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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. What should be done before tying polypropylene sutures
3-0 or 4-0
Internal carotid then the external carotid then the common carotid artery
The surgeons hands should be wet
In the capillaries

2. In What procedure is a fogarty catheter used
Stainless steel mesh - titanium - polypropylene
Papaverine
Arterial embolectomy
The surgeons hands should be wet

3. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

4. What is blood pressure
Arterial embolectomy
Basilic vein
The force that blood exerts on the internal walls of the vessels
Stainless steel mesh - titanium - polypropylene

5. What factors influence blood pressure
Vena cava
Midabdomen to toes & leg circumferentially
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate

6. What vessels are clamped during a carotid endarterectomy
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Internal carotid then the external carotid then the common carotid artery
Midabdomen to toes & leg circumferentially
Supine with head turned 45 degrees to the unaffected side

7. What procedure is the javid shunt used for
Left & right common iliac arteries are at the 4th lumbar
Splenic artery
Carotid endarterectomy
To reinforce the anastomosis

8. What organ does the gastric artery feed
Basilic vein
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Esophagus
4-0 or 5-0

9. How is the fogarty baloon catheter used
Cramping pain or a dull ache
The force that blood exerts on the internal walls of the vessels
Through the artery to compress the plaque against the wall of the artery
Internal carotid then the external carotid then the common carotid artery

10. What are the layers of the heart
Carotid endarterectomy
Epicardium - myocardium - and endocardium
Flush then clamp proximal then distal
Internal carotid then the external carotid then the common carotid artery

11. What are pledgets used for
Ascending aorta
3-0 or 4-0
Heparin and antibiotics for irrigation
To reinforce the anastomosis

12. What materials are used for stents
Tunica intima - tunica media - & tunica adventita
Vessels that are between the arteriols and venule
6-0 or 7-0
Stainless steel mesh - titanium - polypropylene

13. What is the location of the biforcation of the aorta and What vessels are involved
3-0 or 4-0
Left & right common iliac arteries are at the 4th lumbar
Splenic artery
In the capillaries

14. What is an atrial embolism
Cramping pain or a dull ache
Carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side
Blood - fat - air - or portions of tumors that break free

15. What instrument is used to isolate an artery
Dorsal venus arch
Sarot clamp?
In the capillaries
A closed system of vessels that transport blood from the heart to the body and back

16. What are capillaries
Arterial bypass
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Right common carotid artery and external carotid artery
Vessels that are between the arteriols and venule

17. sutures for common carotid or subclavian
4-0 or 5-0
6-0 or 7-0
6-0
As the heart beats faster there is less blood volume

18. What is the pt position for carotid endoarterectomy
Sarot clamp?
Water
Epicardium - myocardium - and endocardium
Supine with head turned 45 degrees to the unaffected side

19. What drug is used for arterial vasospasms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Cramping pain or a dull ache
Papaverine
Water

20. What structures keep the trachea from collapsing
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Hyline cartilage
Blood - fat - air - or portions of tumors that break free

21. Which artery feeds the adrenal glands
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Coronary arteries
Stainless steel mesh - titanium - polypropylene
Suprarenal artery

22. What disease leads to atheroma formation
Weitlaner self-retaining retractor
In the capillaries
Arteriosclerosis obliterans
Coronary arteries

23. What are the characteristics of abdominal aneurysms
Arterial embolectomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

24. What are the sutures for the iliac artery
Flush then clamp proximal then distal
Femorofemoral bypass
4-0 or 5-0
Through the artery to compress the plaque against the wall of the artery

25. What procedure is used for an iliac artery obstruction
Ascending aorta
Femorofemoral bypass
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Through the artery to compress the plaque against the wall of the artery

26. What communicate in the circle of willis
Heparin and antibiotics for irrigation
Esophagus
Vena cava
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

27. What is the largest vein
Cramping pain or a dull ache
Saphenous vein
4-0 or 5-0
As the heart beats faster there is less blood volume

28. What arteries supply the brain - head - and neck
In the capillaries
Right common carotid artery and external carotid artery
Carotid endarterectomy
Suprarenal artery

29. What is the sequence of clamping in an ateriotomy
Vertebral arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Flush then clamp proximal then distal
3-0 or 4-0

30. What graft material is not used in the popliteal area
Papaverine
The surgeons hands should be wet
Knitted polyester - woven polyester
As the heart beats faster there is less blood volume

31. What are the layers of vessels
Vena cava
Double armed needles - tapered
Arterial embolectomy
Tunica intima - tunica media - & tunica adventita

32. What solution is not used during grafting procedures
Water
Supine with head turned 45 degrees to the unaffected side
Vertebral arteries
Epicardium - myocardium - and endocardium

33. What is an ateriotomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
5-0 or 6-0
Incision into an artery
Vessels that are between the arteriols and venule

34. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Supine with head turned 45 degrees to the unaffected side
Basilic vein
3-0 or 4-0

35. What does the external iliac artery biforcate into
Vertebral arteries
Femoral arteries
The force that blood exerts on the internal walls of the vessels
6-0 or 7-0

36. What type of needle is used for vessels
Double armed needles - tapered
3-0 or 4-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Splenic artery

37. What are the deep veins of the foot
Dorsal venus arch
3-0 or 4-0
Double armed needles - tapered
Splenic artery

38. What are some special conseriderations for patients undergoing peripheral vascular surgery
Esophagus
Femoral arteries
Ventricular contraction - resistance - blood viscosity - and heart rate
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

39. What vein is on the lateral side of the arm
Right common carotid artery and external carotid artery
Basilic vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

40. What is the peripheral vascular system
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
3-0 or 4-0
Cramping pain or a dull ache
A closed system of vessels that transport blood from the heart to the body and back

41. What organs does the superior mesenteric artery feed
SA node
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Internal carotid then the external carotid then the common carotid artery

42. What medication is added to saline
Saphenous vein
The force that blood exerts on the internal walls of the vessels
Heparin and antibiotics for irrigation
Internal carotid artery

43. sutures for femoral - popliteal arteries
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
5-0 or 6-0
SA node
Vessels that are between the arteriols and venule

44. Which clamp is removed last
Internal carotid artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Carotid endarterectomy
As the heart beats faster there is less blood volume

45. What is the best approach for an aortofemoral bypass
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Basilic vein
Arterial bypass
Epicardium - myocardium - and endocardium

46. Which arteries supply the spinal cord
Double armed needles - tapered
Vertebral arteries
Weitlaner self-retaining retractor
Femorofemoral bypass

47. What type of blade is used for an arteriotomy
Water
#11 on a #7 handle
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava

48. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Cramping pain or a dull ache
Ventricular contraction - resistance - blood viscosity - and heart rate
Knitted polyester - woven polyester

49. What do the anterior and posterior tibial veins unite to become
Cramping pain or a dull ache
Left & right common iliac arteries are at the 4th lumbar
The popliteal vein
Through the artery to compress the plaque against the wall of the artery

50. Where do the coronary arteries arise from
Midabdomen to toes & leg circumferentially
6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Ascending aorta