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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 artery feeds the upper digestive tract - spleen - and liver
Internal carotid then the external carotid then the common carotid artery
Ascending aorta
Splenic artery
Water

2. When is arterial blood volume decreased
Coronary arteries
Carotid endarterectomy
Suprarenal artery
As the heart beats faster there is less blood volume

3. What procedure is used for an iliac artery obstruction
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
To reinforce the anastomosis
3-0 or 4-0
Femorofemoral bypass

4. sutures for femoral - popliteal arteries
Coronary arteries
5-0 or 6-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Weitlaner self-retaining retractor

5. What disease leads to atheroma formation
Sarot clamp?
#11 on a #7 handle
Arteriosclerosis obliterans
Splenic artery

6. What medication is added to saline
Heparin and antibiotics for irrigation
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial embolectomy
To reinforce the anastomosis

7. Where does gas exchange take place
Flush then clamp proximal then distal
Papaverine
In the capillaries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

8. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Esophagus
Dorsal venus arch
The surgeons hands should be wet

9. What are some special conseriderations for patients undergoing peripheral vascular surgery
Internal carotid artery
#11 on a #7 handle
Saphenous vein
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

10. What type of needle is used for vessels
Arteriosclerosis obliterans
#11 on a #7 handle
Flush then clamp proximal then distal
Double armed needles - tapered

11. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Right common carotid artery and external carotid artery
#11 on a #7 handle
6-0 or 7-0

12. What is an ateriotomy
Arterial embolectomy
Splenic artery
Incision into an artery
The surgeons hands should be wet

13. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Right common carotid artery and external carotid artery
Flush then clamp proximal then distal
6-0

14. What drugs are used in vascular surgery
Vessels that are between the arteriols and venule
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Dorsal venus arch
Femoral arteries

15. What are delicate sutures tagged with
Rubber shods
Water
Arterial bypass
Internal carotid then the external carotid then the common carotid artery

16. What is the location of the biforcation of the aorta and What vessels are involved
Flush then clamp proximal then distal
Left & right common iliac arteries are at the 4th lumbar
Internal carotid artery
Carotid endarterectomy

17. What is blood pressure
Splenic artery
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The force that blood exerts on the internal walls of the vessels

18. How is the fogarty baloon catheter used
Double armed needles - tapered
Epicardium - myocardium - and endocardium
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Through the artery to compress the plaque against the wall of the artery

19. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
Vessels that are between the arteriols and venule
Rubber shods
Femoral arteries

20. What communicate in the circle of willis
Coronary arteries
To reinforce the anastomosis
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

21. What are the sutures for the aorta
Flush then clamp proximal then distal
3-0 or 4-0
Papaverine
Heparin and antibiotics for irrigation

22. What arteries supply the myocardium
Vena cava
Coronary arteries
Double armed needles - tapered
Papaverine

23. What is the peripheral vascular system
Tunica intima - tunica media - & tunica adventita
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Papaverine
A closed system of vessels that transport blood from the heart to the body and back

24. What does the external iliac artery biforcate into
Vertebral arteries
Femoral arteries
Carotid endarterectomy
Right common carotid artery and external carotid artery

25. What is the prep area for a femoropopliteal bypass
Double armed needles - tapered
Tunica intima - tunica media - & tunica adventita
Midabdomen to toes & leg circumferentially
Arterial embolectomy

26. What materials are used for stents
Weitlaner self-retaining retractor
Arterial embolectomy
Stainless steel mesh - titanium - polypropylene
Arteriosclerosis obliterans

27. What are the characteristics of abdominal aneurysms
Tunica intima - tunica media - & tunica adventita
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
3-0 or 4-0
The surgeons hands should be wet

28. What are the sutures for the iliac artery
Ventricular contraction - resistance - blood viscosity - and heart rate
4-0 or 5-0
Suprarenal artery
Arterial bypass

29. What is the best approach for an aortofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arterial bypass
Weitlaner self-retaining retractor
Internal carotid then the external carotid then the common carotid artery

30. What is claudication
Tunica intima - tunica media - & tunica adventita
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially
Coronary arteries

31. What vein is on the lateral side of the arm
Papaverine
Water
Epicardium - myocardium - and endocardium
Basilic vein

32. What are the deep veins of the foot
Arterial bypass
Through the artery to compress the plaque against the wall of the artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Dorsal venus arch

33. In What procedure is a fogarty catheter used
Arterial bypass
Hyline cartilage
Arterial embolectomy
In the capillaries

34. What are capillaries
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule
The force that blood exerts on the internal walls of the vessels
6-0 or 7-0

35. What are the layers of vessels
Knitted polyester - woven polyester
The force that blood exerts on the internal walls of the vessels
Vena cava
Tunica intima - tunica media - & tunica adventita

36. What is the largest vein
Basilic vein
Saphenous vein
Vessels that are between the arteriols and venule
Femoral arteries

37. What do the anterior and posterior tibial veins unite to become
Arterial embolectomy
Vena cava
5-0 or 6-0
The popliteal vein

38. Which clamp is removed last
Internal carotid artery
Cramping pain or a dull ache
Vertebral arteries
Internal carotid then the external carotid then the common carotid artery

39. What structure is the pacemaker of the heart
In the capillaries
A closed system of vessels that transport blood from the heart to the body and back
6-0
SA node

40. What procedure is the javid shunt used for
Carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side
Water
Basilic vein

41. What are the layers of the heart
Epicardium - myocardium - and endocardium
Basilic vein
Knitted polyester - woven polyester
Arterial embolectomy

42. Which artery feeds the adrenal glands
Internal carotid then the external carotid then the common carotid artery
Heparin and antibiotics for irrigation
Suprarenal artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

43. What vessels are clamped during a carotid endarterectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Internal carotid then the external carotid then the common carotid artery
Esophagus
Supine with head turned 45 degrees to the unaffected side

44. What instrument is used to isolate an artery
Through the artery to compress the plaque against the wall of the artery
Flush then clamp proximal then distal
Sarot clamp?
Arterial bypass

45. What is the pt position for carotid endoarterectomy
Double armed needles - tapered
Supine with head turned 45 degrees to the unaffected side
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Internal carotid artery

46. What structures keep the trachea from collapsing
The surgeons hands should be wet
Hyline cartilage
Through the artery to compress the plaque against the wall of the artery
Incision into an artery

47. What solution is not used during grafting procedures
Tunica intima - tunica media - & tunica adventita
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Water
Flush then clamp proximal then distal

48. What organ does the gastric artery feed
Esophagus
Vertebral arteries
Midabdomen to toes & leg circumferentially
Weitlaner self-retaining retractor

49. What drug is used for arterial vasospasms
The surgeons hands should be wet
Papaverine
Esophagus
Tunica intima - tunica media - & tunica adventita

50. sutures for common carotid or subclavian
6-0
#11 on a #7 handle
As the heart beats faster there is less blood volume
SA node