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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 is an ateriotomy
Incision into an artery
Esophagus
In the capillaries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

2. What procedure is used for an iliac artery obstruction
In the capillaries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
Femorofemoral bypass

3. What is claudication
Cramping pain or a dull ache
Double armed needles - tapered
4-0 or 5-0
SA node

4. What is the sequence of clamping in an ateriotomy
Right common carotid artery and external carotid artery
Femoral arteries
Flush then clamp proximal then distal
The force that blood exerts on the internal walls of the vessels

5. What type of retractor is used in an aortofemoral bypass
Papaverine
Weitlaner self-retaining retractor
Suprarenal artery
Arterial bypass

6. What vessels are clamped during a carotid endarterectomy
Femorofemoral bypass
Water
Rubber shods
Internal carotid then the external carotid then the common carotid artery

7. What medication is added to saline
6-0
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Esophagus
Heparin and antibiotics for irrigation

8. What are the characteristics of abdominal aneurysms
Left & right common iliac arteries are at the 4th lumbar
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0
Epicardium - myocardium - and endocardium

9. What are capillaries
Carotid endarterectomy
Arterial bypass
Sarot clamp?
Vessels that are between the arteriols and venule

10. What is the location of the biforcation of the aorta and What vessels are involved
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Femorofemoral bypass
5-0 or 6-0
Left & right common iliac arteries are at the 4th lumbar

11. In What procedure is a fogarty catheter used
Arterial embolectomy
Epicardium - myocardium - and endocardium
Vena cava
Water

12. What is the prep area for a femoropopliteal bypass
Left & right common iliac arteries are at the 4th lumbar
Weitlaner self-retaining retractor
Midabdomen to toes & leg circumferentially
Hyline cartilage

13. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
To reinforce the anastomosis
Femoral arteries
Blood - fat - air - or portions of tumors that break free

14. What are the layers of vessels
#11 on a #7 handle
Ventricular contraction - resistance - blood viscosity - and heart rate
Tunica intima - tunica media - & tunica adventita
A closed system of vessels that transport blood from the heart to the body and back

15. What vein is on the lateral side of the arm
The force that blood exerts on the internal walls of the vessels
Basilic vein
As the heart beats faster there is less blood volume
Through the artery to compress the plaque against the wall of the artery

16. What structures keep the trachea from collapsing
In the capillaries
Supine with head turned 45 degrees to the unaffected side
Hyline cartilage
Water

17. What structure is the pacemaker of the heart
SA node
The force that blood exerts on the internal walls of the vessels
Knitted polyester - woven polyester
Suprarenal artery

18. What disease leads to atheroma formation
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery
Femorofemoral bypass

19. Which artery feeds the adrenal glands
Suprarenal artery
Rubber shods
Esophagus
5-0 or 6-0

20. What graft material is not used in the popliteal area
Hyline cartilage
Knitted polyester - woven polyester
Weitlaner self-retaining retractor
Supine with head turned 45 degrees to the unaffected side

21. What solution is not used during grafting procedures
Epicardium - myocardium - and endocardium
Esophagus
SA node
Water

22. What organs does the superior mesenteric artery feed
Basilic vein
6-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Incision into an artery

23. What should be done before tying polypropylene sutures
Suprarenal artery
The surgeons hands should be wet
A closed system of vessels that transport blood from the heart to the body and back
Double armed needles - tapered

24. sutures for common carotid or subclavian
6-0
Tunica intima - tunica media - & tunica adventita
Water
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

25. How is the fogarty baloon catheter used
Incision into an artery
Through the artery to compress the plaque against the wall of the artery
Flush then clamp proximal then distal
Arterial embolectomy

26. What are the deep veins of the foot
Hyline cartilage
#11 on a #7 handle
Dorsal venus arch
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

27. Which artery feeds the upper digestive tract - spleen - and liver
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Splenic artery
Ascending aorta
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

28. What is the best approach for an aortofemoral bypass
A closed system of vessels that transport blood from the heart to the body and back
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial bypass
Tunica intima - tunica media - & tunica adventita

29. What factors influence blood pressure
Left & right common iliac arteries are at the 4th lumbar
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

30. What is the pt position for carotid endoarterectomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus
Supine with head turned 45 degrees to the unaffected side
Femorofemoral bypass

31. sutures for femoral - popliteal arteries
Blood - fat - air - or portions of tumors that break free
Vessels that are between the arteriols and venule
5-0 or 6-0
3-0 or 4-0

32. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
The popliteal vein
Dorsal venus arch
Arterial embolectomy

33. What does the external iliac artery biforcate into
To reinforce the anastomosis
4-0 or 5-0
Femoral arteries
Heparin and antibiotics for irrigation

34. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Carotid endarterectomy
Midabdomen to toes & leg circumferentially
Hyline cartilage

35. What drug is used for arterial vasospasms
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femorofemoral bypass
Papaverine
Supine with head turned 45 degrees to the unaffected side

36. From What vein is the blood taken to pre-clot the graft
Vena cava
SA node
5-0 or 6-0
Incision into an artery

37. What are the sutures for the iliac artery
Midabdomen to toes & leg circumferentially
Rubber shods
4-0 or 5-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

38. Where do the coronary arteries arise from
Ascending aorta
The force that blood exerts on the internal walls of the vessels
Hyline cartilage
Basilic vein

39. What type of needle is used for vessels
Double armed needles - tapered
Vessels that are between the arteriols and venule
Through the artery to compress the plaque against the wall of the artery
Heparin and antibiotics for irrigation

40. What are delicate sutures tagged with
Rubber shods
Left & right common iliac arteries are at the 4th lumbar
Esophagus
Flush then clamp proximal then distal

41. What are the layers of the heart
Internal carotid artery
Left & right common iliac arteries are at the 4th lumbar
Incision into an artery
Epicardium - myocardium - and endocardium

42. Where does gas exchange take place
In the capillaries
As the heart beats faster there is less blood volume
Femoral arteries
Epicardium - myocardium - and endocardium

43. What procedure is the javid shunt used for
Blood - fat - air - or portions of tumors that break free
Arteriosclerosis obliterans
Femorofemoral bypass
Carotid endarterectomy

44. 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
3-0 or 4-0
As the heart beats faster there is less blood volume
Left & right common iliac arteries are at the 4th lumbar

45. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Supine with head turned 45 degrees to the unaffected side
Basilic vein
Vena cava

46. What are pledgets used for
The force that blood exerts on the internal walls of the vessels
Flush then clamp proximal then distal
Vena cava
To reinforce the anastomosis

47. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Incision into an artery
Splenic artery

48. What instrument is used to isolate an artery
Supine with head turned 45 degrees to the unaffected side
6-0
Sarot clamp?
Carotid endarterectomy

49. What type of blade is used for an arteriotomy
Incision into an artery
#11 on a #7 handle
Double armed needles - tapered
Knitted polyester - woven polyester

50. What arteries supply the myocardium
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The surgeons hands should be wet
Femorofemoral bypass
Coronary arteries