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NPLEX 2 > Minor Surgery > Flashcards

Minor Surgery Flashcards

1
Q

Which local anesthetic ia an amide prototype?

A

Lidocaine

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2
Q

Which local anesthetic is an ester prototype?

A

Procaine

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3
Q

Which local anesthetic should you NEVER deliver IV?

A

Bupivacaine - due to slow onset and long duration

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4
Q

Which size scalpel is used for I&D?

A

11

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5
Q

Which size scalpel is used most often for biopsy and excision?

A

15

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6
Q

Which size scalpel is used for areas of thick or tough skin?

A

10

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7
Q

What are the adverse effects of lidocaine systemically?

A

Drowsiness, heart block, arrhythmias

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8
Q

When you use forceps with and without teeth?

A

w/ - tissue handling

w/o - suture, foreign body, ok to crush

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9
Q

What is the formula for maximum dose of a local anesthetic?

A

(Pt wt x Max dose in mg/kg )/10

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10
Q

What is the max dose for lidocaine? w/ epinephrine?

A

3-4mg/kg

7mg/kg

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11
Q

Where is lidocaine metabolized?

A

Liver

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12
Q

Where is procaine metabolized? What is the metabolite?

A

Peripherally - plasma enzymes. PABA

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13
Q

10cc of a 1% solution of lidocaine contains how much lidocaine?

A

100mg

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14
Q

1cc of a 1% lidocaine solution contains how much lidocaine?

A

10mg

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15
Q

When would you avoid using epinephrine?

A

Distal procedures - ears, nose, fingers, toes, clit, penis

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16
Q

What is a sign of local anesthesia CARDIOVASCULAR TOXICITY?

A

Hypotension

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17
Q

What is the best treatment for a TOXIC reaction?

A

Oxygen

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18
Q

What suture type has the highest likelihood of tissue reaction?

A

Chromic gut

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19
Q

What would be indications for a non-absorbable deep suture?

A

Tendon repair

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20
Q

How are sutures sized?

A

As the number goes higher, suture becomes smaller (similar with IV catheters). Smallest suture 6-O

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21
Q

What type of suture is Nylon (absorbable/nonabsorbable, synthetic/natural)

A

Non Absorbable, synthetic

22
Q

What are the four cardinal signs of purulent tenosynovitis?

A

1) Slight finger flexion 2)Fusiform swelling of the finger
3) Pain on passive or active extension of the finger
4) Tenderness along the tendon sheath into the palm

23
Q

Contraindications to I&D include…

A

Recurrent abscesses

24
Q

Term: Destruction of all living microorganisms including bacterial spores

A

Sterilization

25
Q

What is Universal Precaution?

A

Blood and body fluids of all patients should be considered potentially infectious, washing hands and sterilization, OSHA enforces

26
Q

What type of suture provides less resistance as it passes through tissue and is least likely to harbor bacteria?

A

Monofilament - i.e. Nylon

27
Q

Which intention: wounds too contaminated to close initially but may be closed after 3-4 days post tx

A

Tertiary intention

28
Q

Term: disruption of blood vessels, extravasation of blood constituents, initiation of the coagulation cascade and formation of a fibrin clot

A

Hemostasis

29
Q

Which intention: approximated wound that is sutured immediately

A

Primary intention

30
Q

Which intention: unable to close wound, dehiscence, allowed to heal from the inside out

A

Secondary intention

31
Q

This stitch is great for everting skin edges and precise approximation of wound edges with little tension.

A

Vertical mattress

32
Q

The easy and most versatile stitch can cause “railroad track” scarring

A

Simple interrupted

33
Q

Urea paste dissolution and antifungal oral medications are appropriate treatments for what condition?

A

Onychomycosis

34
Q

What type of cyst can be treated by simple rupture by pressure, simple aspiration, or surgical excision?

A

Ganglion cyst - an aneurysm in the tendon sheath that tend to recur

35
Q

This stitch is used for triangular flaps.

A

Half-buried mattress

36
Q

This stitch is placed in the dermis and is not visible. It works best in wounds where there is minimal tension and a clean, linear wound.

A

Subcuticular running

37
Q

What nutrient/enzyme is known to promote wound healing?

A

Bromelain

38
Q

Most common organism to cause wound infections.

A

Staph aureus

39
Q

What type of suture is steel (absorbable/non absorbable, braided/monofilament)

A

Non absorbable, monofilament

40
Q

Poor hemostasis can cause what to form?

A

Hematoma

41
Q

This regional nerve block is useful for providing anesthesia to the tip fo the little finger.

A

Ulnar

42
Q

This regional nerve block is injected into the anatomical snuff box to provide anesthesia to the lateral aspect of the proximal thumb.

A

Radial

43
Q

For the trunk, legs, feet or scalp, use the following type (size) of suture and remove after how many days?

A

3-O, 7-14 days

44
Q

Is cryotherapy indicated for cervical warts?

A

Yes. NOT for melanoma, SCC, and BCC

45
Q

T/F: Electrocautery is indicated for actinic keratoses.

A

T

46
Q

Elliptical excisions should have a length to width ratio of _____ with corners at ___ degree angles.

A

3:1, 30

47
Q

Elliptical excisions should ideally be made with a # ____ blade, initially cutting ____ to the skin.

A

15, perpendicular

48
Q

Most dangerous skin tumor

A

Malignant melanoma

49
Q

Indicated treatment for infections that result in a collection of purulent material in a circumscribed and closed cavity.

A

I&D

50
Q

Term: benign tumor of encapsulated fat arising from the subcutaneous fascia.

A

Lipoma

NPLEX 2 (22 decks)

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