Chapter 25: Quiz - 6th Edition: Peripheral Vascular Surgery

Which of the following tunica is NOT part of the structure of an artery?

a.

adventitia

b.

media

c.

intima

d.

vaginalis

vaginalis

Which of the following vascular devices is double-lumened for administration of chemotherapy, antibiotic therapy,
and IV fluids?

Groshong

A #11 blade and forward angle or reverse angle Potts-Smith scissors are frequently used for:

arteriotomy.

Which of the following vessels are responsible for the exchange of oxygen and metabolic waste?

capillaries

The atheromatous core removed from the carotid artery during endarterectomy is more commonly known as:

plaque.

Which of the following arterial aneurysms is more likely to rupture due to lack of detection over time?

iliac

The operative mortality rates of patients with ruptured abdominal aortic aneurysm (AAA) and shock are:

> 80%.

The operative mortality rates of patients with unruptured AAA scheduled for elective repair are:

2% to 3%.

Which of the following diagnostic studies provides the most detailed information for surgical planning in AAA repair?

aortogram

The specimen in an AAA procedure is a:

thrombus.

In AAA repair, the aneurysm sac is:

anterior wall sutured over the proximal graft.

Which of the following parts of the artery is responsible for vasoconstriction and vasodilation?

tunica media

What is TCAR primarily used for?

carotid artery disease in high-risk patients

Blood flow to the brain is managed during the TCAR procedure by:

using a vessel loop to control and temporarily reverse blood flow.

Which of the following conditions is NOT mentioned as a potential complication of endoAVF?

a.

hematoma

b.

contrast extravasation

c.

pseudoaneurysm

d.

stroke

stroke

Which of the following steps is NOT in the RFA procedure for varicose veins?

a.

injecting tumescent anesthetic

b.

inserting a fiber-optic laser into the vein

c.

marking the course of the vein and landmarks

d.

administering contrast medium

administering contrast medium

Which of the following choices is found only in veins?

valves

Which of the following diagnostic studies is considered the gold standard for evaluation of vascular disease?

angiography

The serrations of DeBakey and Cooley vascular instruments is considered to be:

atraumatic.

The balloon dilator is inserted percutaneously in coronary artery angioplasty in the:

femoral artery.

Into which of the following vessels is a double-lumen Groshong catheter routinely inserted?

right subclavian vein

The lumens of veins are larger than the lumens of arteries.

True

Suture pledgets are used to bolster anastomosis sites when tissue is friable.

True

Glass syringes are preferred in drawing up contrast media for angiography because of less accumulation of bubbles.

True

Peripheral vessel procedures are only performed on the extremities and abdominal and thoracic viscera, not on the
brain.

False

Plethysmography is for patients with diffused small vessel arterial disease.

True

In vascular pathology, urokinase and streptokinase are used for:

lysis of embolus.

The name of the frequently used balloon embolectomy catheter is the:

Fogarty

Transient cerebral ischemic episodes are treated surgically by:

carotid endarterectomy.

Javid and Argyle are examples of which of the following types of devices used in select vascular procedures?

shunts

The CORRECT sequence of steps for an arteriotomy for embolectomy or thrombectomy is:

#11 blade, Potts-Smith scissors, insertion of Fogarty catheter.

A newly diagnosed patient in need of vascular access long-term hemodialysis would undergo which of the following
procedures?

arteriovenous fistula and shunt

If a DVT from deep veins of the legs enters the cardiopulmonary system, which of the following life-threatening
condition will likely occur?

pulmonary embolus

Dermal atrophy, hemorrhage, ulceration, and cellulitis are complications of:

varicose veins.

Which of the following choices identifies the prep borders for a unilateral vein stripping procedure?

toes to groin circumferentially

Which of the following choices describes the configuration of the saphenous vein when stripped from the leg?

vein avulsed and turned completely inside out

Which of the following arteries is the largest in the body?

aorta

Balloon angioplasty performed in the cardiac catheterization lab is used to treat:

atherosclerotic thickening.

Peripheral vessel angioplasty stents may be made of all of the following EXCEPT:

a.

titanium.

b.

fascia lata.

c.

polypropylene.

d.

stainless steel mesh.

fascia lata.

Use of an angioscope larger than the diameter of the vessel being scoped will most likely result in:

vasopasm

The main obstacle of performing angioscopy is:

clear visibility.

In vascular cases, vessel loops and umbilical tapes are commonly used for:

retraction

Which of the following choices are used on tips of hemostats to prevent breaking of delicate monofilament suture
when tagged?

suture aid booties

The condition that manifests by deep aching pain in the lower extremity during rest periods is called

claudication.

Which of the following choices for distal bypass graft in the lower extremity is BEST?

saphenous vein