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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 organs does the superior mesenteric artery feed
In the capillaries
The popliteal vein
Incision into an artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

2. What is the prep area for a femoropopliteal bypass
4-0 or 5-0
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
A closed system of vessels that transport blood from the heart to the body and back

3. What solution is not used during grafting procedures
Epicardium - myocardium - and endocardium
Through the artery to compress the plaque against the wall of the artery
Carotid endarterectomy
Water

4. What is the best approach for an aortofemoral bypass
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arterial bypass
Epicardium - myocardium - and endocardium
Carotid endarterectomy

5. Which artery feeds the adrenal glands
Tunica intima - tunica media - & tunica adventita
Hyline cartilage
As the heart beats faster there is less blood volume
Suprarenal artery

6. sutures for femoral - popliteal arteries
5-0 or 6-0
Incision into an artery
In the capillaries
Dorsal venus arch

7. What is the pt position for carotid endoarterectomy
6-0 or 7-0
Cramping pain or a dull ache
SA node
Supine with head turned 45 degrees to the unaffected side

8. What arteries supply the myocardium
Coronary arteries
In the capillaries
Saphenous vein
Supine with head turned 45 degrees to the unaffected side

9. What materials are used for stents
Internal carotid then the external carotid then the common carotid artery
Stainless steel mesh - titanium - polypropylene
Left & right common iliac arteries are at the 4th lumbar
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

10. What medication is added to saline
Water
In the capillaries
Heparin and antibiotics for irrigation
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

11. What are the layers of vessels
SA node
Tunica intima - tunica media - & tunica adventita
Stainless steel mesh - titanium - polypropylene
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

12. Where does gas exchange take place
In the capillaries
Vertebral arteries
Through the artery to compress the plaque against the wall of the artery
6-0

13. What is an ateriotomy
Incision into an artery
As the heart beats faster there is less blood volume
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Stainless steel mesh - titanium - polypropylene

14. What do the anterior and posterior tibial veins unite to become
Coronary arteries
Arteriosclerosis obliterans
Double armed needles - tapered
The popliteal vein

15. What is an atrial embolism
As the heart beats faster there is less blood volume
The surgeons hands should be wet
4-0 or 5-0
Blood - fat - air - or portions of tumors that break free

16. What is blood pressure
Suprarenal artery
Vessels that are between the arteriols and venule
The force that blood exerts on the internal walls of the vessels
Incision into an artery

17. Which clamp is removed last
Supine with head turned 45 degrees to the unaffected side
The popliteal vein
Double armed needles - tapered
Internal carotid artery

18. What is the sequence of clamping in an ateriotomy
Cramping pain or a dull ache
#11 on a #7 handle
Coronary arteries
Flush then clamp proximal then distal

19. What are pledgets used for
The force that blood exerts on the internal walls of the vessels
To reinforce the anastomosis
Arterial bypass
Suprarenal artery

20. What disease leads to atheroma formation
Knitted polyester - woven polyester
Ventricular contraction - resistance - blood viscosity - and heart rate
Arteriosclerosis obliterans
Midabdomen to toes & leg circumferentially

21. What are the deep veins of the foot
As the heart beats faster there is less blood volume
Papaverine
Dorsal venus arch
Vertebral arteries

22. What are some special conseriderations for patients undergoing peripheral vascular surgery
Flush then clamp proximal then distal
Double armed needles - tapered
Knitted polyester - woven polyester
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

23. What does the external iliac artery biforcate into
Basilic vein
#11 on a #7 handle
Papaverine
Femoral arteries

24. Which artery feeds the upper digestive tract - spleen - and liver
Knitted polyester - woven polyester
Cramping pain or a dull ache
Dorsal venus arch
Splenic artery

25. What should be done before tying polypropylene sutures
3-0 or 4-0
Incision into an artery
The surgeons hands should be wet
Double armed needles - tapered

26. What instrument is used to isolate an artery
6-0 or 7-0
To reinforce the anastomosis
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?

27. When is arterial blood volume decreased
Dorsal venus arch
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
As the heart beats faster there is less blood volume

28. What procedure is the javid shunt used for
To reinforce the anastomosis
Flush then clamp proximal then distal
6-0
Carotid endarterectomy

29. What organ does the gastric artery feed
Arterial embolectomy
Ascending aorta
Esophagus
Hyline cartilage

30. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
4-0 or 5-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
To reinforce the anastomosis

31. What vessels are clamped during a carotid endarterectomy
Arterial bypass
4-0 or 5-0
Epicardium - myocardium - and endocardium
Internal carotid then the external carotid then the common carotid artery

32. What are the layers of the heart
Vena cava
4-0 or 5-0
Arteriosclerosis obliterans
Epicardium - myocardium - and endocardium

33. What is claudication
Cramping pain or a dull ache
Internal carotid then the external carotid then the common carotid artery
Rubber shods
Right common carotid artery and external carotid artery

34. What structure is the pacemaker of the heart
Tunica intima - tunica media - & tunica adventita
Esophagus
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
SA node

35. What drugs are used in vascular surgery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Papaverine
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

36. What vein is on the lateral side of the arm
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery
Basilic vein
6-0 or 7-0

37. From What vein is the blood taken to pre-clot the graft
Vena cava
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Supine with head turned 45 degrees to the unaffected side
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

38. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
SA node
In the capillaries
6-0 or 7-0
The surgeons hands should be wet

39. What structures keep the trachea from collapsing
Hyline cartilage
Water
4-0 or 5-0
Cramping pain or a dull ache

40. What arteries supply the brain - head - and neck
In the capillaries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Right common carotid artery and external carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

41. How is the fogarty baloon catheter used
6-0 or 7-0
Ascending aorta
Through the artery to compress the plaque against the wall of the artery
Arterial embolectomy

42. What type of needle is used for vessels
Double armed needles - tapered
In the capillaries
Midabdomen to toes & leg circumferentially
Heparin and antibiotics for irrigation

43. What are the general characteristics of veins
Incision into an artery
Femoral arteries
Stainless steel mesh - titanium - polypropylene
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

44. Which arteries supply the spinal cord
Arterial bypass
Ascending aorta
Vertebral arteries
Flush then clamp proximal then distal

45. What type of retractor is used in an aortofemoral bypass
Arterial bypass
Weitlaner self-retaining retractor
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vertebral arteries

46. What drug is used for arterial vasospasms
4-0 or 5-0
Papaverine
Cramping pain or a dull ache
Supine with head turned 45 degrees to the unaffected side

47. What type of blade is used for an arteriotomy
Blood - fat - air - or portions of tumors that break free
Flush then clamp proximal then distal
#11 on a #7 handle
Supine with head turned 45 degrees to the unaffected side

48. What is the peripheral vascular system
Rubber shods
Through the artery to compress the plaque against the wall of the artery
Splenic artery
A closed system of vessels that transport blood from the heart to the body and back

49. What procedure is used for an iliac artery obstruction
A closed system of vessels that transport blood from the heart to the body and back
4-0 or 5-0
Flush then clamp proximal then distal
Femorofemoral bypass

50. What is the location of the biforcation of the aorta and What vessels are involved
Left & right common iliac arteries are at the 4th lumbar
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Suprarenal artery
Weitlaner self-retaining retractor