CH 22 LANG Plastics and Reconstructive surgery (81 terms)

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

A. passive dressing

B. strip closure

C. Proxi-Strip

D. stent

D. stent

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

A. the dermatome is placed on the recipient

B. the donor site is prepared with a colorless antiseptic agent

C. separate setups are necessary for skin preparation of recipient and donor sites

D. items used in preparation of the recipient site must not be permitted to contaminate the donor site

A. the dermatome is placed on the recipient

3. How many layers does the epidermis contain?

A. Two

B. Three

C. Four

D. Five

D. Five

Colorless prep solution may be indicated for:

A. orthopedic surgery

B. vascular surgery

C. plastic surgery

D. urological surgery

C. plastic surgery

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

A. split-thickness graft

B. full-thickness Wolfe graft

C. composite graft

D. full-thickness pinch graft

A. split-thickness graft

A progressive disease of the palmar fascia is termed:

A. Dupuytren's contracture

B. tendinitis

C. carpal tunnel syndrome

D. synovitis

A. Dupuytren's contracture

Microtia refers to:

A. protrusion of the external ear

B. underdeveloped external ear

C. total absence of the external ear

D. large external ear

B. underdeveloped external ear

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

A. stent dressing

B. Elastoplast

C. splint-Ace bandage dressing

D. biological dressing

A. stent dressing

Syndactyly refers to:

A. an extra digit

B. an absent digit

C. webbing of the digits

D. an ear protrusion

C. webbing of the digits

A facelift is termed a:

A. blepharoplasty

B. mentoplasty

C. rhytidectomy

D. lipectomy

C. rhytidectomy

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

A. culture before implant

B. wash with an antibiotic solution

C. completely thaw

D. both A and B

C. completely thaw

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

A. eliminate dead space

B. concentrate pressure in one area

C. immobilize a body part

D. both A and C

D. both A and C

eliminate dead space

immobilize a body part

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

A. powder must be wiped from gloves before handling

B. prosthesis must be dried completely before implanting it

C. gloves must be used to prevent skin oils from causing inflammatory response

D. prosthesis must be placed on lint-free surface to sterilize

B. prosthesis must be dried completely before implanting it

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

A. laryngectomy

B. esophagectomy

C. ileectomy

D. both A and B

D. both A and B

laryngectomy

esophagectomy

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

A. Kling

B. Elastoplast

C. Esmarch

D. Ace

C. Esmarch

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

A. Latissimus dorsi

B. Transverse rectus abdominis

C. Pectoralis major

D. Pectoralis minor

B. Transverse rectus abdominis

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

A. chemical peel

B. sanding

C. Z-plasty

D. planing

C. Z-plasty

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

A. papilloma

B. keloid

C. eschar

D. nevus

B. keloid

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

A. eschar

B. split-thickness skin graft

C. keloid

D. none of the above

A. eschar

Which graft is derived from pig tissue?

A. Feline

B. Bovine

C. Porcine

D. Allograft

C. 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

D. All of the above

D. All of the above

The most common type of skin cancer is:

A. basal cell

B. melanoma

C. squamous cell

D. nevi

A. basal cell

A graft transferred from one individual to another is a/an:

A. hemograft

B. porcine

C. autograft

D. allograft

D. allograft

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

A. homograft

B. autograft

C. xenograft

D. allograft

C. xenograft

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

A. debridement

B. undermining

C. grafting

D. Mohs surgery

A. debridement

A mentoplasty involves augmentation of:

A. chin

B. lips

C. ears

D. nose

A. chin

Macromastia in males is referred to as:

A. accessory

B. gynecomastia

C. small breasts

D. none of the above

B. gynecomastia

A panniculectomy is:

A. a surgical procedure performed to remove excess skin and fat from the lower abdomen

B. also known as an abdominoplasty

C. a surgical procedure performed to remove excess skin and fat and to tighten the muscles in the abdominal wall

D. also known as a tummy tuck

A. a surgical procedure performed to remove excess skin and fat from the lower abdomen

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

A. methylene blue

B. Betadine

C. Chloraprep

D. mineral oil

D. mineral oil

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

A. Keloids

B. Langer's

C. Lund

D. Browder

B. Langer's

Place the following layers in the correct order from most superficial to deepest layer:

(1) subcutaneous, (2) muscle, (3) fascia, and

(4) skin.

