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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. sutures for common carotid or subclavian
Left & right common iliac arteries are at the 4th lumbar
Water
Basilic vein
6-0

2. What is the peripheral vascular system
Weitlaner self-retaining retractor
Arteriosclerosis obliterans
A closed system of vessels that transport blood from the heart to the body and back
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

3. What are capillaries
Vessels that are between the arteriols and venule
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery
Epicardium - myocardium - and endocardium

4. What should be done before tying polypropylene sutures
Suprarenal artery
The surgeons hands should be wet
Internal carotid artery
6-0 or 7-0

5. Which arteries supply the spinal cord
Femoral arteries
Vertebral arteries
The surgeons hands should be wet
Saphenous vein

6. What are delicate sutures tagged with
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Rubber shods
In the capillaries
A closed system of vessels that transport blood from the heart to the body and back

7. What vein is on the lateral side of the arm
Left & right common iliac arteries are at the 4th lumbar
Basilic vein
Through the artery to compress the plaque against the wall of the artery
Knitted polyester - woven polyester

8. Which artery feeds the adrenal glands
Suprarenal artery
Esophagus
4-0 or 5-0
The surgeons hands should be wet

9. What are the layers of vessels
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Tunica intima - tunica media - & tunica adventita
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Cramping pain or a dull ache

10. How is the fogarty baloon catheter used
Vertebral arteries
Right common carotid artery and external carotid artery
Esophagus
Through the artery to compress the plaque against the wall of the artery

11. What is the location of the biforcation of the aorta and What vessels are involved
Carotid endarterectomy
SA node
A closed system of vessels that transport blood from the heart to the body and back
Left & right common iliac arteries are at the 4th lumbar

12. What type of blade is used for an arteriotomy
Vertebral arteries
Coronary arteries
#11 on a #7 handle
Midabdomen to toes & leg circumferentially

13. What type of needle is used for vessels
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Basilic vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Double armed needles - tapered

14. What are some special conseriderations for patients undergoing peripheral vascular surgery
Hyline cartilage
Splenic artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

15. What is the largest vein
Vena cava
Basilic vein
6-0 or 7-0
Saphenous vein

16. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Water
Ventricular contraction - resistance - blood viscosity - and heart rate
Left & right common iliac arteries are at the 4th lumbar

17. What instrument is used to isolate an artery
6-0 or 7-0
Sarot clamp?
Through the artery to compress the plaque against the wall of the artery
Femorofemoral bypass

18. What procedure is the javid shunt used for
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Carotid endarterectomy
Esophagus
6-0 or 7-0

19. What are the layers of the heart
Arteriosclerosis obliterans
SA node
Suprarenal artery
Epicardium - myocardium - and endocardium

20. In What procedure is a fogarty catheter used
Left & right common iliac arteries are at the 4th lumbar
Arterial embolectomy
Saphenous vein
#11 on a #7 handle

21. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
Arterial embolectomy
To reinforce the anastomosis
Blood - fat - air - or portions of tumors that break free

22. What does the external iliac artery biforcate into
Saphenous vein
Dorsal venus arch
Splenic artery
Femoral arteries

23. Where do the coronary arteries arise from
Ascending aorta
To reinforce the anastomosis
Coronary arteries
Internal carotid then the external carotid then the common carotid artery

24. What structure is the pacemaker of the heart
Incision into an artery
SA node
Water
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

25. What are pledgets used for
Through the artery to compress the plaque against the wall of the artery
4-0 or 5-0
To reinforce the anastomosis
Flush then clamp proximal then distal

26. What is an ateriotomy
6-0 or 7-0
In the capillaries
Heparin and antibiotics for irrigation
Incision into an artery

27. Which clamp is removed last
Internal carotid artery
Heparin and antibiotics for irrigation
Suprarenal artery
Flush then clamp proximal then distal

28. Which artery feeds the upper digestive tract - spleen - and liver
Epicardium - myocardium - and endocardium
Splenic artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
To reinforce the anastomosis

29. What are the sutures for the aorta
3-0 or 4-0
Heparin and antibiotics for irrigation
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Ventricular contraction - resistance - blood viscosity - and heart rate

30. What organ does the gastric artery feed
Esophagus
SA node
Suprarenal artery
To reinforce the anastomosis

31. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Right common carotid artery and external carotid artery
Vena cava
Incision into an artery

32. What is the sequence of clamping in an ateriotomy
Flush then clamp proximal then distal
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sarot clamp?
Femorofemoral bypass

33. What factors influence blood pressure
Supine with head turned 45 degrees to the unaffected side
SA node
6-0 or 7-0
Ventricular contraction - resistance - blood viscosity - and heart rate

34. What arteries supply the myocardium
Coronary arteries
SA node
Esophagus
3-0 or 4-0

35. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
In the capillaries
Through the artery to compress the plaque against the wall of the artery
Sarot clamp?

36. What disease leads to atheroma formation
Carotid endarterectomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Arteriosclerosis obliterans
Femoral arteries

37. What are the 3 branches of the aortic arch
Esophagus
Internal carotid artery
Ascending aorta
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

38. What are the sutures for the iliac artery
Femorofemoral bypass
Flush then clamp proximal then distal
4-0 or 5-0
Coronary arteries

39. What are the deep veins of the foot
Dorsal venus arch
Epicardium - myocardium - and endocardium
Sarot clamp?
Vessels that are between the arteriols and venule

40. What solution is not used during grafting procedures
Water
Coronary arteries
In the capillaries
Arteriosclerosis obliterans

41. From What vein is the blood taken to pre-clot the graft
Right common carotid artery and external carotid artery
Vena cava
Flush then clamp proximal then distal
Internal carotid then the external carotid then the common carotid artery

42. sutures for femoral - popliteal arteries
Internal carotid artery
5-0 or 6-0
3-0 or 4-0
Incision into an artery

43. What vessels are clamped during a carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Midabdomen to toes & leg circumferentially
3-0 or 4-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

44. What is blood pressure
Saphenous vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The force that blood exerts on the internal walls of the vessels
A closed system of vessels that transport blood from the heart to the body and back

45. What procedure is used for an iliac artery obstruction
Arteriosclerosis obliterans
Through the artery to compress the plaque against the wall of the artery
Hyline cartilage
Femorofemoral bypass

46. What are the characteristics of abdominal aneurysms
The force that blood exerts on the internal walls of the vessels
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
The surgeons hands should be wet
6-0 or 7-0

47. When is arterial blood volume decreased
Through the artery to compress the plaque against the wall of the artery
Arterial bypass
As the heart beats faster there is less blood volume
Hyline cartilage

48. What communicate in the circle of willis
Arteriosclerosis obliterans
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
SA node

49. What graft material is not used in the popliteal area
The force that blood exerts on the internal walls of the vessels
Knitted polyester - woven polyester
Tunica intima - tunica media - & tunica adventita
3-0 or 4-0

50. What materials are used for stents
The popliteal vein
Epicardium - myocardium - and endocardium
Stainless steel mesh - titanium - polypropylene
Internal carotid then the external carotid then the common carotid artery