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Anesthesiology and Surgical Nursing > Homework 13 > Flashcards

Homework 13 Flashcards

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1
Q

The primary cause of an aural hematoma is…

A

self-trauma to the pinna by scratching or head shaking

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2
Q

Otitis Externa is the usual predisposition for an aural hematoma. What is the primary reason in dogs for Otitis Externa?

A

allergies

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3
Q

Otitis Externa is the usual predisposition for an aural hematoma. What is the primary reason in cats for Otitis Externa?

A

ear mites

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4
Q

Medical management of an aural hematoma…

A

is ideally suited for early onset or small hematomas
consists of aspirating the blood and infusing with a steroid
entails placing a drainage system

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5
Q

After incising and drainage of the aural hematoma why is plastic tubing placed on either side of the incision line and suture passed through it?

A

The plastic tubing allows for even pressure to be placed on either side of the incision site without the suture digging into the tissue.

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6
Q

What would be a result of an untreated aural hematoma?

A

fluid eventually will be resorbed

fibrosis would occur contraction of the pinna “cauliflower contracture”

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7
Q

Why is bandaging of the ear important in post-operative care of an aural hematoma patient?

A

It helps to decrease swelling, discharge and trauma

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8
Q

What is the preferred way to prevent recurrence of an aural hematoma?

A

diagnose and treat the underlying cause for the otitis externa

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9
Q

Which of the following may result in the need for a lateral ear canal resection?

A

Chronic otitis externa

Pinna hyperplasic

Congenital anomaly

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10
Q

Which of the following structures surround the area of surgery for a lateral ear canal resection and could be compromised?

A

facial nerve

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11
Q

Which of the following is / are TRUE when prepping for a lateral ear canal resection?

A

a four quadrant drapping system is employed

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12
Q

Povidone Iodine may be a choice for surgical prep of a lateral ear canal resection because…

A

diluted it is not ototoxic

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13
Q

Which instrument is best for incising the cartilage of the lateral ear canal?

A

Serrated straight mayo scissors

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14
Q

The transverse surgical closure of a resected lateral ear canal removal surgery is…

A

ventral to the horizontal ear canal opening

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15
Q

Which of the following suture material would be best to suture the skin to the cartilage of a lateral ear canal resection?

A

Polypropylene

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16
Q

Which of the following is / are a cause for failure of the lateral ear canal resection surgery to be “curative”?

A

herpes virus infection

17
Q

Common outcome to untreated entropion is / are…

A

Corneal ulceration

Corneal hyperpigmentation

Visual defects

18
Q

The patient undergoing an entropion repair is placed in…

A

lateral recumbency

19
Q

Povidone Iodine may be a choice for surgical prep of an entropion surgery because…

A

diluted it is not traumatic to the eye

20
Q

Entropion surgery requires…

A

removal of a section of skin to reverse inward rolling of the eyelid

most patient to be 6 to 12 months of age for adult facial maturity

an ophthalmic surgical pack

21
Q

The surgical technique for ventral entropion correction is…

A

Holtz-Celsus technique

22
Q

Initial incision for a ventral entropion repair is performed with a scalpel blade. Removal of the skin is dissecting with…

A

tenotomy scissors

23
Q

Post-surgical site care for entropion surgery includes…

A

ophthalmic antibiotics

24
Q

Which of the following is / are TRUE in regards to a prolapsed gland of the nictitans?

A

The nictitating membrane aids in the removal of dirt and particles from the eye

the gland of the nictitans secretes about 30% of tears produced

removal of the gland of the nictitans can result in KCS (keratoconjunctivitis siccs) “dry eye”.

25
Q

Which of the following patients is / are predisposed to prolapse gland of the nictitans?

A

6 month old French Bulldog

26
Q

Which of the following is part of a non-surgical treatment for prolapse of the gland of the nictitans?

A

use of Von Graefe tissue forceps

27
Q

Which of the following is currently the treatment of choice for the surgical treatment of a prolapsed gland of the nictitans?

A

Morgan Pocket Technique

28
Q

Which of the following would be a reason to remove the gland of the nictitans?

A

tumor of the gland

29
Q

With the orbital tacking technique which of the following suture materials would be most appropriate to use as an “anchor”?

A

Nylon

30
Q

With the Morgan Pocket Technique, how do tears continue to leave the pocket?

A

The ends of the pocket are left open

31
Q

What is the primary cause for a prolapse of the gland of the nictitans?

A

Idiopathic

32
Q

Anal Sacculectomy is NOT indicated for…

A

acute anal sac infection

33
Q

Which of the following would be more predisposed to anal sacculitis?

A

Yorkshire Terrier dog

34
Q

Which of the following is / are treatment options for anal sacculitis?

A

infusion with an antibiotic ointment

infusion of a steroid ointment

warm compresses of the perianal area

35
Q

What is the surgical positioning of the patient for an anal sacculectomy?

A

sternal recumbency with the rear legs directed ventrally to drape over the edge of the surgery table.

36
Q

Which of the following is / are TRUE for preparation of anal sacculectomy surgery?

A

A purse-string suture is placed to close the anal orifice

The patient’s tail is secured dorsally

3 target patterns are used to scrub the surgical area

37
Q

A concern with anal sac surgery is…

A

fecal incontinence

38
Q

Which described anal sacculectomy technique has the least disruption to the external anal sphincter?

A

closed technique with a foley catheter

39
Q

Which of the following skin closures would offer the least post-surgical irritation?

A

subcuticular pattern with 3-0 absorbable monofilament

Anesthesiology and Surgical Nursing (23 decks)

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