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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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
Rubber shods
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Suprarenal artery

2. Which artery feeds the adrenal glands
Tunica intima - tunica media - & tunica adventita
Suprarenal artery
Incision into an artery
Femoral arteries

3. What drug is used for arterial vasospasms
Sarot clamp?
Cramping pain or a dull ache
Internal carotid then the external carotid then the common carotid artery
Papaverine

4. What are delicate sutures tagged with
Rubber shods
Cramping pain or a dull ache
SA node
Sarot clamp?

5. What are capillaries
Internal carotid artery
Vessels that are between the arteriols and venule
Saphenous vein
Ventricular contraction - resistance - blood viscosity - and heart rate

6. What organ does the gastric artery feed
Esophagus
4-0 or 5-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Dorsal venus arch

7. What type of retractor is used in an aortofemoral bypass
Midabdomen to toes & leg circumferentially
Arterial embolectomy
Flush then clamp proximal then distal
Weitlaner self-retaining retractor

8. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Blood - fat - air - or portions of tumors that break free
Vessels that are between the arteriols and venule
SA node

9. What is an ateriotomy
Incision into an artery
#11 on a #7 handle
Dorsal venus arch
Stainless steel mesh - titanium - polypropylene

10. What should be done before tying polypropylene sutures
Suprarenal artery
The surgeons hands should be wet
Internal carotid artery
Rubber shods

11. From What vein is the blood taken to pre-clot the graft
Vena cava
Hyline cartilage
Water
Through the artery to compress the plaque against the wall of the artery

12. sutures for common carotid or subclavian
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
4-0 or 5-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0

13. What are the layers of vessels
Vertebral arteries
To reinforce the anastomosis
Internal carotid artery
Tunica intima - tunica media - & tunica adventita

14. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Basilic vein
Splenic artery
Left & right common iliac arteries are at the 4th lumbar

15. What solution is not used during grafting procedures
Vessels that are between the arteriols and venule
Water
Femoral arteries
Flush then clamp proximal then distal

16. What procedure is the javid shunt used for
Arteriosclerosis obliterans
Carotid endarterectomy
Arterial embolectomy
Stainless steel mesh - titanium - polypropylene

17. What is an atrial embolism
Vertebral arteries
Blood - fat - air - or portions of tumors that break free
Esophagus
The force that blood exerts on the internal walls of the vessels

18. What type of needle is used for vessels
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered
The force that blood exerts on the internal walls of the vessels
Flush then clamp proximal then distal

19. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Left & right common iliac arteries are at the 4th lumbar
Papaverine

20. What are the 3 branches of the aortic arch
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The surgeons hands should be wet
Carotid endarterectomy

21. What structure is the pacemaker of the heart
SA node
Left & right common iliac arteries are at the 4th lumbar
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

22. What is the largest vein
Saphenous vein
The popliteal vein
Stainless steel mesh - titanium - polypropylene
Through the artery to compress the plaque against the wall of the artery

23. What are the general characteristics of veins
The force that blood exerts on the internal walls of the vessels
Coronary arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Right common carotid artery and external carotid artery

24. What is blood pressure
The force that blood exerts on the internal walls of the vessels
5-0 or 6-0
Saphenous vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

25. What is the location of the biforcation of the aorta and What vessels are involved
Cramping pain or a dull ache
Saphenous vein
Left & right common iliac arteries are at the 4th lumbar
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

26. In What procedure is a fogarty catheter used
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered
Arterial embolectomy
6-0 or 7-0

27. What instrument is used to isolate an artery
Left & right common iliac arteries are at the 4th lumbar
Dorsal venus arch
Sarot clamp?
Splenic artery

28. What arteries supply the myocardium
Dorsal venus arch
Esophagus
Blood - fat - air - or portions of tumors that break free
Coronary arteries

29. What are the layers of the heart
Epicardium - myocardium - and endocardium
Arterial embolectomy
Suprarenal artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

30. What is the peripheral vascular system
Cramping pain or a dull ache
The force that blood exerts on the internal walls of the vessels
A closed system of vessels that transport blood from the heart to the body and back
Basilic vein

31. What communicate in the circle of willis
Vena cava
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Through the artery to compress the plaque against the wall of the artery
5-0 or 6-0

32. What procedure is used for an iliac artery obstruction
Stainless steel mesh - titanium - polypropylene
Supine with head turned 45 degrees to the unaffected side
Femorofemoral bypass
6-0 or 7-0

33. Which arteries supply the spinal cord
Vertebral arteries
Hyline cartilage
The surgeons hands should be wet
Stainless steel mesh - titanium - polypropylene

34. What are the sutures for the iliac artery
6-0 or 7-0
4-0 or 5-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Incision into an artery

35. What type of blade is used for an arteriotomy
Arterial embolectomy
Right common carotid artery and external carotid artery
#11 on a #7 handle
5-0 or 6-0

36. What medication is added to saline
Vessels that are between the arteriols and venule
Heparin and antibiotics for irrigation
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
5-0 or 6-0

37. What graft material is not used in the popliteal area
Flush then clamp proximal then distal
Esophagus
Knitted polyester - woven polyester
Heparin and antibiotics for irrigation

38. Which clamp is removed last
Carotid endarterectomy
Internal carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Saphenous vein

39. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
In the capillaries
Papaverine

40. What drugs are used in vascular surgery
Arterial bypass
A closed system of vessels that transport blood from the heart to the body and back
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Splenic artery

41. What are pledgets used for
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Tunica intima - tunica media - & tunica adventita
To reinforce the anastomosis

42. What are the deep veins of the foot
Dorsal venus arch
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy
Internal carotid artery

43. Where does gas exchange take place
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Femoral arteries
Epicardium - myocardium - and endocardium
In the capillaries

44. What materials are used for stents
Internal carotid artery
Esophagus
As the heart beats faster there is less blood volume
Stainless steel mesh - titanium - polypropylene

45. What are some special conseriderations for patients undergoing peripheral vascular surgery
The surgeons hands should be wet
Femorofemoral bypass
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Saphenous vein

46. What are the characteristics of abdominal aneurysms
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sarot clamp?
5-0 or 6-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

47. What is the best approach for an aortofemoral bypass
Double armed needles - tapered
Arterial bypass
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

48. What do the anterior and posterior tibial veins unite to become
Double armed needles - tapered
The popliteal vein
The force that blood exerts on the internal walls of the vessels
Heparin and antibiotics for irrigation

49. What are the sutures for the aorta
Arterial embolectomy
Stainless steel mesh - titanium - polypropylene
3-0 or 4-0
As the heart beats faster there is less blood volume

50. What disease leads to atheroma formation
Arterial bypass
Arteriosclerosis obliterans
Heparin and antibiotics for irrigation
#11 on a #7 handle

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Peripheral Vascular Surgery

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