CRQ Cardiothoracic and Peripheral Vascular Flashcards

1
Q

Compression of subclavian vessels and brachial plexus at the superior aperture of the thorax is known as

A) thymoma

B) pectus excavatum

C) thoracic outlet syndrome

D) pectus carinatum

A

C) thoracic outlet syndrome

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2
Q

Bradycardia is defined as ___________beats per minute.

A) 40-60

B) 80-100

C) Higher than 110

D) 100-110

A

A) 40-60

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3
Q

A mass of undissolved matter carried in the blood is:

A) thrombus

B) embolus

C) ascites

D) platelets

A

B) embolus

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4
Q

A majority of abdominal aortic aneurysms begin:

A) below the iliac arteries

B) below the renal arteries

C) above the renal arteries

D) above the iliac arteries

A

B) below the renal arteries

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5
Q

What drug is used intraoperatively in a topical manner for its direct effect on the muscle of the vessel wall?

A) Papaverine hydrochloride

B) Heparin

C) Topical thrombin

D) Protamine sulfate

A

A) Papaverine hydrochloride

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6
Q

Diagnostic procedure that permits visualization of the great vessels:

A) Bronchoscopy

B) Mediastinoscopy

C) Thoracoscopy

D) Pleuroscopy

A

B) Mediastinoscopy

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7
Q

The instrument commonly used to remove plaque from the carotid during an endarterectomy is a/an:

A) Pituitary rongeur

B) Allis forceps

C) Freer elevator

D) Curette

A

C) Freer elevator

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8
Q

A bronchoscopy allows for visualization of the:

A) Pericardium

B) Pleura

C) Diaphragm

D) Bronchi

A

D) Bronchi

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9
Q

All of the following are true regarding disposable chest drainage units EXCEPT

A) provides drainage collection from intrapleural space

B) maintains a seal to prevent air from entering the pleural cavity

C) provides suction control determined by water level

D) aids in reestablishing positive pressure in the intrapleural space

A

D) aids in reestablishing positive pressure in the intrapleural space

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10
Q

Bleeding arising from the respiratory tract is called

A) Empyema

B) Pleural effusion

C) Hemoptysis

D) Blebs

A

C) Hemoptysis

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11
Q

The creation of a communication between an artery and a vein for hemodialysis access is called a/an:

A) Bypass Graft

B) Aneurysmectomy

C) Vena Cava Umbrella filter Placement

D) Arteriovenous Fistula Formation

A

D) Arteriovenous Fistula Formation

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12
Q

Conservative treatment of occlusive disease involving recanalization to restore the lumen of a vessel is called

A) PTFE

B) percutaneous transluminal angioplasty(PTA)

C) Greenfield filter

D) endarterectomy

A

B) percutaneous transluminal angioplasty(PTA)

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13
Q

Specific equipment used during surgery on a patient with a pacemaker in place should include:

A) a magnet

B) mono-polar ESU with its oatient return electrode applied to the patient

C) mono-polar ESU without its patient return electrodeapplied to the patient

D) bi-polar ESU with its patient return elctrode applied to the patient

A

A) a magnet

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14
Q

What nerves are carefully preserved during a pneumonectomy?

A) Vagus, left recurrent laryngeal, and phrenic

B) Vagus, pneumatic, and phrenic

C) Vagus, pneumatic, and epigastric

D) Phrenic, right recurrent laryngeal, and vagus

A

A) Vagus, left recurrent laryngeal, and phrenic

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15
Q

Electrical impulses that stimulate the heart muscle is achieved with

A) pacemaker

B) arterial defibrillation

C) ESU

D) alligator clamp

A

A) pacemaker

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16
Q

As the scrub, with which of the following procedures would you anticipate the use of chest tubes and water-seal drainage system?

A) Lobectomy

B) Scalene Node Biopsy

C) Percutaneous Transluminal Coronary Angioplasty

D) Cardiac Pacemaker Inertion

A

A) Lobectomy

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17
Q

What substance is introduced through a thoracoscope to deal with recurrent pleural effusion attributable to advanced cancer?

A) Chemotherapeutics

B) Talc

C) Tetracycline

D) Hemostatic agents

A

B) Talc

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18
Q

A thymectomy is commonly performed for malignant tumors and

A) myasthenia gravis

B) graves disease

C) muscular dystrophy

D) pneumothorax

A

A) myasthenia gravis

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19
Q

What drug is used to effect coronary thrombolysis in the cardiac catheterization laboratory?

