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Peripheral Vascular Surgery

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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 are the sutures for the aorta
As the heart beats faster there is less blood volume
3-0 or 4-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Sarot clamp?

2. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Knitted polyester - woven polyester
Weitlaner self-retaining retractor
Vena cava

3. What is blood pressure
6-0 or 7-0
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
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

4. What arteries supply the brain - head - and neck
Right common carotid artery and external carotid artery
In the capillaries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
6-0

5. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Cramping pain or a dull ache
Papaverine
6-0 or 7-0
3-0 or 4-0

6. What are the general characteristics of veins
Ascending aorta
A closed system of vessels that transport blood from the heart to the body and back
Stainless steel mesh - titanium - polypropylene
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

7. What organ does the gastric artery feed
Blood - fat - air - or portions of tumors that break free
Double armed needles - tapered
SA node
Esophagus

8. What disease leads to atheroma formation
Tunica intima - tunica media - & tunica adventita
The force that blood exerts on the internal walls of the vessels
Arteriosclerosis obliterans
Midabdomen to toes & leg circumferentially

9. What are the characteristics of abdominal aneurysms
6-0
Knitted polyester - woven polyester
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Double armed needles - tapered

10. What are some special conseriderations for patients undergoing peripheral vascular surgery
Midabdomen to toes & leg circumferentially
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Ventricular contraction - resistance - blood viscosity - and heart rate
Tunica intima - tunica media - & tunica adventita

11. What type of blade is used for an arteriotomy
As the heart beats faster there is less blood volume
6-0 or 7-0
Arterial bypass
#11 on a #7 handle

12. What do the anterior and posterior tibial veins unite to become
#11 on a #7 handle
To reinforce the anastomosis
The popliteal vein
Basilic vein

13. What should be done before tying polypropylene sutures
Rubber shods
The surgeons hands should be wet
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

14. What type of needle is used for vessels
Vena cava
Arterial bypass
Double armed needles - tapered
5-0 or 6-0

15. What is an ateriotomy
Basilic vein
Incision into an artery
Vena cava
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

16. In What procedure is a fogarty catheter used
Cramping pain or a dull ache
Arterial embolectomy
Vessels that are between the arteriols and venule
6-0

17. How is the fogarty baloon catheter used
Through the artery to compress the plaque against the wall of the artery
Cramping pain or a dull ache
Right common carotid artery and external carotid artery
6-0

18. What instrument is used to isolate an artery
Sarot clamp?
Tunica intima - tunica media - & tunica adventita
3-0 or 4-0
Dorsal venus arch

19. What type of retractor is used in an aortofemoral bypass
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate
The popliteal vein
Weitlaner self-retaining retractor

20. What are the sutures for the iliac artery
4-0 or 5-0
Vertebral arteries
Supine with head turned 45 degrees to the unaffected side
Arterial embolectomy

21. What organs does the superior mesenteric artery feed
Through the artery to compress the plaque against the wall of the artery
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Epicardium - myocardium - and endocardium
Weitlaner self-retaining retractor

22. What solution is not used during grafting procedures
4-0 or 5-0
Sarot clamp?
Water
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

23. What drugs are used in vascular surgery
Sarot clamp?
Right common carotid artery and external carotid artery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

24. What procedure is used for an iliac artery obstruction
Internal carotid artery
Epicardium - myocardium - and endocardium
Femorofemoral bypass
Knitted polyester - woven polyester

25. What graft material is not used in the popliteal area
Splenic artery
Internal carotid then the external carotid then the common carotid artery
Knitted polyester - woven polyester
6-0 or 7-0

26. Where does gas exchange take place
Vena cava
Through the artery to compress the plaque against the wall of the artery
In the capillaries
Flush then clamp proximal then distal

27. What is the peripheral vascular system
Midabdomen to toes & leg circumferentially
#11 on a #7 handle
A closed system of vessels that transport blood from the heart to the body and back
Arterial embolectomy

28. What is claudication
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
To reinforce the anastomosis
Papaverine
Cramping pain or a dull ache

29. What is the location of the biforcation of the aorta and What vessels are involved
#11 on a #7 handle
Left & right common iliac arteries are at the 4th lumbar
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Heparin and antibiotics for irrigation

30. Which clamp is removed last
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Internal carotid artery
Water

31. What is the sequence of clamping in an ateriotomy
Double armed needles - tapered
Dorsal venus arch
The force that blood exerts on the internal walls of the vessels
Flush then clamp proximal then distal

32. What materials are used for stents
Arteriosclerosis obliterans
Stainless steel mesh - titanium - polypropylene
Flush then clamp proximal then distal
Esophagus

33. What is the prep area for a femoropopliteal bypass
Dorsal venus arch
Epicardium - myocardium - and endocardium
Esophagus
Midabdomen to toes & leg circumferentially

34. Which artery feeds the upper digestive tract - spleen - and liver
Epicardium - myocardium - and endocardium
Splenic artery
Basilic vein
A closed system of vessels that transport blood from the heart to the body and back

35. Where do the coronary arteries arise from
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate
Hyline cartilage
Arterial bypass

36. What are the layers of the heart
3-0 or 4-0
Epicardium - myocardium - and endocardium
Dorsal venus arch
Basilic vein

37. What medication is added to saline
Heparin and antibiotics for irrigation
Rubber shods
6-0 or 7-0
Knitted polyester - woven polyester

38. What structure is the pacemaker of the heart
SA node
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
As the heart beats faster there is less blood volume
Suprarenal artery

39. When is arterial blood volume decreased
As the heart beats faster there is less blood volume
Femoral arteries
The force that blood exerts on the internal walls of the vessels
Incision into an artery

40. What is the largest vein
The surgeons hands should be wet
Saphenous vein
SA node
6-0

41. Which artery feeds the adrenal glands
Suprarenal artery
Knitted polyester - woven polyester
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

42. What drug is used for arterial vasospasms
Ventricular contraction - resistance - blood viscosity - and heart rate
Papaverine
In the capillaries
To reinforce the anastomosis

43. From What vein is the blood taken to pre-clot the graft
Vena cava
Sarot clamp?
Carotid endarterectomy
Cramping pain or a dull ache

44. What communicate in the circle of willis
Hyline cartilage
Stainless steel mesh - titanium - polypropylene
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
As the heart beats faster there is less blood volume

45. sutures for femoral - popliteal arteries
Arteriosclerosis obliterans
5-0 or 6-0
Saphenous vein
Femorofemoral bypass

46. What arteries supply the myocardium
Coronary arteries
Femorofemoral bypass
Epicardium - myocardium - and endocardium
Water

47. Which arteries supply the spinal cord
Papaverine
Vertebral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Rubber shods

48. What are delicate sutures tagged with
Rubber shods
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Right common carotid artery and external carotid artery

49. What vessels are clamped during a carotid endarterectomy
#11 on a #7 handle
Internal carotid then the external carotid then the common carotid artery
6-0 or 7-0
Splenic artery

50. What vein is on the lateral side of the arm
Incision into an artery
Basilic vein
Left & right common iliac arteries are at the 4th lumbar
Blood - fat - air - or portions of tumors that break free