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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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1. What is claudication
Cramping pain or a dull ache
Arterial bypass
Splenic artery
Basilic vein

2. Which clamp is removed last
Tunica intima - tunica media - & tunica adventita
Internal carotid artery
Heparin and antibiotics for irrigation
Coronary arteries

3. What drugs are used in vascular surgery
Right common carotid artery and external carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
#11 on a #7 handle
6-0 or 7-0

4. What procedure is used for an iliac artery obstruction
Femoral arteries
Femorofemoral bypass
4-0 or 5-0
Vessels that are between the arteriols and venule

5. What disease leads to atheroma formation
Arteriosclerosis obliterans
Internal carotid artery
Arterial embolectomy
The popliteal vein

6. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Femorofemoral bypass
Water
A closed system of vessels that transport blood from the heart to the body and back

7. When is arterial blood volume decreased
Hyline cartilage
As the heart beats faster there is less blood volume
Basilic vein
Double armed needles - tapered

8. What are the layers of the heart
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femoral arteries
Epicardium - myocardium - and endocardium

9. How is the fogarty baloon catheter used
As the heart beats faster there is less blood volume
Splenic artery
Ascending aorta
Through the artery to compress the plaque against the wall of the artery

10. What vein is on the lateral side of the arm
Water
Basilic vein
Arterial embolectomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

11. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Flush then clamp proximal then distal
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Splenic artery

12. What graft material is not used in the popliteal area
Flush then clamp proximal then distal
Knitted polyester - woven polyester
Arterial embolectomy
Vessels that are between the arteriols and venule

13. What are the characteristics of abdominal aneurysms
Epicardium - myocardium - and endocardium
Water
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Heparin and antibiotics for irrigation

14. What are some special conseriderations for patients undergoing peripheral vascular surgery
Suprarenal artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation
Through the artery to compress the plaque against the wall of the artery

15. sutures for femoral - popliteal arteries
Vena cava
5-0 or 6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0 or 7-0

16. What instrument is used to isolate an artery
Sarot clamp?
A closed system of vessels that transport blood from the heart to the body and back
Femorofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

17. What is an ateriotomy
Incision into an artery
Saphenous vein
3-0 or 4-0
Cramping pain or a dull ache

18. What type of retractor is used in an aortofemoral bypass
In the capillaries
A closed system of vessels that transport blood from the heart to the body and back
The force that blood exerts on the internal walls of the vessels
Weitlaner self-retaining retractor

19. Which arteries supply the spinal cord
Vertebral arteries
Femoral arteries
Incision into an artery
Arterial embolectomy

20. What drug is used for arterial vasospasms
Double armed needles - tapered
Papaverine
Coronary arteries
Left & right common iliac arteries are at the 4th lumbar

21. What arteries supply the myocardium
Coronary arteries
Vessels that are between the arteriols and venule
Splenic artery
Incision into an artery

22. What are the sutures for the aorta
3-0 or 4-0
The surgeons hands should be wet
Knitted polyester - woven polyester
Arterial embolectomy

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

24. What organs does the superior mesenteric artery feed
Double armed needles - tapered
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid artery
Splenic artery

25. What is the best approach for an aortofemoral bypass
Arterial bypass
Vessels that are between the arteriols and venule
Esophagus
Ventricular contraction - resistance - blood viscosity - and heart rate

26. What organ does the gastric artery feed
Femorofemoral bypass
#11 on a #7 handle
Esophagus
Rubber shods

27. What are the sutures for the iliac artery
Tunica intima - tunica media - & tunica adventita
Saphenous vein
Papaverine
4-0 or 5-0

28. What type of blade is used for an arteriotomy
Tunica intima - tunica media - & tunica adventita
#11 on a #7 handle
Flush then clamp proximal then distal
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

29. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Heparin and antibiotics for irrigation
The surgeons hands should be wet
Internal carotid then the external carotid then the common carotid artery

30. What is the location of the biforcation of the aorta and What vessels are involved
5-0 or 6-0
Left & right common iliac arteries are at the 4th lumbar
Arterial embolectomy
The force that blood exerts on the internal walls of the vessels

31. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Vertebral arteries
Water
Basilic vein

32. sutures for common carotid or subclavian
Hyline cartilage
6-0
As the heart beats faster there is less blood volume
Suprarenal artery

33. What arteries supply the brain - head - and neck
Vertebral arteries
Weitlaner self-retaining retractor
Right common carotid artery and external carotid artery
Blood - fat - air - or portions of tumors that break free

34. From What vein is the blood taken to pre-clot the graft
Flush then clamp proximal then distal
Supine with head turned 45 degrees to the unaffected side
Vena cava
Heparin and antibiotics for irrigation

35. What procedure is the javid shunt used for
Double armed needles - tapered
Carotid endarterectomy
6-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

36. What type of needle is used for vessels
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Double armed needles - tapered
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Weitlaner self-retaining retractor

37. In What procedure is a fogarty catheter used
Sarot clamp?
Left & right common iliac arteries are at the 4th lumbar
Double armed needles - tapered
Arterial embolectomy

38. What is an atrial embolism
Femoral arteries
Coronary arteries
Through the artery to compress the plaque against the wall of the artery
Blood - fat - air - or portions of tumors that break free

39. Where does gas exchange take place
In the capillaries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Basilic vein
Splenic artery

40. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Supine with head turned 45 degrees to the unaffected side
A closed system of vessels that transport blood from the heart to the body and back
Blood - fat - air - or portions of tumors that break free

41. What are capillaries
Suprarenal artery
Vessels that are between the arteriols and venule
The surgeons hands should be wet
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

42. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Saphenous vein
Vertebral arteries
4-0 or 5-0

43. Where do the coronary arteries arise from
Arterial embolectomy
To reinforce the anastomosis
Ventricular contraction - resistance - blood viscosity - and heart rate
Ascending aorta

44. What are pledgets used for
Suprarenal artery
Papaverine
To reinforce the anastomosis
6-0

45. What are delicate sutures tagged with
Femorofemoral bypass
Blood - fat - air - or portions of tumors that break free
Rubber shods
To reinforce the anastomosis

46. What is the sequence of clamping in an ateriotomy
Vena cava
Flush then clamp proximal then distal
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

47. What is the pt position for carotid endoarterectomy
Hyline cartilage
Supine with head turned 45 degrees to the unaffected side
Arterial embolectomy
As the heart beats faster there is less blood volume

48. What communicate in the circle of willis
Hyline cartilage
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ventricular contraction - resistance - blood viscosity - and heart rate

49. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Cramping pain or a dull ache
Sarot clamp?
Arterial bypass

50. What should be done before tying polypropylene sutures
Esophagus
The surgeons hands should be wet
Incision into an artery
#11 on a #7 handle

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Peripheral Vascular Surgery

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