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Peripheral Vascular Surgery

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. What are the 3 branches of the aortic arch
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Double armed needles - tapered
Dorsal venus arch

2. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Epicardium - myocardium - and endocardium
Left & right common iliac arteries are at the 4th lumbar
Weitlaner self-retaining retractor

3. What is the sequence of clamping in an ateriotomy
Ventricular contraction - resistance - blood viscosity - and heart rate
Flush then clamp proximal then distal
Arteriosclerosis obliterans
Midabdomen to toes & leg circumferentially

4. What is an atrial embolism
4-0 or 5-0
Blood - fat - air - or portions of tumors that break free
Heparin and antibiotics for irrigation
Stainless steel mesh - titanium - polypropylene

5. What is the best approach for an aortofemoral bypass
Arterial bypass
Stainless steel mesh - titanium - polypropylene
Heparin and antibiotics for irrigation
Sarot clamp?

6. What solution is not used during grafting procedures
Ascending aorta
Water
Hyline cartilage
The popliteal vein

7. What are pledgets used for
5-0 or 6-0
To reinforce the anastomosis
Internal carotid artery
Basilic vein

8. 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
Vena cava
3-0 or 4-0
#11 on a #7 handle

9. What drug is used for arterial vasospasms
Papaverine
SA node
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

10. What is an ateriotomy
Suprarenal artery
A closed system of vessels that transport blood from the heart to the body and back
Incision into an artery
As the heart beats faster there is less blood volume

11. 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
6-0
The surgeons hands should be wet

12. What should be done before tying polypropylene sutures
Heparin and antibiotics for irrigation
To reinforce the anastomosis
The surgeons hands should be wet
Weitlaner self-retaining retractor

13. What arteries supply the myocardium
Left & right common iliac arteries are at the 4th lumbar
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Right common carotid artery and external carotid artery
Coronary arteries

14. What disease leads to atheroma formation
4-0 or 5-0
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Arteriosclerosis obliterans
Suprarenal artery

15. What procedure is the javid shunt used for
The popliteal vein
Water
Carotid endarterectomy
Heparin and antibiotics for irrigation

16. What organs does the superior mesenteric artery feed
Weitlaner self-retaining retractor
6-0 or 7-0
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The force that blood exerts on the internal walls of the vessels

17. What are delicate sutures tagged with
Arterial embolectomy
Rubber shods
Ascending aorta
Internal carotid artery

18. What instrument is used to isolate an artery
Through the artery to compress the plaque against the wall of the artery
Sarot clamp?
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The popliteal vein

19. In What procedure is a fogarty catheter used
Stainless steel mesh - titanium - polypropylene
Carotid endarterectomy
Arterial embolectomy
The popliteal vein

20. What are the layers of the heart
Tunica intima - tunica media - & tunica adventita
Epicardium - myocardium - and endocardium
Vessels that are between the arteriols and venule
Left & right common iliac arteries are at the 4th lumbar

21. What is the pt position for carotid endoarterectomy
Supine with head turned 45 degrees to the unaffected side
The force that blood exerts on the internal walls of the vessels
Internal carotid artery
SA node

22. What are capillaries
Vessels that are between the arteriols and venule
Heparin and antibiotics for irrigation
Ascending aorta
SA node

23. What are some special conseriderations for patients undergoing peripheral vascular surgery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
In the capillaries
Epicardium - myocardium - and endocardium
The surgeons hands should be wet

24. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Left & right common iliac arteries are at the 4th lumbar
3-0 or 4-0
Dorsal venus arch

25. What are the deep veins of the foot
In the capillaries
Saphenous vein
Arterial bypass
Dorsal venus arch

26. What is the largest vein
Saphenous vein
5-0 or 6-0
6-0 or 7-0
Rubber shods

27. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Vertebral arteries
Femoral arteries
6-0 or 7-0
As the heart beats faster there is less blood volume

28. From What vein is the blood taken to pre-clot the graft
Papaverine
Vena cava
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Carotid endarterectomy

29. When is arterial blood volume decreased
Ventricular contraction - resistance - blood viscosity - and heart rate
As the heart beats faster there is less blood volume
To reinforce the anastomosis
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

30. What type of retractor is used in an aortofemoral bypass
Papaverine
Weitlaner self-retaining retractor
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Epicardium - myocardium - and endocardium

31. Which artery feeds the adrenal glands
3-0 or 4-0
SA node
Suprarenal artery
Internal carotid then the external carotid then the common carotid artery

32. What is claudication
Right common carotid artery and external carotid artery
Knitted polyester - woven polyester
Cramping pain or a dull ache
Splenic artery

33. What are the sutures for the iliac artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Heparin and antibiotics for irrigation
4-0 or 5-0
Internal carotid then the external carotid then the common carotid artery

34. What do the anterior and posterior tibial veins unite to become
A closed system of vessels that transport blood from the heart to the body and back
Carotid endarterectomy
Left & right common iliac arteries are at the 4th lumbar
The popliteal vein

35. What type of needle is used for vessels
Basilic vein
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Double armed needles - tapered
Vertebral arteries

36. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Left & right common iliac arteries are at the 4th lumbar
Ascending aorta
Incision into an artery

37. How is the fogarty baloon catheter used
Knitted polyester - woven polyester
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Through the artery to compress the plaque against the wall of the artery
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

38. What structures keep the trachea from collapsing
Vena cava
Internal carotid artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Hyline cartilage

39. What does the external iliac artery biforcate into
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery
The force that blood exerts on the internal walls of the vessels
Femoral arteries

40. What organ does the gastric artery feed
Arterial embolectomy
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Esophagus
Coronary arteries

41. What is blood pressure
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The force that blood exerts on the internal walls of the vessels
Internal carotid artery

42. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Rubber shods
Stainless steel mesh - titanium - polypropylene
Incision into an artery

43. What is the peripheral vascular system
Blood - fat - air - or portions of tumors that break free
A closed system of vessels that transport blood from the heart to the body and back
Left & right common iliac arteries are at the 4th lumbar
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

44. What type of blade is used for an arteriotomy
#11 on a #7 handle
Blood - fat - air - or portions of tumors that break free
Incision into an artery
Tunica intima - tunica media - & tunica adventita

45. Where do the coronary arteries arise from
Arteriosclerosis obliterans
5-0 or 6-0
Ascending aorta
Weitlaner self-retaining retractor

46. sutures for common carotid or subclavian
Right common carotid artery and external carotid artery
Epicardium - myocardium - and endocardium
6-0
5-0 or 6-0

47. What are the layers of vessels
Basilic vein
Flush then clamp proximal then distal
Tunica intima - tunica media - & tunica adventita
Vertebral arteries

48. sutures for femoral - popliteal arteries
5-0 or 6-0
Splenic artery
Left & right common iliac arteries are at the 4th lumbar
In the capillaries

49. Which artery feeds the upper digestive tract - spleen - and liver
5-0 or 6-0
Splenic artery
Carotid endarterectomy
4-0 or 5-0

50. What vein is on the lateral side of the arm
Water
Basilic vein
Splenic artery
Tunica intima - tunica media - & tunica adventita

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Peripheral Vascular Surgery

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