A) Tissue plasminogen activator

B) Heparin

C) Streptokinase

D) Both a and c

A

D) Both a and c

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20
Q

What instrument is used to reapproximate the ribs following an open thoracotomy?

A) Doyen

B) Bailey

C) Alexander

D) Bethune

A

B) Bailey

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21
Q

The goal of a carotid endarterectomy is to

A) remove a thrombus

B) provide a shunt for blood flow

C) bypass the affected area

D) remove plaque

A

D) remove plaque

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22
Q

The action to be followed if a patient is experiencing a cardiac arrhythmia, specifically a ventricular fibrillation, would be to

A) start an IV

B) defibrillate

C) order blood to replace blood volume

D) administer intravenous lidocaine

A

B) defibrillate

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23
Q

How many anastomoses must be completed to effect a single-lung transplant?

A) One

B) Two

C) Three

D) Four

A

C) Three

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24
Q

If a knitted graph is preclotted, it

A) minimizes bleeding

B) makes a graft more pliable

C) facilities attachment

D) prevents rejection

A

A) minimizes bleeding

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25
Q

A reduction of nagative pressure on one side of the thoracic cavity that causes the negative pressure on the normal side to pull in an effort to equalize pressure is called

A) vital capacity

B) mediastinal shift

C) subatmospheric pressure

D) pneumothorax

A

B) mediastinal shift

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26
Q

The most commonly used incision for surgical procedures of the heart is

A) right lateral

B) left lateral

C) anterior thoracotomy

D) median sternotomy

A

D) median sternotomy

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27
Q

The technique applied to the patient who is unable to be weaned from cardiopulmonary bypass is

A) IAPB

B) VADs

C) Pacemaker

D) Both A and B

A

D) Both A and B

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28
Q

A cytologic specimen collector used in bronchoscopy is

A) Ellik

B) Toomey

C) Jackson

D) Lukens

A

D) Lukens

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29
Q

What instrument is used to view lymph nodes or masses in the space that medially separates the pleural cavities?

A) Bronchoscope

B) Mediastinoscope

C) Endoscope

D) Colonoscope

A

B) Mediastinoscope

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30
Q

Mediastinoscopy is usually performed with the patient in what position?

A) lateral

B) Sims

C) Semi-fowler

D) prone

A

C) Semi-fowler

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31
Q

The tube that collects bronchial washings is

A) Broyles

B) Lukens

C) Ellik

D) Toomey

A

B) Lukens

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32
Q

Plaque removal from a vessel is termed

A) embolectomy

B) thrombectomy

C) shunt

D) endarterectomy

A

D) endarterectomy

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33
Q

What procedure is performed for chronic cerebral ischemia?

A) Carotid embolectomy

B) Carotid endartectomy

C) Arteriovenous shunt

D) Ventriculoperitoneal shunt

A

B) Carotid endartectomy

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34
Q

The buildup of fat residue on a vessel wall is

A) artherosclerosis

B) lipidosis

C) vasodilation

D) vasoconstriction

A

A) artherosclerosis

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35
Q

What is the most common acquired valvular lesion?

A) Mitral regurgitation

B) Mitral stenosis

C) Tricuspid valve regurgitation

D) Aortic insufficiency

A

B) Mitral stenosis

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36
Q

Which medication is commonly given intravenously about 3-5 minutes prior to cross-clamping the artery during Arteriotomy?

A) epinephrine

B) protamine sulfate

C) papaverine

D) heparin

A

D) heparin

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37
Q

Which of the following retractors would be most useful in a posterolateral Thoracotomy?

