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Peripheral vascular
| Question | Answer |
|---|---|
| What is the configuration of the saphenous vein when stripped from the leg? | vein avulsed and turned completely inside out |
| Suture pledgets are used to bolster anastomosis sites when tissue is friable. | True |
| Which of the following is the BEST choice for distal bypass graft in the lower extremity? | saphenous vein |
| Which arterial aneurysm is more likely to rupture due to lack of detection over time? | iliac |
| A #11 blade and forward angle or reverse angle Potts-Smith scissors are frequently used for: | arteriotomy |
| Into which vessel is a double-lumen Groshong catheter routinely inserted? | right subclavian vein |
| What is the specimen in an AAA procedure? | thrombus |
| What are the operative mortality rates of patients with unruptured AAA scheduled for elective repair? | 2% to 3% |
| Dermal atrophy, hemorrhage, ulceration, and cellulitis are complications of: | varicose veins |
| What are vessel loops and umbilical tapes commonly used for in vascular cases? | retraction |
| Glass syringes are preferred in drawing up contrast media for angiography because of less accumulation of bubbles. | True |
| Which vascular device is double-lumened for administration of chemotherapy, antibiotic therapy, and IV fluids? | Groshong |
| Where is the balloon dilator inserted percutaneously in coronary artery angioplasty? | femoral artery |
| The atheromatous core removed from the carotid artery during endarterectomy is more commonly known as: | plaque |
| The CORRECT sequence of steps for an arteriotomy for embolectomy or thrombectomy is: | #11 blade, Potts-Smith scissors, insertion of Fogarty catheter |
| Which of the following would be the suture technique and type used to anastomose a bifurcated graft limb to an artery? | running 5-0 or 6-0 nonabsorbable suture |
| What are the operative mortality rates of patients with ruptured abdominal aortic aneurysm (AAA) and shock? | > 80% |
| What is the name of the frequently used balloon embolectomy catheter? | Fogarty |
| Which part of the artery is responsible for vasoconstriction and vasodilation? | tunica media |
| How far beyond the atherosclerotic lesion should a balloon in angioplasty reach? | 1-2 cm |
| Which is the largest artery in the body? | aorta |
| What are the prep borders for a unilateral vein stripping procedure? | toes to groin circumferentially |
| What are the serrations of DeBakey and Cooley vascular instruments considered to be? | atraumatic |
| Which of the following are used on tips of hemostats to prevent breaking of delicate monofilament suture when tagged? | suture aid booties |
| The lumens of veins are larger than the lumens of arteries | True |
| Which diagnostic study is considered the gold standard for evaluation of vascular disease? | angiography |
| Which vessels are responsible for the exchange of oxygen and metabolic waste? | capillaries |
| Use of an angioscope larger than the diameter of the vessel being scoped will most likely result in which of the following? | vasospasm |
| Names frequently associated with vascular instrumentation include DeBakey and Cooley, both of whom were cardiothoracic surgeons and pioneers of cardiothoracic and peripheral vascular surgery. | True |
| Balloon angioplasty performed in the cardiac catheterization lab is used to treat: | atherosclerotic thickening |
| What is another name for the innominate artery? | brachiocephalic |
| Which diagnostic study provides the most detailed information for surgical planning in AAA repair? | aortogram |
| Which of the following is found only in veins? | valves |
| If a DVT from deep veins of the legs enters the cardiopulmonary system, what life-threatening condition will likely occur? | pulmonary embolus |
| What is done with the aneurysm sac in AAA repair? | anterior wall sutured over the proximal graft |
| A newly diagnosed patient in need of vascular access long-term hemodialysis would undergo which procedure? | arteriovenous fistula and shunt |
| What are urokinase and streptokinase used for in vascular pathology? | lysis of embolus |
| Knowledge of the peripheral vascular system is required of the first assistant, but not of the surgical technologist | False |
| What is the name of the condition that manifests by deep aching pain in the lower extremity during rest periods? | claudication |
| Peripheral vessel angioplasty stents may be made of all of the following EXCEPT: | fascia lata |
| Transient cerebral ischemic episodes are treated surgically by: | carotid endarterectomy |
| What is the main obstacle of performing angioscopy? | clear visibility |
| Javid and Argyle are examples of which type of device used in select vascular procedures? | shunts |
| What is the name of the condition that involves plaque or clots escaping from the femoral or iliac veins? | deep vein thrombosis |
| Which of the following tunica is NOT part of the structure of an artery? | vaginalis |