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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 are the deep veins of the foot
Dorsal venus arch
Femoral arteries
Cramping pain or a dull ache
#11 on a #7 handle

2. What organ does the gastric artery feed
Esophagus
Cramping pain or a dull ache
To reinforce the anastomosis
Saphenous vein

3. What graft material is not used in the popliteal area
Left & right common iliac arteries are at the 4th lumbar
Cramping pain or a dull ache
Vena cava
Knitted polyester - woven polyester

4. What is the location of the biforcation of the aorta and What vessels are involved
Sarot clamp?
Left & right common iliac arteries are at the 4th lumbar
Vertebral arteries
Knitted polyester - woven polyester

5. What are delicate sutures tagged with
Esophagus
Rubber shods
5-0 or 6-0
Sarot clamp?

6. What is the best approach for an aortofemoral bypass
Arterial bypass
In the capillaries
Vena cava
Suprarenal artery

7. What are the general characteristics of veins
Internal carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
A closed system of vessels that transport blood from the heart to the body and back
The popliteal vein

8. What is claudication
As the heart beats faster there is less blood volume
Cramping pain or a dull ache
Incision into an artery
Femorofemoral bypass

9. What are the characteristics of abdominal aneurysms
Sarot clamp?
SA node
Arteriosclerosis obliterans
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

10. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Papaverine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Ascending aorta

11. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Cramping pain or a dull ache
Heparin and antibiotics for irrigation
Arteriosclerosis obliterans

12. What should be done before tying polypropylene sutures
To reinforce the anastomosis
The surgeons hands should be wet
Stainless steel mesh - titanium - polypropylene
Esophagus

13. What drug is used for arterial vasospasms
Rubber shods
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Flush then clamp proximal then distal

14. What organs does the superior mesenteric artery feed
Splenic artery
Vertebral arteries
Midabdomen to toes & leg circumferentially
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

15. What structure is the pacemaker of the heart
Cramping pain or a dull ache
Water
Ascending aorta
SA node

16. Which artery feeds the upper digestive tract - spleen - and liver
Femoral arteries
Saphenous vein
Splenic artery
Arterial bypass

17. What are the layers of the heart
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester
Hyline cartilage
Vena cava

18. Which artery feeds the adrenal glands
The surgeons hands should be wet
Tunica intima - tunica media - & tunica adventita
Suprarenal artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

19. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Arterial embolectomy
6-0 or 7-0
Incision into an artery
As the heart beats faster there is less blood volume

20. In What procedure is a fogarty catheter used
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
Flush then clamp proximal then distal
Arterial embolectomy

21. What vessels are clamped during a carotid endarterectomy
Flush then clamp proximal then distal
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery
Double armed needles - tapered

22. What is the prep area for a femoropopliteal bypass
6-0 or 7-0
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially
Sarot clamp?

23. What are the 3 branches of the aortic arch
Arterial embolectomy
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Esophagus
Knitted polyester - woven polyester

24. 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
A closed system of vessels that transport blood from the heart to the body and back
Ascending aorta

25. What type of blade is used for an arteriotomy
#11 on a #7 handle
Tunica intima - tunica media - & tunica adventita
6-0
Flush then clamp proximal then distal

26. What is the largest vein
SA node
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Saphenous vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

27. What is the pt position for carotid endoarterectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Supine with head turned 45 degrees to the unaffected side
The popliteal vein
Arterial embolectomy

28. What are pledgets used for
#11 on a #7 handle
The surgeons hands should be wet
Internal carotid then the external carotid then the common carotid artery
To reinforce the anastomosis

29. What communicate in the circle of willis
Vertebral arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Blood - fat - air - or portions of tumors that break free
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

30. What medication is added to saline
Heparin and antibiotics for irrigation
Weitlaner self-retaining retractor
Incision into an artery
3-0 or 4-0

31. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
To reinforce the anastomosis
Arterial embolectomy
Coronary arteries

32. What are the layers of vessels
Femoral arteries
Tunica intima - tunica media - & tunica adventita
The surgeons hands should be wet
Internal carotid artery

33. What is the sequence of clamping in an ateriotomy
Stainless steel mesh - titanium - polypropylene
The surgeons hands should be wet
Femoral arteries
Flush then clamp proximal then distal

34. What is blood pressure
Arterial embolectomy
The force that blood exerts on the internal walls of the vessels
Weitlaner self-retaining retractor
Saphenous vein

35. What procedure is the javid shunt used for
Arterial embolectomy
Epicardium - myocardium - and endocardium
Through the artery to compress the plaque against the wall of the artery
Carotid endarterectomy

36. What drugs are used in vascular surgery
Splenic artery
Cramping pain or a dull ache
#11 on a #7 handle
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

37. What type of retractor is used in an aortofemoral bypass
Water
Femorofemoral bypass
Weitlaner self-retaining retractor
Hyline cartilage

38. What are the sutures for the aorta
Ascending aorta
3-0 or 4-0
Through the artery to compress the plaque against the wall of the artery
Suprarenal artery

39. Where do the coronary arteries arise from
Stainless steel mesh - titanium - polypropylene
Ascending aorta
6-0 or 7-0
A closed system of vessels that transport blood from the heart to the body and back

40. What do the anterior and posterior tibial veins unite to become
Esophagus
The popliteal vein
Weitlaner self-retaining retractor
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

41. What instrument is used to isolate an artery
Vertebral arteries
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Water

42. What is the peripheral vascular system
6-0 or 7-0
Left & right common iliac arteries are at the 4th lumbar
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

43. What solution is not used during grafting procedures
Water
Supine with head turned 45 degrees to the unaffected side
To reinforce the anastomosis
Esophagus

44. What does the external iliac artery biforcate into
Femoral arteries
Blood - fat - air - or portions of tumors that break free
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

45. From What vein is the blood taken to pre-clot the graft
Ventricular contraction - resistance - blood viscosity - and heart rate
Esophagus
Sarot clamp?
Vena cava

46. sutures for common carotid or subclavian
Hyline cartilage
Internal carotid artery
Incision into an artery
6-0

47. What are some special conseriderations for patients undergoing peripheral vascular surgery
4-0 or 5-0
Papaverine
Sarot clamp?
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

48. What structures keep the trachea from collapsing
Internal carotid then the external carotid then the common carotid artery
Vertebral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Hyline cartilage

49. What is an ateriotomy
Incision into an artery
In the capillaries
Internal carotid artery
SA node

50. What arteries supply the myocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Hyline cartilage
Coronary arteries
Arterial embolectomy