A) Balfour

B) O’Sullivan-O’Connor

C) Davidson Scapula

D) Weitlaner

A

D) Weitlaner

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38
Q

The removal of a lung is referred to as a:

A) Pneumonectomy

B) Endartectomy

C) Blalock-Hanlon operation

D) Cryoablation

A

A) Pneumonectomy

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39
Q

Surgical removal of fibrinous deposits on the visceral and parietal pleura is called

A) posteriolateral thoracoplasty

B) talc poudrage

C) decortication of the lung

D) anterior thoracoplasty

A

C) decortication of the lung

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40
Q

The procedure in which a Fogarty catheter is used to remove blockage of a vessel is referred to as:

A) embolectomy

B) endartectomy

C) arteriovenous shunt

D) ligation and stripping

A

A) embolectomy

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41
Q

The closing of a defect between the lower heart chambers is a procedure referred to as a:

A) Closure of the Patent Ductus Arteriosus

B) Commissurotomy

C) Repair of a Ventricular Septal Defect

D) Transmyocardial Revascularization

A

C) Repair of a Ventricular Septal Defect

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42
Q

Which vessels are harvested for a coronary artery bypass?

A) Pulmonary vein and external mammary vein

B) Portal vein and hepatic artery

C) Saphenous vein and internal mammary artery

D) Pulmonary artery and pulmonary vein

A

C) Saphenous vein and internal mammary artery

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43
Q

Placement of a vascular graft proximal to and inclusive of the common iliac vessels will necessitate the use of a / an

A) autogenous graft

B) straight Teflon graft

C) bifurcated graft

D) polytetraflourethylene graft

A

C) bifurcated graft

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44
Q

The most important laboratory test done to measure pulmonary function is

A) CBC(complete blood count)

B) ABGs(arterial blood gases)

C) hemaglobin and hematocrit

D) WBC(white blood count)

A

B) ABGs(arterial blood gases)

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45
Q

A procedure performed in patients with empyema is called

A) Thoracoplasty

B) Sympathectomy

C) Pulmonary decortication

D) Pericardial window

A

C) Pulmonary decortication

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46
Q

Decompression of the portal circulation can be achieved by all of the following EXCEPT

A) splenorenal shunt

B) portocaval anastomosis

C) arteriovenous shunt

D) mesocaval shunt

A

C) arteriovenous shunt

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47
Q

The pathology in which the subclavian artery is compressed resulting in the severe ischemia of the arm is a type of:

A) Thoracic aortic aneurysm

B) Pectus Carinatum

C) Sternal Fissure

D) Thoracic outlet syndrome

A

D) Thoracic outlet syndrome

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48
Q

Compression of the subclavian vessels and the brachial plexus usually caused by the first rib is surgically known as

A) cervical sympathectomy

B) thoracic outlet syndrome

C) thoracic sympathectomy

D) decortication

A

B) thoracic outlet syndrome

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49
Q

The term in situ graft represents the use of a/an

A) autograft

B) biograft

C) dacron graft

D) filamentous velour

A

A) autograft

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50
Q

Which procedure is the removal of the entire lung?

A) Segmentectomy

B) Lobectomy

C) Pneumonectomy

D) Wedge

A

C) Pneumonectomy

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51
Q

During pacemaker insertion, the pacing generator is placed:

A) in the inferior vena cava via the jugular vein

B) in the ventricle via the femoral vein

C) in the ventricle via the subclavian vein

D) in the subcutaneous pocket on the upper anterior chest

A

D) in the subcutaneous pocket on the upper anterior chest

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52
Q

Uncontrolled increased positive pressure in one side of the thorax causes collapse of the opposite side, which is called

A) flail chest

B) Cheyne-Stokes syndrome

C) emphysema

D) mediastinal shift

A

D) mediastinal shift

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53
Q

The movement of blood through a vessel can beassessed by

A) arteriogram

B) Cardiac catheterization

C) Doppler device

D) Angiogram

A

C) Doppler device

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54
Q

All of the following are true regarding the rigid bronchoscope EXCEPT

A) used for procedures which require a large bore endoscope

B) used for removal of a tissue mass and foreign bodies

C) patients who have difficulty hyperextending the neck and difficult jaw manipulation

D) complications include injury to the tracheal bronchial structures if patient moves

A

C) patients who have difficulty hyperextending the neck and difficult jaw manipulation

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55
Q

A decrease in blood supply to tissues is called?

A) atherosclerosis

B) ischemia

C) varicocities

D) embolus formation

A

B) ischemia

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56
Q

Positioning for a single lung transplant, the donor patient is________ and the recipient patient is _______

A) supine lateral

B) supine, supine

C) lateral, lateral

D) lateral, supine

A

A) supine lateral

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57
Q

Removal of air or fluid from the pleural cavity via needle aspirationis:

A) thoracoscopy

B) thoracentesis

C) thoracotomy

D) mediastinoscopy

A

B) thoracentesis

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58
Q

What is the treatment of choice for capturing emboli that arise from the pelvis or lower extremities?

