Bologna CH146 Biopsy

Question 1

Methods of haemostasis

Answer 1

Compression
Styptics : aluminium chloride hexahydrate or ferric subsulfate (though this can result in tattoo)
Absorbable haemostasis sponge (Gelfoam, Instat, Oxycel)
Electrocoagulation and heat cautery
Sutures

Question 2

Indications for second intention - in combination with primary closure in which the deepest portion is closed primarily

Answer 2

True

Question 3

Infected, necrotic or easily infected sites are not an indication for secondary intention

Answer 3

False, they are

Question 4

Sites under significant tension because of physical exercise or size of the wound , are an indication for second intention

Answer 4

True

Question 5

If Preferred by patient — simple no suture , normal activities , second intention is indicated

Answer 5

True

Question 6

List disadvantages of second intention healing

Answer 6

Sometimes prolonged healing time

Scarring any be depressed and angulated, or circular

Question 7

Horizontal mattress stitch is inappropriate on thinner skin such as the neck or dorsum of the hand

Answer 7

False — can be used in thinner skin

Question 8

There are no cutaneous or mucosal sites where a biopsy is contraindicated

Answer 8

True

Question 9

Horizontal mattress stitch has two points of entry in the skin

Answer 9

False four points

Question 10

Running stitches will reliably rectify minor misalignments of wound edges

Answer 10

False - can accentuate this

Question 11

Excision of lentigo maligna may require >5mm margins

Answer 11

True

Question 12

To minimise standing cone formation, each side of fusiform shape is 2-3 x as long as it is wide

Answer 12

False 3-4 times

Question 13

Excessive cutaneous tissue in base of wound at spices (compared to centre of wound) contribute to dog ear formation

Answer 13

True

Question 14

Many standing cones are small and can be repaired via a closure employing the rule of halves

Answer 14

True

Question 15

A discus excision can be performed as definitive treatment not as a biopsy

Answer 15

False, both

Question 16

Disc excision is an option chosen with healing by second intention is preferred of when desirable to remove tumour first then repair dog ears during the closure

Answer 16

True