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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 organ does the gastric artery feed
Esophagus
To reinforce the anastomosis
Through the artery to compress the plaque against the wall of the artery
Internal carotid then the external carotid then the common carotid artery

2. Which artery feeds the adrenal glands
The surgeons hands should be wet
Vessels that are between the arteriols and venule
Dorsal venus arch
Suprarenal artery

3. What should be done before tying polypropylene sutures
Right common carotid artery and external carotid artery
Heparin and antibiotics for irrigation
The surgeons hands should be wet
As the heart beats faster there is less blood volume

4. sutures for common carotid or subclavian
Ascending aorta
Ventricular contraction - resistance - blood viscosity - and heart rate
The popliteal vein
6-0

5. What structures keep the trachea from collapsing
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Hyline cartilage
3-0 or 4-0
Weitlaner self-retaining retractor

6. What are the general characteristics of veins
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
4-0 or 5-0
Vena cava
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

7. What type of blade is used for an arteriotomy
Internal carotid then the external carotid then the common carotid artery
5-0 or 6-0
#11 on a #7 handle
Saphenous vein

8. What procedure is the javid shunt used for
Knitted polyester - woven polyester
Incision into an artery
Carotid endarterectomy
Weitlaner self-retaining retractor

9. What vein is on the lateral side of the arm
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Basilic vein
3-0 or 4-0
Arteriosclerosis obliterans

10. What is the best approach for an aortofemoral bypass
Cramping pain or a dull ache
Internal carotid then the external carotid then the common carotid artery
Arterial bypass
Tunica intima - tunica media - & tunica adventita

11. What is the peripheral vascular system
Internal carotid artery
Hyline cartilage
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
A closed system of vessels that transport blood from the heart to the body and back

12. Which clamp is removed last
Knitted polyester - woven polyester
Double armed needles - tapered
Internal carotid artery
Flush then clamp proximal then distal

13. Where do the coronary arteries arise from
Ascending aorta
Dorsal venus arch
Blood - fat - air - or portions of tumors that break free
Hyline cartilage

14. What is an ateriotomy
Splenic artery
Suprarenal artery
Incision into an artery
6-0 or 7-0

15. What graft material is not used in the popliteal area
Ascending aorta
4-0 or 5-0
Knitted polyester - woven polyester
Internal carotid then the external carotid then the common carotid artery

16. 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
6-0
Esophagus
Internal carotid artery

17. What are delicate sutures tagged with
Water
Splenic artery
Rubber shods
Internal carotid then the external carotid then the common carotid artery

18. What procedure is used for an iliac artery obstruction
Femorofemoral bypass
Cramping pain or a dull ache
Midabdomen to toes & leg circumferentially
#11 on a #7 handle

19. What type of needle is used for vessels
Double armed needles - tapered
To reinforce the anastomosis
6-0
Weitlaner self-retaining retractor

20. What is the sequence of clamping in an ateriotomy
Ascending aorta
Water
Flush then clamp proximal then distal
Vertebral arteries

21. What drugs are used in vascular surgery
Vertebral arteries
Sodium heparin 1000/500mL saline - lidocaine with or without epi - papaverine - antibiotic irrigation - hemostatic agents
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Suprarenal artery

22. What are the layers of the heart
A closed system of vessels that transport blood from the heart to the body and back
Hyline cartilage
The two internal carotid arteries and the basilar artery & the posterior cerebral artery
Epicardium - myocardium - and endocardium

23. What are the sutures for the aorta
SA node
3-0 or 4-0
6-0
Tunica intima - tunica media - & tunica adventita

24. What are the deep veins of the foot
Dorsal venus arch
A closed system of vessels that transport blood from the heart to the body and back
Internal carotid then the external carotid then the common carotid artery
Stainless steel mesh - titanium - polypropylene

25. What arteries supply the myocardium
Coronary arteries
Heparin and antibiotics for irrigation
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

26. What are the 3 branches of the aortic arch
Vertebral arteries
As the heart beats faster there is less blood volume
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries
Knitted polyester - woven polyester

