Chapter 19 Plastics Exam Flashcards
What is the medical term for the congenital deformity commonly called “club hand”?
A) carpal tunnel syndrome
B) Dupuytren’s contracture
C) polydactyly
D) radial dysplasia
D) radial dysplasia
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.
Which of the following are oil-producing glands?
A) apocrine
B) ceruminous
C) merocrine
D) sebaceous
D) sebaceous
In which degree of skin burn does the tissue appear as pearly white or charred and will likely require debridement of eschar?
A) first
B) second
C) third
D) fourth
C) third
The rule of nines is used in burn patients to estimate:
A) body surface area burned
B) depth of tissue destruction
C) length of estimated healing time
D) protocols for burn dressing changes
A) body surface area burned
Submalar augmentation is performed to address structural deficiency in the:
A) breasts
B) cheeks
C) eyes
D) nares
B) cheeks
A full-thickness skin graft may be taken from the inner thigh or labial fold to re-create which anatomic area?
A) areola
B) Cupid’s bow
C) mammary crease
D) umbilicus
A) areola
Any of the following may be used topically for hemostasis of the STSG donor site EXCEPT:
A) epinephrine
B) mineral oil
C) phenylephrine
D) thrombin
B) mineral oil
How would a transverse rectus abdominis musculocutaneous flap be classified?
A) free-flap graft
B) pedicle-flap graft
C) full-thickness skin graft
D) split-thickness skin graft
B) pedicle-flap graft
What is the name of the oil that is secreted from glands in the skin?
A) sebum
B) septum
C) sputum
D) stratum
A) sebum
The dermis and epidermis are components of which body system?
A) cardiovascular
B) integumentary
C) musculoskeletal
D) respiratory
B) integumentary
Which of the following might be used for stabilization in a Dupuytren’s contracture release if an assistant is unavailable?
A) Derma-carrier
B) K-wires
C) lead hand
D) Senn retractors
C) lead hand
Which of the following bones make up the palm of the hand?
A) carpals
B) metacarpals
C) phalanges
D) radii
B) metacarpals
For which procedure would the surgical technologist possibly need a second setup for obtaining a costal cartilage graft?
A) cleft lip repair
B) otoplasty for microtia
C) TRAM flap reconstruction
D) fasciectomy for Dupuytren’s contracture
B) otoplasty for microtia
What suturing technique would the surgeon use to attach tendons in a toe-to-thumb transfer procedure?
A) horizontal mattress
B) figure of eight
C) purse-string
D) vertical mattress
B) figure of eight
Before closure in augmentation mammoplasty, what is done to verify correct size?
A) Permanent implants are placed, and the nipple-to-nipple distance is measured for symmetry.
B) Permanent implants are placed and filled with measured amount of saline to determine volume.
C) Temporary sizers are placed and filled with measured amounts of saline to determine volume.
D) Temporary sizers are placed and filled with saline, and the table is raised to sitting position to evaluate appearance.
D) Temporary sizers are placed and filled with saline, and the table is raised to sitting position to evaluate appearance.
Which type of scissors would most likely be used to trim a full-thickness skin graft (FTSG) to size?
A) bandage
B) Jorgenson
C) reverse Potts
D) tenotomy
D) tenotomy
Which procedure is performed for dermachalasis?
A) abdominoplasty
B) blepharoplasty
C) mentoplasty
D) otoplasty
B) blepharoplasty
Which cranial nerve must NOT be compromised by retractor placement during rhytidectomy?
A) fifth (V)
B) sixth (VI)
C) seventh (VII)
D) eighth (VIII)
C) seventh (VII)
What does a mesh graft device do?
A) It attaches a skin graft to the donor site.
B) It expands the size of the skin graft.
C) It slices a split thickness of donor skin.
D) It smoothes the skin graft to prevent bunching up.
B) It expands the size of the skin graft.
Relaxation and hypertrophy of the eyelid skin is also known as:
A) arthrodesis
B) cheiloschisis
C) dermachalasis
D) micrognathia
C) dermachalasis
Which type of incision is MOST frequently used to excise excess skin in a blepharoplasty procedure?
A) elliptical
B) oblique
C) paramedian
D) Z-shaped
A) elliptical
Why would two separate setups be required for an immediate reconstruction following mastectomy?
A) to prevent confusion because multiple surgeons will work simultaneously
B) to prevent potential for retained foreign objects in the wounds
C) to prevent overcrowding of the back table with multiple trays
D) to prevent seeding of cancer cells if same instruments are used for both
D) to prevent seeding of cancer cells if same instruments are used for both
Which sterile device will be used during TRAM flap reconstruction to verify the blood supply of the graft remains intact?
A) Doppler probe
B) manometer
C) pulse oximeter
D) stethoscope
A) Doppler probe
Which anatomical area is a TRAM flap used to reconstruct?
A) breast
B) hand
C) lip
D) palate
A) breast
Which glands are found only in the external genitalia and axillae?
A) apocrine
B) ceruminous
C) merocrine
D) sebaceous
A) apocrine