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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 are the sutures for the aorta
6-0
Left & right common iliac arteries are at the 4th lumbar
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
3-0 or 4-0

2. What are the sutures for the iliac artery
Vertebral arteries
Splenic artery
Arteriosclerosis obliterans
4-0 or 5-0

3. What instrument is used to isolate an artery
The force that blood exerts on the internal walls of the vessels
Cramping pain or a dull ache
Sarot clamp?
6-0

4. What procedure is used for an iliac artery obstruction
Suprarenal artery
Flush then clamp proximal then distal
Femorofemoral bypass
Vessels that are between the arteriols and venule

5. Which clamp is removed last
Weitlaner self-retaining retractor
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Splenic artery
Internal carotid artery

6. What type of blade is used for an arteriotomy
#11 on a #7 handle
Ascending aorta
Papaverine
Coronary arteries

7. What are the characteristics of abdominal aneurysms
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
6-0 or 7-0
To reinforce the anastomosis

8. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
The popliteal vein
Through the artery to compress the plaque against the wall of the artery
6-0 or 7-0
Dorsal venus arch

9. From What vein is the blood taken to pre-clot the graft
6-0
Vena cava
Right common carotid artery and external carotid artery
Double armed needles - tapered

10. What should be done before tying polypropylene sutures
#11 on a #7 handle
The surgeons hands should be wet
Carotid endarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

11. What are pledgets used for
Arteriosclerosis obliterans
Internal carotid artery
To reinforce the anastomosis
Midabdomen to toes & leg circumferentially

12. What is an ateriotomy
Internal carotid then the external carotid then the common carotid artery
Double armed needles - tapered
Dorsal venus arch
Incision into an artery

13. What type of retractor is used in an aortofemoral bypass
Tunica intima - tunica media - & tunica adventita
Ascending aorta
Weitlaner self-retaining retractor
Stainless steel mesh - titanium - polypropylene

14. What are capillaries
Carotid endarterectomy
Vessels that are between the arteriols and venule
Tunica intima - tunica media - & tunica adventita
As the heart beats faster there is less blood volume

15. What are the deep veins of the foot
Arteriosclerosis obliterans
Femoral arteries
Dorsal venus arch
Papaverine

16. What is claudication
Saphenous vein
6-0
Water
Cramping pain or a dull ache

17. What structures keep the trachea from collapsing
Internal carotid then the external carotid then the common carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Hyline cartilage
The popliteal vein

18. Which artery feeds the adrenal glands
Suprarenal artery
Internal carotid artery
6-0 or 7-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

19. Where does gas exchange take place
In the capillaries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

20. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0
Internal carotid then the external carotid then the common carotid artery
3-0 or 4-0

21. What arteries supply the myocardium
Coronary arteries
Right common carotid artery and external carotid artery
Knitted polyester - woven polyester
6-0 or 7-0

22. sutures for femoral - popliteal arteries
Through the artery to compress the plaque against the wall of the artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Cramping pain or a dull ache
5-0 or 6-0

23. Which arteries supply the spinal cord
5-0 or 6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation
Vertebral arteries

24. What are the 3 branches of the aortic arch
Arterial bypass
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Right common carotid artery and external carotid artery
Internal carotid then the external carotid then the common carotid artery

25. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
6-0
The force that blood exerts on the internal walls of the vessels
Femorofemoral bypass

26. What communicate in the circle of willis
Papaverine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Esophagus
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

27. What does the external iliac artery biforcate into
The force that blood exerts on the internal walls of the vessels
SA node
Basilic vein
Femoral arteries

28. What disease leads to atheroma formation
6-0
Vertebral arteries
Arteriosclerosis obliterans
Supine with head turned 45 degrees to the unaffected side

29. What is the best approach for an aortofemoral bypass
A closed system of vessels that transport blood from the heart to the body and back
Sarot clamp?
Arterial bypass
Tunica intima - tunica media - & tunica adventita

30. What are the layers of vessels
Supine with head turned 45 degrees to the unaffected side
The popliteal vein
Tunica intima - tunica media - & tunica adventita
3-0 or 4-0

31. What procedure is the javid shunt used for
The force that blood exerts on the internal walls of the vessels
Carotid endarterectomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Internal carotid artery

32. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Sarot clamp?
#11 on a #7 handle
Double armed needles - tapered

33. What vein is on the lateral side of the arm
Basilic vein
Saphenous vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava

34. What is the largest vein
SA node
To reinforce the anastomosis
Saphenous vein
The surgeons hands should be wet

35. What are delicate sutures tagged with
Femoral arteries
Rubber shods
Incision into an artery
Saphenous vein

36. What is the peripheral vascular system
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
Double armed needles - tapered
Through the artery to compress the plaque against the wall of the artery

37. What materials are used for stents
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Double armed needles - tapered
Stainless steel mesh - titanium - polypropylene
Tunica intima - tunica media - & tunica adventita

38. What type of needle is used for vessels
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Double armed needles - tapered
Basilic vein
Tunica intima - tunica media - & tunica adventita

39. What organ does the gastric artery feed
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Esophagus
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate

40. When is arterial blood volume decreased
Midabdomen to toes & leg circumferentially
Incision into an artery
Tunica intima - tunica media - & tunica adventita
As the heart beats faster there is less blood volume

41. What is the prep area for a femoropopliteal bypass
Through the artery to compress the plaque against the wall of the artery
Blood - fat - air - or portions of tumors that break free
Midabdomen to toes & leg circumferentially
Weitlaner self-retaining retractor

42. What is the sequence of clamping in an ateriotomy
As the heart beats faster there is less blood volume
Heparin and antibiotics for irrigation
Flush then clamp proximal then distal
Arterial embolectomy

43. What drug is used for arterial vasospasms
Water
Papaverine
Right common carotid artery and external carotid artery
The force that blood exerts on the internal walls of the vessels

44. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
#11 on a #7 handle
Epicardium - myocardium - and endocardium
Ascending aorta

45. What structure is the pacemaker of the heart
Rubber shods
SA node
Basilic vein
Supine with head turned 45 degrees to the unaffected side

46. What is an atrial embolism
Carotid endarterectomy
Incision into an artery
Hyline cartilage
Blood - fat - air - or portions of tumors that break free

47. What organs does the superior mesenteric artery feed
Rubber shods
Suprarenal artery
Vessels that are between the arteriols and venule
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

48. What medication is added to saline
Femorofemoral bypass
Dorsal venus arch
Carotid endarterectomy
Heparin and antibiotics for irrigation

49. Where do the coronary arteries arise from
#11 on a #7 handle
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Ascending aorta
Incision into an artery

50. What is the location of the biforcation of the aorta and What vessels are involved
Weitlaner self-retaining retractor
Left & right common iliac arteries are at the 4th lumbar
6-0
Suprarenal artery