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Today's Medical Assistant > CH # 25: Minor Office Surgery > Flashcards

CH # 25: Minor Office Surgery Flashcards

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USMLE® Step 1 flashcards
1
Q

A wound in which the outer layers of the skin r scrapped or rubbed off resulting in oozing of blood from ruptured capilliaries

A

Abrasion

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2
Q

A collection of pus in a cavity surrounded by inflamed tissue

A

Abscess

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3
Q

Suture material that is gradually digested and absorbed by the body

A

Absorbable suture

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4
Q

The process of bringing 2 parts 2gether through the use of sutures or other means

A

Approximation

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5
Q

A strip of woven material used 2 wrap or cover a part of the body

A

Bandage

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6
Q

The surgical removal and examination of tissue form the living body

Typically performed 2 determine weather a tumor is benign or malignant

A

Biopsy

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7
Q

The action that causes liquid 2 rise along a wick, a tube or a gauze dressing

A

Capillary action

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8
Q

A lighted instrument w/a binocular magnifying lens used 2 examine the vagina and cervix

A

Colposcope

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9
Q

The visual examination of the vagina and cervix using a colposcope

A

Colposcopy

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10
Q

(In medicine) to cause a sterile object or surface 2 become unsterile

A

Contaminate

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11
Q

2 names 4 an injury 2 the tissues under the skin that causes blood vessels 2 rupture, allowing blood 2 seep in2 the tissues

A

Contusion

Bruise

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12
Q

The therapeutic use of freezing temperatures 2 destroy abnormal tissue

A

Cryosurgery

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13
Q

A discharge produced by the bodies tissues that escapes during the inflammatory process

It’s deposited in or on the wound

3 types: (+1 combination of pus and blood called purosanguineous)

  • serous
  • sanguineous
  • purulent
A

Exudate

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14
Q

An immature cell from which connective tissue can develop

A

Fibroblast

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15
Q

A 2 pronged instrument 4 grasping and squeezing

A

Forceps

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16
Q

2 names 4 a localized staphylococcal infection that originates deep w/in a hair folicle

A

Furuncle

Boil

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17
Q

The arrest of bleeding by natural or artificial means

A

Hemostasis

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18
Q

A type of wound that is a clean cut caused by a cutting instrument

A

Incision

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19
Q

The condition in which the body, or part of it, is invaded by a pathogen

A

Infection

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20
Q

The process by which a substance passes in2 and is deposited w/in the substance of a cell, tissue or organ

A

Infiltration

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21
Q

A protective response of the body 2 trauma and the entrance of a foreign matter

Purpose is 2 destroy invading microorganisms and 2 remo0ve damaged tissue debris from the area so that proper healing can occur

4 signs include:

  • redness
  • swelling
  • pain
  • warmth
A

Inflammation

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22
Q

A type of wound where the tissues r torn apart leaving ragged and irregular edges

A

Laceration

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23
Q

2 tie off and close a structure

A

Ligate

24
Q

A drug that produces a loss of feeling and an inability 2 perceive pain in a specific part of the body

A

Local anesthetic

25
Q

A broad, flat metal plate placed on a stand and used 2 hold sterile instruments and supplies when it has been covered w/a towel

A

Mayo tray

26
Q

The removal of tissue from deep w/in the body by inserting a needle through the skin

A

Needle biopsy

27
Q

Suture material that is not absorbed by the body and either remains permentaly in the body tissue and becomes incapsulated by fibrous tissue or is removed

Gauge 5-0 to 6-0 is used 4 suturing incisions in delicate tissue;
Larger sutures in width r used 4 firmer tissue

A

Nonabsorbable suture

28
Q

After a surgical operation

A

Postoperative

29
Q

B4 a surgical operation

A

Preoperative

30
Q

A wound made by a sharp pointed object piercing the skin

A

Puncture

31
Q

A surgical knife used 2 divide tissue

A

Scalpel

32
Q

A cutting instrument

A

Scissors

33
Q

A thin closed sac or capsule that contains fatty secreations from a sebaceous gland

A

Sebaceous cyst

34
Q

The clear straw-colored part of the blood that remains after the solid elements have been separated out of it

A

Serum

35
Q

Free of all living microorganisms and bacterial spores

A

Sterile

36
Q

Practices that keep objects and areas sterile or free from microorganisms

Guidelines:

