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Peripheral Vascular Surgery
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Subjects
:
health-sciences
,
surgery
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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 layers of vessels
Sarot clamp?
Stainless steel mesh - titanium - polypropylene
Tunica intima - tunica media - & tunica adventita
Vessels that are between the arteriols and venule
2. What is the sequence of clamping in an ateriotomy
6-0 or 7-0
Arteriosclerosis obliterans
3-0 or 4-0
Flush then clamp proximal then distal
3. What is an ateriotomy
Incision into an artery
The force that blood exerts on the internal walls of the vessels
Epicardium - myocardium - and endocardium
Arterial embolectomy
4. What do the anterior and posterior tibial veins unite to become
Papaverine
The popliteal vein
5-0 or 6-0
The force that blood exerts on the internal walls of the vessels
5. Where does gas exchange take place
Heparin and antibiotics for irrigation
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
In the capillaries
6. What does the external iliac artery biforcate into
Epicardium - myocardium - and endocardium
Femoral arteries
Arterial embolectomy
Internal carotid then the external carotid then the common carotid artery
7. What materials are used for stents
Saphenous vein
Splenic artery
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene
8. What is the peripheral vascular system
The popliteal vein
A closed system of vessels that transport blood from the heart to the body and back
The surgeons hands should be wet
5-0 or 6-0
9. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Basilic vein
Sarot clamp?
The force that blood exerts on the internal walls of the vessels
10. What are the characteristics of abdominal aneurysms
Arterial bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
A closed system of vessels that transport blood from the heart to the body and back
11. What instrument is used to isolate an artery
Sarot clamp?
Weitlaner self-retaining retractor
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
12. Which artery feeds the upper digestive tract - spleen - and liver
Carotid endarterectomy
#11 on a #7 handle
Heparin and antibiotics for irrigation
Splenic artery
13. What is the prep area for a femoropopliteal bypass
Weitlaner self-retaining retractor
The surgeons hands should be wet
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
14. What are the layers of the heart
6-0 or 7-0
Dorsal venus arch
Epicardium - myocardium - and endocardium
Coronary arteries
15. How is the fogarty baloon catheter used
Arterial bypass
As the heart beats faster there is less blood volume
Tunica intima - tunica media - & tunica adventita
Through the artery to compress the plaque against the wall of the artery
16. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Hyline cartilage
Sarot clamp?
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
17. What organ does the gastric artery feed
Internal carotid artery
Esophagus
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Incision into an artery
18. What type of blade is used for an arteriotomy
#11 on a #7 handle
Carotid endarterectomy
Flush then clamp proximal then distal
Weitlaner self-retaining retractor
19. Which artery feeds the adrenal glands
Suprarenal artery
Vertebral arteries
Splenic artery
To reinforce the anastomosis
20. What are delicate sutures tagged with
SA node
Arteriosclerosis obliterans
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Rubber shods
21. What are the sutures for the iliac artery
Ascending aorta
A closed system of vessels that transport blood from the heart to the body and back
Left & right common iliac arteries are at the 4th lumbar
4-0 or 5-0
22. What are the sutures for the aorta
Incision into an artery
3-0 or 4-0
Hyline cartilage
Blood - fat - air - or portions of tumors that break free
23. What is the largest vein
Vena cava
Papaverine
Saphenous vein
Ascending aorta
24. What are some special conseriderations for patients undergoing peripheral vascular surgery
Flush then clamp proximal then distal
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Right common carotid artery and external carotid artery
Suprarenal artery
25. Which clamp is removed last
Internal carotid artery
Midabdomen to toes & leg circumferentially
5-0 or 6-0
The surgeons hands should be wet
26. In What procedure is a fogarty catheter used
Double armed needles - tapered
Water
Arterial embolectomy
Carotid endarterectomy
27. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Incision into an artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The popliteal vein
28. What procedure is used for an iliac artery obstruction
Rubber shods
Cramping pain or a dull ache
Arterial embolectomy
Femorofemoral bypass
29. What is blood pressure
Basilic vein
The force that blood exerts on the internal walls of the vessels
Left & right common iliac arteries are at the 4th lumbar
Supine with head turned 45 degrees to the unaffected side
30. What are capillaries
Coronary arteries
Vessels that are between the arteriols and venule
The surgeons hands should be wet
A closed system of vessels that transport blood from the heart to the body and back
31. sutures for femoral - popliteal arteries
Flush then clamp proximal then distal
5-0 or 6-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Rubber shods
32. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Saphenous vein
A closed system of vessels that transport blood from the heart to the body and back
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
33. What organs does the superior mesenteric artery feed
Water
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Saphenous vein
Sarot clamp?
34. What solution is not used during grafting procedures
Blood - fat - air - or portions of tumors that break free
Vena cava
Through the artery to compress the plaque against the wall of the artery
Water
35. What are the general characteristics of veins
Water
Dorsal venus arch
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
SA node
36. What type of retractor is used in an aortofemoral bypass
Hyline cartilage
Sarot clamp?
Weitlaner self-retaining retractor
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
37. From What vein is the blood taken to pre-clot the graft
Internal carotid then the external carotid then the common carotid artery
Midabdomen to toes & leg circumferentially
Vertebral arteries
Vena cava
38. What are the 3 branches of the aortic arch
Ascending aorta
Water
Right common carotid artery and external carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
39. Where do the coronary arteries arise from
Stainless steel mesh - titanium - polypropylene
Ascending aorta
Midabdomen to toes & leg circumferentially
Internal carotid artery
40. What are pledgets used for
To reinforce the anastomosis
Blood - fat - air - or portions of tumors that break free
5-0 or 6-0
Vena cava
41. What arteries supply the myocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Basilic vein
Coronary arteries
As the heart beats faster there is less blood volume
42. What is the best approach for an aortofemoral bypass
Arterial bypass
Basilic vein
Vessels that are between the arteriols and venule
Double armed needles - tapered
43. What should be done before tying polypropylene sutures
The surgeons hands should be wet
The force that blood exerts on the internal walls of the vessels
Femoral arteries
Water
44. What procedure is the javid shunt used for
Hyline cartilage
Carotid endarterectomy
Vessels that are between the arteriols and venule
Left & right common iliac arteries are at the 4th lumbar
45. What is the location of the biforcation of the aorta and What vessels are involved
Vessels that are between the arteriols and venule
Left & right common iliac arteries are at the 4th lumbar
SA node
Through the artery to compress the plaque against the wall of the artery
46. What is claudication
Cramping pain or a dull ache
Incision into an artery
A closed system of vessels that transport blood from the heart to the body and back
Epicardium - myocardium - and endocardium
47. What is the pt position for carotid endoarterectomy
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Basilic vein
Ventricular contraction - resistance - blood viscosity - and heart rate
Supine with head turned 45 degrees to the unaffected side
48. What are the deep veins of the foot
The force that blood exerts on the internal walls of the vessels
Arteriosclerosis obliterans
Dorsal venus arch
Cramping pain or a dull ache
49. What factors influence blood pressure
In the capillaries
Tunica intima - tunica media - & tunica adventita
Ventricular contraction - resistance - blood viscosity - and heart rate
Vertebral arteries
50. What medication is added to saline
Heparin and antibiotics for irrigation
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid then the external carotid then the common carotid artery
SA node
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