Minor Surgery

Question 1

most commonly transmitted infection

Answer 1

Hep B

Question 2

How to disinfect and sterilize with Glutarladehyde

Answer 2

2% glutarladehyde for 10 min to disinfect and for 10 hours to sterilize

Question 3

sterilize with water, dry heat, and autoclave

Answer 3

boil >30 min
dry heat: 160c/320F for 1 hour
autoclave 15psi @ 121c for 15 min

Question 4

lacerations, don’t suture wounds older than

Answer 4

8-12 hours, 24 if on face

Question 5

How to disinfect skin (open and intact)

Answer 5

intact: 10% betadine 3 tims
0.4% cholrhedidine gluconate
open wound: irrigate with 0.9% normal saline

Question 6

hemostasis forms a ____ clot

Answer 6

fibrin

Question 7

inflammation timing

Answer 7

day 1-4

Question 8

Neutrophils appear ___ and last ___

Answer 8

5-6 hours for 3-4 days to destroy bacteria

Question 9

macrophages

Answer 9

transition from inflammation to repair and phagocytize

Question 10

__ cells appear within ___ to repair wound

Answer 10

Basal cells migrage within 24-48 hours

Question 11

what comes to proliferate scar tissue

Answer 11

keratinocytes 1-2 days after injury

Question 12

gruanulation

Answer 12

3-21 days

Question 13

remodeling

Answer 13

3wk-6-18 months

30-50% strength by 3-4 weeks and 80-90% by one year

Question 14

which is normal: contraction or contracture

Answer 14

contraction is normal

contracture is abnormal fomration of tight scar due to too much contraction

Question 15

tertiary healing intention

Answer 15

grossly contaminated wounds can be left open for 3-5 days

ex: dog bite

Question 16

simple interrupted sutures may cause

Answer 16

railroading

Question 17

vertical mattress is better for

Answer 17

cosmetics because can evert edges

Question 18

where do you use horizontal mattress

Answer 18

palms and soles, high tension wounds and fragile tissue

Question 19

What suture would you use for rapid, non cosmetic, less secure, higher risk of infection, if you are in a hurry.

Answer 19

continuous running sutures

Question 20

subcuticular/intradermal running

Answer 20

not visible, eliminates tracts

Question 21

what suture for triangular flaps without strangulation

Answer 21

3 point/half burried

Question 22

when do you use absorbable sutures vs non absorbable

Answer 22

absorbable: deep tissue layers
non: used for superficial tissures

Question 23

types of natural absorbable

Answer 23

plain or chromic catgut

chromic lasts longer and has less rxn

Question 24

types of synthetic absorbable

Answer 24

polyglactic/vicryl 2-3 week
polygycolic/Dexon 2-3 week
Polydioxanon/PDS 4-6 week

all synthetic have least reaction

Question 25

types of non-absorbable sutures

Answer 25

natural: silk, stainless steel (least reactive), polyester synthetic: nylon, polyproylene

Question 26

what size for face, arms, trunk, legs, feet

Answer 26

face: 5-0 to 6-0 3-5 days amrs 4-0 to 5-0 7-10 days trunk legs feet scalp 3-0 to 4-0 7-14 days

Question 27

how many mg is 10cc 1% lidocaine

Answer 27

100mg

Question 28

max dose lidocaine for adult and child

Answer 28

adult 4.5mg/kg not over 30cc | child: 3.3-4.5 mg/kg no over 75-110mg total (7.5-11cc)

Question 29

epi dose with lidocaine

Answer 29

1:200,000 max of < 0.2mg

Question 30

antidote to too much lidocaine

Answer 30

Mg and B6

Question 31

never use EPI with

Answer 31

MAOIs, thyrotoxicosis, severe CVD, TCAs

Question 32

how to do an excisional biopsy

Answer 32

3:1 elliptical w 30 degree angles and #15 blade | parallel to langers lines

Question 33

scalpal sizes

Answer 33

11: puncture, abscess, incision, stabbing 15: blunt dissection, excision, trimming 10: like #15 but for thicker skin (back) 3: disposable, sterile with reusable handle

Question 34

what type of forceps do you use when suturing

Answer 34

toothed Adson | toothless is for foreign body removal

Question 35

iris scissors

Answer 35

fine dissection

Question 36

metzenbaum scissors

Answer 36

blunt dissection

Question 37

amides

Answer 37

lidocaine mepivicaine bupivicaine

Question 38

esters

Answer 38

procaine tetracaine benzocaine

Question 39

tumor marker for melanoma

Answer 39

S-100

Question 40

what can cellulitis lead to

Answer 40

necrotizing fascitis or erysipelas | Group A beta hemolytic strep