A) Permacath

B) Greenfield filter

C) Vas-cath

D) Porto-cath

A

B) Greenfield filter

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59
Q

All of the following are sutures used in Cardiothoracic surgery to suture vessels or vascular grafts, except:

A) polytetraflouroethylene (PTFE or Gore-Tex)

B) Polypropylene (Prolene)

C) Polyester (Dacron)

D) Surgical Gut (Chromic)

A

D) Surgical Gut (Chromic)

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60
Q

An abnormal localized dilatation of an artery resulting from mechanical pressure of blood on a weakened wall is called

A) atherosclerosis

B) arteriosclerosis

C) collateral circulation

D) aneurysm

A

D) aneurysm

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61
Q

A vascular clamp used for occluding peripheral vessels is:

A) Bulldog

B) Potts

C) Tonsil

D) Satinsky

A

A) Bulldog

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62
Q

With which of the following procedures would you expect the greatest amount of bleeding?

A) Wedge resection of the lung

B) Decortication of the lung

C) Open Thoracotomy for Closure of a ruptured bulla

D) Closure of a Patent Ductus Arteriosus

A

B) Decortication of the lung

63
Q

Dextran is used parenterally to

A) expand blood plasma volume

B) renourish vital tissue

C) carry oxygen through the system

D) decrease blood viscosity

A

A) expand blood plasma volume

64
Q

Retraction of fine structures and blood vessels during vascular surgery is accomplished by use of

A) Senn Retractor

B) Penrose drain

C) malleable ribbon retractor

D) vessel loops

A

D) vessel loops

65
Q

Biopsy of this node is performed before a thorocotomy to stage cancer staging or to confirm a diagnosis:

A) axillary

B) mediasteinal

C) iliac

D) scalene

A

D) scalene

66
Q

Suture material used to place vascular grafts would include:

A) PDS

B) Vicryl/Dexon

C) Prolene

D) Stainless Steel

A

C) Prolene

67
Q

The aortic valve maintains one way blood flow to the aorta from the

A) right atrium

B) left atrium

C) left ventricle

D) right ventricle

A

C) left ventricle

68
Q

Which of the following procedures is/are performed under flouroscopic (C-ARM) control?

A) endarterectomy

B) cardiac pacemaker insertion

C) vena cava filtering device placement

D) both B and C

A

D) both B and C

69
Q

During the mechanical process of breathing the diaghram contracts during_______ and relaxes during_______.

A) inhalation, exhalation

B) exhalation, inhalation

C) compression, expansion

D) normal respiration, maximum respiration

A

A) inhalation, exhalation

70
Q

Cardiac pacing is indicated for which of the following conditions?

A) atelectasis

B) atherosclerosis

C) congestive heart failure

D) heart block

A

D) heart block

71
Q

When performing a thorocotomy, the wound edges are covered to protect them from bruising with what?

A) Nothing is used, to prevent loosing something

B) Moist lap pads or towels

C) To and Fros

D) 4 x 4s

A

B) Moist lap pads or towels

72
Q

Chronic cerebral ischemia most often leads to

A) femoral endarterectomy

B) carotid endarterectomy

C) electroencephalogram

D) electrocardiogram

A

B) carotid endarterectomy

73
Q

Which drug can be added to saline for irrigation during a vascular procedure?

A) Protamine

B) Epinephrine

C) Sublimaze

D) Heparin

A

D) Heparin

74
Q

A low-molecular-weight protein that, when combined with heparin, causes a loss of anticoagulant activity postoperatively is

A) papaverine

B) protamine sulfate

C) tromethamine

D) Angiovist

A

B) protamine sulfate

75
Q

The procedure which may require the temporary use of an intraoperative bypass shunt is a/an:

A) Femoral-Popliteal Bypass Graft

B) Abdominal Aortic Aneurysmectomy

C) Carotid Endarterectomy

D) Aortic-Artery Bypass Graft

A

C) Carotid Endarterectomy

76
Q

What size of a trocar is commonly used during a thoracoscopy?

