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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 is the peripheral vascular system
To reinforce the anastomosis
A closed system of vessels that transport blood from the heart to the body and back
6-0 or 7-0
Vertebral arteries

2. What type of needle is used for vessels
Double armed needles - tapered
Hyline cartilage
Blood - fat - air - or portions of tumors that break free
6-0 or 7-0

3. Which artery feeds the upper digestive tract - spleen - and liver
The surgeons hands should be wet
Knitted polyester - woven polyester
Splenic artery
Vertebral arteries

4. What drug is used for arterial vasospasms
Vena cava
Papaverine
Left & right common iliac arteries are at the 4th lumbar
SA node

5. What is blood pressure
Blood - fat - air - or portions of tumors that break free
Arterial bypass
Dorsal venus arch
The force that blood exerts on the internal walls of the vessels

6. Where do the coronary arteries arise from
Ascending aorta
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery
Right common carotid artery and external carotid artery

7. What is the prep area for a femoropopliteal bypass
Through the artery to compress the plaque against the wall of the artery
Vena cava
Midabdomen to toes & leg circumferentially
Right common carotid artery and external carotid artery

8. What disease leads to atheroma formation
#11 on a #7 handle
Ventricular contraction - resistance - blood viscosity - and heart rate
Flush then clamp proximal then distal
Arteriosclerosis obliterans

9. Which artery feeds the adrenal glands
Suprarenal artery
Internal carotid then the external carotid then the common carotid artery
Internal carotid artery
Incision into an artery

10. sutures for common carotid or subclavian
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
6-0
Flush then clamp proximal then distal
The surgeons hands should be wet

11. What solution is not used during grafting procedures
Double armed needles - tapered
Water
The surgeons hands should be wet
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

12. What communicate in the circle of willis
Femoral arteries
Carotid endarterectomy
Internal carotid artery
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

13. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Double armed needles - tapered
Internal carotid then the external carotid then the common carotid artery
Water

14. What arteries supply the myocardium
Coronary arteries
Right common carotid artery and external carotid artery
Midabdomen to toes & leg circumferentially
Epicardium - myocardium - and endocardium

15. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Coronary arteries
6-0 or 7-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans

16. What procedure is used for an iliac artery obstruction
Papaverine
Femorofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels

17. How is the fogarty baloon catheter used
Suprarenal artery
Esophagus
Through the artery to compress the plaque against the wall of the artery
Femoral arteries

18. What are the deep veins of the foot
Dorsal venus arch
The surgeons hands should be wet
Incision into an artery
6-0

19. What are capillaries
Incision into an artery
Vessels that are between the arteriols and venule
To reinforce the anastomosis
5-0 or 6-0

20. In What procedure is a fogarty catheter used
Vertebral arteries
Cramping pain or a dull ache
Coronary arteries
Arterial embolectomy

21. What is an ateriotomy
Basilic vein
Cramping pain or a dull ache
Incision into an artery
Water

22. What is the location of the biforcation of the aorta and What vessels are involved
4-0 or 5-0
Left & right common iliac arteries are at the 4th lumbar
Heparin and antibiotics for irrigation
Midabdomen to toes & leg circumferentially

23. What procedure is the javid shunt used for
Esophagus
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
As the heart beats faster there is less blood volume

24. What organ does the gastric artery feed
Midabdomen to toes & leg circumferentially
Sarot clamp?
Esophagus
Vertebral arteries

25. What structures keep the trachea from collapsing
Through the artery to compress the plaque against the wall of the artery
Epicardium - myocardium - and endocardium
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Hyline cartilage

26. What is the sequence of clamping in an ateriotomy
Carotid endarterectomy
Flush then clamp proximal then distal
Splenic artery
Arterial embolectomy

27. What factors influence blood pressure
Ascending aorta
6-0
Saphenous vein
Ventricular contraction - resistance - blood viscosity - and heart rate

28. Where does gas exchange take place
Arterial bypass
Hyline cartilage
In the capillaries
Double armed needles - tapered

29. What instrument is used to isolate an artery
In the capillaries
Ventricular contraction - resistance - blood viscosity - and heart rate
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Sarot clamp?

30. From What vein is the blood taken to pre-clot the graft
Carotid endarterectomy
Water
Esophagus
Vena cava

31. What should be done before tying polypropylene sutures
Heparin and antibiotics for irrigation
Cramping pain or a dull ache
Double armed needles - tapered
The surgeons hands should be wet

32. What structure is the pacemaker of the heart
Weitlaner self-retaining retractor
SA node
Basilic vein
Splenic artery

33. What are delicate sutures tagged with
The surgeons hands should be wet
Rubber shods
To reinforce the anastomosis
Carotid endarterectomy

34. What does the external iliac artery biforcate into
Incision into an artery
Double armed needles - tapered
Weitlaner self-retaining retractor
Femoral arteries

35. What are the sutures for the iliac artery
Internal carotid artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
SA node
4-0 or 5-0

36. What are the sutures for the aorta
#11 on a #7 handle
Saphenous vein
In the capillaries
3-0 or 4-0

37. What vein is on the lateral side of the arm
Incision into an artery
Left & right common iliac arteries are at the 4th lumbar
Sarot clamp?
Basilic vein

38. What type of blade is used for an arteriotomy
Papaverine
#11 on a #7 handle
Splenic artery
Supine with head turned 45 degrees to the unaffected side

39. What vessels are clamped during a carotid endarterectomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Internal carotid then the external carotid then the common carotid artery
Esophagus
Cramping pain or a dull ache

40. What graft material is not used in the popliteal area
Through the artery to compress the plaque against the wall of the artery
Esophagus
Vena cava
Knitted polyester - woven polyester

41. What are the layers of vessels
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Tunica intima - tunica media - & tunica adventita
Saphenous vein
Ascending aorta

42. What medication is added to saline
Splenic artery
Weitlaner self-retaining retractor
Water
Heparin and antibiotics for irrigation

43. What are pledgets used for
6-0 or 7-0
Rubber shods
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
To reinforce the anastomosis

44. Which arteries supply the spinal cord
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vertebral arteries
SA node
Internal carotid then the external carotid then the common carotid artery

45. What materials are used for stents
Vessels that are between the arteriols and venule
Basilic vein
Stainless steel mesh - titanium - polypropylene
6-0

46. When is arterial blood volume decreased
Supine with head turned 45 degrees to the unaffected side
Saphenous vein
As the heart beats faster there is less blood volume
Femoral arteries

47. What is the largest vein
4-0 or 5-0
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Saphenous vein

48. What is the pt position for carotid endoarterectomy
Internal carotid artery
Femorofemoral bypass
Supine with head turned 45 degrees to the unaffected side
To reinforce the anastomosis

49. What do the anterior and posterior tibial veins unite to become
Stainless steel mesh - titanium - polypropylene
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The popliteal vein

50. Which clamp is removed last
In the capillaries
The force that blood exerts on the internal walls of the vessels
Internal carotid artery
Arterial embolectomy