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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 type of blade is used for an arteriotomy
#11 on a #7 handle
To reinforce the anastomosis
5-0 or 6-0
Water

2. What does the external iliac artery biforcate into
Femoral arteries
Arterial bypass
Femorofemoral bypass
Coronary arteries

3. What instrument is used to isolate an artery
Weitlaner self-retaining retractor
Esophagus
Ventricular contraction - resistance - blood viscosity - and heart rate
Sarot clamp?

4. sutures for common carotid or subclavian
Basilic vein
6-0
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

5. In What procedure is a fogarty catheter used
Vessels that are between the arteriols and venule
Arterial embolectomy
Coronary arteries
Double armed needles - tapered

6. What drugs are used in vascular surgery
Stainless steel mesh - titanium - polypropylene
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Right common carotid artery and external carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

7. What procedure is used for an iliac artery obstruction
Weitlaner self-retaining retractor
Femorofemoral bypass
4-0 or 5-0
Arteriosclerosis obliterans

8. What drug is used for arterial vasospasms
Papaverine
Ascending aorta
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery

9. Which artery feeds the upper digestive tract - spleen - and liver
Femorofemoral bypass
Internal carotid then the external carotid then the common carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Splenic artery

10. What are the deep veins of the foot
#11 on a #7 handle
Dorsal venus arch
To reinforce the anastomosis
Blood - fat - air - or portions of tumors that break free

11. What structures keep the trachea from collapsing
Double armed needles - tapered
Hyline cartilage
Vena cava
In the capillaries

12. What are pledgets used for
Coronary arteries
Femorofemoral bypass
Supine with head turned 45 degrees to the unaffected side
To reinforce the anastomosis

13. What factors influence blood pressure
Water
Ventricular contraction - resistance - blood viscosity - and heart rate
Tunica intima - tunica media - & tunica adventita
Basilic vein

14. Where do the coronary arteries arise from
Vertebral arteries
Suprarenal artery
Epicardium - myocardium - and endocardium
Ascending aorta

15. What is the prep area for a femoropopliteal bypass
Suprarenal artery
Midabdomen to toes & leg circumferentially
Hyline cartilage
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

16. What is claudication
Left & right common iliac arteries are at the 4th lumbar
Hyline cartilage
Cramping pain or a dull ache
Water

17. What is an ateriotomy
SA node
Incision into an artery
Cramping pain or a dull ache
Arterial bypass

18. What are the layers of the heart
Through the artery to compress the plaque against the wall of the artery
Basilic vein
Knitted polyester - woven polyester
Epicardium - myocardium - and endocardium

19. sutures for femoral - popliteal arteries
Flush then clamp proximal then distal
Through the artery to compress the plaque against the wall of the artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
5-0 or 6-0

20. Where does gas exchange take place
Arterial embolectomy
Basilic vein
In the capillaries
Coronary arteries

21. What type of retractor is used in an aortofemoral bypass
6-0 or 7-0
Weitlaner self-retaining retractor
Heparin and antibiotics for irrigation
Carotid endarterectomy

22. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Carotid endarterectomy
Arterial embolectomy
6-0 or 7-0

23. What is blood pressure
Epicardium - myocardium - and endocardium
Heparin and antibiotics for irrigation
The force that blood exerts on the internal walls of the vessels
Blood - fat - air - or portions of tumors that break free

24. What organ does the gastric artery feed
Internal carotid artery
Vena cava
Ventricular contraction - resistance - blood viscosity - and heart rate
Esophagus

25. What are the sutures for the iliac artery
The surgeons hands should be wet
6-0 or 7-0
Vertebral arteries
4-0 or 5-0

26. What is the peripheral vascular system
A closed system of vessels that transport blood from the heart to the body and back
Cramping pain or a dull ache
Incision into an artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

27. What is the sequence of clamping in an ateriotomy
As the heart beats faster there is less blood volume
Ascending aorta
Flush then clamp proximal then distal
Carotid endarterectomy

28. What are some special conseriderations for patients undergoing peripheral vascular surgery
Incision into an artery
Internal carotid artery
SA node
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

29. What do the anterior and posterior tibial veins unite to become
Arteriosclerosis obliterans
The popliteal vein
5-0 or 6-0
Papaverine

30. When is arterial blood volume decreased
Splenic artery
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The popliteal vein

31. What are delicate sutures tagged with
Rubber shods
Vertebral arteries
A closed system of vessels that transport blood from the heart to the body and back
Blood - fat - air - or portions of tumors that break free

32. What is the best approach for an aortofemoral bypass
Tunica intima - tunica media - & tunica adventita
Arterial bypass
3-0 or 4-0
Ascending aorta

33. What type of needle is used for vessels
Double armed needles - tapered
To reinforce the anastomosis
Ventricular contraction - resistance - blood viscosity - and heart rate
Vena cava

34. What are capillaries
Carotid endarterectomy
Vessels that are between the arteriols and venule
Suprarenal artery
Dorsal venus arch

35. What are the layers of vessels
4-0 or 5-0
Tunica intima - tunica media - & tunica adventita
Internal carotid artery
Through the artery to compress the plaque against the wall of the artery

36. From What vein is the blood taken to pre-clot the graft
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Knitted polyester - woven polyester
The popliteal vein
Vena cava

37. What arteries supply the myocardium
As the heart beats faster there is less blood volume
Femoral arteries
Ascending aorta
Coronary arteries

38. What is the pt position for carotid endoarterectomy
Knitted polyester - woven polyester
The popliteal vein
Supine with head turned 45 degrees to the unaffected side
Arterial bypass

39. What organs does the superior mesenteric artery feed
#11 on a #7 handle
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sarot clamp?
In the capillaries

40. What medication is added to saline
Hyline cartilage
Arteriosclerosis obliterans
Ascending aorta
Heparin and antibiotics for irrigation

41. What are the general characteristics of veins
In the capillaries
4-0 or 5-0
Internal carotid then the external carotid then the common carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

42. What are the sutures for the aorta
Incision into an artery
Tunica intima - tunica media - & tunica adventita
3-0 or 4-0
Heparin and antibiotics for irrigation

43. What vein is on the lateral side of the arm
Femoral arteries
Basilic vein
Vertebral arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

44. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Esophagus
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
A closed system of vessels that transport blood from the heart to the body and back

45. What is the largest vein
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Saphenous vein
Flush then clamp proximal then distal
Tunica intima - tunica media - & tunica adventita

46. What structure is the pacemaker of the heart
SA node
Rubber shods
Vena cava
Ascending aorta

47. What is the location of the biforcation of the aorta and What vessels are involved
Carotid endarterectomy
Heparin and antibiotics for irrigation
Vessels that are between the arteriols and venule
Left & right common iliac arteries are at the 4th lumbar

48. Which artery feeds the adrenal glands
The surgeons hands should be wet
Arteriosclerosis obliterans
Heparin and antibiotics for irrigation
Suprarenal artery

49. What are the characteristics of abdominal aneurysms
Left & right common iliac arteries are at the 4th lumbar
Heparin and antibiotics for irrigation
Epicardium - myocardium - and endocardium
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

50. What materials are used for stents
Stainless steel mesh - titanium - polypropylene
Papaverine
Internal carotid artery
Tunica intima - tunica media - & tunica adventita