Which of the following tunica is NOT part of the structure of an artery?
vaginalis
Which is the largest artery in the body?
aorta
Which vessels are responsible for the exchange of oxygen and metabolic waste?
capillaries
Which part of the artery is responsible for vasoconstriction and vasodilation?
tunica media
Which of the following is found only in veins?
valves
Which diagnostic study is considered the gold standard for evaluation of vascular disease?
angiography
What are the serrations of DeBakey and Cooley vascular instruments considered to be?
atraumatic
How far beyond the atherosclerotic lesion should a balloon in angioplasty reach?
1–2 cm
Where is the balloon dilator inserted percutaneously in coronary artery angioplasty?
femoral artery
Into which vessel is a double-lumen Groshong catheter routinely inserted?
right subclavian vein
What are urokinase and streptokinase used for in vascular pathology?
lysis of embolus
What is the name of the frequently used balloon embolectomy catheter?
Fogarty
Transient cerebral ischemic episodes are treated surgically by:
carotid endarterectomy
Javid and Argyle are examples of which type of device 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
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
A newly diagnosed patient in need of vascular access long-term hemodialysis would undergo which procedure?
arteriovenous fistula and shunt
What is the name of the condition that involves plaque or clots escaping from the femoral or iliac veins?
deep vein thrombosis
If a DVT from deep veins of the legs enters the cardiopulmonary system, what life-threatening condition will likely
occur?
pulmonary embolus
Dermal atrophy, hemorrhage, ulceration, and cellulitis are complications of:
varicose veins
What are the prep borders for a unilateral vein stripping procedure?
toes to groin circumferentially
What is the configuration of the saphenous vein when stripped from the leg?
vein avulsed and turned completely inside out
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:
fascia lata
Use of an angioscope larger than the diameter of the vessel being scoped will most likely result in which of the
following?
vasospasm
What is the main obstacle of performing angioscopy?
clear visibility
What are vessel loops and umbilical tapes commonly used for in vascular cases?
retraction
Which of the following are used on tips of hemostats to prevent breaking of delicate monofilament suture when
tagged?
suture aid booties
What is the name of the condition that manifests by deep aching pain in the lower extremity during rest periods?
claudication
Which of the following is the BEST choice for distal bypass graft in the lower extremity?
saphenous vein
Which vascular device 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
The atheromatous core removed from the carotid artery during endarterectomy is more commonly known as:
plaque
Which arterial aneurysm is more likely to rupture due to lack of detection over time?
iliac
What are the operative mortality rates of patients with ruptured abdominal aortic aneurysm (AAA) and shock?
> 80%
What are the operative mortality rates of patients with unruptured AAA scheduled for elective repair?
2% to 3%
Which diagnostic study provides the most detailed information for surgical planning in AAA repair?
aortogram
What is the specimen in an AAA procedure?
thrombus
What is done with the aneurysm sac in AAA repair?
anterior wall sutured over the proximal graft
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
Knowledge of the peripheral vascular system is required of the first assistant, but not of the surgical technologist.
False
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
Atraumatic instrument designed to gently occlude blood flow without causing permanent damage
Vascular clamp
Tiny vessels that nourish the cells of arterial walls
Vasa vasorum
Specialized receptors in certain epithelial arterial tissue that function to control blood pressure, oxygen, and carbon dioxide concentrations
Aortic bodies
Portion of the aorta that descends but is above the diaphragm
Thoracic
Portion of the aorta that runs between level of diaphragm and bifurcation of iliac arteries
Abdominal
Unpaired artery arising anteriorly from aorta just below celiac trunk; supplies upper abdominal organs
Superior mesenteric
Unpaired artery arising anteriorly from aorta just above the bifurcation; supplies lower abdominal organs
Inferior mesenteric
Arteries that become the femoral arteries as they exit the pelvis
External iliac
Artery that serves the head and neck and arises directly from the aortic arch
Left common carotid
The largest vein in the body; runs alongside the aorta