A. 4, 1, 3, 2

B. 1, 2, 3, 4

C. 3, 1, 2, 4

D. 2,3, 1, 4

A. 4, 1, 3, 2

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

A. cicatrix

B. keloid

C. hypertrophic

D. eschar

B. keloid

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

(A) 9%

(B) 18%

(C) 27%

(D) 36%

(D) 36%

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

A. First degree

B. Second degree

C. Third degree

D. Fourth degree

C. Third degree

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

A. First degree

B. Second degree

C. Third degree

D. Fourth degree

D. Fourth degree

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

A. Brown

B. Padgett

C. Weck

D. Watson

B. Padgett

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

A. Ferris-Smith

B. Brown

C. Reese

D. Padgett

B. Brown

Which of the following is a handheld knife dermatome?

A. Ferris-Smith

B. Watson

C. Weck

D. All of the above

D. All of the above

A pedicle flap is:

A. a graft that includes the epidermis and part of the dermis

B. a full-thickness graft that does not remain attached for the blood supply

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

D. a graft that only removes the epidermis

C. 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:

A. basal cell

B. melanoma

C. squamous cell

D. nevus

B. melanoma

Sites of pressure ulcers include:

A. sacrum

B. ischium

C. heel

D. all of the above

D. all of the above

The blood supply that maintains the TRAM flap is:

A) sacrum

B) ischium

C) heel

D) all of the above

D) all of the above

A DIEP (deep inferior epigastric perforator artery) flap procedure involves all EXCEPT:

A) it is a flap of skin, fat, and blood vessels (inferior epigastric perforator's) removed from the lower abdomen

B) it is a procedure performed for breast reconstruction following a mastectomy

C) it involved the latissimus Dorsi muscle

D) a microscopy is used for the intricate vessel repair to reestablish blood flow

C) it involves the latissimus Dorsi muscle

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

A) augmentation mammoplasty

B) mastopexy

C) transverse rectus abdominus myocutaneous flap

D) both A and B

A) augmentation mammoplasty

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

A) mastopexy

B) simple mastectomy

C) reduction mammoplasty

D) modified radical mastectomy

C) 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

A) 3,2,1,4,5,6

B) 3,2,6,1,4,5

C) 2,3,1,4,6,5

D) 6,5,4,3,2,1

B) 3,2,6,1,4,5

A congenital deformity of the pinna termed:

A) otitis media

B) mentoplasty

C) Microtia

D) cheiloplasty

C) Microtia

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

A) brow lift

B) forehead lift

C) endoscopic brow lift

D) all of the above

D) all of the above

A blepharoplasty is performed to remove fat deposits and excess skin from the eyelids. Incisions used include:

A) subciliary

B) transconjuctival

C) both A and B

D) limbus

C) both A and B

Dermatochalasis is the diagnosis for what procedure?

A) rhytidectomt

B) Microtia repair

C) blepharoplasty

D) mastopexy

C) blepharoplasty

Tattoo removal is performed with which laser?

A) candela dye laser

B) q-switched laser

C) YAG

D) both A and B

B) q-switched laser

Which of the following pertains to liposuction?

A) tumescent solution is used

B) it can be perfomed on the abdomen, buttocks, hips, and thighs

C) compression dressings are applied

D) all of the above

D) all of the above

The term used for large breasts is:

A) gynecomastia

B) macromastia

C) ptosis

D) Microtia

B) macromastia

Malar implants are inserted into:

A) chin

B) cheeks

C) eyelids

D) forehead

B) cheeks

A rhinoplasty is;

A) nose job

B) facelift

C) cheek implants

D) brow lift

A) nose job

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

A) first degree

B) second degree

C) third degree

D) fourth degree

C) third degree

The OSHA is a a governmental regulating agency whose aim is to:

A) provide guidelines to prevent transmission of blood-Bourne infections

B) execute requirements designed to prevent transmission of blood-Bourne-pathogens in the work environment

C) require that communicable diseases be reported to a public health agency

D) train employees how to recognize and execute safe practices.

