MP&S Midterm Flashcards

1
Q
  1. in which phase is epithelialization present?
A

Inflammatory

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2
Q
  1. what occurs if inflammatory phase is prolonged?
A

Hypertrophic scar or keloid

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3
Q
  1. In which phase are there high levels of collagen, and scar is visible and occurs 2-3wks after wounding?
A

Remodeling phase

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4
Q
  1. What is not a phase of wound healing?
A

Fibroblastic phase

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5
Q
  1. What is the best method for getting optimal healing and cosmoses?
A

Primary healing

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6
Q
  1. What is the golden period for everything but face?
A

<12h

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7
Q
  1. If there’s superficial loss of epithelium and the dermis is intact?
A

Abrasion

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8
Q
  1. what has the greatest tensile strength?
A

2-0

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9
Q
  1. what defines an infected wound?
A

> 100K of one organism

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10
Q
  1. what has the least tissue reactivity?
A

Staples

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11
Q
  1. when do you avoid epinephrine w lidocaine?
A

Finger

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12
Q
  1. what is an exception to closing a wound?
A

human bite, garm injury, crush injury

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13
Q
  1. what is the most extensive injury?
A

Crush injury

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14
Q
  1. what risk factor is unable to be controlled?
A

Age

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15
Q
  1. peak tissue reactivity?
A

2-7d

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16
Q
  1. which suture material is least likely to harbor bacteria?
A

Monofilament

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17
Q
  1. what is the ability to return to former shape when working?
A

Memory

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18
Q
  1. what needle do you use to suture muscle, fat, fascia?
A

Tapered

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19
Q
  1. What is true about remodeling phase?
A

Can take up to 2y

20
Q
  1. What suture technique would you use for a deep?
A

Buried

21
Q
  1. What suture technique would you use for an OR drain to evert skin and spread tension?
A

Horizontal mattress

22
Q
  1. What suture technique is for far far near near?
A

Vertical mattress

23
Q
  1. What suture technique comes out if one breaks
A

Running

24
Q
  1. How long should the tail be?
A

5-10mm

25
Q
  1. How do you best space sutures?
A

Half

26
Q
  1. What is the position most likely to be held by an anesthesiologist?
A

Day supervisor

27
Q
  1. Who is never scrubbed?
A

Circulator

28
Q
  1. Who counts things and keeps track?
A

Circulation

29
Q
  1. Who has the highest rank?
A

Attending

30
Q
  1. Who has the most experience and training?
A

Fellow

31
Q
  1. What is disclosure?
A

Tell pt natural course of disease

32
Q
  1. What is beneficence?
A

Provider must act in best interest of patient

33
Q
  1. If the sister is the healthcare proxy and the wife shows up and the pt is unconscious in non-emergent?
A

sister

34
Q
  1. If the jehovahs witness doesn’t blood what do you do?
A

Document refusal

35
Q
  1. 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
  1. What is true?
A

16yo dropout works part time still needs parental consent

37
Q
  1. Who regulates consent
A

State

38
Q
  1. B&S what helps DM ulcers w no evidence?
A

Hyperbaric oxygen chamber

39
Q
  1. Ulcer on medial malleolus w brown?
A

Venous stasis ulcer

40
Q
  1. B&S what is true about elderly wounds?
A

Ischemia is more likely

41
Q
  1. D book: what is more tetanus prone and needs prophylaxis?
A

Burn/frostbite

42
Q
  1. Which throw has double loop?
A

1st Throw

43
Q
  1. What suture material do you use for scalp?
A

Staples

44
Q
  1. What do you do w a laceration that is too swollen?
A

Undermine edges and approximate to suture acutely

45
Q
  1. What is the term used to remove necrotic tissue?
A

Debridement