A) 8 mm

B) 10mm

C) 12mm

D) 14mm

A

B) 10mm

77
Q

When transporting a patient with closed water seal drainage:

A) the bottle should be kept at or below the height of the patient’s chest

B) The chest should always be clamped

C) Chest tube clamps should accompany the patient at all times

D) The patient should be placed in Trendelenburg position

A

C) Chest tube clamps should accompany the patient at all times

78
Q

The autogenous graft which is left in place after destruction of the internal valves and then sutured into the arterial system is:

A) in-situ saphenous vein graft

B) human umbilical cord graft

C) PTFE graft

D) ligation and stripping of the saphenous vein

A

A) in-situ saphenous vein graft

79
Q

What intraoperative test determines the needed reversal or addition of heparin?

A) Arterial blood gases (ABGs)

B) Activated clotting time (ACT)

C) Activated partial thromboplastin time(APPT)

D) None of the above

A

B) Activated clotting time (ACT)

80
Q

A drug used intraoperatively for its antispasmodic effect on the smooth muscle of the vessel wall is

A) Ringer’s Lactate

B) papaverine hydrochloride

C) Physiosol

D) protamine sulfate

A

B) papaverine hydrochloride

81
Q

Which of the following bypass grafts would require preclotting?

A) knitted polyester (Dacron)

B) saphenous vein

C) human umbilical cord graft

D) polytetraflouroethylene (PTFE)

A

A) knitted polyester (Dacron)

82
Q

Which of the pulmonary function tests measure the amount of air exhaled during normal respiration?

A) Forced vital capacity

B) Total lung capacity

C) Vital Capacity

D) Tidal volume

A

D) Tidal volume

83
Q

The self-retaining retractor used during femoral-popliteal bypass is:

A) Meyerding

B) DeBakey

C) Weitlaner

D) Alm

A

C) Weitlaner

84
Q

Fibrillation is described as

A) fast heart rate

B) involuntary muscle contraction

C) slow heart rate

D) coronary artery occlusion

A

B) involuntary muscle contraction

85
Q

What is the preferred solution used for bronchial washings?

A) Sterile water

B) Sterile saline

C) Heparanized saline

D) Ringers lactate

A

B) Sterile saline

86
Q

When performing a femoral-femoral bypass, the atherosclerotic disease is in the

A) femoral artery

B) aorta

C) femoral vein

D) iliac artery

A

D) iliac artery

87
Q

Oxygen rich blood comes from the __________, through the __________ and empties in to the _____________.

A) Lungs, Pulmonary Artery, right atrium

B) Lungs, Pulmonary Vein, left atrium

C) Lungs, Vena Cava, left atrium

D) Lungs, Aorta, right atrium

A

B) Lungs, Pulmonary Vein, left atrium

88
Q

Removal of plaque during a carotid endarterectomy requires

A) Cobb elevator

B) Hurd dissector

C) Freer elevator

D) None of the above

A

C) Freer elevator

89
Q

The only arteries in the body that carry deoxygenated blood to the lungs are

A) carotid

B) subclavian

C) coronary

D) pulmonary

A

D) pulmonary

90
Q

When performing an arteriotomy, the surgeon will require a #11 blade and

A) Potts Smith scissor

B) Metzenbaum

C) Lahey

D) Stevens

A

A) Potts Smith scissor

91
Q

What procedure is used intraoperatively and postoperatively to determine blood flow in a vessel?

A) Arteriogram

B) Swan-Ganz

C) Doppler ultrasound

D) Angioscopy

A

C) Doppler ultrasound

92
Q

Which of the following is the correct order from outermost to innermost layers of blood vessels:
(1) tunica adventia (2) tunica media (3) tunica intima

A) 1,2,3

B) 3,2,1

C) 3,1,2

D) 1,3,2

A

A) 1,2,3

93
Q

Occluding peripheral vessels is achieved with the use of

A) Glassman

B) Leland jones

C) bulldog

D) Myergils

A

C) bulldog

94
Q

Facts concerning arteriovenous fistulas and shunts include all of teh following except that they:

A) are usually performed in the upper arm or leg

B) establish blood flow between the arterial and venous circulation

C) bypass the capillary network

D) are used for vascular access during hemodialysis

A

A) are usually performed in the upper arm or leg

95
Q

In balloon angioplasty, the dilating balloon is inflated with

A) diluted heparin

B) diluted solution of contrast media

C) saline

D) Ringer’s lactate solution

A

B) diluted solution of contrast media

96
Q

Blood flows from the right atrium through the ___________ to the right ventricle.

