Vascular 19 & 20 TEST QUESTIONS Flashcards

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1
Q

Preoperative information important to surgeon planning to use saphenous vein, include all of the following except

A

How many valves

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2
Q

How often is the GSV a single dominant trunk through the thigh

A

60%

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3
Q

What makes up the saphenous compartment

A

saphenous fascia superficially, muscular fascia deeply

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4
Q

Tributaries of the greater saphenous create closed loops within the thigh can create

A

difficulties for surgeons to pass instruments through

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5
Q

Correct name for posterior arch vein

A

posterior accessory great saphenous vein

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6
Q

What is the most common source of any fistula formed when you use GSV for in situ bypass

A

perforators

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7
Q

What are the cranial extensions of the SSV and what all can it terminate into

A

popliteal v, popliteal fossa, femoral vein, inferior gluteal v and can communicate with the GSV

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8
Q

Intersaphenous vein connects

A

GSV & SSV

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9
Q

What veins join together to create the axillary vein

A

basilic and brachial

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10
Q

What all do you do to maximize the resolution in the near field

A

higher frequency, optimize transmit power and focal zones

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11
Q

What part of venous anatomy does the term “egyptian eye” refer to

A

the greater saphenous within the saphenous compartment

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12
Q

Which statement concerning venous thrombosis in the GSV is incorrect

A

pulsatile waveform

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13
Q

Proper preoperative vein mapping can result in all but which one

A

increase in operative room time

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14
Q

While performing venous mapping using a transverse view, the GSV appears eliptical, what is most likely the cause

A

too much pressure

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15
Q

T/F. Recanalization is to tie up or close something off

A

false, that is ligation

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16
Q

T/F. Veins that connect the superficial veins to the deep veins are known as tributaries

A

False, perforators

17
Q

T/F. The process of restoring flow is called ligation

A

False, recanalization

18
Q

T/F. Varacosities are dilated, tortuous superficial veins

A

true

19
Q

T/F/ In situ means within the body

A

true

20
Q

During an ultrasound examination, saphenous vein normal backflow before a valve closure usually lasts how long

A

<500ms

21
Q

During an ultrasound examination, femoral vein normal backflow before a valve closure usually lasts how long

A

<1000ms

22
Q

What is the tributary landmark for thermal ablation treatment

A

superficial epigastric vein

23
Q

The saphenofemoral junction is the confluence of which of the two vessels

A

greater saphenous comes into common femoral

24
Q

Which statement is not true about the anterior accessory SV

A

does not coast posterior

25
Q

What are true of venous valves

A

leaflets can be seen on b mode, leaflets point in the direction of normal venous drainage, open with muscular contraction and close with relaxation

26
Q

Treatment for superficial venous disease (4)

A

stripping/ligation, endovenous thermal ablation, chemical ablation/scierotherapy, phlebectomy (microincision)

27
Q

Which statement correctly describes spider veins

A

telangiectasias

28
Q

Incompetent venous valves allow what

A

abnormal retrograde flow

29
Q

Chronic venous valvular insufficiency is an incomplete term because

A

it fails to differentiate between valvular and obstructive disease

30
Q

Which of the following statements concerning reverse venous flow is correct

A

it can cause venous filling

31
Q

Which of the following statements is incorrect for normal venous spectral doppler

A

insufficiency with valsalva

32
Q

Pathologic findings of CVI include all of these

A

reflux/reverse venous flow, chronic venous obstruction, a pathological combination

33
Q

An abnormal venous flow pattern is which one

A

retrograde flow following compressions

34
Q

Which of the following visual signs is not a symptom of CVI

A

radiating pain in the posterior aspect of the thigh

35
Q

Which of the following diagnostic tests is the most useful for definitive diagnosis

A

ultrasound

36
Q

Color doppler is used to aid in venous ultrasound suspected CVI by showing what

A

respiratory phasicity, augmentations with maneuvers, flow direction, flow in small channels, retrograde flow

37
Q

Venous photoplethysmography uses

A

infrared light

38
Q

Fibrous strands within a lumen is most commonly associated with

A

chronic vein obstruction

39
Q

T/F. The valve diameter of reticular veins is around <3mm

A

true