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Vascular Surgery & Circulatory System

🟦 Multiple Choice Questions

  1. What is the medical term for the abnormal formation of blood clots within blood vessels?
    Thrombosis

  2. What is the medical term for high blood pressure?
    Hypertension

  3. Which term refers to a surgical procedure to widen or restore the lumen of an artery?
    Angioplasty

  4. What is a potential cause of an arterial embolism?
    Blood clot

  5. This is a removal of a blood clot from a blood vessel with a Fogarty catheter, restoring blood flow.
    Thrombectomy

  6. A small plastic tube that diverts blood around the section of the carotid artery being operated on:
    Shunt

  7. A small mesh tube inserted into a duct or vessel to keep it open:
    Stent

  8. This occurs when arteries directly connect to veins or venous sinuses:
    Arteriovenous fistula

  9. Swollen, twisted veins under the skin are called:
    Varicoses


🟩 True/False Questions

  1. Peripheral vascular disease is primarily caused by venous insufficiency.
    False – It is primarily caused by arterial atherosclerosis, not venous insufficiency.


🟨 Fill in the Blank

  1. False aneurysms are found during tests for other conditions.
    (Factual statement, but would benefit from context: they often occur after trauma or catheterization.)


🟧 Matching Sections

🔹 Arterial Supply (Extremities):

Artery

Correct Extremity

Femoral artery

Lower extremity

Subclavian artery

Upper extremity

Popliteal artery

(should be Lower extremity)

Brachial artery

(should be Upper extremity)


🔹 Vascular Terms:

Term

Correct Definition

Occlusion

Blocked blood vessel

Stenosis

(Correct: Narrowing of a vessel)

Pseudoaneurysm

(Correct: Vessel injury resulting in a false lumen)

Aneurysm

Vessel wall weakens and bulges


🔹 Blood Vessel Functions:

Vessel Type

Correct Description

Arteries

High-pressure flow; respond to tissue oxygen needs

Arterioles

(Correct: Smaller branches of arteries that regulate blood flow)

Capillaries

Site of nutrient/gas exchange via diffusion

Venules

Collect blood from capillaries

Veins

One-way valves return blood to the heart


🟥 Essay/Short Answer Questions

12. What are the potential complications of untreated peripheral vascular disease (PVD)?

Correct Answer:

  • Tissue ischemia

  • Non-healing ulcers

  • Gangrene

  • Amputation

  • Stroke (if cerebral arteries involved)


13. Discuss treatment options for Deep Vein Thrombosis (DVT):

Correct Answer:

  • Anticoagulants (e.g., heparin, warfarin)

  • Compression stockings

  • Thrombolytics (clot busters)

  • IVC filter (if anticoagulation contraindicated)


14. What is the term for a blocked blood vessel?

Occlusion


15. What procedure can cause phantom limb phenomenon?

Amputation


16. What causes the vessel wall to be made up of products from the clotting cascade?

Thrombus formation – as clotting elements (fibrin, platelets) accumulate due to vessel injury or stasis.


🧠 Key Concepts to Study

  • Thrombosis = blood clot inside vessel

  • Embolism = traveling clot or debris

  • Aneurysm = weakened, bulging vessel

  • Arteriovenous Fistula = abnormal artery-vein connection

  • Angioplasty vs. Endarterectomy = widening vs. removing blockage

  • Thrombectomy = removing clot with a catheter

  • DVT treatment = anticoagulants + supportive care

  • PVD complications = ischemia, ulcers, possible amputation

  • Stents/Shunts = support blood flow or bypass blockages

  • Phantom limb = brain still “feels” missing limb post-amputation