A) bicuspid valve

B) aortic valve

C) pulmonary valve

D) tricuspid valve

A

D) tricuspid valve

97
Q

During a vascular procedure, monitoring the activated clotting time intraoperatively provides useful data for judging the need for reversal or addition of

A) Angiovist

B) papaverine

C) heparin

D) protamine sulfate

A

C) heparin

98
Q

The medication used to reverse the initial anticoagulant therapy during vascular surgery is:

A) Vitamin K

B) Heparin Sodium

C) protamine sulfate

D) sodium bicarbonate

A

C) protamine sulfate

99
Q

The procedure that is performed for dialysis that produces a direct anastamosis between an artery and a vein is

A) gortex graft insertion

B) AV shunt

C) endarterectomy

D) AV fistula

A

D) AV fistula

100
Q

Blood enters the heart through the ____________ and the ___________, emptying oxygen _________ blood into the _________________

A) Coronary Arteries, pulmonary veins, rich, left ventricle

B) Inferior, Superior vana cava, poor, right atrium

C) Aorta, coronary arteries, poor, left atrium

D) Inferior, Superior Vena Cava, poor, left atrium

A

B) Inferior, Superior vana cava, poor, right atrium

101
Q

Hypothermia is employed in cardiac surgery

A) to reduce oxygen consumption

B) to reduce elevated temperature

C) to slow metabolism

D) to induce ventricular fibrillation

A

A) to reduce oxygen consumption

102
Q

Common artery bypass procedures include all of the following except:

A) axillo-popliteal

B) femoro-femoral

C) axillo femoral

D) femoro-popliteal

A

A) axillo-popliteal

103
Q

The artery that carries deoxiginated blood in the adult is the:

A) aorta

B) carotid artery

C) pulmonary artery

D) coronary artery

A

C) pulmonary artery

104
Q

The instrument commonly used to clamp the aorta during an abdominal aneurysmectomy is a/an

A) Satinsky

B) DeBakey

C) Glover

D) Cooley

A

A) Satinsky

105
Q

The procedure of choice for removal of a foreign body in a child’s tracheobronchial tree is

A) bronchoscopy

B) mediastinoscopy

C) fluoroscopy

D) telemetry

A

A) bronchoscopy

106
Q

When a rib is removed, the ramaining edges are trimmed with a:

A) Doyen Rasp

B) Bethune Shear

C) Lebsche knife

D) Stille-Luer rongeur

A

D) Stille-Luer rongeur

107
Q

The surgery scheduled as “Greenfield filter insertion” indicates a diagnosis of

A) emboli formation

B) venous stasis

C) arteriovascular occlusion

D) Kidney failure

A

A) emboli formation

108
Q

During a bronchoscopy, which solution is preferred for bronchial washing specimens?

A) Ringer’s lactate

B) Sterile saline

C) Sterile water

D) Dextran

A

B) Sterile saline

109
Q

When two chest tubes are placed into the pleurel space, the uppermost tube is used to:

A) evacuate air/ re-establish negative pressure

B) evacuate bloos/ re-establish positive pressure

C) evacuate serous fluid/ re-establish positive pressure

D) evacuate pus/ re-establish negative pressure

A

A) evacuate air/ re-establish negative pressure

110
Q

What is the purpose for the surgical creation of an arteriovenous fistula?

A) Hemodialysis

B) Insertion of Greenfield filter

C) Peritoneal dialysis

D) Placement of Javid shunt

A

A) Hemodialysis

111
Q

Blood leaves the left ventricle through the ____________ and into the ___________

A) Aortic Valve, Ascending aorta

B) Pulmonary Valve, Ascending aorta

C) Pulomonary Valve, Ascending aorta

D) Aortic Valve, Body

A

A) Aortic Valve, Ascending aorta

112
Q

A sac-like dilation and thinning of an artery wall that can lead to rupture of the vessel is a/an:

A) bifurcation

B) claudication

C) aneurysm

D) stenosis

A

C) aneurysm

113
Q

The treatment of choice for patent ductus arteriosus is:

