Minor Surgery ll

Question 1

What is electrosurgery

dont use around ______

Answer 1

sterile electrode w + current destroys tissue and coagulates BV
ETOH, flammable materials, metal implants, jewelry

Question 2

Electrocautery

Answer 2

indirect electrical current, no blood loss

Question 3

Hyfrecation

Answer 3

direct, high freq current flows through tissue to generate heat. quick effective w minimal blood loss and great precision

Question 4

Tissue biopsy: Excisional

type of blade, angle, shape, and parallel to _______

Answer 4

3-1 elliptical w 30 degree angle corners using # 15 blade - parallel to Langer’s Lines

Question 5

Scalpes # 11

Answer 5

pucture abscess, incisions, stabbign

Question 6

15

Answer 6

blunt dissection, excision, trimming

Question 7

10

Answer 7

like 15 for thick skin

Question 8

3

Answer 8

disposable, sterile, attached to reusable handle

Question 9

Types of forceps: tooth vs toothless

Answer 9

toothless crushes skin, foreign body removal

Question 10

Scissors: iris vs metzenbaum

Answer 10

irisi - fine dissection, dont cut sutures

metz - blunt dissection

Question 11

needle holder vs hemostat

Answer 11

hemostat - holding clamping

Question 12

Remove sutures after how long for:
face/neck
arm/hands
trunk/legs/feet/scalp

Answer 12

3-5 d
7-10 d
7-14

Question 13

Conventional cutting

Answer 13

cosemtic procedures

Question 14

Reverse Cutting

Answer 14

MC for what we do

Question 15

Tapered

Answer 15

peirces and spreads wo cutting- bowel, muscle, fascia

Question 16

blunt

Answer 16

dissect friable tissue instead of cutting - LR, KD, SP, cervix

Question 17

keep wounds/dressing dry for how long?

redress every ____

Answer 17

24-48 hrs and limit movement

2-3 d

Question 18

remove sutures w ___ scissors or #___ blade with knots pulled _____

Answer 18

iris, 11, across

Question 19

Hematoma may lead to complicationss______

lasts how long?

Answer 19

infx, dehiscence

24-72 hrs

Question 20

Lidocain/xylocaine
max child
max adult

Answer 20

10 cc of 1% soln contains 100 mg
max child: 3.3-4.5 mg/kg, not to exceed 75-110 mg total
max adult: 4.5 mg/kd, not to exceed 30 ccs of 1% (300mg)

Question 21

Bupivicaine/marcaine

max adult

Answer 21

max adult: 4 mg/kg of 0.25%, not to exceed 200 mg

Question 22

Histofreeze
shelf life
inhalation causes

Answer 22

3 yr

CNS depression, chronic exposure hepatotoxic

Question 23

NO
Shelf life
prolonged exposure

Answer 23

store indefinitely

prologed exposure: infertility, abortion

Question 24

MC tissue destruction method

Answer 24

Liquid Nitrogen

Question 25

LIquid Nitrogen - how to
what happens
never use when
may cause
CI

Answer 25

2-3 min freezing zone around lesion for 10-30 sec

• blister forms within few hrs, scab 1 wk, healing 2-3 wks
• never use straight from dewar bottle (HPV)
• depigmentatio
• CI malign, raynauds, sensitive skin

Question 26

Hyfrecation

bipolar vs unipolar

Answer 26

requires pad to complete circuit

no second electrode needed

Question 27

2% glutaraldehyde takes how long to disinfect and to sterilize.
has low or high tissue toxicity

Answer 27

10 min, 10 hrs

low

Question 28

sterilize boiling how long?

Answer 28

30 min

Question 29

Dry heat sterilization

Answer 29

160c/320 f for 1 hr

Question 30

Autoclave sterilization

Answer 30

15 psi @ 121 C for 15 min