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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 communicate in the circle of willis
Rubber shods
Left & right common iliac arteries are at the 4th lumbar
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery

2. What instrument is used to isolate an artery
Arterial embolectomy
Femoral arteries
Knitted polyester - woven polyester
Sarot clamp?

3. What factors influence blood pressure
Blood - fat - air - or portions of tumors that break free
Double armed needles - tapered
To reinforce the anastomosis
Ventricular contraction - resistance - blood viscosity - and heart rate

4. sutures for common carotid or subclavian
Double armed needles - tapered
Coronary arteries
6-0
Splenic artery

5. What disease leads to atheroma formation
The surgeons hands should be wet
Arteriosclerosis obliterans
Heparin and antibiotics for irrigation
Ventricular contraction - resistance - blood viscosity - and heart rate

6. What is claudication
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Cramping pain or a dull ache
Dorsal venus arch
Double armed needles - tapered

7. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Incision into an artery
Saphenous vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

8. Which arteries supply the spinal cord
4-0 or 5-0
Esophagus
Vertebral arteries
Saphenous vein

9. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Double armed needles - tapered
Femoral arteries
6-0 or 7-0
Papaverine

10. What medication is added to saline
Heparin and antibiotics for irrigation
Midabdomen to toes & leg circumferentially
Basilic vein
Carotid endarterectomy

11. What is an atrial embolism
Carotid endarterectomy
Dorsal venus arch
Blood - fat - air - or portions of tumors that break free
Midabdomen to toes & leg circumferentially

12. What structures keep the trachea from collapsing
Arteriosclerosis obliterans
In the capillaries
Hyline cartilage
Arterial embolectomy

13. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Ascending aorta
Hyline cartilage
Internal carotid then the external carotid then the common carotid artery

14. What type of blade is used for an arteriotomy
Hyline cartilage
Vessels that are between the arteriols and venule
#11 on a #7 handle
Midabdomen to toes & leg circumferentially

15. What does the external iliac artery biforcate into
Weitlaner self-retaining retractor
Femoral arteries
Coronary arteries
Epicardium - myocardium - and endocardium

16. What are the 3 branches of the aortic arch
Internal carotid then the external carotid then the common carotid artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Coronary arteries
3-0 or 4-0

17. What are the deep veins of the foot
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Dorsal venus arch
Ascending aorta
Flush then clamp proximal then distal

18. What is the best approach for an aortofemoral bypass
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Papaverine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arterial bypass

19. sutures for femoral - popliteal arteries
Suprarenal artery
Papaverine
5-0 or 6-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

20. What procedure is the javid shunt used for
Vertebral arteries
Carotid endarterectomy
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

21. What organs does the superior mesenteric artery feed
Suprarenal artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate

22. In What procedure is a fogarty catheter used
Vessels that are between the arteriols and venule
Double armed needles - tapered
Saphenous vein
Arterial embolectomy

23. What arteries supply the myocardium
Coronary arteries
SA node
Right common carotid artery and external carotid artery
4-0 or 5-0

24. What should be done before tying polypropylene sutures
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Midabdomen to toes & leg circumferentially
Double armed needles - tapered
The surgeons hands should be wet

25. Where does gas exchange take place
6-0 or 7-0
Dorsal venus arch
Papaverine
In the capillaries

26. From What vein is the blood taken to pre-clot the graft
Vena cava
Hyline cartilage
Femoral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

27. What are pledgets used for
To reinforce the anastomosis
4-0 or 5-0
In the capillaries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

28. 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
Saphenous vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Epicardium - myocardium - and endocardium

29. What is the pt position for carotid endoarterectomy
4-0 or 5-0
Vessels that are between the arteriols and venule
Supine with head turned 45 degrees to the unaffected side
In the capillaries

30. What are the characteristics of abdominal aneurysms
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
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
Incision into an artery

31. What are delicate sutures tagged with
Femorofemoral bypass
Rubber shods
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
6-0 or 7-0

32. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Double armed needles - tapered
The surgeons hands should be wet
Hyline cartilage

33. What solution is not used during grafting procedures
Suprarenal artery
Water
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The popliteal vein

34. What are the general characteristics of veins
To reinforce the anastomosis
Arterial bypass
Sarot clamp?
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

35. Which artery feeds the adrenal glands
Suprarenal artery
Left & right common iliac arteries are at the 4th lumbar
Arteriosclerosis obliterans
Carotid endarterectomy

36. What is an ateriotomy
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery
Double armed needles - tapered
Tunica intima - tunica media - & tunica adventita

37. What drugs are used in vascular surgery
Arterial bypass
Hyline cartilage
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Splenic artery

38. What vein is on the lateral side of the arm
Right common carotid artery and external carotid artery
Saphenous vein
Dorsal venus arch
Basilic vein

39. What graft material is not used in the popliteal area
Weitlaner self-retaining retractor
Double armed needles - tapered
Ventricular contraction - resistance - blood viscosity - and heart rate
Knitted polyester - woven polyester

40. What are the layers of the heart
As the heart beats faster there is less blood volume
Rubber shods
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Epicardium - myocardium - and endocardium

41. When is arterial blood volume decreased
Hyline cartilage
As the heart beats faster there is less blood volume
Left & right common iliac arteries are at the 4th lumbar
The surgeons hands should be wet

42. What are the sutures for the iliac artery
Weitlaner self-retaining retractor
Rubber shods
4-0 or 5-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

43. What are the layers of vessels
Ventricular contraction - resistance - blood viscosity - and heart rate
Arteriosclerosis obliterans
Blood - fat - air - or portions of tumors that break free
Tunica intima - tunica media - & tunica adventita

44. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Papaverine
Coronary arteries
4-0 or 5-0

45. What is the location of the biforcation of the aorta and What vessels are involved
Suprarenal artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Flush then clamp proximal then distal
Left & right common iliac arteries are at the 4th lumbar

46. What type of needle is used for vessels
4-0 or 5-0
Double armed needles - tapered
Hyline cartilage
The popliteal vein

47. How is the fogarty baloon catheter used
Femorofemoral bypass
Incision into an artery
Vessels that are between the arteriols and venule
Through the artery to compress the plaque against the wall of the artery

48. What type of retractor is used in an aortofemoral bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Weitlaner self-retaining retractor
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0

49. What are the sutures for the aorta
Vena cava
To reinforce the anastomosis
3-0 or 4-0
Internal carotid then the external carotid then the common carotid artery

50. What drug is used for arterial vasospasms
Hyline cartilage
Papaverine
Carotid endarterectomy
Basilic vein