  • prevent sterile packages from becoming wet
  • 1” boarder around area is considered contaminated
  • always face sterile field or place a towel over the field
  • hold all sterile items above waist level so it remains in sight
  • place all items in the middle of the sterile field-not on edges
  • do not let liquids touch sterile field
  • do not talk, cough or sneeze over sterile field
  • do not reach over field or pass solid dressings
  • always acknowledge if u have contaminated the field
A

Surgical asepsis

37
Q

The branch of medicine that deals w/operative and manual procedures 4 correction of ∂eformites and defects, repair of injuries and diagnosis and treatment of certain diseases

A

Surgery

38
Q

2 names 4 practices that keeps objects or areas sterile or free from microorganisms

A

Surgical asepsis

Sterile technique

39
Q

A needle w/suturing material permentaly attached 2 its end

A

Swaged needle

40
Q

A break in continuity of an external or internal surface caused by physical means

A

Wound

41
Q

It refers 2 a surgical procedure that is restricted 2 the management of minor conditions and injuries that does not require the use of general anesthesia

Procedures include:

  • performed in ambulatory healthcare facility
  • performed in a short period of time <1 hour
  • requires a local or topical or no anesthetic
  • performed safety w/a minimal discomfort 2 the patient
  • doesn’t pose a risk 2 life, function of organs or a body part
A

Minor office surgery

42
Q

2 names 4 a surgical instrument that has teeth that r used 2 grasp tissue and prevent it from slipping

Identified by the # of aposing teeth on each jaw

A

Tissue forceps

Rat forceps

43
Q

Used 2 clamp off blood vessels and 2 establish hemostasis until vessel can be closed w/sutures

A surgical instrument that has:

  • serrated tips; prevents tissue from slipping
  • ratchets; keeps instrument locked in place
  • ring handles; gives secure grasp
  • box locks

2 types: Mosquito and Kelly

A

Hemostatic forceps

44
Q

A type of forcep w/small fine tips

Used 2 hold delicate tissue or 2 clamp off small blood vessels

A

Mosquito hemostatic forceps

45
Q

Used 2 hold tissues aside 2 improve the exposure of the operative area

A

Retractors

46
Q

A phase of wound healing

Signs include:
-begins as soon as the body is injured
-lasts 3-4 days
-blood clot forms and eventually becomes a scab
-blood supply 2 wound increases causing WBC’s and nutrients to
the site 2 assist in healing

A

Phase 1: Inflammatory phase

47
Q

A phase of wound healing

Signs include:

  • lasts 4-20 days
  • fibroblasts migrate 2 wound 2 synthesize collagen
  • wound becomes stronger
  • growth of new capillaries which increases blood supply
  • tissues become translucent red color
  • bleeds easily
A

Phase 2: Granulation Phase

48
Q

A phase of wound healing

Signs include:
-begins as soon as granulation tissue forms
-can last up to 2 years
-collagen continues 2 b synthesized
-hardens 2 white scar tissue that doesn’t have nerves or blood
supply

A

Phase 3: Maturation Phase

49
Q

A type of exudate that consists of clear serum

A

Serous exudate

50
Q

A type of exudate that is red in color and consists of RBC’s

Happens when capillaries r damaged

Light-red=new blood
Dark-red=old blood

Often seen in surgical incisions

A

Sanguineous exudate

51
Q

A type of exudate that contains pus

Pus contains:

  • leukocytes
  • dead liquified tissue debris
  • dead and living bacteria

Usually thick w/an unpleasant odor and white in color w/possibly tinges of pink, green or yellow

A

Purulent exudate

52
Q

A exudate combination of pus and blood

A

Purosanguineous

53
Q

Used as a sterile dressing

1 surface has agents that prevents it from sticking 2 the wound

A

Nonadherent pads

54
Q

Material used 2 approximate tissues w/surgical stitches

As number sizes increase; width decreases
Ex. #7 is smaller and finer than #5

Remove in: 3-5 days 4 the head and neck
7-14 days 4 the rest of the body

Do not remove if:

  • incision is infected
  • incision line isn’t approximated
  • redness
  • swelling
  • discharge is present
A

Sutures

55
Q

Covers a wide area of the skin around the operative area leaving only the operative site exposed

Provides a sterile area around the operative site and decreases contamination of the patient’s surgical wound

A

Fenestrated drape

Today's Medical Assistant (46 decks)

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