Test your basic knowledge |

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 is the best approach for an aortofemoral bypass
Arterial bypass
Dorsal venus arch
6-0
Water

2. What type of needle is used for vessels
Suprarenal artery
Double armed needles - tapered
To reinforce the anastomosis
Papaverine

3. What type of retractor is used in an aortofemoral bypass
Double armed needles - tapered
The popliteal vein
6-0 or 7-0
Weitlaner self-retaining retractor

4. What structure is the pacemaker of the heart
Esophagus
Weitlaner self-retaining retractor
5-0 or 6-0
SA node

5. What procedure is the javid shunt used for
Stainless steel mesh - titanium - polypropylene
5-0 or 6-0
Carotid endarterectomy
Ventricular contraction - resistance - blood viscosity - and heart rate

6. sutures for femoral - popliteal arteries
Knitted polyester - woven polyester
Right common carotid artery and external carotid artery
5-0 or 6-0
Water

7. 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
Papaverine
Double armed needles - tapered

8. Where does gas exchange take place
Supine with head turned 45 degrees to the unaffected side
Sarot clamp?
#11 on a #7 handle
In the capillaries

9. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Arterial embolectomy
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation

10. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Double armed needles - tapered
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Rubber shods

11. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial bypass
Cramping pain or a dull ache
Esophagus

12. What are the layers of vessels
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Epicardium - myocardium - and endocardium
Tunica intima - tunica media - & tunica adventita
Dorsal venus arch

13. What are delicate sutures tagged with
As the heart beats faster there is less blood volume
Midabdomen to toes & leg circumferentially
Rubber shods
Weitlaner self-retaining retractor

14. What communicate in the circle of willis
SA node
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The surgeons hands should be wet
Incision into an artery

15. What is blood pressure
The force that blood exerts on the internal walls of the vessels
#11 on a #7 handle
Suprarenal artery
Dorsal venus arch

16. In What procedure is a fogarty catheter used
A closed system of vessels that transport blood from the heart to the body and back
Vena cava
Arterial embolectomy
3-0 or 4-0

17. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Sarot clamp?
Incision into an artery
Papaverine

18. What instrument is used to isolate an artery
Saphenous vein
Sarot clamp?
Blood - fat - air - or portions of tumors that break free
Midabdomen to toes & leg circumferentially

19. What is an ateriotomy
Incision into an artery
Arterial bypass
3-0 or 4-0
Coronary arteries

20. What arteries supply the myocardium
Coronary arteries
3-0 or 4-0
Internal carotid artery
Supine with head turned 45 degrees to the unaffected side

21. What structures keep the trachea from collapsing
3-0 or 4-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Hyline cartilage
The popliteal vein

22. What are some special conseriderations for patients undergoing peripheral vascular surgery
The surgeons hands should be wet
Dorsal venus arch
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
5-0 or 6-0

23. What vein is on the lateral side of the arm
Ventricular contraction - resistance - blood viscosity - and heart rate
Left & right common iliac arteries are at the 4th lumbar
Basilic vein
SA node

24. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
As the heart beats faster there is less blood volume
To reinforce the anastomosis
Stainless steel mesh - titanium - polypropylene

25. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
4-0 or 5-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

26. What are pledgets used for
To reinforce the anastomosis
Left & right common iliac arteries are at the 4th lumbar
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava

27. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Coronary arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vessels that are between the arteriols and venule

28. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Stainless steel mesh - titanium - polypropylene
Knitted polyester - woven polyester

29. What does the external iliac artery biforcate into
Incision into an artery
Stainless steel mesh - titanium - polypropylene
Femoral arteries
Cramping pain or a dull ache

30. Where do the coronary arteries arise from
Ascending aorta
Esophagus
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Cramping pain or a dull ache

31. What are the general characteristics of veins
Vertebral arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Saphenous vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

32. What drugs are used in vascular surgery
A closed system of vessels that transport blood from the heart to the body and back
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
To reinforce the anastomosis

33. Which artery feeds the adrenal glands
Suprarenal artery
Ascending aorta
Cramping pain or a dull ache
A closed system of vessels that transport blood from the heart to the body and back

34. Which artery feeds the upper digestive tract - spleen - and liver
Saphenous vein
6-0
Incision into an artery
Splenic artery

35. 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
As the heart beats faster there is less blood volume
Incision into an artery
Weitlaner self-retaining retractor

36. What is the prep area for a femoropopliteal bypass
Splenic artery
Saphenous vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Midabdomen to toes & leg circumferentially

37. sutures for common carotid or subclavian
In the capillaries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Weitlaner self-retaining retractor
6-0

38. Which arteries supply the spinal cord
Arterial embolectomy
Vena cava
SA node
Vertebral arteries

39. What materials are used for stents
Vena cava
To reinforce the anastomosis
Stainless steel mesh - titanium - polypropylene
As the heart beats faster there is less blood volume

40. What is claudication
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The surgeons hands should be wet
In the capillaries
Cramping pain or a dull ache

41. What disease leads to atheroma formation
Left & right common iliac arteries are at the 4th lumbar
Arteriosclerosis obliterans
Heparin and antibiotics for irrigation
Dorsal venus arch

42. What should be done before tying polypropylene sutures
Weitlaner self-retaining retractor
Basilic vein
The surgeons hands should be wet
The popliteal vein

43. What is an atrial embolism
Arterial embolectomy
Dorsal venus arch
Blood - fat - air - or portions of tumors that break free
Heparin and antibiotics for irrigation

44. What are the sutures for the iliac artery
4-0 or 5-0
In the capillaries
Flush then clamp proximal then distal
Left & right common iliac arteries are at the 4th lumbar

45. What solution is not used during grafting procedures
A closed system of vessels that transport blood from the heart to the body and back
5-0 or 6-0
Water
Vertebral arteries

46. What are capillaries
Papaverine
Vessels that are between the arteriols and venule
As the heart beats faster there is less blood volume
Carotid endarterectomy

47. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Left & right common iliac arteries are at the 4th lumbar
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

48. What are the sutures for the aorta
3-0 or 4-0
Water
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate

49. What type of blade is used for an arteriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
#11 on a #7 handle
Internal carotid then the external carotid then the common carotid artery
The popliteal vein

50. What arteries supply the brain - head - and neck
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Femorofemoral bypass
Right common carotid artery and external carotid artery
Weitlaner self-retaining retractor