Chapter 21 - Plastic & Reconstructive Surgery

The epidermis and dermis are the primary layers of which body system?

integumentary

Which layer of the epidermis is exclusively found on the soles of the feet and the palms of the hands?

lucidum

which specific glands in the skin are responsible for producing oil?

sebaceous

Which glands are located solely within the ear canal to produce cerumen (ear wax)?

ceruminous

How many distinct degree classifications are used to categorize skin burns?

four

In which burn degree does the tissue appear charred or pearly white, often necessitating the surgical removal of eschar?

third

To provide coverage for third-degree burns in denuded areas, which type of skin graft is typically applied?

denuded areas of third-degree burns

For adult patients, the "rule of nines" is a tool used to calculate what?

body surface area burned

what is the clinical term for surgical removal eschar or necrotic tissue before applying a skin graft?

debridement

what is the primary function of a skin mesher device?

expands the size of the skin graft

which of the following is the CORRECT protocol for skin graft site preparation?

the donor site is prepped first and considered clean

Each of the following can be applied topically to manage bleeding at an STSG donor site EXCEPT:

mineral oil

what is the medical term for the hypertrophy and relaxation of the skin on the eyelids?

dermatochalasis

Cleft lip and cleft palate are surgically addressed through which two procedures?

cleft lip and palate

which anatomical term refers specifically to the palm side of the hand?

volar

which part of the body is reconstructed using a TRAM flap?

breast

A tumescent solution is most likely prepared by the surgical technologist for which procedure?

liposuction

what is the correct term for the congenital condition where digits of the foot or hand are webbed?

syndactyly

Submalar augmentation is performed to address structural deficiency in the :

cheeks

which surgery is specifically indicated for the treatment of dermatochalasis?

blepharoplasty

The helix, tragus, pinna, and crus are all anatomical components of what?

ear

To trim full-thickness skin graft (FTSG) to its required dimensions, which scissors are preferred?

tenotomy

scar revision procedures must be frequently utilize an incision shaped like which letter?

Z

3 multiple choice options

which of the following terms is more commonly referred to as a full-face lift?

rhytidectomy

In which surgery would a surgeon utilize sterile inks and a tattoo machine?

nipple reconstruction

Total movement of the fingers, hand, and wrist is governed by roughly how many muscles and tendons?

40

3 multiple choice options

which nerve is located within the carpal tunnel?

median

What is the correct surgical sequence for digit replantation?

bones, tendons, vessels, then nerves

What is the medical terminology for the condition popularly known as "club hand"?

radial dysplasia

Before closing the incision in an augmentation mammoplasty, how is the appropriate size confirmed?

temporary sizers placed, filled w/saline, table raised to sitting position

how is a transverse rectus abdominis musculocutaneous (TRAM) flap categorized?

pedicle-flap graft

why are two distinct surgical setups required for a mastectomy followed by immediate reconstruction?

Prevent the seeding of cancer cells if same instruments are used for both

during a TRAM flap procedure, which sterile instrument confirms the graft's blood supply is functional?

Doppler probe

To provide the best support for a breast implant, the pocket is often made beneath which muscle?

pectoralis major

which specialized retractor is commonly used to improve visibility during abdominoplasty and breast surgeries?

fiber-optic

in which type of tissue is the skin's sensation maintained?

pedicle flap

For squamous cell and basal cell carcinomas, Mohs surgery provides a cure rate of approximately:

95%-97%

how many incisions are standards for the endoscopic repair of sagittal craniosynostosis?

two

Repetitive wrist and hand movements or overuse are the primary causes of which syndrome?

overuse or repetitive hand and wrist motions

What is the central objective of a lower-body lift?

remove excess skin from lower back, buttocks, outer thighs, hips, and wrist