Lange Chapter 22 Plastic & Reconstruction Surgery

A dressing that is held in place by long suture ends crisscrossed and tied is called a:

stent

All of the following statements regarding the preparation for a skin graft are true EXCEPT:

the dermatome is placed on the recipient table

When using a sterile syringe, the scrub nurse should:

never touch the plunger except at the end

Colorless prep solution may be indicated for:

plastic surgery

A graft containing epidermis and only a portion of the dermis is called a:

split-thickness graft

A progressive disease of the palmar fascia is termed:

Dupuytren's contracture

Microtia refers to:

absence of the external ear

Good contact between a skin graft and the recipient site is facilitated by use of a/an:

stent dressing

Syndactyly refers to:

webbing of the digits

A face lift is termed a:

rhytidectomy

The intraoperative use of bone allografts requires all of the following responses from the scrub team EXCEPT:

completely thaw

Bulky dressings added to the intermediate layer of a three-layer dressing are used to:

(A) eliminate dead space (C) immobilize a body part

Both A and C

All of the following rules cover handling of prosthetic devices during plastic surgery procedures EXCEPT:

prosthesis must be dried completely before implanting it

Free jejunal tissue transfers are frequently successful as adjunct surgical revisions following:

(A) laryngectomy (B) esophagectomy

Both A and B

What bandage affects the process of exsanguination of limb prior to the use of a tourniquet?

Esmarch

Which muscle is utilized to effect a TRAM flap in breast reconstruction?

Transrectus abdominis

The most widely used method of scar revision next to scar removal is:

Z-plasty

A scar that is hypertrophic and bulbous and usually does not reduce over time is:

keloid

Burned tissue that is nonelastic and may constrict underlying structures is:

eschar

A graft derived from pig tissue.

Porcine

The skin provides which of the following vital functions:

(A) protects underlying tissues and organs (B) excretes organic waste and stores nutrients (C) excretes water and dissipates heat as a means of thermoregulation

All of the above

The most common type of skin cancer is:

basal cell

A graft transferred from one individual another is:

allograft

A graft made up of tissue taken from one species and grafted to another species is:

xenograft

Removal of nonviable tissue from a nonhealing or traumatic wound is known as:

debridement

A mentoplasty involves augmentation of:

chin

Macromastia in males is referred to as:

gynecomastia

A panniculectomy is also known as:

abdominoplasty

In order to reduce friction between the skin and the blade of the dermatome, the site is prepped with:

mineral oil

What are natural lines in the skin that are used as landmark for plastic surgeons to provide optimum cosmetic results?

Langer's

Place in the correct order from most superficial to deepest layer: (1) subcutaneous, (2) muscle, (3) fascia, (4) skin

4, 1, 3, 2

The large scar with a raised, nodular, and reddish appearance is termed:

keloid

When using the rule of nines burn assessment chart, what percentage is given to both legs together front and back:

18%

What burn is characterized by a white pearly skin appearance and includes all of the epidermis, dermis and subcutaneous tissue?

Third

What burn is characterized by destruction of skin, muscles, tendons, vessels, and bone?

Fourth

What is the manual instrument used to harvest thin slices of skin from donor area for use in skin grafting?

Padgett

Which dermatome is commonly used to retrieve skin for a graft that contains an oscillating blade?

Brown

Which of the following is a hand held knife dermatome?

(A) Ferris-Smith (B) Watson (C) Weck

All of the above

A pedicle flap is:

a full-thickness skin graft that remains attached to an area where it continues to receive blood supply

The most aggressive skin cancer that can spread to other organs is:

melanoma

Sites of pressure ulcers include:

(A) sacrum (B) ischium (C) heel

All of the above

The blood supply that maintains the TRAM flap is:

superior epigastric artery and vein

What muscle is used for the TRAM flap?

Rectus abdominis muscle

What procedure is performed to increase the size of the breasts?

Augmentation mammoplasty

The procedure performed to reduce the size of extremely large breasts is termed:

reduction mammoplasty

When performing the procedure for reimplantation of a finger, the order of repair is: (1) nerve repair, (2) bone to bone fixation, (3) debridement, (4) artery and vein repair, (5) skin, (6) tendon.

3, 2, 6, 1, 4, 5

A congenital deformity of the pinna is termed:

microtia

What procedure is performed to reduce the wrinkle lines across the forehead and raise the sagging eyebrows and the bridge of the nose?

(A) brow lift (B) forehead lift (C) endoscopic brow lift

All of the above

The blepharoplasty is performed to remove fat deposits and excess skin from the evelids, Incisions used include:

(A) subciliary (B) transconjunctival

Both A and B

Dermatochalasis is the diagnosis for what procedure?

blepharoplasty

Tattoo removal is performed with which laser?

Q-switched laser

Which of the following pertain to liposuction?

(A) tumescent solution is used (B) can be performed on the abdomen, buttocks, hips and thighs (C) compression dressings are applied

All of the above

The term used for large breasts is:

macromastia

Malar implants are inserted into:

cheeks

A rhinoplasty is:

nose job

The burn classification that is characterized by a dry, pearly white, or charred-appearing surface is:

third

Occupational Safety and Health Administration (OSHA) is a governmental regulating agency whose aim is to:

execute requirements designed to prevent transmission of blood-borne pathogens in the work environment

Inflammation is characterized by pain, redness, heat, swelling, and loss of function. The redness can be attributed to:

vasodilation bringing more blood area

Removal of contaminated debris from a wound is called:

debridement

If tissue is approximated too tightly it can cause:

ischemia

Tensile strength of a wound refers to:

ability of tissue to resist rupture

The substance that unites with thrombin to form fibrin, the basic structural material of blood clots is:

fibrinogen

A cicatrix is:

a scar

Keloids are:

a raised, thickened scar

A wound that is infected or one in which there is excessive loss of tissue heals by:

secondary intention

The type of wound healing that requires debridement is:

third

To promote healing, a surgical wound must have all of the following requisites EXCEPT:

loose sutures

Wound healing that employs a technique allowing the wound to heal from the INSIDE OUT is called:

second intention

A band of scar tissue that binds together two anatomical surfaces that are normally separate from each other is called:

adhesion

What is the classification of a wound that is indicated by a delayed closure?

Third intention

Complications of wound closure when the organs protrude through the edges of the wound is:

evisceration

Arrange the three phases of wound healing in the correct order: (1) proliferation, (2) inflammatory, (3) remodeling.

2, 1, 3

Tissue breakdown at the wound margin is:

dehiscence

Wound complications include:

(A) hematoma (B) seroma (C) evisceration

All of the above

A wound is described as _____ when there is collection of pus around the incision.

suppurative