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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 are the 3 branches of the aortic arch
Left & right common iliac arteries are at the 4th lumbar
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Midabdomen to toes & leg circumferentially
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

2. What is an atrial embolism
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Flush then clamp proximal then distal
Blood - fat - air - or portions of tumors that break free
Incision into an artery

3. Which artery feeds the adrenal glands
Suprarenal artery
Femoral arteries
Arterial embolectomy
Vena cava

4. What structures keep the trachea from collapsing
Hyline cartilage
Arterial embolectomy
Water
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

5. What is the location of the biforcation of the aorta and What vessels are involved
Femoral arteries
The force that blood exerts on the internal walls of the vessels
Left & right common iliac arteries are at the 4th lumbar
Supine with head turned 45 degrees to the unaffected side

6. What are the characteristics of abdominal aneurysms
Splenic artery
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
To reinforce the anastomosis

7. What organ does the gastric artery feed
Esophagus
Incision into an artery
Water
Dorsal venus arch

8. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Weitlaner self-retaining retractor
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

9. Which artery feeds the upper digestive tract - spleen - and liver
Arterial bypass
Ascending aorta
Papaverine
Splenic artery

10. What are pledgets used for
Esophagus
6-0
Midabdomen to toes & leg circumferentially
To reinforce the anastomosis

11. What disease leads to atheroma formation
Incision into an artery
Vena cava
Internal carotid artery
Arteriosclerosis obliterans

12. sutures for femoral - popliteal arteries
5-0 or 6-0
Tunica intima - tunica media - & tunica adventita
Flush then clamp proximal then distal
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

13. Which clamp is removed last
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Internal carotid artery
Femoral arteries
To reinforce the anastomosis

14. What vessels are clamped during a carotid endarterectomy
Coronary arteries
The popliteal vein
Internal carotid then the external carotid then the common carotid artery
Double armed needles - tapered

15. What is the largest vein
Internal carotid then the external carotid then the common carotid artery
Arterial embolectomy
Saphenous vein
Sarot clamp?

16. 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
Vessels that are between the arteriols and venule
Internal carotid artery
To reinforce the anastomosis

17. What are the sutures for the aorta
Arterial bypass
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Carotid endarterectomy

18. What are delicate sutures tagged with
Femoral arteries
Suprarenal artery
Rubber shods
Tunica intima - tunica media - & tunica adventita

19. What arteries supply the brain - head - and neck
Blood - fat - air - or portions of tumors that break free
Right common carotid artery and external carotid artery
Sarot clamp?
Basilic vein

20. What procedure is the javid shunt used for
Vertebral arteries
Carotid endarterectomy
Saphenous vein
Stainless steel mesh - titanium - polypropylene

21. What procedure is used for an iliac artery obstruction
Water
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
Femorofemoral bypass

22. What vein is on the lateral side of the arm
Blood - fat - air - or portions of tumors that break free
Arteriosclerosis obliterans
Right common carotid artery and external carotid artery
Basilic vein

23. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Water

24. What factors influence blood pressure
Suprarenal artery
Heparin and antibiotics for irrigation
Ventricular contraction - resistance - blood viscosity - and heart rate
Internal carotid artery

25. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Weitlaner self-retaining retractor
SA node
Midabdomen to toes & leg circumferentially

26. What are the layers of vessels
Heparin and antibiotics for irrigation
Arterial embolectomy
Double armed needles - tapered
Tunica intima - tunica media - & tunica adventita

27. Where do the coronary arteries arise from
Ascending aorta
Femoral arteries
Incision into an artery
5-0 or 6-0

28. What instrument is used to isolate an artery
Left & right common iliac arteries are at the 4th lumbar
Sarot clamp?
Esophagus
Coronary arteries

29. What graft material is not used in the popliteal area
Suprarenal artery
Flush then clamp proximal then distal
Knitted polyester - woven polyester
Cramping pain or a dull ache

30. What type of blade is used for an arteriotomy
Midabdomen to toes & leg circumferentially
#11 on a #7 handle
Flush then clamp proximal then distal
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

31. From What vein is the blood taken to pre-clot the graft
Cramping pain or a dull ache
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vena cava
Arteriosclerosis obliterans

32. Which arteries supply the spinal cord
Vertebral arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
4-0 or 5-0
Saphenous vein

33. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
5-0 or 6-0
Dorsal venus arch
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

34. What is claudication
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Midabdomen to toes & leg circumferentially
Esophagus
Cramping pain or a dull ache

35. What solution is not used during grafting procedures
To reinforce the anastomosis
Water
Arterial embolectomy
Incision into an artery

36. What is the best approach for an aortofemoral bypass
Supine with head turned 45 degrees to the unaffected side
Arterial bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Heparin and antibiotics for irrigation

37. What type of needle is used for vessels
SA node
Double armed needles - tapered
Epicardium - myocardium - and endocardium
Esophagus

38. What structure is the pacemaker of the heart
SA node
Esophagus
Arterial embolectomy
Cramping pain or a dull ache

39. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Right common carotid artery and external carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

40. sutures for common carotid or subclavian
Internal carotid then the external carotid then the common carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0
Heparin and antibiotics for irrigation

41. What does the external iliac artery biforcate into
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
Femoral arteries
Arteriosclerosis obliterans

42. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Ascending aorta
5-0 or 6-0
SA node

43. What are the general characteristics of veins
Coronary arteries
Blood - fat - air - or portions of tumors that break free
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
4-0 or 5-0

44. What is the peripheral vascular system
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
A closed system of vessels that transport blood from the heart to the body and back
Tunica intima - tunica media - & tunica adventita
Heparin and antibiotics for irrigation

45. What organs does the superior mesenteric artery feed
Ventricular contraction - resistance - blood viscosity - and heart rate
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
The force that blood exerts on the internal walls of the vessels

46. What communicate in the circle of willis
Arterial embolectomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Rubber shods
Through the artery to compress the plaque against the wall of the artery

47. In What procedure is a fogarty catheter used
Femoral arteries
As the heart beats faster there is less blood volume
Water
Arterial embolectomy

48. What drug is used for arterial vasospasms
Vena cava
Vessels that are between the arteriols and venule
Dorsal venus arch
Papaverine

49. What is an ateriotomy
Arterial bypass
The surgeons hands should be wet
Incision into an artery
Ventricular contraction - resistance - blood viscosity - and heart rate

50. What drugs are used in vascular surgery
Heparin and antibiotics for irrigation
Arteriosclerosis obliterans
Internal carotid then the external carotid then the common carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents