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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 are the deep veins of the foot
Femorofemoral bypass
3-0 or 4-0
Flush then clamp proximal then distal
Dorsal venus arch

2. What is blood pressure
Vessels that are between the arteriols and venule
Sarot clamp?
Flush then clamp proximal then distal
The force that blood exerts on the internal walls of the vessels

3. From What vein is the blood taken to pre-clot the graft
Vena cava
Flush then clamp proximal then distal
Hyline cartilage
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

4. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Internal carotid then the external carotid then the common carotid artery
Flush then clamp proximal then distal
Carotid endarterectomy

5. What is claudication
Carotid endarterectomy
Cramping pain or a dull ache
Sarot clamp?
Dorsal venus arch

6. What solution is not used during grafting procedures
Midabdomen to toes & leg circumferentially
Ascending aorta
Water
To reinforce the anastomosis

7. What organs does the superior mesenteric artery feed
Coronary arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femoral arteries
Internal carotid artery

8. What are capillaries
5-0 or 6-0
Double armed needles - tapered
Vessels that are between the arteriols and venule
Vena cava

9. What drug is used for arterial vasospasms
Midabdomen to toes & leg circumferentially
Papaverine
Right common carotid artery and external carotid artery
A closed system of vessels that transport blood from the heart to the body and back

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

11. What are the sutures for the iliac artery
Midabdomen to toes & leg circumferentially
Internal carotid artery
4-0 or 5-0
Vena cava

12. In What procedure is a fogarty catheter used
Arterial embolectomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Internal carotid then the external carotid then the common carotid artery
Incision into an artery

13. What does the external iliac artery biforcate into
Femoral arteries
Weitlaner self-retaining retractor
Double armed needles - tapered
5-0 or 6-0

14. What vein is on the lateral side of the arm
As the heart beats faster there is less blood volume
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Basilic vein
Internal carotid then the external carotid then the common carotid artery

15. Which arteries supply the spinal cord
A closed system of vessels that transport blood from the heart to the body and back
Midabdomen to toes & leg circumferentially
Vertebral arteries
To reinforce the anastomosis

16. What are the layers of vessels
6-0 or 7-0
Coronary arteries
Tunica intima - tunica media - & tunica adventita
Double armed needles - tapered

17. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Arterial bypass
Arteriosclerosis obliterans
Vessels that are between the arteriols and venule

18. What medication is added to saline
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene
Midabdomen to toes & leg circumferentially
Sarot clamp?

19. What disease leads to atheroma formation
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arteriosclerosis obliterans
SA node
Midabdomen to toes & leg circumferentially

20. What are the general characteristics of veins
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
As the heart beats faster there is less blood volume

21. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
To reinforce the anastomosis
4-0 or 5-0
Midabdomen to toes & leg circumferentially

22. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Arteriosclerosis obliterans
The surgeons hands should be wet
6-0 or 7-0

23. What are some special conseriderations for patients undergoing peripheral vascular surgery
Through the artery to compress the plaque against the wall of the artery
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
SA node

24. What graft material is not used in the popliteal area
To reinforce the anastomosis
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Knitted polyester - woven polyester
Flush then clamp proximal then distal

25. What structure is the pacemaker of the heart
Ventricular contraction - resistance - blood viscosity - and heart rate
Papaverine
SA node
Femoral arteries

26. What are delicate sutures tagged with
Saphenous vein
Vertebral arteries
Rubber shods
5-0 or 6-0

27. What arteries supply the myocardium
Coronary arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Tunica intima - tunica media - & tunica adventita
Ventricular contraction - resistance - blood viscosity - and heart rate

28. What instrument is used to isolate an artery
Sarot clamp?
Suprarenal artery
Internal carotid then the external carotid then the common carotid artery
Midabdomen to toes & leg circumferentially

29. What type of needle is used for vessels
Arterial bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Hyline cartilage
Double armed needles - tapered

30. What is the largest vein
As the heart beats faster there is less blood volume
Basilic vein
Midabdomen to toes & leg circumferentially
Saphenous vein

31. Which clamp is removed last
Tunica intima - tunica media - & tunica adventita
Hyline cartilage
Papaverine
Internal carotid artery

32. What materials are used for stents
In the capillaries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Stainless steel mesh - titanium - polypropylene
Coronary arteries

33. What are pledgets used for
Double armed needles - tapered
SA node
To reinforce the anastomosis
Left & right common iliac arteries are at the 4th lumbar

34. What are the layers of the heart
Epicardium - myocardium - and endocardium
As the heart beats faster there is less blood volume
Internal carotid artery
In the capillaries

35. What are the characteristics of abdominal aneurysms
Dorsal venus arch
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
The force that blood exerts on the internal walls of the vessels

36. What are the 3 branches of the aortic arch
Basilic vein
6-0 or 7-0
The surgeons hands should be wet
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

37. What drugs are used in vascular surgery
SA node
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
6-0 or 7-0

38. sutures for femoral - popliteal arteries
Hyline cartilage
5-0 or 6-0
6-0 or 7-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

39. What type of retractor is used in an aortofemoral bypass
Femoral arteries
Suprarenal artery
Flush then clamp proximal then distal
Weitlaner self-retaining retractor

40. Where do the coronary arteries arise from
Water
Internal carotid then the external carotid then the common carotid artery
Ascending aorta
A closed system of vessels that transport blood from the heart to the body and back

41. What communicate in the circle of willis
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Vessels that are between the arteriols and venule
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

42. What should be done before tying polypropylene sutures
In the capillaries
Through the artery to compress the plaque against the wall of the artery
Vessels that are between the arteriols and venule
The surgeons hands should be wet

43. What factors influence blood pressure
The force that blood exerts on the internal walls of the vessels
3-0 or 4-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Vena cava

44. What organ does the gastric artery feed
Esophagus
Arterial bypass
Weitlaner self-retaining retractor
Splenic artery

45. What is an ateriotomy
Incision into an artery
Dorsal venus arch
4-0 or 5-0
Vertebral arteries

46. Where does gas exchange take place
In the capillaries
Heparin and antibiotics for irrigation
Internal carotid then the external carotid then the common carotid artery
Femorofemoral bypass

47. What is the best approach for an aortofemoral bypass
Arterial bypass
A closed system of vessels that transport blood from the heart to the body and back
Vertebral arteries
Rubber shods

48. Which artery feeds the adrenal glands
Carotid endarterectomy
The popliteal vein
Ventricular contraction - resistance - blood viscosity - and heart rate
Suprarenal artery

49. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Arterial bypass
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

50. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Arteriosclerosis obliterans
As the heart beats faster there is less blood volume
SA node
6-0 or 7-0