A) patch graft

B) suture ligation of the duct

C) Atrial Septoplasty

D) posterior Sagittal Anorectoplasty

A

B) suture ligation of the duct

114
Q

Migrating clots that have formed in the lower extremities can be intercepted on the way to the heart or lungs by a

A) Greenfield Filter

B) Pudenz shunt

C) Scribner shunt

D) LeVeen shunt

A

A) Greenfield Filter

115
Q

During dialysis the patients blood is shunted to the outside of the body. The term referring to outside the body is

A) in situ

B) angiogram

C) extracorporeal

D) intracorporeal

A

C) extracorporeal

116
Q

The term used to denote the function accomplished by the Cardiopulmonary bypass machine is

A) diversion

B) dialysis

C) perfusion

D) profusion

A

C) perfusion

117
Q

In vascular surgery, the term in situ graft references the use of a/an

A) autogenous graft

B) heterogeneous graft

C) allograft

D) synthetic graft

A

A) autogenous graft

118
Q

Pedal pulses are assessed with a

A) Berman locator

B) Doppler

C) Mobin-Uddin device

D) polytetraflouroethylene prosthetic(PTFE)

A

B) Doppler

119
Q

Procedure performed to remove a fibrous covering from the lung following empyema formation is:

A) Pulmonary Decortication

B) Thoracostomy

C) Thymectomy

D) Aneurysmectomy

A

A) Pulmonary Decortication

120
Q

Which of the following procedures would commonly require the use of extracorporeal circulation (heart lung bypass)?

A) Abdominal Aortic Aneurysmectomy and graft

B) Pneumonectomy

C) Coronary Artery Bypass Graft

D) Vena Cava Umbrella Insertion

A

C) Coronary Artery Bypass Graft

121
Q

In which surgery would a tunneler be used?

A) abdominal aortic aneurysm(AAA)

B) Angioplasty

C) Embolectomy

D) Femoral-popliteal bypass

A

D) Femoral-popliteal bypass

122
Q

The rupturing of erythrocytes is called:

A) hemoptysis

B) degeneration

C) hemolysis

D) fulguration

A

C) hemolysis

123
Q

The scissors used for intravascular access during an endarterectomy are called:

A) Metzenbaum

B) Jameson

C) Potts

D) Tenotomy

A

C) Potts

124
Q

The vessel used to increase the overall blood supply to the heart following a CABG is the:

A) saphenous artery

B) brachial artery

C) carotid artery

D) internal mammary artery

A

D) internal mammary artery

125
Q

Which node is an important site for metastasis from the lungs and is a frequent site for biopsy?

A) Scalene

B) Axillary

C) Cervical

D) Iliac

A

A) Scalene

126
Q

Arteriovenous (AV) fistula is preferred over an external shunt for long-term dialysis because of a decreased chance of:

A) Thrombosis

B) Aneurysm

C) Plaque formation

D) Air Spaces

A

A) Thrombosis

127
Q

Vena Cava filter devices are inserted to prevent pulmonary emboli by trapping clots from the venous system of the legs and include which of the following?

A) Greenfield filter

B) Debakey filter

C) Statinsky Filter

D) LeVeen Filter

A

A) Greenfield filter

128
Q

Removal of atherosclerotic plaque from a major artery is termed

A) embolectomy

B) aneurysmectomy

C) endarterectomy

D) thrombectomy

A

C) endarterectomy

129
Q

Heparin is utilized during vascular surgery

A) to coagulate blood

B) to correct acidosis

C) to contrict arteries

D) to prevent thrombosis

A

D) to prevent thrombosis

130
Q

Whuch piece of equipment would be placed on an embolectomy set up for the purpose of removing clots through an arteriotomy?

