Exam 1 Flashcards
Starting at the top layer and working to the deepest describes what?
Layered debridement
What is the most important thing to remember for oral cavity surgery to prevent dehiscence?
Closing with no tension
What is the general rule of thumb for anesthetic procedure time and risk of infection?
Risk of infection doubles with every hour
You left a wound open for 2 days then decide to close it, what type of closure?
Delayed primary closure
Which is the most common with HBC?
a) Anatomic degloving
b) physiologic degloving
c) anatomic degloving w/crush injury
d) all w/same frequency
c) anatomic degloving w/crush injury
Dog had a penetrating wound and now when it urinates it dribbles urine out of a hole in its skin, what type of tract?
a) sinus
b) fistula
c) neither
c) fistula
Which is true about gunshot wounds?
a) caliber most important
b) All should be explored to determine damage
c) velocity most important
c) velocity most important
Which option is most likely to reduce the number of bacteria in wound w/o significant damage to the tissues?
a) 20cc syringe and needle
b) free flow
c) machine
a) 20 cc syringe and needle
Which type of debridement is NOT used for distal limbs?
a) layered
b) En bloc
c) autolytic
b) En bloc
Which is NOT an advantage of active drains over passive drains?
a) decreased risk of infection
b) decreased risk of maceration around drain opening
c) ability to quantify drainage
d) risk of part of the drain breaking off during removal is less
d) risk of part of the drain breaking off during removal is less
Which do you use if you want to speed up granulation tissue?
a) PSIS
b) Calcium alginate
b) Calcium alginate
What allows you to decrease dead space while advancing skin?
Walking sutures
What is NOT true regarding Z plasty?
a) smaller angle give more % gain but increased risk in tip necrosis
How long does Clorhexidin last?
8-12 hours
Which type of graft requires a bed of granulation tissue before placement?
Punch graft
What is the main indication for “tubing the flap”?
a) it is a second option instead of bridging incision
b) it improves blood supply
a) it is a second option instead of bridging incision
Dog with prosthetic hip coming in for GI obstruction surgery, you give him antibiotics 30 mins prior to procedure, what kind of antibiotic administration is this?
a) prophylactic antibiotics
b) preventative
a) prophylactic antibiotics
Wet to dry is indicated for which situation?
infected traumatic wound with debris
What would stimulate granulation tissue the fastest?
a) VAC
b) honey or sugar
c) drill holes into bone
a) VAC
What is an axial pattern flap?
Transpositional flap
What is most likely to reduce number of bacteria in a wound with moderate pressure?
20 cc syringe and 18 G needle
What kind of drain is a Penrose drain?
Passive drain
What is an example of a wound where you would not use honey?
Wound with a nice granulation bed, contracture and epithelialization
If a pic is showing a curved radius, which physis has prematurely closed?
Distal ulna
How would you repair a curved radius?
a) ulnar osteotomy and disruption of interosseous ligament
b) ulnar osteotomy and correction of radius followed by a plate
a) ulnar osteotomy and disruption of interosseous ligament
What would you use to repair the acromion of a scapula?
tension band
T/F: A GSD has a pelvic fracture and comes in 2 years later, if corrected now with a pelvic osteotomy the prognosis will be good.
False - Prognosis only goof if corrected in less than 6 months
What fixation method would you use for a comminuted irreducible femoral fracture?
Interlocking nail
What is the primary bone tumor of the cat?
OSA
What is a way to repair a Salter Harris Type II fracture in a young dog?
Cross pins
What is the best type of bone graft?
Cancellous autograph
Which causes the most blood supply compromise?
a) locking plate in neutralization
b) lag screw
c) skewer pin
a) locking plate in neutralization
What would NOT be used on a long oblique fracture?
tension band
What do you NOT want to use on the ilium?
DCP
What do you NOT want to use for a long oblique femoral fracture?
Skewer pin
10 kg dog, 15 months old with transverse fracture of radius and ulna after jumping off couch. How would you repair it?
a) IM pin in radius
b) cross pins
c) external coaptation
d) interlocking nail
c) external coaptation
T/F: plate mandible on compression side.
true
What is the most common type of bone graft?
Cancellous autograft
What are 2 options for treatment of a 15 month old Pomeranian with a simple distal transverse fracture of the radius and ulna?
- Type II ESF
- Type IA ESF
What muscle attaches to the glenoid and causes dislodging of the fragment?
Biceps brachii
35 kg dog with Salter Harris Type I fracture of the head of the femur, how do you repair?
Diverging pin
What is an orthopedic joint injury that causes non-weight bearing lameness?
Traumatic elbow luxation
What does hyperextension test for?
pain response
What is the most important factor in managing hip dysplasia?
Weight reduction
