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. Which artery feeds the adrenal glands
Flush then clamp proximal then distal
Suprarenal artery
Esophagus
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

2. Which artery feeds the upper digestive tract - spleen - and liver
A closed system of vessels that transport blood from the heart to the body and back
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Splenic artery
6-0

3. What organ does the gastric artery feed
Dorsal venus arch
Esophagus
4-0 or 5-0
The force that blood exerts on the internal walls of the vessels

4. When is arterial blood volume decreased
Femorofemoral bypass
Ascending aorta
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
As the heart beats faster there is less blood volume

5. What is the largest vein
Epicardium - myocardium - and endocardium
Saphenous vein
Arteriosclerosis obliterans
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

6. What are some special conseriderations for patients undergoing peripheral vascular surgery
Double armed needles - tapered
6-0
Knitted polyester - woven polyester
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

7. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Carotid endarterectomy
Double armed needles - tapered
Internal carotid artery

8. What structure is the pacemaker of the heart
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
#11 on a #7 handle
Hyline cartilage
SA node

9. What structures keep the trachea from collapsing
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Hyline cartilage
Internal carotid then the external carotid then the common carotid artery

10. Where do the coronary arteries arise from
Ascending aorta
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

11. What are the sutures for the iliac artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
4-0 or 5-0
Papaverine
Coronary arteries

12. What is an ateriotomy
Arteriosclerosis obliterans
Incision into an artery
Arterial bypass
Weitlaner self-retaining retractor

13. What materials are used for stents
Rubber shods
Stainless steel mesh - titanium - polypropylene
Ascending aorta
Arterial bypass

14. Where does gas exchange take place
Knitted polyester - woven polyester
In the capillaries
Epicardium - myocardium - and endocardium
Internal carotid artery

15. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Tunica intima - tunica media - & tunica adventita
Dorsal venus arch

16. What should be done before tying polypropylene sutures
6-0 or 7-0
As the heart beats faster there is less blood volume
The surgeons hands should be wet
Hyline cartilage

17. What procedure is used for an iliac artery obstruction
A closed system of vessels that transport blood from the heart to the body and back
Femorofemoral bypass
Water
Vertebral arteries

18. What does the external iliac artery biforcate into
In the capillaries
Cramping pain or a dull ache
Femoral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

19. What vein is on the lateral side of the arm
Saphenous vein
Papaverine
Vena cava
Basilic vein

20. What drug is used for arterial vasospasms
Saphenous vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water
Papaverine

21. What factors influence blood pressure
Vena cava
Arteriosclerosis obliterans
Ventricular contraction - resistance - blood viscosity - and heart rate
#11 on a #7 handle

22. What are delicate sutures tagged with
Rubber shods
Carotid endarterectomy
Blood - fat - air - or portions of tumors that break free
Through the artery to compress the plaque against the wall of the artery

23. From What vein is the blood taken to pre-clot the graft
Right common carotid artery and external carotid artery
Vena cava
Ventricular contraction - resistance - blood viscosity - and heart rate
As the heart beats faster there is less blood volume

24. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Internal carotid then the external carotid then the common carotid artery
In the capillaries
3-0 or 4-0

25. What drugs are used in vascular surgery
6-0 or 7-0
Splenic artery
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

26. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Weitlaner self-retaining retractor
Knitted polyester - woven polyester
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

27. What vessels are clamped during a carotid endarterectomy
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid then the external carotid then the common carotid artery
Basilic vein

28. What solution is not used during grafting procedures
The force that blood exerts on the internal walls of the vessels
In the capillaries
A closed system of vessels that transport blood from the heart to the body and back
Water

29. What is blood pressure
Dorsal venus arch
Coronary arteries
SA node
The force that blood exerts on the internal walls of the vessels

30. Which arteries supply the spinal cord
Internal carotid then the external carotid then the common carotid artery
Esophagus
Vertebral arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

31. What are the deep veins of the foot
Through the artery to compress the plaque against the wall of the artery
#11 on a #7 handle
Dorsal venus arch
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

32. What are pledgets used for
Supine with head turned 45 degrees to the unaffected side
Epicardium - myocardium - and endocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
To reinforce the anastomosis

33. What are the layers of the heart
6-0 or 7-0
Stainless steel mesh - titanium - polypropylene
Through the artery to compress the plaque against the wall of the artery
Epicardium - myocardium - and endocardium

34. What are the 3 branches of the aortic arch
Heparin and antibiotics for irrigation
Saphenous vein
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

35. What type of blade is used for an arteriotomy
Ascending aorta
Blood - fat - air - or portions of tumors that break free
#11 on a #7 handle
Arterial bypass

36. Which clamp is removed last
Arterial bypass
Internal carotid artery
Knitted polyester - woven polyester
4-0 or 5-0

37. What do the anterior and posterior tibial veins unite to become
Epicardium - myocardium - and endocardium
The popliteal vein
Femorofemoral bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

38. What type of retractor is used in an aortofemoral bypass
Femorofemoral bypass
Incision into an artery
Hyline cartilage
Weitlaner self-retaining retractor

39. What are capillaries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vessels that are between the arteriols and venule
Arterial bypass

40. What communicate in the circle of willis
#11 on a #7 handle
Saphenous vein
Coronary arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

41. What procedure is the javid shunt used for
Carotid endarterectomy
In the capillaries
Esophagus
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

42. What are the characteristics of abdominal aneurysms
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vena cava
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Saphenous vein

43. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
4-0 or 5-0
Ascending aorta
Cramping pain or a dull ache

44. What is the best approach for an aortofemoral bypass
The popliteal vein
Right common carotid artery and external carotid artery
Arterial bypass
Epicardium - myocardium - and endocardium

45. sutures for common carotid or subclavian
Double armed needles - tapered
Ascending aorta
6-0
In the capillaries

46. sutures for femoral - popliteal arteries
Midabdomen to toes & leg circumferentially
Through the artery to compress the plaque against the wall of the artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
5-0 or 6-0

47. In What procedure is a fogarty catheter used
Arterial embolectomy
Through the artery to compress the plaque against the wall of the artery
Esophagus
4-0 or 5-0

48. What is claudication
4-0 or 5-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Cramping pain or a dull ache
Carotid endarterectomy

49. What are the sutures for the aorta
3-0 or 4-0
Dorsal venus arch
Femoral arteries
Vena cava

50. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Vena cava
Left & right common iliac arteries are at the 4th lumbar
Stainless steel mesh - titanium - polypropylene
6-0 or 7-0