SURGICAL PROCEDURES EXAM: QUESTIONS
WITH CORRECT DETAILED ANSWERS
(GRADEDA+)
Even organized and routine vascular surgery can quickly develop into a critical
emergency. - ANSWER-True
Blood pressure is the force that is exerted on the arterial wall by the pumping action of
the heart. - ANSWER-True
Bovine grafts are packaged in alcohol, which must be rinsed from the graft prior to
insertion. - ANSWER-True
Retraction of a vessel is maintained with a long, flat strip of Dacron graft. - ANSWER-
False
Angioplasty is a general term that describes various methods of remodeling the inner
surface of an artery that is narrowed due to stricture or atherosclerosis. - ANSWER-
True
A vascular stent is a small metal-mesh implant designed to fit against the wall of an
artery. - ANSWER-True
The Doppler intensifies the sounds made by blood flowing through a vessel. -
ANSWER-True
The relaxation phase of the cardiac cycle is called diastole. - ANSWER-True
Outside of the body means ______. - ANSWER-extracorporeally
An incision made in the artery is called an ____. - ANSWER-arteriotomy
A blood clot, air, or organic material that is free flowing in the vascular system is known
as ____. - ANSWER-emboli
Hypovolemia means ____. - ANSWER-A reduction in the patient's total blood volume
,The following characteristics are required for a scrub who specializes in C-V procedures
except ____. - ANSWER-All the characteristics listed
The tunica intima layer of blood vessels is made of ____. This prevents blood cells from
sticking to the vessel walls. - ANSWER-squamous epithelium
Ischemia means ____. - ANSWER-loss of blood to the tissue
During vascular operations _____. - ANSWER-the scrub should wait until the surgeon
returns the instruments, as retrieving instruments from the field could potentially rip
apart an anastomosis of a vessel
All of the following are sources for natural vascular grafting materials except ____. -
ANSWER-expanded PTFE (Gore- Tex)
Endarterectomy is surgical removal of ____. - ANSWER-a fatty fibrotic plaque that
develops in the intima layer of the arteries
Intraoperative anticoagulation therapy ____. - ANSWER-prevents further formation of
clots
The medical term that means "in its normal position" is ____. - ANSWER-in situ
A graft whose proximal end is at the descending aorta and distal end is at the bilateral
iliac arteries is said to be ____. - ANSWER-bifurcated
Thrombus is ____. - ANSWER-any organic material that blocks an artery
The ____ syringe would be appropriate for testing a Fogarty catheter prior to handing it
to the surgeon. - ANSWER-tuberculin
Which of the following are common instruments that should be ready on the back table
for peripheral vascular operations? - ANSWER-vessel loops, small suction tips, bulldog
clamps, DeBakey forceps
If your surgeon is about to make an arteriotomy for thrombectomy, what should the
sequence of instrumentation be? - ANSWER-#11 blade, Potts-Smith scissors, small
bore suction, insertion of Fogarty catheter
Irrigation of the operative field with heparinized saline will help ____. - ANSWER-
prevent the formation of thrombi at the surgical site and decrease the risk of an embolus
Intravenous administration of thrombin can cause ____. - ANSWER-a fatal embolus
The antagonist to heparin sodium is ____. - ANSWER-protamine sulfate
, An intraoperative vasospasm can be controlled by injections of ____. - ANSWER-
lidocaine
The injection of contrast media into a selected artery and its branches to determine the
exact location of strictures, occlusion, or malformation is called ____. - ANSWER-
angiography
Vascular stents can be made of all of the following except ____. - ANSWER-Gore-Tex
A direct anastomosis between an artery and a vein is called a ____. - ANSWER-
arteriovenous fistula
A Greenfield filter is a metal, umbrella-shaped filter inserted into the ____ to prevent
emboli from entering the pulmonary system. - ANSWER-inferior vena cava
The patient who has had chronic or venous thromboemboli in spite of anticoagulant
therapy is a good candidate for a/an ____. - ANSWER-vena cava filter
Which of the following instruments would not be found on the setup of a carotid
endarterectomy? - ANSWER-sharp Weitlaner
What is removed just after the arteriotomy is made during a carotid endarterectomy? -
ANSWER-arterial plaque
During carotid endarterectomy a ____ is used to create a dissection plane between the
plaque and the inner lumen of the artery. - ANSWER-Freer periosteal elevator
An axillofemoral bypass might be utilized to ____. - ANSWER-c&d
When a surgeon is performing the anastomosis between the femoral artery and a
grafting material, he or she will use ____. - ANSWER-a running suture of size 5-0 or 6-0
nonabsorbable suture
Femorofemoral bypass is implantation of a prosthetic graft connecting ____. -
ANSWER-the femoral artery on the affected side to the opposite femoral artery
Microscopic vessels designed to exchange nutrients and wastes between blood and
tissue fluid around the cells are known as ____. - ANSWER-capillaries
Claudication is the term used to refer to ____. - ANSWER-pain during rest
Which statement concerning abdominal aneurysms is correct? - ANSWER-Most
abdominal aneurysms arise below the level of the renal arteries.
