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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
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery
Papaverine
Water

2. What graft material is not used in the popliteal area
The popliteal vein
Knitted polyester - woven polyester
Double armed needles - tapered
Arteriosclerosis obliterans

3. What are the 3 branches of the aortic arch
Incision into an artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Carotid endarterectomy
Blood - fat - air - or portions of tumors that break free

4. sutures for common carotid or subclavian
Ventricular contraction - resistance - blood viscosity - and heart rate
Carotid endarterectomy
6-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

5. What type of retractor is used in an aortofemoral bypass
Right common carotid artery and external carotid artery
Internal carotid artery
Weitlaner self-retaining retractor
The force that blood exerts on the internal walls of the vessels

6. What are delicate sutures tagged with
In the capillaries
3-0 or 4-0
Supine with head turned 45 degrees to the unaffected side
Rubber shods

7. What arteries supply the myocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries
Left & right common iliac arteries are at the 4th lumbar
Flush then clamp proximal then distal

8. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
The popliteal vein
The force that blood exerts on the internal walls of the vessels
Double armed needles - tapered

9. What are the deep veins of the foot
SA node
Esophagus
Dorsal venus arch
3-0 or 4-0

10. What do the anterior and posterior tibial veins unite to become
6-0 or 7-0
Suprarenal artery
Right common carotid artery and external carotid artery
The popliteal vein

11. What is the pt position for carotid endoarterectomy
Basilic vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Supine with head turned 45 degrees to the unaffected side
Water

12. What are capillaries
Carotid endarterectomy
Vessels that are between the arteriols and venule
Epicardium - myocardium - and endocardium
Through the artery to compress the plaque against the wall of the artery

13. What is the best approach for an aortofemoral bypass
4-0 or 5-0
Water
Vertebral arteries
Arterial bypass

14. What arteries supply the brain - head - and neck
Blood - fat - air - or portions of tumors that break free
Vertebral arteries
Right common carotid artery and external carotid artery
Tunica intima - tunica media - & tunica adventita

15. What medication is added to saline
Rubber shods
Heparin and antibiotics for irrigation
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

16. What is an ateriotomy
Incision into an artery
Internal carotid then the external carotid then the common carotid artery
4-0 or 5-0
Supine with head turned 45 degrees to the unaffected side

17. What is the prep area for a femoropopliteal bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Rubber shods
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially

18. sutures for femoral - popliteal arteries
Internal carotid artery
5-0 or 6-0
Blood - fat - air - or portions of tumors that break free
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

19. What are the layers of vessels
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Tunica intima - tunica media - & tunica adventita
Ventricular contraction - resistance - blood viscosity - and heart rate
Internal carotid then the external carotid then the common carotid artery

20. How is the fogarty baloon catheter used
Rubber shods
Through the artery to compress the plaque against the wall of the artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Right common carotid artery and external carotid artery

21. What drugs are used in vascular surgery
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Coronary arteries
Right common carotid artery and external carotid artery

22. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Supine with head turned 45 degrees to the unaffected side
Vena cava
Basilic vein

23. What organs does the superior mesenteric artery feed
The surgeons hands should be wet
Hyline cartilage
Basilic vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

24. What are the characteristics of abdominal aneurysms
The surgeons hands should be wet
Cramping pain or a dull ache
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

25. When is arterial blood volume decreased
Arterial bypass
Femorofemoral bypass
Right common carotid artery and external carotid artery
As the heart beats faster there is less blood volume

26. What factors influence blood pressure
Arteriosclerosis obliterans
Femorofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
Coronary arteries

27. What procedure is the javid shunt used for
Heparin and antibiotics for irrigation
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
Carotid endarterectomy

28. What type of blade is used for an arteriotomy
#11 on a #7 handle
Left & right common iliac arteries are at the 4th lumbar
5-0 or 6-0
Internal carotid artery

29. What should be done before tying polypropylene sutures
6-0 or 7-0
The force that blood exerts on the internal walls of the vessels
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The surgeons hands should be wet

30. What vessels are clamped during a carotid endarterectomy
6-0 or 7-0
Internal carotid then the external carotid then the common carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Heparin and antibiotics for irrigation

31. What solution is not used during grafting procedures
#11 on a #7 handle
As the heart beats faster there is less blood volume
Water
Sarot clamp?

32. What is an atrial embolism
Left & right common iliac arteries are at the 4th lumbar
Carotid endarterectomy
Blood - fat - air - or portions of tumors that break free
Flush then clamp proximal then distal

33. 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
Carotid endarterectomy
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

34. What is the largest vein
Right common carotid artery and external carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Saphenous vein
Esophagus

35. What is the location of the biforcation of the aorta and What vessels are involved
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar
Splenic artery
Double armed needles - tapered

36. Which arteries supply the spinal cord
Blood - fat - air - or portions of tumors that break free
Rubber shods
Right common carotid artery and external carotid artery
Vertebral arteries

37. What organ does the gastric artery feed
The force that blood exerts on the internal walls of the vessels
Knitted polyester - woven polyester
Esophagus
Stainless steel mesh - titanium - polypropylene

38. What is claudication
Cramping pain or a dull ache
Internal carotid then the external carotid then the common carotid artery
Tunica intima - tunica media - & tunica adventita
Arteriosclerosis obliterans

39. Which clamp is removed last
Epicardium - myocardium - and endocardium
As the heart beats faster there is less blood volume
Knitted polyester - woven polyester
Internal carotid artery

40. What communicate in the circle of willis
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The popliteal vein
Epicardium - myocardium - and endocardium

41. What are the layers of the heart
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Weitlaner self-retaining retractor
Epicardium - myocardium - and endocardium
Flush then clamp proximal then distal

42. What are pledgets used for
Heparin and antibiotics for irrigation
To reinforce the anastomosis
Internal carotid then the external carotid then the common carotid artery
3-0 or 4-0

43. Which artery feeds the adrenal glands
Suprarenal artery
Epicardium - myocardium - and endocardium
Vessels that are between the arteriols and venule
Rubber shods

44. What structures keep the trachea from collapsing
Hyline cartilage
Water
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava

45. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Through the artery to compress the plaque against the wall of the artery
As the heart beats faster there is less blood volume
6-0

46. Where do the coronary arteries arise from
Ascending aorta
Suprarenal artery
Knitted polyester - woven polyester
Epicardium - myocardium - and endocardium

47. What are the sutures for the iliac artery
4-0 or 5-0
6-0
6-0 or 7-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

48. In What procedure is a fogarty catheter used
Epicardium - myocardium - and endocardium
Left & right common iliac arteries are at the 4th lumbar
Vena cava
Arterial embolectomy

49. What structure is the pacemaker of the heart
Double armed needles - tapered
Through the artery to compress the plaque against the wall of the artery
SA node
4-0 or 5-0

50. What is the sequence of clamping in an ateriotomy
Double armed needles - tapered
Flush then clamp proximal then distal
Arteriosclerosis obliterans
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties