Question 1

Which of the following uses streptokinase to dissolve a thrombus in an occluded vessel?

Accepted Answer

A)  Endarterectomy 
B)  Thrombolytic therapy 
C)  Embolectomy 
D)  Fluoroscopy 
A)  Endarterectomy 
B)  Thrombolytic therapy 
C)  Embolectomy 
D)  Fluoroscopy B

Question 2

When creating an arteriovenous fistula,commonly used autologous vessels are the radial artery and cephalic vein at the wrist.

Accepted Answer

A) True 
 B)False  True

Question 3

Which serious immediate complication of peripheral vascular surgery that requires an immediate return to the OR?

Accepted Answer

A)  Pain 
B)  Hypertension 
C)  Thrombus 
D)  Hypotension 
A)  Pain 
B)  Hypertension 
C)  Thrombus 
D)  Hypotension C

Question 4

MATCHING
Match each procedure with its definition.
-Prosthetic implant to maintain patency after dilation of vessel

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Question 5

MATCHING
Match each procedure with its definition.
-Compresses atheromatous material against arterial wall

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Question 6

Veins are more difficult to anastomose and are more likely to occlude than arteries when used as a graft.

Accepted Answer

A) True 
 B)False

Question 7

Which of the following are used to protect the small intestine and colon during an abdominal aneurysmectomy?

Accepted Answer

A)  Dry prep towels to soak up any blood loss 
B)  Warm,moist tapes 
C)  Warm,saline-soaked sponges 
D)  Sweetheart retractor 
A)  Dry prep towels to soak up any blood loss 
B)  Warm,moist tapes 
C)  Warm,saline-soaked sponges 
D)  Sweetheart retractor

Question 8

Which is a reason a shunt is used routinely during a carotid endarterectomy?

Accepted Answer

A)  To prevent blood loss 
B)  To avoid making an arteriotomy in the carotid artery 
C)  To maintain blood flow to the brain 
D)  To enhance visibility of the carotid plaque 
A)  To prevent blood loss 
B)  To avoid making an arteriotomy in the carotid artery 
C)  To maintain blood flow to the brain 
D)  To enhance visibility of the carotid plaque

Question 9

Which of the following may be used for DVT prophylaxis during a vascular surgical procedure?

Accepted Answer

A)  Pulse oximeter,hemodialysis catheter 
B)  Sequential compression sleeves,anticoagulant therapy 
C)  Sandbags,urokinase 
D)  Cell saver,pulse volume recorder 
A)  Pulse oximeter,hemodialysis catheter 
B)  Sequential compression sleeves,anticoagulant therapy 
C)  Sandbags,urokinase 
D)  Cell saver,pulse volume recorder

Question 10

MATCHING
Match each procedure with its definition.
-Removal of stationary blood clot

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Question 11

Which is a potential serious complication of a carotid endarterectomy?

Accepted Answer

A)  Keloid scar formation 
B)  Brain injury due to embolized plaque 
C)  Inflammation due to scar formation 
D)  Anaphylactic reaction to thrombin 
A)  Keloid scar formation 
B)  Brain injury due to embolized plaque 
C)  Inflammation due to scar formation 
D)  Anaphylactic reaction to thrombin

Question 12

MATCHING
Match each procedure with its definition.
-Method to vaporize arterial plaque

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Question 13

Which is an advantage of using an autologous saphenous vein graft?

Accepted Answer

A)  Less expensive than an allograft 
B)  Does not have to be anastomosed to the receiving vessel 
C)  Is lined with epithelial cells to inhibit clotting 
D)  Decreases in diameter as it courses distally 
A)  Less expensive than an allograft 
B)  Does not have to be anastomosed to the receiving vessel 
C)  Is lined with epithelial cells to inhibit clotting 
D)  Decreases in diameter as it courses distally

Question 14

Pulmonary arteries carry oxygenated blood to the lungs.

Accepted Answer

A) True 
 B)False

Question 15

Which is one of the three layers of the arterial walls?

Accepted Answer

A)  Semilunar 
B)  Popliteal 
C)  Intima 
D)  Mediastinal 
A)  Semilunar 
B)  Popliteal 
C)  Intima 
D)  Mediastinal

Question 16

MATCHING
Match each procedure with its definition.
-Pulverizing of plaque by a high-speed burr

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Question 17

Which type of aneurysm is caused by a break in the integrity of the vessel wall,which requires an open repair?

Accepted Answer

A)  Pseudoaneurysm 
B)  True aneurysm 
C)  Dissecting aneurysm 
D)  Saccular aneurysm 
A)  Pseudoaneurysm 
B)  True aneurysm 
C)  Dissecting aneurysm 
D)  Saccular aneurysm

Question 18

Which is a predisposing factor to venous stasis disease?

Accepted Answer

A)  Hyperkalemia 
B)  Low socioeconomic status 
C)  Obesity 
D)  Pulmonary fibrosis 
A)  Hyperkalemia 
B)  Low socioeconomic status 
C)  Obesity 
D)  Pulmonary fibrosis

Question 19

MATCHING
Match each procedure with its definition.
-Pharmacologic injection to dissolve a clot

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Question 20

MATCHING
Match each procedure with its definition.
-Removal of traveling blood clot

Accepted Answer

A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy 
A) Embolectomy 
B) Atherectomy 
C) Balloon dilation 
D) Intraluminal stent 
E) Laser angioplasty
F)Thrombolytic therapy
G)Thrombectomy

Exam 44: Vascular Surgery

Which of the following uses streptokinase to dissolve a thrombus in an occluded vessel?

When creating an arteriovenous fistula,commonly used autologous vessels are the radial artery and cephalic vein at the wrist.

Which serious immediate complication of peripheral vascular surgery that requires an immediate return to the OR?

MATCHING Match each procedure with its definition. -Prosthetic implant to maintain patency after dilation of vessel

MATCHING Match each procedure with its definition. -Compresses atheromatous material against arterial wall

Veins are more difficult to anastomose and are more likely to occlude than arteries when used as a graft.

Which of the following are used to protect the small intestine and colon during an abdominal aneurysmectomy?

Which is a reason a shunt is used routinely during a carotid endarterectomy?

Which of the following may be used for DVT prophylaxis during a vascular surgical procedure?

MATCHING Match each procedure with its definition. -Removal of stationary blood clot

Which is a potential serious complication of a carotid endarterectomy?

MATCHING Match each procedure with its definition. -Method to vaporize arterial plaque

Which is an advantage of using an autologous saphenous vein graft?

Pulmonary arteries carry oxygenated blood to the lungs.

Which is one of the three layers of the arterial walls?

MATCHING Match each procedure with its definition. -Pulverizing of plaque by a high-speed burr

Which type of aneurysm is caused by a break in the integrity of the vessel wall,which requires an open repair?

Which is a predisposing factor to venous stasis disease?

MATCHING Match each procedure with its definition. -Pharmacologic injection to dissolve a clot

MATCHING Match each procedure with its definition. -Removal of traveling blood clot

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions, implants, and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Organ Procurement and Transplantation

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