WITH CORRECT DETAILED ANSWERS
(GRADEDA+)
Even organized and routine vascular surgery can quickly develop into a critical
emergency. - ANSWER-True
Blood pressure is the force that is exerted on the arterial wall by the pumping action of
the heart. - ANSWER-True
Bovine grafts are packaged in alcohol, which must be rinsed from the graft prior to
insertion. - ANSWER-True
Retraction of a vessel is maintained with a long, flat strip of Dacron graft. - ANSWER-
False
Angioplasty is a general term that describes various methods of remodeling the inner
surface of an artery that is narrowed due to stricture or atherosclerosis. - ANSWER-
True
A vascular stent is a small metal-mesh implant designed to fit against the wall of an
artery. - ANSWER-True
The Doppler intensifies the sounds made by blood flowing through a vessel. -
ANSWER-True
The relaxation phase of the cardiac cycle is called diastole. - ANSWER-True
Outside of the body means ______. - ANSWER-extracorporeally
An incision made in the artery is called an ____. - ANSWER-arteriotomy
A blood clot, air, or organic material that is free flowing in the vascular system is known
as ____. - ANSWER-emboli
Hypovolemia means ____. - ANSWER-A reduction in the patient's total blood volume
,The following characteristics are required for a scrub who specializes in C-V procedures
except ____. - ANSWER-All the characteristics listed
The tunica intima layer of blood vessels is made of ____. This prevents blood cells from
sticking to the vessel walls. - ANSWER-squamous epithelium
Ischemia means ____. - ANSWER-loss of blood to the tissue
During vascular operations _____. - ANSWER-the scrub should wait until the surgeon
returns the instruments, as retrieving instruments from the field could potentially rip
apart an anastomosis of a vessel
All of the following are sources for natural vascular grafting materials except ____. -
ANSWER-expanded PTFE (Gore- Tex)
Endarterectomy is surgical removal of ____. - ANSWER-a fatty fibrotic plaque that
develops in the intima layer of the arteries
Intraoperative anticoagulation therapy ____. - ANSWER-prevents further formation of
clots
The medical term that means "in its normal position" is ____. - ANSWER-in situ
A graft whose proximal end is at the descending aorta and distal end is at the bilateral
iliac arteries is said to be ____. - ANSWER-bifurcated
Thrombus is ____. - ANSWER-any organic material that blocks an artery
The ____ syringe would be appropriate for testing a Fogarty catheter prior to handing it
to the surgeon. - ANSWER-tuberculin
Which of the following are common instruments that should be ready on the back table
for peripheral vascular operations? - ANSWER-vessel loops, small suction tips, bulldog
clamps, DeBakey forceps
If your surgeon is about to make an arteriotomy for thrombectomy, what should the
sequence of instrumentation be? - ANSWER-#11 blade, Potts-Smith scissors, small
bore suction, insertion of Fogarty catheter
Irrigation of the operative field with heparinized saline will help ____. - ANSWER-
prevent the formation of thrombi at the surgical site and decrease the risk of an embolus
Intravenous administration of thrombin can cause ____. - ANSWER-a fatal embolus
The antagonist to heparin sodium is ____. - ANSWER-protamine sulfate
, An intraoperative vasospasm can be controlled by injections of ____. - ANSWER-
lidocaine
The injection of contrast media into a selected artery and its branches to determine the
exact location of strictures, occlusion, or malformation is called ____. - ANSWER-
angiography
Vascular stents can be made of all of the following except ____. - ANSWER-Gore-Tex
A direct anastomosis between an artery and a vein is called a ____. - ANSWER-
arteriovenous fistula
A Greenfield filter is a metal, umbrella-shaped filter inserted into the ____ to prevent
emboli from entering the pulmonary system. - ANSWER-inferior vena cava
The patient who has had chronic or venous thromboemboli in spite of anticoagulant
therapy is a good candidate for a/an ____. - ANSWER-vena cava filter
Which of the following instruments would not be found on the setup of a carotid
endarterectomy? - ANSWER-sharp Weitlaner
What is removed just after the arteriotomy is made during a carotid endarterectomy? -
ANSWER-arterial plaque
During carotid endarterectomy a ____ is used to create a dissection plane between the
plaque and the inner lumen of the artery. - ANSWER-Freer periosteal elevator
An axillofemoral bypass might be utilized to ____. - ANSWER-c&d
When a surgeon is performing the anastomosis between the femoral artery and a
grafting material, he or she will use ____. - ANSWER-a running suture of size 5-0 or 6-0
nonabsorbable suture
Femorofemoral bypass is implantation of a prosthetic graft connecting ____. -
ANSWER-the femoral artery on the affected side to the opposite femoral artery
Microscopic vessels designed to exchange nutrients and wastes between blood and
tissue fluid around the cells are known as ____. - ANSWER-capillaries
Claudication is the term used to refer to ____. - ANSWER-pain during rest
Which statement concerning abdominal aneurysms is correct? - ANSWER-Most
abdominal aneurysms arise below the level of the renal arteries.
