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
25. How do you best space sutures?
Half
26
26. What is the position most likely to be held by an anesthesiologist?
Day supervisor
27
27. Who is never scrubbed?
Circulator
28
28. Who counts things and keeps track?
Circulation
29
29. Who has the highest rank?
Attending
30
30. Who has the most experience and training?
Fellow
31
31. What is disclosure?
Tell pt natural course of disease
32
32. What is beneficence?
Provider must act in best interest of patient
33
33. If the sister is the healthcare proxy and the wife shows up and the pt is unconscious in non-emergent?
sister
34
34. If the jehovahs witness doesn’t blood what do you do?
Document refusal
35
35. What do you have to disclose for a full knee replacement?
All of the above (risks, complications, lifestyle changes, name of surgeon)
36
36. What is true?
16yo dropout works part time still needs parental consent
37
37. Who regulates consent
State
38
38. B&S what helps DM ulcers w no evidence?
Hyperbaric oxygen chamber
39
39. Ulcer on medial malleolus w brown?
Venous stasis ulcer
40
40. B&S what is true about elderly wounds?
Ischemia is more likely
41
41. D book: what is more tetanus prone and needs prophylaxis?
Burn/frostbite
42
42. Which throw has double loop?
1st Throw
43
43. What suture material do you use for scalp?
Staples
44
44. What do you do w a laceration that is too swollen?
Undermine edges and approximate to suture acutely
45
45. What is the term used to remove necrotic tissue?
Debridement
