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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 materials are used for stents
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
In the capillaries
The surgeons hands should be wet
Stainless steel mesh - titanium - polypropylene

2. What disease leads to atheroma formation
Dorsal venus arch
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
Arteriosclerosis obliterans

3. What vessels are clamped during a carotid endarterectomy
Vertebral arteries
Internal carotid then the external carotid then the common carotid artery
Suprarenal artery
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

4. What is blood pressure
Blood - fat - air - or portions of tumors that break free
Vena cava
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. What are the layers of the heart
Epicardium - myocardium - and endocardium
Knitted polyester - woven polyester
The popliteal vein
3-0 or 4-0

6. What structure is the pacemaker of the heart
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
6-0
Arteriosclerosis obliterans
SA node

7. Which artery feeds the upper digestive tract - spleen - and liver
4-0 or 5-0
Splenic artery
Vena cava
Vessels that are between the arteriols and venule

8. Which arteries supply the spinal cord
Carotid endarterectomy
Vertebral arteries
The surgeons hands should be wet
Femorofemoral bypass

9. What drug is used for arterial vasospasms
Papaverine
SA node
Cramping pain or a dull ache
Incision into an artery

10. What do the anterior and posterior tibial veins unite to become
The popliteal vein
Arterial embolectomy
Splenic artery
Tunica intima - tunica media - & tunica adventita

11. What are delicate sutures tagged with
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Rubber shods
Incision into an artery
Flush then clamp proximal then distal

12. When is arterial blood volume decreased
Vessels that are between the arteriols and venule
As the heart beats faster there is less blood volume
Arterial embolectomy
Knitted polyester - woven polyester

13. What is the largest vein
Right common carotid artery and external carotid artery
5-0 or 6-0
SA node
Saphenous vein

14. What are the deep veins of the foot
Suprarenal artery
3-0 or 4-0
Dorsal venus arch
Left & right common iliac arteries are at the 4th lumbar

15. What procedure is used for an iliac artery obstruction
Dorsal venus arch
Femorofemoral bypass
Splenic artery
SA node

16. What communicate in the circle of willis
A closed system of vessels that transport blood from the heart to the body and back
Femoral arteries
Vena cava
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

17. What arteries supply the myocardium
Blood - fat - air - or portions of tumors that break free
The popliteal vein
Coronary arteries
Epicardium - myocardium - and endocardium

18. What structures keep the trachea from collapsing
A closed system of vessels that transport blood from the heart to the body and back
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially
Hyline cartilage

19. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Thin tunica media - thicker tunica adventita - lumen is larger - have valves

20. What is claudication
Cramping pain or a dull ache
Stainless steel mesh - titanium - polypropylene
Carotid endarterectomy
Ventricular contraction - resistance - blood viscosity - and heart rate

21. What drugs are used in vascular surgery
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
Cramping pain or a dull ache
Epicardium - myocardium - and endocardium
Double armed needles - tapered

22. What instrument is used to isolate an artery
Epicardium - myocardium - and endocardium
Sarot clamp?
Midabdomen to toes & leg circumferentially
Femoral arteries

23. What is the peripheral vascular system
Sarot clamp?
A closed system of vessels that transport blood from the heart to the body and back
Heparin and antibiotics for irrigation
Blood - fat - air - or portions of tumors that break free

24. What organ does the gastric artery feed
To reinforce the anastomosis
Femoral arteries
Esophagus
4-0 or 5-0

25. Which clamp is removed last
Internal carotid artery
Left & right common iliac arteries are at the 4th lumbar
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
4-0 or 5-0

26. What is the best approach for an aortofemoral bypass
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
4-0 or 5-0
In the capillaries
Arterial bypass

27. What is the pt position for carotid endoarterectomy
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Heparin and antibiotics for irrigation
Supine with head turned 45 degrees to the unaffected side
Suprarenal artery

28. Where does gas exchange take place
Rubber shods
Vena cava
Saphenous vein
In the capillaries

29. Which artery feeds the adrenal glands
Carotid endarterectomy
Through the artery to compress the plaque against the wall of the artery
Vertebral arteries
Suprarenal artery

30. Where do the coronary arteries arise from
Femoral arteries
A closed system of vessels that transport blood from the heart to the body and back
Ascending aorta
Epicardium - myocardium - and endocardium

31. What type of blade is used for an arteriotomy
Papaverine
5-0 or 6-0
Suprarenal artery
#11 on a #7 handle

32. What should be done before tying polypropylene sutures
The surgeons hands should be wet
Through the artery to compress the plaque against the wall of the artery
3-0 or 4-0
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents

33. What are the characteristics of abdominal aneurysms
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Coronary arteries
Hyline cartilage
Supine with head turned 45 degrees to the unaffected side

34. What is an atrial embolism
Esophagus
Femorofemoral bypass
Blood - fat - air - or portions of tumors that break free
6-0

35. What are pledgets used for
Dorsal venus arch
Ascending aorta
To reinforce the anastomosis
Stainless steel mesh - titanium - polypropylene

36. What are some special conseriderations for patients undergoing peripheral vascular surgery
Knitted polyester - woven polyester
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Through the artery to compress the plaque against the wall of the artery
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers

37. In What procedure is a fogarty catheter used
Flush then clamp proximal then distal
Arterial embolectomy
Stainless steel mesh - titanium - polypropylene
Double armed needles - tapered

38. What are the layers of vessels
To reinforce the anastomosis
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
4-0 or 5-0
Tunica intima - tunica media - & tunica adventita

39. What is an ateriotomy
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Incision into an artery
Heparin and antibiotics for irrigation
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

40. What are the sutures for the iliac artery
Arterial bypass
As the heart beats faster there is less blood volume
4-0 or 5-0
Saphenous vein

41. What procedure is the javid shunt used for
Heparin and antibiotics for irrigation
Weitlaner self-retaining retractor
Coronary arteries
Carotid endarterectomy

42. What are capillaries
Vessels that are between the arteriols and venule
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Ascending aorta
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties

43. sutures for posterior tibial - internal carotid - brachial - radial or ulnar
6-0 or 7-0
Left & right common iliac arteries are at the 4th lumbar
Incision into an artery
Sarot clamp?

44. From What vein is the blood taken to pre-clot the graft
Suprarenal artery
Flush then clamp proximal then distal
4-0 or 5-0
Vena cava

45. What medication is added to saline
Ventricular contraction - resistance - blood viscosity - and heart rate
Vertebral arteries
The force that blood exerts on the internal walls of the vessels
Heparin and antibiotics for irrigation

46. sutures for common carotid or subclavian
Sarot clamp?
4-0 or 5-0
6-0
Right common carotid artery and external carotid artery

47. What are the 3 branches of the aortic arch
6-0
Vena cava
Tunica intima - tunica media - & tunica adventita
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

48. What are the sutures for the aorta
Flush then clamp proximal then distal
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Cramping pain or a dull ache
3-0 or 4-0

49. What factors influence blood pressure
SA node
#11 on a #7 handle
Basilic vein
Ventricular contraction - resistance - blood viscosity - and heart rate

50. What type of retractor is used in an aortofemoral bypass
Right common carotid artery and external carotid artery
6-0 or 7-0
To reinforce the anastomosis
Weitlaner self-retaining retractor