CRQ Cardiothoracic and Peripheral Vascular Flashcards
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
C) thoracic outlet syndrome
Bradycardia is defined as ___________beats per minute.
A) 40-60
B) 80-100
C) Higher than 110
D) 100-110
A) 40-60
A mass of undissolved matter carried in the blood is:
A) thrombus
B) embolus
C) ascites
D) platelets
B) embolus
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
B) below the renal arteries
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) Papaverine hydrochloride
Diagnostic procedure that permits visualization of the great vessels:
A) Bronchoscopy
B) Mediastinoscopy
C) Thoracoscopy
D) Pleuroscopy
B) Mediastinoscopy
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
C) Freer elevator
A bronchoscopy allows for visualization of the:
A) Pericardium
B) Pleura
C) Diaphragm
D) Bronchi
D) Bronchi
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
D) aids in reestablishing positive pressure in the intrapleural space
Bleeding arising from the respiratory tract is called
A) Empyema
B) Pleural effusion
C) Hemoptysis
D) Blebs
C) Hemoptysis
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
D) Arteriovenous Fistula Formation
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
B) percutaneous transluminal angioplasty(PTA)
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 magnet
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) Vagus, left recurrent laryngeal, and phrenic
Electrical impulses that stimulate the heart muscle is achieved with
A) pacemaker
B) arterial defibrillation
C) ESU
D) alligator clamp
A) pacemaker
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) Lobectomy
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
B) Talc
A thymectomy is commonly performed for malignant tumors and
A) myasthenia gravis
B) graves disease
C) muscular dystrophy
D) pneumothorax
A) myasthenia gravis
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
D) Both a and c
What instrument is used to reapproximate the ribs following an open thoracotomy?
A) Doyen
B) Bailey
C) Alexander
D) Bethune
B) Bailey
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
D) remove plaque
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
B) defibrillate
How many anastomoses must be completed to effect a single-lung transplant?
A) One
B) Two
C) Three
D) Four
C) Three
If a knitted graph is preclotted, it
A) minimizes bleeding
B) makes a graft more pliable
C) facilities attachment
D) prevents rejection
A) minimizes bleeding
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
B) mediastinal shift
The most commonly used incision for surgical procedures of the heart is
A) right lateral
B) left lateral
C) anterior thoracotomy
D) median sternotomy
D) median sternotomy
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
D) Both A and B
A cytologic specimen collector used in bronchoscopy is
A) Ellik
B) Toomey
C) Jackson
D) Lukens
D) Lukens
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
B) Mediastinoscope
Mediastinoscopy is usually performed with the patient in what position?
A) lateral
B) Sims
C) Semi-fowler
D) prone
C) Semi-fowler
The tube that collects bronchial washings is
A) Broyles
B) Lukens
C) Ellik
D) Toomey
B) Lukens
Plaque removal from a vessel is termed
A) embolectomy
B) thrombectomy
C) shunt
D) endarterectomy
D) endarterectomy
What procedure is performed for chronic cerebral ischemia?
A) Carotid embolectomy
B) Carotid endartectomy
C) Arteriovenous shunt
D) Ventriculoperitoneal shunt
B) Carotid endartectomy
The buildup of fat residue on a vessel wall is
A) artherosclerosis
B) lipidosis
C) vasodilation
D) vasoconstriction
A) artherosclerosis
What is the most common acquired valvular lesion?
A) Mitral regurgitation
B) Mitral stenosis
C) Tricuspid valve regurgitation
D) Aortic insufficiency
B) Mitral stenosis
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
D) heparin
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
D) Weitlaner
The removal of a lung is referred to as a:
A) Pneumonectomy
B) Endartectomy
C) Blalock-Hanlon operation
D) Cryoablation
A) Pneumonectomy
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
C) decortication of the lung
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) embolectomy
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
C) Repair of a Ventricular Septal Defect
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
C) Saphenous vein and internal mammary artery
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
C) bifurcated graft
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)
B) ABGs(arterial blood gases)
A procedure performed in patients with empyema is called
A) Thoracoplasty
B) Sympathectomy
C) Pulmonary decortication
D) Pericardial window
C) Pulmonary decortication
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
C) arteriovenous shunt
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
D) Thoracic outlet syndrome
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
B) thoracic outlet syndrome
The term in situ graft represents the use of a/an
A) autograft
B) biograft
C) dacron graft
D) filamentous velour
A) autograft
Which procedure is the removal of the entire lung?
A) Segmentectomy
B) Lobectomy
C) Pneumonectomy
D) Wedge
C) Pneumonectomy
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
D) in the subcutaneous pocket on the upper anterior chest
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
D) mediastinal shift
The movement of blood through a vessel can beassessed by
A) arteriogram
B) Cardiac catheterization
C) Doppler device
D) Angiogram
C) Doppler device
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
C) patients who have difficulty hyperextending the neck and difficult jaw manipulation
A decrease in blood supply to tissues is called?
A) atherosclerosis
B) ischemia
C) varicocities
D) embolus formation
B) ischemia
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) supine lateral
Removal of air or fluid from the pleural cavity via needle aspirationis:
A) thoracoscopy
B) thoracentesis
C) thoracotomy
D) mediastinoscopy
B) thoracentesis
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
B) Greenfield filter
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)
D) Surgical Gut (Chromic)
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
D) aneurysm
A vascular clamp used for occluding peripheral vessels is:
A) Bulldog
B) Potts
C) Tonsil
D) Satinsky
A) Bulldog