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
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
26
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
27
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
28
A cytologic specimen collector used in bronchoscopy is A) Ellik B) Toomey C) Jackson D) Lukens
D) Lukens
29
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
30
Mediastinoscopy is usually performed with the patient in what position? A) lateral B) Sims C) Semi-fowler D) prone
C) Semi-fowler
31
The tube that collects bronchial washings is A) Broyles B) Lukens C) Ellik D) Toomey
B) Lukens
32
Plaque removal from a vessel is termed A) embolectomy B) thrombectomy C) shunt D) endarterectomy
D) endarterectomy
33
What procedure is performed for chronic cerebral ischemia? A) Carotid embolectomy B) Carotid endartectomy C) Arteriovenous shunt D) Ventriculoperitoneal shunt
B) Carotid endartectomy
34
The buildup of fat residue on a vessel wall is A) artherosclerosis B) lipidosis C) vasodilation D) vasoconstriction
A) artherosclerosis
35
What is the most common acquired valvular lesion? A) Mitral regurgitation B) Mitral stenosis C) Tricuspid valve regurgitation D) Aortic insufficiency
B) Mitral stenosis
36
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
37
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
38
The removal of a lung is referred to as a: A) Pneumonectomy B) Endartectomy C) Blalock-Hanlon operation D) Cryoablation
A) Pneumonectomy
39
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
40
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
41
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
42
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
43
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
44
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)
45
A procedure performed in patients with empyema is called A) Thoracoplasty B) Sympathectomy C) Pulmonary decortication D) Pericardial window
C) Pulmonary decortication
46
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
47
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
48
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
49
The term in situ graft represents the use of a/an A) autograft B) biograft C) dacron graft D) filamentous velour
A) autograft
50
Which procedure is the removal of the entire lung? A) Segmentectomy B) Lobectomy C) Pneumonectomy D) Wedge
C) Pneumonectomy
51
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
52
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
53
The movement of blood through a vessel can beassessed by A) arteriogram B) Cardiac catheterization C) Doppler device D) Angiogram
C) Doppler device
54
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
55
A decrease in blood supply to tissues is called? A) atherosclerosis B) ischemia C) varicocities D) embolus formation
B) ischemia
56
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
57
Removal of air or fluid from the pleural cavity via needle aspirationis: A) thoracoscopy B) thoracentesis C) thoracotomy D) mediastinoscopy
B) thoracentesis
58
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
59
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)
60
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
61
A vascular clamp used for occluding peripheral vessels is: A) Bulldog B) Potts C) Tonsil D) Satinsky
A) Bulldog
62
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
B) Decortication of the lung
63
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) expand blood plasma volume
64
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
D) vessel loops
65
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
D) scalene
66
Suture material used to place vascular grafts would include: A) PDS B) Vicryl/Dexon C) Prolene D) Stainless Steel
C) Prolene
67
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
C) left ventricle
68
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
D) both B and C
69
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) inhalation, exhalation
70
Cardiac pacing is indicated for which of the following conditions? A) atelectasis B) atherosclerosis C) congestive heart failure D) heart block
D) heart block
71
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
B) Moist lap pads or towels
72
Chronic cerebral ischemia most often leads to A) femoral endarterectomy B) carotid endarterectomy C) electroencephalogram D) electrocardiogram
B) carotid endarterectomy
73
Which drug can be added to saline for irrigation during a vascular procedure? A) Protamine B) Epinephrine C) Sublimaze D) Heparin
D) Heparin
74
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
B) protamine sulfate
75
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
C) Carotid Endarterectomy
76
What size of a trocar is commonly used during a thoracoscopy? A) 8 mm B) 10mm C) 12mm D) 14mm
B) 10mm
77
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
C) Chest tube clamps should accompany the patient at all times
78
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) in-situ saphenous vein graft
79
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
B) Activated clotting time (ACT)
80
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
B) papaverine hydrochloride
81
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) knitted polyester (Dacron)
82
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
D) Tidal volume
83
The self-retaining retractor used during femoral-popliteal bypass is: A) Meyerding B) DeBakey C) Weitlaner D) Alm
C) Weitlaner
84
Fibrillation is described as A) fast heart rate B) involuntary muscle contraction C) slow heart rate D) coronary artery occlusion
B) involuntary muscle contraction
85
What is the preferred solution used for bronchial washings? A) Sterile water B) Sterile saline C) Heparanized saline D) Ringers lactate
B) Sterile saline
86
When performing a femoral-femoral bypass, the atherosclerotic disease is in the A) femoral artery B) aorta C) femoral vein D) iliac artery
D) iliac artery
87
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
B) Lungs, Pulmonary Vein, left atrium
88
Removal of plaque during a carotid endarterectomy requires A) Cobb elevator B) Hurd dissector C) Freer elevator D) None of the above
C) Freer elevator
89
The only arteries in the body that carry deoxygenated blood to the lungs are A) carotid B) subclavian C) coronary D) pulmonary
D) pulmonary
90
When performing an arteriotomy, the surgeon will require a #11 blade and A) Potts Smith scissor B) Metzenbaum C) Lahey D) Stevens
A) Potts Smith scissor
91
What procedure is used intraoperatively and postoperatively to determine blood flow in a vessel? A) Arteriogram B) Swan-Ganz C) Doppler ultrasound D) Angioscopy
C) Doppler ultrasound
92
