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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.
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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 drugs are used in vascular surgery
Vessels that are between the arteriols and venule
Cramping pain or a dull ache
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arterial embolectomy

2. What are capillaries
Heparin and antibiotics for irrigation
Vessels that are between the arteriols and venule
Ascending aorta
Epicardium - myocardium - and endocardium

3. What are the layers of the heart
Stainless steel mesh - titanium - polypropylene
Esophagus
Arteriosclerosis obliterans
Epicardium - myocardium - and endocardium

4. What type of retractor is used in an aortofemoral bypass
Carotid endarterectomy
A closed system of vessels that transport blood from the heart to the body and back
The popliteal vein
Weitlaner self-retaining retractor

5. What are the deep veins of the foot
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Suprarenal artery
Dorsal venus arch
Left & right common iliac arteries are at the 4th lumbar

6. What vein is on the lateral side of the arm
Cramping pain or a dull ache
Water
Basilic vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

7. What are the sutures for the iliac artery
Vena cava
Vessels that are between the arteriols and venule
Saphenous vein
4-0 or 5-0

8. What vessels are clamped during a carotid endarterectomy
SA node
Carotid endarterectomy
Internal carotid then the external carotid then the common carotid artery
Through the artery to compress the plaque against the wall of the artery

9. What procedure is the javid shunt used for
Vessels that are between the arteriols and venule
Carotid endarterectomy
Dorsal venus arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

10. sutures for femoral - popliteal arteries
Incision into an artery
5-0 or 6-0
The popliteal vein
Vertebral arteries

11. What materials are used for stents
#11 on a #7 handle
Saphenous vein
Stainless steel mesh - titanium - polypropylene
Knitted polyester - woven polyester

12. What disease leads to atheroma formation
Hyline cartilage
Weitlaner self-retaining retractor
Through the artery to compress the plaque against the wall of the artery
Arteriosclerosis obliterans

13. What are the general characteristics of veins
Hyline cartilage
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Arteriosclerosis obliterans
Ascending aorta

14. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Blood - fat - air - or portions of tumors that break free
Carotid endarterectomy
Internal carotid artery

15. What is an ateriotomy
Incision into an artery
Cramping pain or a dull ache
Papaverine
Femorofemoral bypass

16. What arteries supply the brain - head - and neck
Saphenous vein
Femoral arteries
Right common carotid artery and external carotid artery
Through the artery to compress the plaque against the wall of the artery

17. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Weitlaner self-retaining retractor
Heparin and antibiotics for irrigation
A closed system of vessels that transport blood from the heart to the body and back

18. sutures for common carotid or subclavian
6-0
Saphenous vein
In the capillaries
3-0 or 4-0

19. What does the external iliac artery biforcate into
Papaverine
Carotid endarterectomy
Femoral arteries
Arterial embolectomy

20. What is the best approach for an aortofemoral bypass
Arterial bypass
Right common carotid artery and external carotid artery
Sarot clamp?
Internal carotid artery

21. What are delicate sutures tagged with
Right common carotid artery and external carotid artery
Stainless steel mesh - titanium - polypropylene
Rubber shods
Vena cava

22. What is claudication
5-0 or 6-0
Arterial embolectomy
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially

23. What is the prep area for a femoropopliteal bypass
Right common carotid artery and external carotid artery
Midabdomen to toes & leg circumferentially
Stainless steel mesh - titanium - polypropylene
Internal carotid artery

24. 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
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Carotid endarterectomy
Splenic artery

25. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vessels that are between the arteriols and venule
Stainless steel mesh - titanium - polypropylene

26. What instrument is used to isolate an artery
Cramping pain or a dull ache
Sarot clamp?
6-0 or 7-0
Double armed needles - tapered

27. Where do the coronary arteries arise from
Internal carotid artery
Ascending aorta
Weitlaner self-retaining retractor
Sarot clamp?

28. What medication is added to saline
#11 on a #7 handle
Heparin and antibiotics for irrigation
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Blood - fat - air - or portions of tumors that break free

29. What are the sutures for the aorta
Dorsal venus arch
Midabdomen to toes & leg circumferentially
3-0 or 4-0
5-0 or 6-0

30. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
#11 on a #7 handle
Epicardium - myocardium - and endocardium
Blood - fat - air - or portions of tumors that break free

31. Which clamp is removed last
Blood - fat - air - or portions of tumors that break free
Internal carotid artery
The force that blood exerts on the internal walls of the vessels
6-0 or 7-0

32. In What procedure is a fogarty catheter used
Arterial embolectomy
In the capillaries
The surgeons hands should be wet
The popliteal vein

33. What structure is the pacemaker of the heart
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Internal carotid artery
Papaverine
SA node

34. What is the peripheral vascular system
Rubber shods
As the heart beats faster there is less blood volume
Supine with head turned 45 degrees to the unaffected side
A closed system of vessels that transport blood from the heart to the body and back

35. What arteries supply the myocardium
Carotid endarterectomy
The force that blood exerts on the internal walls of the vessels
Coronary arteries
Double armed needles - tapered

36. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Knitted polyester - woven polyester
Incision into an artery
6-0 or 7-0
Femorofemoral bypass

37. What is an atrial embolism
Coronary arteries
Saphenous vein
Heparin and antibiotics for irrigation
Blood - fat - air - or portions of tumors that break free

38. What graft material is not used in the popliteal area
Supine with head turned 45 degrees to the unaffected side
Dorsal venus arch
Knitted polyester - woven polyester
Flush then clamp proximal then distal

39. What should be done before tying polypropylene sutures
6-0
Internal carotid artery
The surgeons hands should be wet
Double armed needles - tapered

40. What solution is not used during grafting procedures
SA node
Water
#11 on a #7 handle
Internal carotid then the external carotid then the common carotid artery

41. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
SA node
Cramping pain or a dull ache
In the capillaries

42. What type of needle is used for vessels
Arteriosclerosis obliterans
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Double armed needles - tapered
Suprarenal artery

43. What drug is used for arterial vasospasms
Flush then clamp proximal then distal
Papaverine
Stainless steel mesh - titanium - polypropylene
#11 on a #7 handle

44. What structures keep the trachea from collapsing
Sarot clamp?
6-0
Hyline cartilage
Arterial bypass

45. What is the pt position for carotid endoarterectomy
Epicardium - myocardium - and endocardium
Flush then clamp proximal then distal
Tunica intima - tunica media - & tunica adventita
Supine with head turned 45 degrees to the unaffected side

46. What are the characteristics of abdominal aneurysms
6-0
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Epicardium - myocardium - and endocardium

47. What do the anterior and posterior tibial veins unite to become
Midabdomen to toes & leg circumferentially
Supine with head turned 45 degrees to the unaffected side
Right common carotid artery and external carotid artery
The popliteal vein

48. What communicate in the circle of willis
As the heart beats faster there is less blood volume
Internal carotid then the external carotid then the common carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Vena cava

49. From What vein is the blood taken to pre-clot the graft
In the capillaries
4-0 or 5-0
Vena cava
3-0 or 4-0

50. How is the fogarty baloon catheter used
Incision into an artery
Esophagus
Through the artery to compress the plaque against the wall of the artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine