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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. Which clamp is removed last
Esophagus
In the capillaries
Internal carotid artery
5-0 or 6-0

2. What are the characteristics of abdominal aneurysms
Suprarenal artery
Arterial embolectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

3. What are the deep veins of the foot
Incision into an artery
To reinforce the anastomosis
Internal carotid artery
Dorsal venus arch

4. What vessels are clamped during a carotid endarterectomy
Esophagus
The surgeons hands should be wet
3-0 or 4-0
Internal carotid then the external carotid then the common carotid artery

5. What is the sequence of clamping in an ateriotomy
To reinforce the anastomosis
Cramping pain or a dull ache
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Flush then clamp proximal then distal

6. Which artery feeds the adrenal glands
Suprarenal artery
Dorsal venus arch
Arterial bypass
Stainless steel mesh - titanium - polypropylene

7. What is blood pressure
Arteriosclerosis obliterans
The force that blood exerts on the internal walls of the vessels
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation

8. What are the 3 branches of the aortic arch
Supine with head turned 45 degrees to the unaffected side
Left & right common iliac arteries are at the 4th lumbar
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vertebral arteries

9. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Esophagus
To reinforce the anastomosis
Tunica intima - tunica media - & tunica adventita

10. What is the prep area for a femoropopliteal bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vena cava
Midabdomen to toes & leg circumferentially

11. What are the layers of vessels
Basilic vein
Double armed needles - tapered
Tunica intima - tunica media - & tunica adventita
The popliteal vein

12. Which arteries supply the spinal cord
Vertebral arteries
Coronary arteries
Weitlaner self-retaining retractor
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

13. What drug is used for arterial vasospasms
Supine with head turned 45 degrees to the unaffected side
Papaverine
Flush then clamp proximal then distal
Ascending aorta

14. What type of retractor is used in an aortofemoral bypass
Double armed needles - tapered
Weitlaner self-retaining retractor
6-0
Water

15. What are some special conseriderations for patients undergoing peripheral vascular surgery
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Midabdomen to toes & leg circumferentially
Weitlaner self-retaining retractor

16. What are the general characteristics of veins
Arterial bypass
Epicardium - myocardium - and endocardium
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Through the artery to compress the plaque against the wall of the artery

17. What instrument is used to isolate an artery
The surgeons hands should be wet
Sarot clamp?
Heparin and antibiotics for irrigation
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

18. What type of blade is used for an arteriotomy
Dorsal venus arch
Tunica intima - tunica media - & tunica adventita
#11 on a #7 handle
6-0

19. What are the sutures for the iliac artery
The surgeons hands should be wet
4-0 or 5-0
Internal carotid then the external carotid then the common carotid artery
Coronary arteries

20. What is an ateriotomy
6-0 or 7-0
Ascending aorta
Splenic artery
Incision into an artery

21. What is claudication
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Cramping pain or a dull ache
Sarot clamp?
Double armed needles - tapered

22. What are pledgets used for
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery

23. What does the external iliac artery biforcate into
The popliteal vein
Water
Femoral arteries
Supine with head turned 45 degrees to the unaffected side

24. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially
Suprarenal artery
Knitted polyester - woven polyester

25. Where does gas exchange take place
Epicardium - myocardium - and endocardium
Left & right common iliac arteries are at the 4th lumbar
Coronary arteries
In the capillaries

26. What is the location of the biforcation of the aorta and What vessels are involved
Internal carotid then the external carotid then the common carotid artery
Arterial embolectomy
3-0 or 4-0
Left & right common iliac arteries are at the 4th lumbar

27. What communicate in the circle of willis
Midabdomen to toes & leg circumferentially
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Cramping pain or a dull ache
Stainless steel mesh - titanium - polypropylene

28. What disease leads to atheroma formation
SA node
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Flush then clamp proximal then distal
Arteriosclerosis obliterans

29. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Rubber shods
Papaverine
Basilic vein

30. What are the layers of the heart
5-0 or 6-0
Weitlaner self-retaining retractor
Epicardium - myocardium - and endocardium
3-0 or 4-0

31. What structure is the pacemaker of the heart
Supine with head turned 45 degrees to the unaffected side
Cramping pain or a dull ache
Stainless steel mesh - titanium - polypropylene
SA node

32. How is the fogarty baloon catheter used
Flush then clamp proximal then distal
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
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

33. What is an atrial embolism
Suprarenal artery
To reinforce the anastomosis
Blood - fat - air - or portions of tumors that break free
Arteriosclerosis obliterans

34. What factors influence blood pressure
Midabdomen to toes & leg circumferentially
Ventricular contraction - resistance - blood viscosity - and heart rate
Incision into an artery
Water

35. What medication is added to saline
3-0 or 4-0
Heparin and antibiotics for irrigation
Incision into an artery
Internal carotid then the external carotid then the common carotid artery

36. What arteries supply the brain - head - and neck
Hyline cartilage
Arteriosclerosis obliterans
Right common carotid artery and external carotid artery
Knitted polyester - woven polyester

37. What structures keep the trachea from collapsing
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
In the capillaries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Hyline cartilage

38. What drugs are used in vascular surgery
3-0 or 4-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Epicardium - myocardium - and endocardium

39. Where do the coronary arteries arise from
Ascending aorta
#11 on a #7 handle
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial bypass

40. What are delicate sutures tagged with
Stainless steel mesh - titanium - polypropylene
Rubber shods
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

41. What organ does the gastric artery feed
Femoral arteries
Esophagus
In the capillaries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

42. sutures for femoral - popliteal arteries
5-0 or 6-0
Femoral arteries
Femorofemoral bypass
Epicardium - myocardium - and endocardium

43. What solution is not used during grafting procedures
Hyline cartilage
Water
Internal carotid artery
A closed system of vessels that transport blood from the heart to the body and back

44. What organs does the superior mesenteric artery feed
Blood - fat - air - or portions of tumors that break free
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Incision into an artery
Through the artery to compress the plaque against the wall of the artery

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

46. Which artery feeds the upper digestive tract - spleen - and liver
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arteriosclerosis obliterans
Splenic artery
Suprarenal artery

47. In What procedure is a fogarty catheter used
Femoral arteries
#11 on a #7 handle
Arterial embolectomy
Hyline cartilage

48. What is the largest vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Suprarenal artery
Flush then clamp proximal then distal
Saphenous vein

49. What materials are used for stents
Flush then clamp proximal then distal
The force that blood exerts on the internal walls of the vessels
Arteriosclerosis obliterans
Stainless steel mesh - titanium - polypropylene

50. What type of needle is used for vessels
Esophagus
6-0
Double armed needles - tapered
Hyline cartilage