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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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1. What is the sequence of clamping in an ateriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Right common carotid artery and external carotid artery
Flush then clamp proximal then distal
Water

2. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Through the artery to compress the plaque against the wall of the artery
Weitlaner self-retaining retractor
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

3. When is arterial blood volume decreased
Left & right common iliac arteries are at the 4th lumbar
As the heart beats faster there is less blood volume
5-0 or 6-0
Femorofemoral bypass

4. What is an ateriotomy
Blood - fat - air - or portions of tumors that break free
Incision into an artery
Vertebral arteries
The popliteal vein

5. sutures for common carotid or subclavian
6-0
A closed system of vessels that transport blood from the heart to the body and back
Ascending aorta
The popliteal vein

6. What medication is added to saline
Heparin and antibiotics for irrigation
Hyline cartilage
Basilic vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

7. What arteries supply the myocardium
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The force that blood exerts on the internal walls of the vessels
Through the artery to compress the plaque against the wall of the artery
Coronary arteries

8. What is the best approach for an aortofemoral bypass
Arterial bypass
Double armed needles - tapered
Internal carotid then the external carotid then the common carotid artery
Supine with head turned 45 degrees to the unaffected side

9. What is the location of the biforcation of the aorta and What vessels are involved
5-0 or 6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Knitted polyester - woven polyester
Left & right common iliac arteries are at the 4th lumbar

10. What organs does the superior mesenteric artery feed
Flush then clamp proximal then distal
6-0 or 7-0
Arterial bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

11. Which clamp is removed last
Internal carotid artery
Tunica intima - tunica media - & tunica adventita
Esophagus
Stainless steel mesh - titanium - polypropylene

12. What are capillaries
Vessels that are between the arteriols and venule
Vena cava
Knitted polyester - woven polyester
Ventricular contraction - resistance - blood viscosity - and heart rate

13. What solution is not used during grafting procedures
Water
The surgeons hands should be wet
#11 on a #7 handle
Right common carotid artery and external carotid artery

14. From What vein is the blood taken to pre-clot the graft
6-0 or 7-0
Dorsal venus arch
Ventricular contraction - resistance - blood viscosity - and heart rate
Vena cava

15. What type of needle is used for vessels
Double armed needles - tapered
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Femoral arteries
Incision into an artery

16. What is blood pressure
Stainless steel mesh - titanium - polypropylene
The force that blood exerts on the internal walls of the vessels
Incision into an artery
Arterial bypass

17. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Basilic vein
SA node
Weitlaner self-retaining retractor

18. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Internal carotid artery
The surgeons hands should be wet
Arteriosclerosis obliterans

19. What are pledgets used for
6-0
Arterial embolectomy
Knitted polyester - woven polyester
To reinforce the anastomosis

20. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation
#11 on a #7 handle
Arterial bypass

21. What do the anterior and posterior tibial veins unite to become
The popliteal vein
3-0 or 4-0
Water
Internal carotid then the external carotid then the common carotid artery

22. What procedure is the javid shunt used for
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
To reinforce the anastomosis
Carotid endarterectomy
Knitted polyester - woven polyester

23. In What procedure is a fogarty catheter used
Left & right common iliac arteries are at the 4th lumbar
Arterial embolectomy
In the capillaries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

24. What are the characteristics of abdominal aneurysms
Vessels that are between the arteriols and venule
Internal carotid then the external carotid then the common carotid artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Through the artery to compress the plaque against the wall of the artery

25. Which artery feeds the upper digestive tract - spleen - and liver
Blood - fat - air - or portions of tumors that break free
Splenic artery
Ascending aorta
Carotid endarterectomy

26. What structure is the pacemaker of the heart
Blood - fat - air - or portions of tumors that break free
Femoral arteries
Vessels that are between the arteriols and venule
SA node

27. What instrument is used to isolate an artery
3-0 or 4-0
Sarot clamp?
Basilic vein
Suprarenal artery

28. Where do the coronary arteries arise from
Supine with head turned 45 degrees to the unaffected side
Ascending aorta
3-0 or 4-0
Cramping pain or a dull ache

29. What is the prep area for a femoropopliteal bypass
Sarot clamp?
Heparin and antibiotics for irrigation
Suprarenal artery
Midabdomen to toes & leg circumferentially

30. What type of retractor is used in an aortofemoral bypass
Papaverine
The surgeons hands should be wet
Weitlaner self-retaining retractor
Cramping pain or a dull ache

31. Which arteries supply the spinal cord
To reinforce the anastomosis
Vertebral arteries
#11 on a #7 handle
Left & right common iliac arteries are at the 4th lumbar

32. What does the external iliac artery biforcate into
Dorsal venus arch
Weitlaner self-retaining retractor
Femoral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

33. What materials are used for stents
Tunica intima - tunica media - & tunica adventita
Ascending aorta
Stainless steel mesh - titanium - polypropylene
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

34. What is the peripheral vascular system
Midabdomen to toes & leg circumferentially
A closed system of vessels that transport blood from the heart to the body and back
Hyline cartilage
Arteriosclerosis obliterans

35. What are the sutures for the iliac artery
Hyline cartilage
Incision into an artery
Supine with head turned 45 degrees to the unaffected side
4-0 or 5-0

36. What disease leads to atheroma formation
Esophagus
Arteriosclerosis obliterans
Ascending aorta
Arterial embolectomy

37. Which artery feeds the adrenal glands
Femoral arteries
Suprarenal artery
Vertebral arteries
As the heart beats faster there is less blood volume

38. What drugs are used in vascular surgery
Heparin and antibiotics for irrigation
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
SA node
Sarot clamp?

39. What communicate in the circle of willis
The surgeons hands should be wet
Basilic vein
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

40. What vein is on the lateral side of the arm
To reinforce the anastomosis
Hyline cartilage
Blood - fat - air - or portions of tumors that break free
Basilic vein

41. What are the deep veins of the foot
Knitted polyester - woven polyester
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Dorsal venus arch
Cramping pain or a dull ache

42. sutures for femoral - popliteal arteries
5-0 or 6-0
Internal carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

43. What are the layers of the heart
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester
Double armed needles - tapered
Through the artery to compress the plaque against the wall of the artery

44. What type of blade is used for an arteriotomy
Splenic artery
#11 on a #7 handle
Arterial bypass
Knitted polyester - woven polyester

45. What should be done before tying polypropylene sutures
Carotid endarterectomy
Femorofemoral bypass
The surgeons hands should be wet
Papaverine

46. What are the sutures for the aorta
3-0 or 4-0
Arteriosclerosis obliterans
Basilic vein
Ascending aorta

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

48. What is claudication
Papaverine
Cramping pain or a dull ache
Epicardium - myocardium - and endocardium
Internal carotid artery

49. What is an atrial embolism
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
As the heart beats faster there is less blood volume
Blood - fat - air - or portions of tumors that break free
Arteriosclerosis obliterans

50. How is the fogarty baloon catheter used
Water
Through the artery to compress the plaque against the wall of the artery
Arterial embolectomy
Blood - fat - air - or portions of tumors that break free

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Peripheral Vascular Surgery

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