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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 largest vein
Tunica intima - tunica media - & tunica adventita
Ventricular contraction - resistance - blood viscosity - and heart rate
Papaverine
Saphenous vein

2. What are the sutures for the iliac artery
The force that blood exerts on the internal walls of the vessels
Knitted polyester - woven polyester
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
4-0 or 5-0

3. What disease leads to atheroma formation
Arteriosclerosis obliterans
Arterial bypass
Epicardium - myocardium - and endocardium
Vessels that are between the arteriols and venule

4. What is claudication
Arteriosclerosis obliterans
Cramping pain or a dull ache
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

5. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Ventricular contraction - resistance - blood viscosity - and heart rate
6-0 or 7-0
Hyline cartilage

6. What is an ateriotomy
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Coronary arteries
Incision into an artery
Femoral arteries

7. What factors influence blood pressure
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation
5-0 or 6-0
Ventricular contraction - resistance - blood viscosity - and heart rate

8. What procedure is the javid shunt used for
Carotid endarterectomy
Supine with head turned 45 degrees to the unaffected side
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

9. What instrument is used to isolate an artery
The popliteal vein
Incision into an artery
Sarot clamp?
Cramping pain or a dull ache

10. What is blood pressure
The force that blood exerts on the internal walls of the vessels
Double armed needles - tapered
Esophagus
Femoral arteries

11. What are the layers of vessels
Tunica intima - tunica media - & tunica adventita
Esophagus
Rubber shods
The force that blood exerts on the internal walls of the vessels

12. What are the 3 branches of the aortic arch
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Cramping pain or a dull ache
The force that blood exerts on the internal walls of the vessels

13. What materials are used for stents
The surgeons hands should be wet
Through the artery to compress the plaque against the wall of the artery
Blood - fat - air - or portions of tumors that break free
Stainless steel mesh - titanium - polypropylene

14. What medication is added to saline
Double armed needles - tapered
Coronary arteries
Heparin and antibiotics for irrigation
Supine with head turned 45 degrees to the unaffected side

15. What communicate in the circle of willis
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Basilic vein
In the capillaries
The popliteal vein

16. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Midabdomen to toes & leg circumferentially
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Femorofemoral bypass

17. What graft material is not used in the popliteal area
Knitted polyester - woven polyester
Suprarenal artery
A closed system of vessels that transport blood from the heart to the body and back
Arteriosclerosis obliterans

18. What are the general characteristics of veins
Ventricular contraction - resistance - blood viscosity - and heart rate
5-0 or 6-0
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Knitted polyester - woven polyester

19. What type of needle is used for vessels
Stainless steel mesh - titanium - polypropylene
Splenic artery
Double armed needles - tapered
5-0 or 6-0

20. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Supine with head turned 45 degrees to the unaffected side
Carotid endarterectomy

21. Where does gas exchange take place
Dorsal venus arch
Arterial bypass
Saphenous vein
In the capillaries

22. What are the layers of the heart
#11 on a #7 handle
In the capillaries
Epicardium - myocardium - and endocardium
Coronary arteries

23. What are delicate sutures tagged with
Supine with head turned 45 degrees to the unaffected side
Rubber shods
The surgeons hands should be wet
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine

24. What organs does the superior mesenteric artery feed
Knitted polyester - woven polyester
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Hyline cartilage
Femoral arteries

25. What are the sutures for the aorta
Epicardium - myocardium - and endocardium
3-0 or 4-0
4-0 or 5-0
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

26. What arteries supply the myocardium
Coronary arteries
Ascending aorta
Tunica intima - tunica media - & tunica adventita
Vertebral arteries

27. What structure is the pacemaker of the heart
SA node
Heparin and antibiotics for irrigation
Vena cava
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

28. In What procedure is a fogarty catheter used
5-0 or 6-0
Arterial embolectomy
Coronary arteries
Right common carotid artery and external carotid artery

29. What drug is used for arterial vasospasms
Papaverine
Ventricular contraction - resistance - blood viscosity - and heart rate
Right common carotid artery and external carotid artery
Hyline cartilage

30. What arteries supply the brain - head - and neck
Water
Right common carotid artery and external carotid artery
The popliteal vein
Coronary arteries

31. What structures keep the trachea from collapsing
SA node
Papaverine
Hyline cartilage
To reinforce the anastomosis

32. What solution is not used during grafting procedures
5-0 or 6-0
Water
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Incision into an artery

33. What type of blade is used for an arteriotomy
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
In the capillaries
Stainless steel mesh - titanium - polypropylene
#11 on a #7 handle

34. What organ does the gastric artery feed
Esophagus
Incision into an artery
Left & right common iliac arteries are at the 4th lumbar
#11 on a #7 handle

35. What is the location of the biforcation of the aorta and What vessels are involved
Hyline cartilage
Left & right common iliac arteries are at the 4th lumbar
Saphenous vein
Vena cava

36. Where do the coronary arteries arise from
6-0
Ascending aorta
Rubber shods
To reinforce the anastomosis

37. sutures for common carotid or subclavian
Vena cava
6-0
As the heart beats faster there is less blood volume
The popliteal vein

38. Which artery feeds the upper digestive tract - spleen - and liver
#11 on a #7 handle
Splenic artery
6-0
Rubber shods

39. What are the deep veins of the foot
Internal carotid then the external carotid then the common carotid artery
Dorsal venus arch
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Arteriosclerosis obliterans

40. What is the sequence of clamping in an ateriotomy
Heparin and antibiotics for irrigation
Flush then clamp proximal then distal
Arterial embolectomy
Left & right common iliac arteries are at the 4th lumbar

41. What are the characteristics of abdominal aneurysms
6-0 or 7-0
Flush then clamp proximal then distal
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

42. What vein is on the lateral side of the arm
Hyline cartilage
5-0 or 6-0
Basilic vein
Epicardium - myocardium - and endocardium

43. Which clamp is removed last
Internal carotid artery
Basilic vein
Splenic artery
Left & right common iliac arteries are at the 4th lumbar

44. What is the pt position for carotid endoarterectomy
3-0 or 4-0
Water
Supine with head turned 45 degrees to the unaffected side
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

45. Which arteries supply the spinal cord
Splenic artery
Coronary arteries
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Vertebral arteries

46. What is an atrial embolism
To reinforce the anastomosis
Saphenous vein
Blood - fat - air - or portions of tumors that break free
#11 on a #7 handle

47. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
Left & right common iliac arteries are at the 4th lumbar
Stainless steel mesh - titanium - polypropylene
Basilic vein
6-0 or 7-0

48. How is the fogarty baloon catheter used
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
Incision into an artery
In the capillaries

49. What are some special conseriderations for patients undergoing peripheral vascular surgery
#11 on a #7 handle
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Hyline cartilage
Tunica intima - tunica media - & tunica adventita

50. What is the best approach for an aortofemoral bypass
The force that blood exerts on the internal walls of the vessels
Right common carotid artery and external carotid artery
Arterial bypass
Suprarenal artery