MP&S Midterm Flashcards
1
Q
- in which phase is epithelialization present?
A
Inflammatory
2
Q
- what occurs if inflammatory phase is prolonged?
A
Hypertrophic scar or keloid
3
Q
- In which phase are there high levels of collagen, and scar is visible and occurs 2-3wks after wounding?
A
Remodeling phase
4
Q
- What is not a phase of wound healing?
A
Fibroblastic phase
5
Q
- What is the best method for getting optimal healing and cosmoses?
A
Primary healing
6
Q
- What is the golden period for everything but face?
A
<12h
7
Q
- If there’s superficial loss of epithelium and the dermis is intact?
A
Abrasion
8
Q
- what has the greatest tensile strength?
A
2-0
9
Q
- what defines an infected wound?
A
> 100K of one organism
10
Q
- what has the least tissue reactivity?
A
Staples
11
Q
- when do you avoid epinephrine w lidocaine?
A
Finger
12
Q
- what is an exception to closing a wound?
A
human bite, garm injury, crush injury
13
Q
- what is the most extensive injury?
A
Crush injury
14
Q
- what risk factor is unable to be controlled?
A
Age
15
Q
- peak tissue reactivity?
A
2-7d
16
Q
- which suture material is least likely to harbor bacteria?
A
Monofilament
17
Q
- what is the ability to return to former shape when working?
A
Memory
18
Q
- what needle do you use to suture muscle, fat, fascia?
A
Tapered
19
Q
- What is true about remodeling phase?
A
Can take up to 2y
20
Q
- What suture technique would you use for a deep?
A
Buried
21
Q
- What suture technique would you use for an OR drain to evert skin and spread tension?
A
Horizontal mattress
22
Q
- What suture technique is for far far near near?
A
Vertical mattress
23
Q
- What suture technique comes out if one breaks
A
Running
24
Q
- How long should the tail be?
A
5-10mm
25
Q
- How do you best space sutures?
A
Half
26
Q
- What is the position most likely to be held by an anesthesiologist?
A
Day supervisor
27
Q
- Who is never scrubbed?
A
Circulator
28
Q
- Who counts things and keeps track?
A
Circulation
29
Q
- Who has the highest rank?
A
Attending
30
Q
- Who has the most experience and training?
A
Fellow
31
Q
- What is disclosure?
A
Tell pt natural course of disease
32
Q
- What is beneficence?
A
Provider must act in best interest of patient
33
Q
- If the sister is the healthcare proxy and the wife shows up and the pt is unconscious in non-emergent?
A
sister
34
Q
- If the jehovahs witness doesn’t blood what do you do?
A
Document refusal
35
Q
- What do you have to disclose for a full knee replacement?
A
All of the above (risks, complications, lifestyle changes, name of surgeon)
36
Q
- What is true?
A
16yo dropout works part time still needs parental consent
37
Q
- Who regulates consent
A
State
38
Q
- B&S what helps DM ulcers w no evidence?
A
Hyperbaric oxygen chamber
39
Q
- Ulcer on medial malleolus w brown?
A
Venous stasis ulcer
40
Q
- B&S what is true about elderly wounds?
A
Ischemia is more likely
41
Q
- D book: what is more tetanus prone and needs prophylaxis?
A
Burn/frostbite
42
Q
- Which throw has double loop?
A
1st Throw
43
Q
- What suture material do you use for scalp?
A
Staples
44
Q
- What do you do w a laceration that is too swollen?
A
Undermine edges and approximate to suture acutely
45
Q
- What is the term used to remove necrotic tissue?
A
Debridement