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) 1,2,3
93
Occluding peripheral vessels is achieved with the use of A) Glassman B) Leland jones C) bulldog D) Myergils
C) bulldog
94
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) are usually performed in the upper arm or leg
95
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
B) diluted solution of contrast media
96
Blood flows from the right atrium through the ___________ to the right ventricle. A) bicuspid valve B) aortic valve C) pulmonary valve D) tricuspid valve
D) tricuspid valve
97
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
C) heparin
98
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
C) protamine sulfate
99
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
D) AV fistula
100
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
B) Inferior, Superior vana cava, poor, right atrium
101
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) to reduce oxygen consumption
102
Common artery bypass procedures include all of the following except: A) axillo-popliteal B) femoro-femoral C) axillo femoral D) femoro-popliteal
A) axillo-popliteal
103
The artery that carries deoxiginated blood in the adult is the: A) aorta B) carotid artery C) pulmonary artery D) coronary artery
C) pulmonary artery
104
The instrument commonly used to clamp the aorta during an abdominal aneurysmectomy is a/an A) Satinsky B) DeBakey C) Glover D) Cooley
A) Satinsky
105
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) bronchoscopy
106
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
D) Stille-Luer rongeur
107
The surgery scheduled as “Greenfield filter insertion” indicates a diagnosis of A) emboli formation B) venous stasis C) arteriovascular occlusion D) Kidney failure
A) emboli formation
108
During a bronchoscopy, which solution is preferred for bronchial washing specimens? A) Ringer’s lactate B) Sterile saline C) Sterile water D) Dextran
B) Sterile saline
109
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) evacuate air/ re-establish negative pressure
110
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) Hemodialysis
111
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) Aortic Valve, Ascending aorta
112
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
C) aneurysm
113
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
B) suture ligation of the duct
114
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) Greenfield Filter
115
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
C) extracorporeal
116
The term used to denote the function accomplished by the Cardiopulmonary bypass machine is A) diversion B) dialysis C) perfusion D) profusion
C) perfusion
117
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) autogenous graft
118
Pedal pulses are assessed with a A) Berman locator B) Doppler C) Mobin-Uddin device D) polytetraflouroethylene prosthetic(PTFE)
B) Doppler
119
Procedure performed to remove a fibrous covering from the lung following empyema formation is: A) Pulmonary Decortication B) Thoracostomy C) Thymectomy D) Aneurysmectomy
A) Pulmonary Decortication
120
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
C) Coronary Artery Bypass Graft
121
In which surgery would a tunneler be used? A) abdominal aortic aneurysm(AAA) B) Angioplasty C) Embolectomy D) Femoral-popliteal bypass
D) Femoral-popliteal bypass
122
The rupturing of erythrocytes is called: A) hemoptysis B) degeneration C) hemolysis D) fulguration
C) hemolysis
123
The scissors used for intravascular access during an endarterectomy are called: A) Metzenbaum B) Jameson C) Potts D) Tenotomy
C) Potts
124
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
D) internal mammary artery
125
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) Scalene
126
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) Thrombosis
127
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) Greenfield filter
128
Removal of atherosclerotic plaque from a major artery is termed A) embolectomy B) aneurysmectomy C) endarterectomy D) thrombectomy
C) endarterectomy
129
Heparin is utilized during vascular surgery A) to coagulate blood B) to correct acidosis C) to contrict arteries D) to prevent thrombosis
D) to prevent thrombosis
130
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
C) Fogarty
131
The relaxation phase of the cardiac cycle is A) systole B) infarction C) diastole D) intraoperative vasospasm
C) diastole
132
The agent used to flush an artery to prevent clotting is: A) Protamine sulfate B) thrombin C) heparin D) ringer’s lactate
C) heparin
133
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
C) cardiac catherterization
134
Fatty deposits on the walls of arteries are called: A) Lipodeposits B) arterial induction C) Atherosclerosis D) Vasodilation
C) Atherosclerosis
135
The cardiac phase when the ventricles contract is A) systole B) diastole C) fibrillation D) relaxation
A) systole
136
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
C) myocardial pacing electrode
137
Which instrument is a rib contractor? A) Finochietto B) Bailey C) Doyen D) Matson
B) Bailey
138
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
B) bleb
139
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
B) hemorrhage control
140
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) thorascope
141
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
D) all of the above
142
Cervical rib resection is performed to relieve: A) Thoracic Outlet Syndrome B) Thoracic Inlet Syndrome C) Adult Respiratory Distress Syndrome D) pneumothorax
A) Thoracic Outlet Syndrome
143
A precipitous drop in the patients blood or fluid volume is A) hypovolemia B) hypervolemia C) hypertension D) ischemia
A) hypovolemia
144
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
C) Thoracentesis
145
The antagonist to heparin sodium is A) epinephrine B) mannitol C) sodium bicarbonate D) protamine sulfate
D) protamine sulfate
146
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) radial artery and cephalic vein
147
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
B) three and two
148
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) Pulmonary valve, pulmonary artery
149
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
B) Bicuspid Valve, mitral valve
150
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
C) Collin’s
151
A Javid shunt is used during a: A) AV fistula B) carotid endarterectomy C) fem-fem bypass D) abdominal aortic aneurysm
B) carotid endarterectomy
152
AAAs commonly occur A) above the renal arteries B) below the renal arteries C) above the iliac arteries D) below the iliac arteries
B) below the renal arteries
153
The self-retaining retractor used when performing a fem-pop bypass is A) Debakey B) Finichetto C) Weitlaner D) Gelpi
C) Weitlaner