B) execute requirements designed to prevent transmission of blood-Bourne-pathogens in the work environment

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

A) serum brought into the area

B) constriction of capillaries

C) vasodilation bringing more blood to the area

D) heat from metabolic reaction.

C) vasodilation bringing more blood to the area

The congenital deformity of radial dysplasia:

A) is also called club hand

B) occurs when the radial bone is not formed properly or not present at all

C) occurs when the hand and the wrist bend inward toward the thumb side of the hand

D) all of the above

D) all of the above

If tissue is approximated too tightly, it can cause:

A) ischemia

B) excessive scar tissue

C) keloids

D) adhesions

A) ischemia

Tensil strength of a wound refers to:

A) the suture strength

B) the ability of tissue to resist rupture

C) wound contraction

D) tissue approximation

B) the ability of tissue to resist rupture

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

A) fibrinogen

B) prothrombin

C) fibrin

D) thrombin

A) fibrinogen

A cicatrix is:

A) an Andes's

B) a scar

C) pus

D) a wound

B) a scar

Why is a mesh device used on a skin graft?

A) it attaches skin to the donor site

B) it expands the size of the skin graft by making small cuts in the graft

C) it prevents scaring

D) it makes the skin graft thicker

B) it expands the size of the skin graft by making small cuts in the graft

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

A) primary intention

B) secondary intention

C) third intention

D) fourth intention

B) secondary intention

The type of wound healing that requires debridement is:

A) primary intention

B) secondary intention

C) third intention

D) fourth intention

C) third intention

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

A) suture closure of dead space

B) drains to remove fluid or air

C) a moderately tight dressing

D) loose sutures

D) loose sutures

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

A) interrupted intention

B) first intention

C) second intention

D) third intention

C) second intention

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

A) keloid

B) adhesion

C) cicatrix

D) dehiscence

B) adhesion

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

A) primary intention

B) secondary intention

C) third intention

D) fourth intention

C) third intention

A complication of wound closure when the organs Protrude through the edges of the wound is called:

A) adhesions

B) dehiscence

C) evisceration

D) hemorrhage

C) evisceration

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

A) 1,2,3

B) 3,2,1

C) 2,3,1

D) 2,1,3

D) 2,1,3

Wound complications include:

A) hematoma

B) seroma

C) evisceration

D) all of the above

D) all of the above

A wound is described as ___________ when there is a collection of pus around the incision

A) hematoma

B) suppurative

C) granulation

D) dehiscence

B) suppurative

Tissue breakdown at the wound margin is:

A) adhesion

B) hematoma

C) debridement

D) dehiscence

D) dehiscence

Which of the following statements regarding routine prepping for skin graft procedures is correct?

A) donor site is prepped first and considered clean

B) donor site is prepped last and considered contaminated

C) recipient site is prepped first and considered contaminated

D) recipient site is prepped last and considered clean

A) donor site is prepped first and considered clean

What wound be used to confirm adequate blood supply to the pedicle flap during the TRAM flap procedure?

A) nerve stimulator

B) Doppler

C) pulse oximeter

D) stethoscope

B) Doppler

Which type of skin graft/flap wound preserve skin sensation?

A) porcine graft

B) full thickness

C) pedicle

D) STSG

C) pedicle

All glands are found in the body EXCEPT:

A) apocrine

B) ceruminous

C) papilloma

D) sebaceous

C) papilloma

For which procedure wound the surgeon require a sterile tattoo machine?

A) cleft lip repair

B) endoscopic brown lost

C) nipple reconstruction

D) reduction mammoplasty

C) nipple reconstruction

The nature outline of the upper lip is known as the cupids bow because of the obvious curve of the border of the upper lip. What surgical procedure would use this as a guideline?

A) Cleft lip

B) ptosis

C) chin procedures

D) meatoplasty

A) cleft lip