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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. How is the fogarty baloon catheter used
3-0 or 4-0
Through the artery to compress the plaque against the wall of the artery
Basilic vein
As the heart beats faster there is less blood volume

2. What drug is used for arterial vasospasms
4-0 or 5-0
Ventricular contraction - resistance - blood viscosity - and heart rate
Right common carotid artery and external carotid artery
Papaverine

3. What is claudication
As the heart beats faster there is less blood volume
Double armed needles - tapered
5-0 or 6-0
Cramping pain or a dull ache

4. What are capillaries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vessels that are between the arteriols and venule
Tunica intima - tunica media - & tunica adventita
Weitlaner self-retaining retractor

5. What do the anterior and posterior tibial veins unite to become
Right common carotid artery and external carotid artery
Weitlaner self-retaining retractor
The popliteal vein
A closed system of vessels that transport blood from the heart to the body and back

6. Where does gas exchange take place
Rubber shods
In the capillaries
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

7. Which clamp is removed last
Internal carotid artery
Femoral arteries
Incision into an artery
Saphenous vein

8. What type of retractor is used in an aortofemoral bypass
Weitlaner self-retaining retractor
Supine with head turned 45 degrees to the unaffected side
Femorofemoral bypass
The force that blood exerts on the internal walls of the vessels

9. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
#11 on a #7 handle
Coronary arteries
Blood - fat - air - or portions of tumors that break free

10. sutures for femoral - popliteal arteries
Double armed needles - tapered
Cramping pain or a dull ache
5-0 or 6-0
A closed system of vessels that transport blood from the heart to the body and back

11. What is the location of the biforcation of the aorta and What vessels are involved
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
Rubber shods
Hyline cartilage

12. What arteries supply the brain - head - and neck
Knitted polyester - woven polyester
The surgeons hands should be wet
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Right common carotid artery and external carotid artery

13. From What vein is the blood taken to pre-clot the graft
Esophagus
Weitlaner self-retaining retractor
Vena cava
Suprarenal artery

14. What medication is added to saline
6-0
Heparin and antibiotics for irrigation
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Vena cava

15. What are the 3 branches of the aortic arch
The popliteal vein
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vena cava
Vessels that are between the arteriols and venule

16. What materials are used for stents
Vessels that are between the arteriols and venule
3-0 or 4-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Stainless steel mesh - titanium - polypropylene

17. sutures for common carotid or subclavian
Carotid endarterectomy
The surgeons hands should be wet
Incision into an artery
6-0

18. What is blood pressure
Flush then clamp proximal then distal
The force that blood exerts on the internal walls of the vessels
Papaverine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

19. What is an ateriotomy
Coronary arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Incision into an artery
Cramping pain or a dull ache

20. When is arterial blood volume decreased
SA node
As the heart beats faster there is less blood volume
Femorofemoral bypass
5-0 or 6-0

21. What are pledgets used for
Water
4-0 or 5-0
To reinforce the anastomosis
Arteriosclerosis obliterans

22. What factors influence blood pressure
Ventricular contraction - resistance - blood viscosity - and heart rate
Suprarenal artery
The force that blood exerts on the internal walls of the vessels
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

23. What instrument is used to isolate an artery
Sarot clamp?
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle
Incision into an artery

24. What communicate in the circle of willis
Femoral arteries
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The force that blood exerts on the internal walls of the vessels
Supine with head turned 45 degrees to the unaffected side

25. What is the prep area for a femoropopliteal bypass
Weitlaner self-retaining retractor
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
The surgeons hands should be wet
Midabdomen to toes & leg circumferentially

26. What disease leads to atheroma formation
Suprarenal artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arteriosclerosis obliterans
The force that blood exerts on the internal walls of the vessels

27. In What procedure is a fogarty catheter used
Basilic vein
Carotid endarterectomy
Cramping pain or a dull ache
Arterial embolectomy

28. What are the layers of vessels
To reinforce the anastomosis
Tunica intima - tunica media - & tunica adventita
3-0 or 4-0
Arterial bypass

29. Which artery feeds the adrenal glands
Suprarenal artery
Vessels that are between the arteriols and venule
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Esophagus

30. Where do the coronary arteries arise from
6-0 or 7-0
Femorofemoral bypass
Sarot clamp?
Ascending aorta

31. What are the deep veins of the foot
Arterial embolectomy
Basilic vein
6-0
Dorsal venus arch

32. What are delicate sutures tagged with
6-0
Internal carotid artery
Rubber shods
The popliteal vein

33. What are the sutures for the iliac artery
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
4-0 or 5-0
Vessels that are between the arteriols and venule
Stainless steel mesh - titanium - polypropylene

34. What organs does the superior mesenteric artery feed
Tunica intima - tunica media - & tunica adventita
Rubber shods
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
#11 on a #7 handle

35. What does the external iliac artery biforcate into
Dorsal venus arch
Femoral arteries
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ventricular contraction - resistance - blood viscosity - and heart rate

36. What graft material is not used in the popliteal area
Double armed needles - tapered
Knitted polyester - woven polyester
4-0 or 5-0
Ascending aorta

37. What procedure is the javid shunt used for
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Dorsal venus arch
Rubber shods
Carotid endarterectomy

38. What are the characteristics of abdominal aneurysms
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Papaverine
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

39. What vessels are clamped during a carotid endarterectomy
Ventricular contraction - resistance - blood viscosity - and heart rate
The force that blood exerts on the internal walls of the vessels
Arterial embolectomy
Internal carotid then the external carotid then the common carotid artery

40. What are some special conseriderations for patients undergoing peripheral vascular surgery
Suprarenal artery
Tunica intima - tunica media - & tunica adventita
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
5-0 or 6-0

41. What procedure is used for an iliac artery obstruction
Double armed needles - tapered
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Femorofemoral bypass
Carotid endarterectomy

42. What is the best approach for an aortofemoral bypass
Arteriosclerosis obliterans
Arterial bypass
Sarot clamp?
Saphenous vein

43. What are the general characteristics of veins
6-0 or 7-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
The popliteal vein

44. Which artery feeds the upper digestive tract - spleen - and liver
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Splenic artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Dorsal venus arch

45. What is the sequence of clamping in an ateriotomy
Vessels that are between the arteriols and venule
Vertebral arteries
Flush then clamp proximal then distal
Arterial embolectomy

46. What arteries supply the myocardium
Coronary arteries
Arterial embolectomy
6-0 or 7-0
Arterial bypass

47. What type of needle is used for vessels
Arteriosclerosis obliterans
5-0 or 6-0
Coronary arteries
Double armed needles - tapered

48. What is an atrial embolism
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
3-0 or 4-0
Vessels that are between the arteriols and venule
Blood - fat - air - or portions of tumors that break free

49. What organ does the gastric artery feed
Flush then clamp proximal then distal
Arterial embolectomy
Vertebral arteries
Esophagus

50. Which arteries supply the spinal cord
Knitted polyester - woven polyester
Papaverine
Arteriosclerosis obliterans
Vertebral arteries

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Peripheral Vascular Surgery

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