WorksheetsThoracic and Vascular Surgery Exam
Total questions: 50
Worksheet time: 25mins
Is a buildup of cellular debris on the lining of the artery.
Embolism
Ischemia
Plaque
Aneurysm
All of the following are considered to be complications of thoracic surgery EXCEPT:
Eupnea
Atelectasis
Pneumothorax
Empyema
Which of the following surgical procedure involves the removal of an entire lung for extensive disease or malignant neoplasm through a posterolateral incision ?
Lobectomy
Pneumonectomy
Pulmonary decortication
Thoracoplasty
Kevin, the CST in room 5 is preparing to do a thoracotomy , he anticipates that patient will be place in ----------------- position and would need a ------------- to contract the rib
Supine / Finochietto
Supine / Bailey
Lateral / Finochietto
Lateral / Bailey
Which solution or drug is NOT to be used during a coronary artery bypass grafting ?
Water
Papaverin
Heparin
Saline
which of the following is the specimen in AAA procedure ?
Blood cloth
Vessel wall
Pleura
Aneurysm sac
The manubrium, body , and xiphoid process are of the:
Ribs
Sternum
Bronchial tree
Lungs
Which of the following is NOT considered a sterile procedure ?
Cardiac catheterization
Mediastinoscopy
Thoracoscopy
Bronchoscopy
If a DVT from deep vein of the legs enters the cardiopulmonary system, what life threatening condition will likely occur ?
cardiac tamponade
Myocardial infarction
Aortic dissection
Pulmonary embolus
Which choice indicates the correct sequence of events for clamping the vessels prior to arteriotomy ?
Apply distal clamp, heparinize patient, apply proximal clamp, incise vessel
Heparinize patient, apply distal clamp, apply proximal clamp, incise vessel
Heparinize patient, apply proximal clamp, apply distal clamp, incise vessel
Apply proximal clamp, heparinize patient, apply distal clamp, incise vessel
The primary purpose of a femoral- popliteal bypass is to---------
Remove an atheroma from the popliteal vein
Excise an aneurysm and reconstruct with a synthetic graft
Eliminate excess plaque from the femoral artery
Restore blood flow to the lower limb
The valve separating the right atrium and the right ventricle is the:
Tricuspid
Mitral
Pulmonary
Semi- lunar
Which of the following is a thoracic retractor ?
Davidson
Greenburg
Sauerbruch
Sarot
An arteriotomy are extended with:
11 blade
Potts Smiths scissors
Metzenbaum scissors
Stevens tenotomy scissors
The -------------------self retaining retractor provides the best exposure in thoracotomy
Balfour
Gelpi
Weitlaner
Finochietto
During vascular procedures, the CST in the scrub role should expect the surgeon to use ---------------- to prevent vasospasm
Heparin
Thrombin
Cross- clamping
Papaverine
During thoracotomy, the surgeon requested a clamp to grasp the lung tissue. The CST in the scrub role prepares to hand the surgeon:
Mosquito Forceps
Allis Forceps
Duval Forceps
Mixter Forceps
To ensure patency of the femoral artery during a bypass procedure, What should the CST in the scrub role have on the sterile field ?
Pulse oximeter
Capnography machine
Sphygmomanometer
Doppler
If the saphenous vein will not be used during a CABG , another vessel of choice is the :
Left axillary artery
Popliteal vein
Azygous vein
Internal mammary artery
Inflammation of the inner lining of the heart caused by bacteria is
Pericarditis
Endocarditis
Pleuritis
Infarction
Where is the endocardial lead of a permanent pacemaker is place
Right atrium
Left atrium
Subclavian vena
Aorta
Which of the following thoracic procedures would require the patient to be put on cardiopulmonary bypass ?
Pneumonectomy
Decortication of the lung
Upper lobectomy
Pulmonary thromboendarterectomy
Where is a Swan- Ganz catheter placed ?
Pulmonary artery
Ascending aorta
Coronary artery
Vena cava
Lung tissue has what type of consistency?
Elastic
Calcified
Slimy
Friable
Which of the following surgical procedure includes a prep from the Xiphoid process to the symphysis pubis
AAA
CABG
Pneumonectomy
Inferior vena cava filter
A newly diagnose patient in need of a vascular access long- term hemodialysis would undergo which procedure ?
Inferior vena cava filter
Embolectomy
Arteriovenous fistula
Endarterectomy
Kevin the CST in room 5,is in the middle of a peritoneal dialysis procedure , he knows that in any moment the surgeon will request a ---------- catheter
Fogarty
Swan- Ganz
Tenckhoff
Salem sump
Which portion of the heart is responsible for pumping blood into the ascending aorta ?
