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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 materials are used for stents
Arterial bypass
To reinforce the anastomosis
Stainless steel mesh - titanium - polypropylene
Cramping pain or a dull ache

2. What is the largest vein
3-0 or 4-0
Splenic artery
Arterial embolectomy
Saphenous vein

3. What arteries supply the myocardium
The force that blood exerts on the internal walls of the vessels
Coronary arteries
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

4. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
Internal carotid then the external carotid then the common carotid artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Esophagus

5. What drugs are used in vascular surgery
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
As the heart beats faster there is less blood volume
To reinforce the anastomosis

6. What type of blade is used for an arteriotomy
Blood - fat - air - or portions of tumors that break free
#11 on a #7 handle
Epicardium - myocardium - and endocardium
Dorsal venus arch

7. What is the pt position for carotid endoarterectomy
In the capillaries
Double armed needles - tapered
Supine with head turned 45 degrees to the unaffected side
Through the artery to compress the plaque against the wall of the artery

8. What is an atrial embolism
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Blood - fat - air - or portions of tumors that break free
Epicardium - myocardium - and endocardium

9. What are the deep veins of the foot
Carotid endarterectomy
Internal carotid artery
Heparin and antibiotics for irrigation
Dorsal venus arch

10. What are the characteristics of abdominal aneurysms
In the capillaries
Carotid endarterectomy
Vertebral arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

11. What structures keep the trachea from collapsing
Hyline cartilage
Double armed needles - tapered
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sarot clamp?

12. What communicate in the circle of willis
Tunica intima - tunica media - & tunica adventita
Femoral arteries
Weitlaner self-retaining retractor
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

13. When is arterial blood volume decreased
Hyline cartilage
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
As the heart beats faster there is less blood volume
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

14. What should be done before tying polypropylene sutures
Papaverine
Knitted polyester - woven polyester
The popliteal vein
The surgeons hands should be wet

15. What are pledgets used for
Internal carotid then the external carotid then the common carotid artery
Arteriosclerosis obliterans
To reinforce the anastomosis
Arterial embolectomy

16. What does the external iliac artery biforcate into
Femoral arteries
#11 on a #7 handle
Vertebral arteries
Ascending aorta

17. What are the layers of the heart
Femoral arteries
Epicardium - myocardium - and endocardium
Ascending aorta
Blood - fat - air - or portions of tumors that break free

18. What structure is the pacemaker of the heart
Knitted polyester - woven polyester
A closed system of vessels that transport blood from the heart to the body and back
Flush then clamp proximal then distal
SA node

19. What are the general characteristics of veins
Arteriosclerosis obliterans
Hyline cartilage
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
6-0 or 7-0

20. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Sarot clamp?
Incision into an artery
As the heart beats faster there is less blood volume

21. sutures for common carotid or subclavian
4-0 or 5-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Femorofemoral bypass
6-0

22. What factors influence blood pressure
Internal carotid then the external carotid then the common carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Dorsal venus arch
Left & right common iliac arteries are at the 4th lumbar

23. What disease leads to atheroma formation
Tunica intima - tunica media - & tunica adventita
Papaverine
Arteriosclerosis obliterans
The popliteal vein

24. What procedure is the javid shunt used for
In the capillaries
Vena cava
Arteriosclerosis obliterans
Carotid endarterectomy

25. What drug is used for arterial vasospasms
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Splenic artery
Papaverine
Ventricular contraction - resistance - blood viscosity - and heart rate

26. In What procedure is a fogarty catheter used
A closed system of vessels that transport blood from the heart to the body and back
The force that blood exerts on the internal walls of the vessels
Arterial embolectomy
Epicardium - myocardium - and endocardium

27. Which clamp is removed last
Internal carotid artery
Through the artery to compress the plaque against the wall of the artery
Rubber shods
Cramping pain or a dull ache

28. What are the sutures for the iliac artery
4-0 or 5-0
Double armed needles - tapered
Vena cava
Papaverine

29. sutures for femoral - popliteal arteries
5-0 or 6-0
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vertebral arteries
Midabdomen to toes & leg circumferentially

30. What organs does the superior mesenteric artery feed
Water
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arterial embolectomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

31. What vein is on the lateral side of the arm
Basilic vein
6-0
Hyline cartilage
Suprarenal artery

32. What is claudication
Cramping pain or a dull ache
Sarot clamp?
6-0 or 7-0
As the heart beats faster there is less blood volume

33. What is the peripheral vascular system
Coronary arteries
Rubber shods
A closed system of vessels that transport blood from the heart to the body and back
Vessels that are between the arteriols and venule

34. What organ does the gastric artery feed
Flush then clamp proximal then distal
Esophagus
Left & right common iliac arteries are at the 4th lumbar
The surgeons hands should be wet

35. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Hyline cartilage
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
4-0 or 5-0

36. What are delicate sutures tagged with
The surgeons hands should be wet
The popliteal vein
Rubber shods
Cramping pain or a dull ache

37. What procedure is used for an iliac artery obstruction
6-0 or 7-0
SA node
Femorofemoral bypass
Midabdomen to toes & leg circumferentially

38. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Basilic vein
Saphenous vein
Vertebral arteries

39. What is the best approach for an aortofemoral bypass
Vessels that are between the arteriols and venule
Dorsal venus arch
Arterial bypass
Epicardium - myocardium - and endocardium

40. What type of retractor is used in an aortofemoral bypass
Supine with head turned 45 degrees to the unaffected side
Weitlaner self-retaining retractor
Blood - fat - air - or portions of tumors that break free
Knitted polyester - woven polyester

41. What solution is not used during grafting procedures
Water
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Flush then clamp proximal then distal
Arteriosclerosis obliterans

42. What are capillaries
SA node
Incision into an artery
Vessels that are between the arteriols and venule
Midabdomen to toes & leg circumferentially

43. Where do the coronary arteries arise from
Esophagus
A closed system of vessels that transport blood from the heart to the body and back
Saphenous vein
Ascending aorta

44. What are some special conseriderations for patients undergoing peripheral vascular surgery
Water
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Saphenous vein

45. What is the sequence of clamping in an ateriotomy
Arterial bypass
Suprarenal artery
Flush then clamp proximal then distal
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

46. What is the prep area for a femoropopliteal bypass
4-0 or 5-0
Internal carotid then the external carotid then the common carotid artery
Arteriosclerosis obliterans
Midabdomen to toes & leg circumferentially

47. What graft material is not used in the popliteal area
Esophagus
Through the artery to compress the plaque against the wall of the artery
Knitted polyester - woven polyester
Weitlaner self-retaining retractor

48. Which artery feeds the adrenal glands
Suprarenal artery
Hyline cartilage
Blood - fat - air - or portions of tumors that break free
SA node

49. What is blood pressure
Saphenous vein
The force that blood exerts on the internal walls of the vessels
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
5-0 or 6-0

50. What do the anterior and posterior tibial veins unite to become
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The popliteal vein
Tunica intima - tunica media - & tunica adventita
Incision into an artery