A) Wishard

B) Swan-Ganz

C) Fogarty

D) Garceau

A

C) Fogarty

131
Q

The relaxation phase of the cardiac cycle is

A) systole

B) infarction

C) diastole

D) intraoperative vasospasm

A

C) diastole

132
Q

The agent used to flush an artery to prevent clotting is:

A) Protamine sulfate

B) thrombin

C) heparin

D) ringer’s lactate

A

C) heparin

133
Q

Passage of a sterile catheter into the heart via the brachial or femoral artery for the purpose of image intensification is called

A) angiography

B) arteriography

C) cardiac catherterization

D) cardioscopy

A

C) cardiac catherterization

134
Q

Fatty deposits on the walls of arteries are called:

A) Lipodeposits

B) arterial induction

C) Atherosclerosis

D) Vasodilation

A

C) Atherosclerosis

135
Q

The cardiac phase when the ventricles contract is

A) systole

B) diastole

C) fibrillation

D) relaxation

A

A) systole

136
Q

Flouroscopy is required for all of the following vascular procedures EXCEPT

A) Greenfield filter

B) endocardial pacing electrode

C) myocardial pacing electrode

D) AV arteriovenous fistula creation

A

C) myocardial pacing electrode

137
Q

Which instrument is a rib contractor?

A) Finochietto

B) Bailey

C) Doyen

D) Matson

A

B) Bailey

138
Q

Outpouching of the alveolar sac which leads to subsequent rupture resulting in a pneumothorax is called a/an:

A) aneurysm

B) bleb

C) atelactasis

D) arteriovenous fistula

A

B) bleb

139
Q

The prime consideration in a ruptured abdominal aortic aneurysmectomy is

A) shunting blood flow

B) hemorrhage control

C) bypassing occlusion

D) removal of thromboembolic material

A

B) hemorrhage control

140
Q

For visualization of the pleurae, lower and middle mediastinum, and pericardium, the surgeon would need a:

A) thorascope

B) mediastinoscope

C) bronchoscope

D) laryngoscope

A

A) thorascope

141
Q

In which surgery would a closed drainage system be used?

A) Thoroscopic lung biopsy

B) Open thorocotomy

C) Lung volume reduction surgery

D) all of the above

A

D) all of the above

142
Q

Cervical rib resection is performed to relieve:

A) Thoracic Outlet Syndrome

B) Thoracic Inlet Syndrome

C) Adult Respiratory Distress Syndrome

D) pneumothorax

A

A) Thoracic Outlet Syndrome

143
Q

A precipitous drop in the patients blood or fluid volume is

A) hypovolemia

B) hypervolemia

C) hypertension

D) ischemia

A

A) hypovolemia

144
Q

Removal of air and or blood from the pleural cavity by means of an aspiration needle is called:

A) Pneumothorax

B) Paracentesis

C) Thoracentesis

D) Hemothorax

A

C) Thoracentesis

145
Q

The antagonist to heparin sodium is

A) epinephrine

B) mannitol

C) sodium bicarbonate

D) protamine sulfate

A

D) protamine sulfate

146
Q

The most common vessels used for access procedures to facilitate hemodialysis are

A) radial artery and cephalic vein

B) radial artery and cephalic artery

C) brachial artery and cephalic vein

D) cephalic artery and brachial vein

A

A) radial artery and cephalic vein

147
Q

The lung is divided into anatomical regions. The right lung has ______lobes and the left lung has_______lobes.

A) two and two

B) three and two

C) three and three

D) two and three

A

B) three and two

148
Q

Blood flows through the ___________ from the right ventricle into the _________ to get to the lungs

A) Pulmonary valve, pulmonary artery

B) Aortic Valve, Coronary Artery

C) Semilunar valve, Pulmonary Artery

D) Mitral valve, Aortic artery

A

A) Pulmonary valve, pulmonary artery

149
Q

Blood flows from the left Atrium through the _____________, also called the _______________ to the left Ventricle.

A) Bicuspid valve, bishops hat

B) Bicuspid Valve, mitral valve

C) Tricuspid Valve, mitral valve

D) Tricuspid valve, bishops hat

A

B) Bicuspid Valve, mitral valve

150
Q

What cold solution is used to preserve a donor lung before transplant into a recipient?

A) Ringer’s lactate

B) Saline

C) Collin’s

D) Physiosol

A

C) Collin’s

151
Q

A Javid shunt is used during a:

A) AV fistula

B) carotid endarterectomy

C) fem-fem bypass

D) abdominal aortic aneurysm

A

B) carotid endarterectomy

152
Q

AAAs commonly occur

A) above the renal arteries

B) below the renal arteries

C) above the iliac arteries

D) below the iliac arteries

A

B) below the renal arteries

153
Q

The self-retaining retractor used when performing a fem-pop bypass is

A) Debakey

B) Finichetto

C) Weitlaner

D) Gelpi

A

C) Weitlaner