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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 procedure is used for an iliac artery obstruction
3-0 or 4-0
5-0 or 6-0
Femorofemoral bypass
SA node

2. From What vein is the blood taken to pre-clot the graft
Arterial bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vena cava
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

3. What are the layers of vessels
Saphenous vein
Femoral arteries
Tunica intima - tunica media - & tunica adventita
The popliteal vein

4. What are pledgets used for
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita
To reinforce the anastomosis
Through the artery to compress the plaque against the wall of the artery

5. What materials are used for stents
Papaverine
Stainless steel mesh - titanium - polypropylene
Knitted polyester - woven polyester
Hyline cartilage

6. What vein is on the lateral side of the arm
Arteriosclerosis obliterans
Basilic vein
The popliteal vein
Ventricular contraction - resistance - blood viscosity - and heart rate

7. Which arteries supply the spinal cord
Esophagus
Vertebral arteries
Right common carotid artery and external carotid artery
6-0

8. What medication is added to saline
Heparin and antibiotics for irrigation
Tunica intima - tunica media - & tunica adventita
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
In the capillaries

9. What communicate in the circle of willis
Weitlaner self-retaining retractor
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

10. What is the prep area for a femoropopliteal bypass
Internal carotid artery
Midabdomen to toes & leg circumferentially
Ventricular contraction - resistance - blood viscosity - and heart rate
As the heart beats faster there is less blood volume

11. What is the largest vein
Heparin and antibiotics for irrigation
Knitted polyester - woven polyester
Saphenous vein
Arteriosclerosis obliterans

12. What arteries supply the brain - head - and neck
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Right common carotid artery and external carotid artery
Dorsal venus arch
Rubber shods

13. What arteries supply the myocardium
Stainless steel mesh - titanium - polypropylene
Coronary arteries
Incision into an artery
Right common carotid artery and external carotid artery

14. What is blood pressure
Coronary arteries
The force that blood exerts on the internal walls of the vessels
Heparin and antibiotics for irrigation
Vertebral arteries

15. What are delicate sutures tagged with
Coronary arteries
Rubber shods
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar

16. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Vessels that are between the arteriols and venule
3-0 or 4-0
6-0 or 7-0
Internal carotid then the external carotid then the common carotid artery

17. What instrument is used to isolate an artery
Midabdomen to toes & leg circumferentially
Sarot clamp?
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Esophagus

18. What are capillaries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Left & right common iliac arteries are at the 4th lumbar
Vessels that are between the arteriols and venule
Basilic vein

19. What are the general characteristics of veins
Blood - fat - air - or portions of tumors that break free
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Hyline cartilage
Midabdomen to toes & leg circumferentially

20. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid artery
Right common carotid artery and external carotid artery
Blood - fat - air - or portions of tumors that break free

21. What do the anterior and posterior tibial veins unite to become
Femoral arteries
Flush then clamp proximal then distal
The popliteal vein
The surgeons hands should be wet

22. What drug is used for arterial vasospasms
Right common carotid artery and external carotid artery
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene
Papaverine

23. What are the characteristics of abdominal aneurysms
6-0 or 7-0
Suprarenal artery
Dorsal venus arch
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

24. What type of retractor is used in an aortofemoral bypass
Arteriosclerosis obliterans
Water
Splenic artery
Weitlaner self-retaining retractor

25. sutures for common carotid or subclavian
Femorofemoral bypass
The popliteal vein
Rubber shods
6-0

26. Which artery feeds the adrenal glands
To reinforce the anastomosis
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Suprarenal artery

27. What vessels are clamped during a carotid endarterectomy
Vena cava
Through the artery to compress the plaque against the wall of the artery
Right common carotid artery and external carotid artery
Internal carotid then the external carotid then the common carotid artery

28. What is claudication
Cramping pain or a dull ache
Vertebral arteries
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

29. What drugs are used in vascular surgery
Vessels that are between the arteriols and venule
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
In the capillaries
Rubber shods

30. What are the sutures for the iliac artery
4-0 or 5-0
Ascending aorta
#11 on a #7 handle
6-0 or 7-0

31. In What procedure is a fogarty catheter used
Rubber shods
Arterial embolectomy
Coronary arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

32. What are the 3 branches of the aortic arch
Basilic vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

33. Which clamp is removed last
Stainless steel mesh - titanium - polypropylene
Internal carotid artery
Right common carotid artery and external carotid artery
Papaverine

34. What solution is not used during grafting procedures
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water
To reinforce the anastomosis

35. What disease leads to atheroma formation
Cramping pain or a dull ache
Coronary arteries
Arteriosclerosis obliterans
To reinforce the anastomosis

36. What is the pt position for carotid endoarterectomy
Stainless steel mesh - titanium - polypropylene
Cramping pain or a dull ache
Supine with head turned 45 degrees to the unaffected side
Right common carotid artery and external carotid artery

37. What organs does the superior mesenteric artery feed
Femorofemoral bypass
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial bypass

38. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Carotid endarterectomy
In the capillaries
As the heart beats faster there is less blood volume

39. Which artery feeds the upper digestive tract - spleen - and liver
Left & right common iliac arteries are at the 4th lumbar
Coronary arteries
Splenic artery
Internal carotid artery

40. What type of blade is used for an arteriotomy
Through the artery to compress the plaque against the wall of the artery
#11 on a #7 handle
In the capillaries
Dorsal venus arch

41. What structures keep the trachea from collapsing
Knitted polyester - woven polyester
The surgeons hands should be wet
Hyline cartilage
Ascending aorta

42. What is the best approach for an aortofemoral bypass
Arterial bypass
Left & right common iliac arteries are at the 4th lumbar
6-0 or 7-0
Tunica intima - tunica media - & tunica adventita

43. What organ does the gastric artery feed
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Saphenous vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Esophagus

44. Where does gas exchange take place
In the capillaries
Blood - fat - air - or portions of tumors that break free
Arterial embolectomy
Ascending aorta

45. What is an atrial embolism
The popliteal vein
Blood - fat - air - or portions of tumors that break free
Femorofemoral bypass
Heparin and antibiotics for irrigation

46. What are the deep veins of the foot
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
The popliteal vein
Dorsal venus arch

47. What are some special conseriderations for patients undergoing peripheral vascular surgery
Cramping pain or a dull ache
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Right common carotid artery and external carotid artery
Papaverine

48. What is the location of the biforcation of the aorta and What vessels are involved
Arterial bypass
Cramping pain or a dull ache
Left & right common iliac arteries are at the 4th lumbar
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

49. What type of needle is used for vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The popliteal vein
Ventricular contraction - resistance - blood viscosity - and heart rate
Double armed needles - tapered

50. What are the sutures for the aorta
Basilic vein
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femoral arteries