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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. Which clamp is removed last
Internal carotid artery
6-0
Esophagus
Internal carotid then the external carotid then the common carotid artery

2. What vessels are clamped during a carotid endarterectomy
The force that blood exerts on the internal walls of the vessels
Internal carotid then the external carotid then the common carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ascending aorta

3. What type of blade is used for an arteriotomy
#11 on a #7 handle
To reinforce the anastomosis
Arterial embolectomy
Saphenous vein

4. 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
Carotid endarterectomy
Internal carotid artery
Double armed needles - tapered

5. What is an ateriotomy
Hyline cartilage
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Incision into an artery
Basilic vein

6. What are the sutures for the iliac artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
4-0 or 5-0
Papaverine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

7. 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
Dorsal venus arch
Midabdomen to toes & leg circumferentially
Epicardium - myocardium - and endocardium

8. What are pledgets used for
Flush then clamp proximal then distal
To reinforce the anastomosis
Rubber shods
Tunica intima - tunica media - & tunica adventita

9. What disease leads to atheroma formation
Weitlaner self-retaining retractor
Blood - fat - air - or portions of tumors that break free
Arteriosclerosis obliterans
Dorsal venus arch

10. What is the pt position for carotid endoarterectomy
Blood - fat - air - or portions of tumors that break free
Flush then clamp proximal then distal
Supine with head turned 45 degrees to the unaffected side
The force that blood exerts on the internal walls of the vessels

11. What type of retractor is used in an aortofemoral bypass
Splenic artery
Internal carotid then the external carotid then the common carotid artery
Weitlaner self-retaining retractor
Esophagus

12. How is the fogarty baloon catheter used
Weitlaner self-retaining retractor
Through the artery to compress the plaque against the wall of the artery
Epicardium - myocardium - and endocardium
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

13. What materials are used for stents
Midabdomen to toes & leg circumferentially
Stainless steel mesh - titanium - polypropylene
Water
Cramping pain or a dull ache

14. What arteries supply the myocardium
In the capillaries
Water
Dorsal venus arch
Coronary arteries

15. What are the layers of vessels
Knitted polyester - woven polyester
3-0 or 4-0
As the heart beats faster there is less blood volume
Tunica intima - tunica media - & tunica adventita

16. What procedure is used for an iliac artery obstruction
Esophagus
Femorofemoral bypass
Sarot clamp?
Arterial embolectomy

17. What are delicate sutures tagged with
Vertebral arteries
Rubber shods
Hyline cartilage
Stainless steel mesh - titanium - polypropylene

18. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The popliteal vein
Sarot clamp?
Dorsal venus arch

19. What is the peripheral vascular system
Epicardium - myocardium - and endocardium
Ascending aorta
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
A closed system of vessels that transport blood from the heart to the body and back

20. Where do the coronary arteries arise from
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Ascending aorta
Carotid endarterectomy
Arterial embolectomy

21. What are the sutures for the aorta
Internal carotid artery
3-0 or 4-0
Knitted polyester - woven polyester
Vertebral arteries

22. What are the layers of the heart
Epicardium - myocardium - and endocardium
Rubber shods
#11 on a #7 handle
Right common carotid artery and external carotid artery

23. What procedure is the javid shunt used for
Femorofemoral bypass
Ascending aorta
Carotid endarterectomy
Suprarenal artery

24. What is the prep area for a femoropopliteal bypass
Arteriosclerosis obliterans
Midabdomen to toes & leg circumferentially
Sarot clamp?
The popliteal vein

25. What is the best approach for an aortofemoral bypass
Esophagus
Stainless steel mesh - titanium - polypropylene
Arterial bypass
As the heart beats faster there is less blood volume

26. What structure is the pacemaker of the heart
Dorsal venus arch
Weitlaner self-retaining retractor
SA node
Saphenous vein

27. What arteries supply the brain - head - and neck
6-0 or 7-0
Esophagus
Right common carotid artery and external carotid artery
#11 on a #7 handle

28. In What procedure is a fogarty catheter used
Vena cava
6-0 or 7-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Arterial embolectomy

29. From What vein is the blood taken to pre-clot the graft
Vena cava
Flush then clamp proximal then distal
Saphenous vein
Hyline cartilage

30. What is the sequence of clamping in an ateriotomy
Supine with head turned 45 degrees to the unaffected side
Internal carotid then the external carotid then the common carotid artery
Flush then clamp proximal then distal
Sarot clamp?

31. What instrument is used to isolate an artery
Sarot clamp?
Internal carotid then the external carotid then the common carotid artery
Heparin and antibiotics for irrigation
Arteriosclerosis obliterans

32. What should be done before tying polypropylene sutures
Through the artery to compress the plaque against the wall of the artery
Ventricular contraction - resistance - blood viscosity - and heart rate
The surgeons hands should be wet
As the heart beats faster there is less blood volume

33. What are the 3 branches of the aortic arch
Internal carotid then the external carotid then the common carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Femoral arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

34. What is claudication
Vessels that are between the arteriols and venule
Cramping pain or a dull ache
6-0 or 7-0
The surgeons hands should be wet

35. What are the deep veins of the foot
Double armed needles - tapered
Ventricular contraction - resistance - blood viscosity - and heart rate
Dorsal venus arch
A closed system of vessels that transport blood from the heart to the body and back

36. Which artery feeds the adrenal glands
Hyline cartilage
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Tunica intima - tunica media - & tunica adventita
Suprarenal artery

37. sutures for femoral - popliteal arteries
The popliteal vein
Hyline cartilage
Heparin and antibiotics for irrigation
5-0 or 6-0

38. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Ascending aorta
Sarot clamp?
Saphenous vein

39. What factors influence blood pressure
Incision into an artery
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate
The surgeons hands should be wet

40. What does the external iliac artery biforcate into
4-0 or 5-0
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule
Femoral arteries

41. sutures for common carotid or subclavian
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Rubber shods
6-0

42. What is an atrial embolism
Heparin and antibiotics for irrigation
Right common carotid artery and external carotid artery
The surgeons hands should be wet
Blood - fat - air - or portions of tumors that break free

43. What structures keep the trachea from collapsing
Incision into an artery
6-0 or 7-0
Hyline cartilage
Vessels that are between the arteriols and venule

44. What are the general characteristics of veins
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
6-0 or 7-0
The force that blood exerts on the internal walls of the vessels

45. Which artery feeds the upper digestive tract - spleen - and liver
Incision into an artery
As the heart beats faster there is less blood volume
Splenic artery
5-0 or 6-0

46. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Tunica intima - tunica media - & tunica adventita
6-0 or 7-0
Double armed needles - tapered
Vena cava

47. What graft material is not used in the popliteal area
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Knitted polyester - woven polyester
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
To reinforce the anastomosis

48. What organ does the gastric artery feed
Double armed needles - tapered
Arterial bypass
Epicardium - myocardium - and endocardium
Esophagus

49. What is the largest vein
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arteriosclerosis obliterans
Dorsal venus arch
Saphenous vein

50. What is blood pressure
6-0
The force that blood exerts on the internal walls of the vessels
Vertebral arteries
Knitted polyester - woven polyester