Left ventricle
Right atrium
Left atrium
Right ventricle
which of the following bypass graft would require preclotting ?
Knitted polyester
Saphenous vein
Human umbilical cord graft
Polytetrafluoroethylene
During a carotid endarterectomy the surgeon wants to used a shunt . Which instrument should the ST have ready for the surgeon ?
Javid
Greenfield
Potts- Smith scissors
Bulldog
A chest drain will be necessary for a lobectomy in room 1.
Where should the ST or circulator place the drainage system after the tubes have been connected ?
Above the patient head
Below the chest level
Bed level
On the patient chest
If a drain is dislodged in a close drainage system , what happens ?
Lung collapses
Lung perforates
Drain collapses
Lung inflates
Which valves divides the left atrium and left ventricle of the heart ?
Bicuspid valve
Tricuspid valve
Pulmonary semilunar valve
aortic semilunar valve
If two chest tube are placed , what is the purpose of the first ( upper ) chest tube inserted in the lower portion of the thoracic cavity ?
Evacuate air
Access for irrigating fluids
Provide hemostasis
Evacuate fluids
An abnormal communication between the aorta and pulmonary artery of an infant is termed.
Truncus arterosus
patent ductus arteriosus
Pulmonary stenosis
Hypoplastic left heart syndrome
Which suture is frequently used for anastomosis of the saphenous vein or the internal mammary artery in a CABG
2-0 or 3-0 poliglecaprone
6-0 or 7-0 polypropylene
2-0 or 3-0 polyester
6-0 or 7-0 polyglactin
The most common congenital cardiac anomaly in the cyanotic group is :
Tricuspid atresia
Tetralogy of Fallot
Patent ductus arteriosus
Truncus arteriosus
Which of the following surgical procedures would a chest tube and a under water- seal drainage system is expected to be used:
AAA
Cardiac pacemaker
Lung wedge resection
Vena Cava Umbrella Insertion
All of the following statements regarding the heart are true EXCEPTS:
The right atrium receives deoxygenated blood from the vena cava
The left atrium receives oxygenated blood from the pulmonary vein
The left ventricle pumps deoxygenated blood into the systematic circulation
The right ventricle pumps deoxygenated blood to the pulmonary artery
During a AAA repair the surgeon asks for a vascular clamp to occluded the aorta . The CST prepares to pass a :
Bulldog clamp
Duval clamp
Satinsky clamp
Allen clamp
While working in a peripheral vascular procedures, Kevin the CST is aware of the possibility of embolus formation .
Which of the following should be in the room in the event that this happens ?
Swan-Ganz
Fogarty
Levin
Groshong
Transient cerebral ischemia episodes are treated surgically by:
Arteriovenous fistula
Angioplasty
CABG
Carotid endarterectomy
Which of the following surgical instrument is use to remove a plaque during a carotid endarterectomy
Penfield dissector
Satinsky
Fogarty
11 blade
Is a deformity of the chest wall characterized by a funnel-shaped, asymmetrical depression due to a posterior displacement of the sternal body ?
Pectus excavatum
Pectus cavernosum
Pectus carinatum
Pectus concavum
In most vascular procedure, heparin is administer to the patient to prevent the formation blood clots. Once the procedure is complete, the surgeon might request that --------------- be administer to the patient to reverse the effects of the heparin
Naloxone ( Narcan )
Protamine sulfate
Vitamin K
Papaverine
If a patient is in end stage renal disease ,Which of the following surgical procedure would he undergo ?
By pass graft
Vena Cava Filter
Arteriovenous fistula
Angioplasty
Which of the following incision is used for CABG ?
Median sternotomy
Posterolateral thoracotomy
Anterolateral thoracotomy
Supraclavicular
Which of the following procedures allows the visualization inside the chest, middle and lower mediastinum, visceral and parietal pleura and pericardium ?
Thoracoscopy
Mediastinoscopy
Bronchoscopy
Thoracocentecis
Prior to closure of a lobectomy procedure the anesthesia provider performs a Valsalva maneuver to check for :
Bleeding from the dissection bed
Functionality of the diaphragm
Air leak from bronchial closure
Perfusion of the unaffected lobes
In the event that a VATS procedure had to be converted to an open procedure , which open case would be performed?
Tracheostomy
Thoracotomy
Pneumonectomy
CABG
