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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 type of needle is used for vessels
Femorofemoral bypass
Double armed needles - tapered
Weitlaner self-retaining retractor
Blood - fat - air - or portions of tumors that break free

2. What factors influence blood pressure
Left & right common iliac arteries are at the 4th lumbar
Ventricular contraction - resistance - blood viscosity - and heart rate
#11 on a #7 handle
Cramping pain or a dull ache

3. What is an ateriotomy
Knitted polyester - woven polyester
Incision into an artery
Heparin and antibiotics for irrigation
Tunica intima - tunica media - & tunica adventita

4. Which artery feeds the adrenal glands
Double armed needles - tapered
Internal carotid artery
#11 on a #7 handle
Suprarenal artery

5. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Right common carotid artery and external carotid artery
Internal carotid then the external carotid then the common carotid artery
Cramping pain or a dull ache

6. What are pledgets used for
5-0 or 6-0
The popliteal vein
Tunica intima - tunica media - & tunica adventita
To reinforce the anastomosis

7. What medication is added to saline
Cramping pain or a dull ache
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Coronary arteries
Heparin and antibiotics for irrigation

8. What structures keep the trachea from collapsing
Rubber shods
Hyline cartilage
To reinforce the anastomosis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

9. What vein is on the lateral side of the arm
6-0
As the heart beats faster there is less blood volume
Sarot clamp?
Basilic vein

10. What is the pt position for carotid endoarterectomy
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
Supine with head turned 45 degrees to the unaffected side
Esophagus

11. 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
Water
Midabdomen to toes & leg circumferentially
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

12. What is the location of the biforcation of the aorta and What vessels are involved
Coronary arteries
Through the artery to compress the plaque against the wall of the artery
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage

13. What are delicate sutures tagged with
Splenic artery
A closed system of vessels that transport blood from the heart to the body and back
#11 on a #7 handle
Rubber shods

14. When is arterial blood volume decreased
Dorsal venus arch
Saphenous vein
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery

15. What are the sutures for the aorta
A closed system of vessels that transport blood from the heart to the body and back
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Saphenous vein

16. sutures for common carotid or subclavian
6-0
Esophagus
Double armed needles - tapered
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

17. What organ does the gastric artery feed
Esophagus
Femorofemoral bypass
Vena cava
Internal carotid artery

18. What are capillaries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Tunica intima - tunica media - & tunica adventita
A closed system of vessels that transport blood from the heart to the body and back
Vessels that are between the arteriols and venule

19. What procedure is used for an iliac artery obstruction
Cramping pain or a dull ache
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femorofemoral bypass
Through the artery to compress the plaque against the wall of the artery

20. What should be done before tying polypropylene sutures
Vertebral arteries
Cramping pain or a dull ache
Epicardium - myocardium - and endocardium
The surgeons hands should be wet

21. What is the best approach for an aortofemoral bypass
Through the artery to compress the plaque against the wall of the artery
Arterial bypass
As the heart beats faster there is less blood volume
3-0 or 4-0

22. What are some special conseriderations for patients undergoing peripheral vascular surgery
Left & right common iliac arteries are at the 4th lumbar
Arterial embolectomy
3-0 or 4-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

23. What is the prep area for a femoropopliteal bypass
Vessels that are between the arteriols and venule
Knitted polyester - woven polyester
Midabdomen to toes & leg circumferentially
Right common carotid artery and external carotid artery

24. Where do the coronary arteries arise from
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
3-0 or 4-0
Saphenous vein

25. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vena cava
Tunica intima - tunica media - & tunica adventita
The surgeons hands should be wet

26. What drugs are used in vascular surgery
6-0
Water
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Blood - fat - air - or portions of tumors that break free

27. In What procedure is a fogarty catheter used
Water
Incision into an artery
Arterial embolectomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

28. What are the 3 branches of the aortic arch
Cramping pain or a dull ache
Stainless steel mesh - titanium - polypropylene
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?

29. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Left & right common iliac arteries are at the 4th lumbar
Papaverine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

30. What procedure is the javid shunt used for
Ventricular contraction - resistance - blood viscosity - and heart rate
Tunica intima - tunica media - & tunica adventita
To reinforce the anastomosis
Carotid endarterectomy

31. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Arterial bypass
The popliteal vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

32. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
The surgeons hands should be wet
Ventricular contraction - resistance - blood viscosity - and heart rate
Cramping pain or a dull ache

33. Which arteries supply the spinal cord
The force that blood exerts on the internal walls of the vessels
Dorsal venus arch
As the heart beats faster there is less blood volume
Vertebral arteries

34. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
The surgeons hands should be wet
6-0 or 7-0
Vena cava
Stainless steel mesh - titanium - polypropylene

35. What is the largest vein
Saphenous vein
Suprarenal artery
4-0 or 5-0
Ascending aorta

36. What type of blade is used for an arteriotomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
#11 on a #7 handle
Basilic vein
Sarot clamp?

37. What are the layers of vessels
Incision into an artery
Internal carotid artery
Supine with head turned 45 degrees to the unaffected side
Tunica intima - tunica media - & tunica adventita

38. What is the peripheral vascular system
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery
Epicardium - myocardium - and endocardium
A closed system of vessels that transport blood from the heart to the body and back

39. What disease leads to atheroma formation
6-0 or 7-0
Dorsal venus arch
Arteriosclerosis obliterans
The surgeons hands should be wet

40. What vessels are clamped during a carotid endarterectomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femoral arteries
The force that blood exerts on the internal walls of the vessels
Internal carotid then the external carotid then the common carotid artery

41. Which clamp is removed last
Cramping pain or a dull ache
Internal carotid artery
The surgeons hands should be wet
In the capillaries

42. What instrument is used to isolate an artery
Sarot clamp?
Arterial bypass
Ascending aorta
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

43. What graft material is not used in the popliteal area
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Knitted polyester - woven polyester
Suprarenal artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

44. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
The popliteal vein
4-0 or 5-0
A closed system of vessels that transport blood from the heart to the body and back

45. What are the layers of the heart
6-0
Stainless steel mesh - titanium - polypropylene
Epicardium - myocardium - and endocardium
Cramping pain or a dull ache

46. What organs does the superior mesenteric artery feed
Vena cava
Vessels that are between the arteriols and venule
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Saphenous vein

47. What are the sutures for the iliac artery
A closed system of vessels that transport blood from the heart to the body and back
Vena cava
4-0 or 5-0
As the heart beats faster there is less blood volume

48. What type of retractor is used in an aortofemoral bypass
Epicardium - myocardium - and endocardium
Weitlaner self-retaining retractor
5-0 or 6-0
Arterial bypass

49. sutures for femoral - popliteal arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The surgeons hands should be wet
5-0 or 6-0

50. From What vein is the blood taken to pre-clot the graft
Hyline cartilage
Sarot clamp?
The force that blood exerts on the internal walls of the vessels
Vena cava