27. What drug is used for arterial vasospasms
Papaverine
6-0 or 7-0
Blood - fat - air - or portions of tumors that break free
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

28. What is the prep area for a femoropopliteal bypass
Midabdomen to toes & leg circumferentially
Water
3-0 or 4-0
In the capillaries

29. What is an atrial embolism
Blood - fat - air - or portions of tumors that break free
In the capillaries
To reinforce the anastomosis
Left & right common iliac arteries are at the 4th lumbar

30. What type of retractor is used in an aortofemoral bypass
Arterial embolectomy
6-0 or 7-0
Basilic vein
Weitlaner self-retaining retractor

31. What are some special conseriderations for patients undergoing peripheral vascular surgery
Rubber shods
Weitlaner self-retaining retractor
They have compromised circulation and poor vascularization - and may be diabetic or cigarette smokers
Blood - fat - air - or portions of tumors that break free

32. What structure is the pacemaker of the heart
5-0 or 6-0
Arterial bypass
SA node
Right common carotid artery and external carotid artery

33. What solution is not used during grafting procedures
Vessels that are between the arteriols and venule
Water
Incision into an artery
6-0 or 7-0

34. When is arterial blood volume decreased
Splenic artery
Ventricular contraction - resistance - blood viscosity - and heart rate
Hyline cartilage
As the heart beats faster there is less blood volume

35. How is the fogarty baloon catheter used
Esophagus
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Knitted polyester - woven polyester
Through the artery to compress the plaque against the wall of the artery

36. What is the location of the biforcation of the aorta and What vessels are involved
Midabdomen to toes & leg circumferentially
Left & right common iliac arteries are at the 4th lumbar
Femorofemoral bypass
Water

37. From What vein is the blood taken to pre-clot the graft
Vertebral arteries
Thin tunica media - thicker tunica adventita - lumen is larger - have valves
Vena cava
The two internal carotid arteries and the basilar artery & the posterior cerebral artery

38. What is the pt position for carotid endoarterectomy
SA node
Supine with head turned 45 degrees to the unaffected side
6-0 or 7-0
Sarot clamp?

39. What is claudication
4-0 or 5-0
Cramping pain or a dull ache
A closed system of vessels that transport blood from the heart to the body and back
Innominate (brachiocephalic) - left common carotid - and the left subclavian arteries

40. What is the largest vein
Ventricular contraction - resistance - blood viscosity - and heart rate
Knitted polyester - woven polyester
Saphenous vein
SA node

41. What do the anterior and posterior tibial veins unite to become
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
The popliteal vein
The surgeons hands should be wet
Ascending aorta

42. Where does gas exchange take place
Basilic vein
In the capillaries
Knitted polyester - woven polyester
Incision into an artery

43. What organs does the superior mesenteric artery feed
Unpaired - just below the celiac trunk its branches feed the pancreas - duodenum - small intestine
Vertebral arteries
Rubber shods
A closed system of vessels that transport blood from the heart to the body and back

44. Which arteries supply the spinal cord
Vertebral arteries
Internal carotid artery
5-0 or 6-0
3-0 or 4-0

45. What are capillaries
Left & right common iliac arteries are at the 4th lumbar
Tunica intima - tunica media - & tunica adventita
Weitlaner self-retaining retractor
Vessels that are between the arteriols and venule

46. What disease leads to atheroma formation
Generally fusiform - below the origin of the renal arteries and end at the bifurcation of the iliac arties
Arteriosclerosis obliterans
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

47. What are the sutures for the iliac artery
6-0 or 7-0
4-0 or 5-0
Double armed needles - tapered
Splenic artery

48. Which artery feeds the upper digestive tract - spleen - and liver
Splenic artery
Epicardium - myocardium - and endocardium
Esophagus
Right common carotid artery and external carotid artery

49. What arteries supply the brain - head - and neck
As the heart beats faster there is less blood volume
Vessels that are between the arteriols and venule
Papaverine
Right common carotid artery and external carotid artery

50. What factors influence blood pressure
SA node
Double armed needles - tapered
As the heart beats faster there is less blood volume
Ventricular contraction - resistance - blood viscosity - and heart rate