portions of tumors that break free

31. What communicate in the circle of willis
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
Esophagus
Saphenous vein

32. What are the sutures for the iliac artery
4-0 or 5-0
SA node
A closed system of vessels that transport blood from the heart to the body and back
Midabdomen to toes & leg circumferentially

33. What are pledgets used for
Blood - fat - air - or portions of tumors that break free
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Through the artery to compress the plaque against the wall of the artery
To reinforce the anastomosis

34. What disease leads to atheroma formation
Heparin and antibiotics for irrigation
4-0 or 5-0
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery

35. What should be done before tying polypropylene sutures
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Internal carotid artery
Suprarenal artery
The surgeons hands should be wet

36. Which artery feeds the adrenal glands
Suprarenal artery
Esophagus
Vertebral arteries
3-0 or 4-0

37. What is an ateriotomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery
Femorofemoral bypass
As the heart beats faster there is less blood volume

38. What procedure is used for an iliac artery obstruction
Sarot clamp?
Blood - fat - air - or portions of tumors that break free
In the capillaries
Femorofemoral bypass

39. What type of retractor is used in an aortofemoral bypass
Right common carotid artery and external carotid artery
6-0
Weitlaner self-retaining retractor
Knitted polyester - woven polyester

40. sutures for femoral - popliteal arteries
Esophagus
Ventricular contraction - resistance - blood viscosity - and heart rate
5-0 or 6-0
6-0 or 7-0

41. What drugs are used in vascular surgery
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery
Femorofemoral bypass
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

42. What factors influence blood pressure
In the capillaries
Left & right common iliac arteries are at the 4th lumbar
3-0 or 4-0
Ventricular contraction - resistance - blood viscosity - and heart rate

43. What organ does the gastric artery feed
Esophagus
Double armed needles - tapered
Weitlaner self-retaining retractor
The surgeons hands should be wet

44. What are delicate sutures tagged with
Left & right common iliac arteries are at the 4th lumbar
Rubber shods
Arterial bypass
To reinforce the anastomosis

45. What structure is the pacemaker of the heart
Tunica intima - tunica media - & tunica adventita
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
SA node
Basilic vein

46. From What vein is the blood taken to pre-clot the graft
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
In the capillaries

47. What are the general characteristics of veins
Epicardium - myocardium - and endocardium
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The force that blood exerts on the internal walls of the vessels
In the capillaries

48. What instrument is used to isolate an artery
Sarot clamp?
Arteriosclerosis obliterans
Esophagus
Vena cava

49. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Basilic vein
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

50. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Weitlaner self-retaining retractor
A closed system of vessels that transport blood from the heart to the body and back
Heparin and antibiotics for irrigation