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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 disease leads to atheroma formation
Esophagus
Arteriosclerosis obliterans
Blood - fat - air - or portions of tumors that break free
Ascending aorta

2. What are the 3 branches of the aortic arch
Vessels that are between the arteriols and venule
Splenic artery
#11 on a #7 handle
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

3. What is an ateriotomy
Incision into an artery
3-0 or 4-0
6-0 or 7-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

4. What are the sutures for the aorta
Midabdomen to toes & leg circumferentially
3-0 or 4-0
Arterial bypass
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

5. What drugs are used in vascular surgery
4-0 or 5-0
Midabdomen to toes & leg circumferentially
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

6. What solution is not used during grafting procedures
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0
Water
Vena cava

7. Where does gas exchange take place
Sarot clamp?
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Coronary arteries
In the capillaries

8. sutures for common carotid or subclavian
Right common carotid artery and external carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0
Vena cava

9. What is the best approach for an aortofemoral bypass
Saphenous vein
Arterial bypass
Internal carotid artery
3-0 or 4-0

10. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Incision into an artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The popliteal vein
6-0 or 7-0

11. What is an atrial embolism
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Ventricular contraction - resistance - blood viscosity - and heart rate
Blood - fat - air - or portions of tumors that break free
Saphenous vein

12. What communicate in the circle of willis
Cramping pain or a dull ache
The force that blood exerts on the internal walls of the vessels
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

13. What are the sutures for the iliac artery
4-0 or 5-0
Arterial embolectomy
6-0
Papaverine

14. What arteries supply the brain - head - and neck
Splenic artery
Sarot clamp?
Vessels that are between the arteriols and venule
Right common carotid artery and external carotid artery

15. What type of needle is used for vessels
Basilic vein
Arterial bypass
Double armed needles - tapered
The surgeons hands should be wet

16. How is the fogarty baloon catheter used
Vessels that are between the arteriols and venule
Ventricular contraction - resistance - blood viscosity - and heart rate
The popliteal vein
Through the artery to compress the plaque against the wall of the artery

17. Which artery feeds the adrenal glands
Sarot clamp?
Carotid endarterectomy
Suprarenal artery
Rubber shods

18. Which arteries supply the spinal cord
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vertebral arteries
Femorofemoral bypass
Splenic artery

19. What instrument is used to isolate an artery
Sarot clamp?
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
5-0 or 6-0
The popliteal vein

20. What are some special conseriderations for patients undergoing peripheral vascular surgery
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries
Splenic artery

21. What are the general characteristics of veins
Arterial bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The surgeons hands should be wet
Epicardium - myocardium - and endocardium

22. What factors influence blood pressure
Coronary arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

23. What structure is the pacemaker of the heart
SA node
Dorsal venus arch
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Cramping pain or a dull ache

24. What procedure is the javid shunt used for
5-0 or 6-0
Splenic artery
Carotid endarterectomy
SA node

25. What are the deep veins of the foot
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Knitted polyester - woven polyester
Ventricular contraction - resistance - blood viscosity - and heart rate
Dorsal venus arch

26. What are the characteristics of abdominal aneurysms
Coronary arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Right common carotid artery and external carotid artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

27. Where do the coronary arteries arise from
Cramping pain or a dull ache
Ascending aorta
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Weitlaner self-retaining retractor

28. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
Sarot clamp?
Femorofemoral bypass
Arterial bypass

29. What are pledgets used for
3-0 or 4-0
Coronary arteries
Rubber shods
To reinforce the anastomosis

30. What is the pt position for carotid endoarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
5-0 or 6-0
Rubber shods
Supine with head turned 45 degrees to the unaffected side

31. What organ does the gastric artery feed
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Femorofemoral bypass
Esophagus
Dorsal venus arch

32. What type of retractor is used in an aortofemoral bypass
#11 on a #7 handle
Weitlaner self-retaining retractor
Suprarenal artery
Femoral arteries

33. What vessels are clamped during a carotid endarterectomy
Arterial bypass
6-0
Hyline cartilage
Internal carotid then the external carotid then the common carotid artery

34. In What procedure is a fogarty catheter used
Flush then clamp proximal then distal
Arterial embolectomy
Internal carotid artery
Supine with head turned 45 degrees to the unaffected side

35. What graft material is not used in the popliteal area
Hyline cartilage
Splenic artery
Knitted polyester - woven polyester
In the capillaries

36. sutures for femoral - popliteal arteries
5-0 or 6-0
Splenic artery
Tunica intima - tunica media - & tunica adventita
6-0 or 7-0

37. What arteries supply the myocardium
Femorofemoral bypass
Coronary arteries
Cramping pain or a dull ache
Arteriosclerosis obliterans

38. What materials are used for stents
Blood - fat - air - or portions of tumors that break free
Vessels that are between the arteriols and venule
To reinforce the anastomosis
Stainless steel mesh - titanium - polypropylene

39. What do the anterior and posterior tibial veins unite to become
Papaverine
As the heart beats faster there is less blood volume
Vena cava
The popliteal vein

40. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Flush then clamp proximal then distal
Sarot clamp?

41. What structures keep the trachea from collapsing
Esophagus
#11 on a #7 handle
Hyline cartilage
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

42. When is arterial blood volume decreased
Coronary arteries
As the heart beats faster there is less blood volume
Left & right common iliac arteries are at the 4th lumbar
Right common carotid artery and external carotid artery

43. What is the sequence of clamping in an ateriotomy
Coronary arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
Flush then clamp proximal then distal
As the heart beats faster there is less blood volume

44. What are the layers of the heart
Left & right common iliac arteries are at the 4th lumbar
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation
Right common carotid artery and external carotid artery

45. What is the prep area for a femoropopliteal bypass
Cramping pain or a dull ache
As the heart beats faster there is less blood volume
The surgeons hands should be wet
Midabdomen to toes & leg circumferentially

46. What vein is on the lateral side of the arm
Right common carotid artery and external carotid artery
Supine with head turned 45 degrees to the unaffected side
Basilic vein
The popliteal vein

47. What does the external iliac artery biforcate into
A closed system of vessels that transport blood from the heart to the body and back
Incision into an artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femoral arteries

48. From What vein is the blood taken to pre-clot the graft
Basilic vein
The force that blood exerts on the internal walls of the vessels
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

49. What is the largest vein
Tunica intima - tunica media - & tunica adventita
In the capillaries
Esophagus
Saphenous vein

50. What should be done before tying polypropylene sutures
The surgeons hands should be wet
SA node
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries