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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. sutures for femoral - popliteal arteries
Supine with head turned 45 degrees to the unaffected side
SA node
Knitted polyester - woven polyester
5-0 or 6-0

2. What instrument is used to isolate an artery
Dorsal venus arch
Ascending aorta
Sarot clamp?
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

3. What do the anterior and posterior tibial veins unite to become
Vertebral arteries
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Rubber shods

4. What type of blade is used for an arteriotomy
6-0 or 7-0
Splenic artery
Coronary arteries
#11 on a #7 handle

5. What organ does the gastric artery feed
3-0 or 4-0
Midabdomen to toes & leg circumferentially
Arteriosclerosis obliterans
Esophagus

6. What procedure is used for an iliac artery obstruction
In the capillaries
Femorofemoral bypass
4-0 or 5-0
Vena cava

7. Which artery feeds the adrenal glands
Suprarenal artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Knitted polyester - woven polyester
Hyline cartilage

8. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Blood - fat - air - or portions of tumors that break free
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava

9. What structures keep the trachea from collapsing
Hyline cartilage
Vessels that are between the arteriols and venule
Tunica intima - tunica media - & tunica adventita
Femoral arteries

10. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
SA node
Left & right common iliac arteries are at the 4th lumbar
Coronary arteries

11. What structure is the pacemaker of the heart
SA node
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Water
6-0

12. What is the location of the biforcation of the aorta and What vessels are involved
Saphenous vein
Suprarenal artery
Supine with head turned 45 degrees to the unaffected side
Left & right common iliac arteries are at the 4th lumbar

13. What are capillaries
Carotid endarterectomy
4-0 or 5-0
To reinforce the anastomosis
Vessels that are between the arteriols and venule

14. What is claudication
Cramping pain or a dull ache
Left & right common iliac arteries are at the 4th lumbar
Suprarenal artery
Saphenous vein

15. What are the sutures for the aorta
3-0 or 4-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Splenic artery
Stainless steel mesh - titanium - polypropylene

16. What are pledgets used for
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Supine with head turned 45 degrees to the unaffected side
To reinforce the anastomosis

17. What drugs are used in vascular surgery
Dorsal venus arch
As the heart beats faster there is less blood volume
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Saphenous vein

18. What is the pt position for carotid endoarterectomy
The force that blood exerts on the internal walls of the vessels
Arterial embolectomy
Supine with head turned 45 degrees to the unaffected side
Internal carotid then the external carotid then the common carotid artery

19. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Tunica intima - tunica media - & tunica adventita
To reinforce the anastomosis
Cramping pain or a dull ache

20. What type of retractor is used in an aortofemoral bypass
Carotid endarterectomy
Weitlaner self-retaining retractor
The popliteal vein
As the heart beats faster there is less blood volume

21. What is the prep area for a femoropopliteal bypass
Papaverine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
SA node
Midabdomen to toes & leg circumferentially

22. What drug is used for arterial vasospasms
Internal carotid artery
Sarot clamp?
Papaverine
Arterial embolectomy

23. What are the sutures for the iliac artery
Papaverine
4-0 or 5-0
6-0
Dorsal venus arch

24. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Double armed needles - tapered
Cramping pain or a dull ache

25. What graft material is not used in the popliteal area
As the heart beats faster there is less blood volume
Knitted polyester - woven polyester
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

26. What organs does the superior mesenteric artery feed
Femorofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Double armed needles - tapered
6-0 or 7-0

27. From What vein is the blood taken to pre-clot the graft
Vena cava
Arterial bypass
A closed system of vessels that transport blood from the heart to the body and back
Through the artery to compress the plaque against the wall of the artery

28. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Double armed needles - tapered
Hyline cartilage
6-0 or 7-0

29. Where do the coronary arteries arise from
4-0 or 5-0
Water
Ascending aorta
Arteriosclerosis obliterans

30. In What procedure is a fogarty catheter used
Arterial embolectomy
3-0 or 4-0
Saphenous vein
Water

31. What are the deep veins of the foot
5-0 or 6-0
Left & right common iliac arteries are at the 4th lumbar
Dorsal venus arch
6-0 or 7-0

32. What is an ateriotomy
Incision into an artery
5-0 or 6-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Carotid endarterectomy

33. What vein is on the lateral side of the arm
Internal carotid then the external carotid then the common carotid artery
Basilic vein
Suprarenal artery
Water

34. What is the largest vein
Saphenous vein
Double armed needles - tapered
Basilic vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

35. What solution is not used during grafting procedures
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water
Arteriosclerosis obliterans
Femoral arteries

36. What are some special conseriderations for patients undergoing peripheral vascular surgery
Stainless steel mesh - titanium - polypropylene
Incision into an artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Internal carotid then the external carotid then the common carotid artery

37. How is the fogarty baloon catheter used
Esophagus
Midabdomen to toes & leg circumferentially
Dorsal venus arch
Through the artery to compress the plaque against the wall of the artery

38. What are the layers of the heart
Heparin and antibiotics for irrigation
Epicardium - myocardium - and endocardium
Arterial bypass
As the heart beats faster there is less blood volume

39. What is the sequence of clamping in an ateriotomy
4-0 or 5-0
As the heart beats faster there is less blood volume
Stainless steel mesh - titanium - polypropylene
Flush then clamp proximal then distal

40. What is the peripheral vascular system
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Arterial embolectomy
Basilic vein
A closed system of vessels that transport blood from the heart to the body and back

41. What is the best approach for an aortofemoral bypass
Hyline cartilage
Coronary arteries
Arterial bypass
4-0 or 5-0

42. What arteries supply the myocardium
Water
Knitted polyester - woven polyester
Coronary arteries
Vessels that are between the arteriols and venule

43. What are the 3 branches of the aortic arch
SA node
Basilic vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Cramping pain or a dull ache

44. What is an atrial embolism
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Blood - fat - air - or portions of tumors that break free
Midabdomen to toes & leg circumferentially
Right common carotid artery and external carotid artery

45. What disease leads to atheroma formation
Cramping pain or a dull ache
Arteriosclerosis obliterans
Stainless steel mesh - titanium - polypropylene
Flush then clamp proximal then distal

46. What medication is added to saline
5-0 or 6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation
Left & right common iliac arteries are at the 4th lumbar

47. What are delicate sutures tagged with
Femorofemoral bypass
Heparin and antibiotics for irrigation
Rubber shods
6-0

48. What should be done before tying polypropylene sutures
The force that blood exerts on the internal walls of the vessels
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita
Arterial bypass

49. What procedure is the javid shunt used for
As the heart beats faster there is less blood volume
In the capillaries
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery

50. What communicate in the circle of willis
Femorofemoral bypass
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Basilic vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

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Peripheral Vascular Surgery

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