MSP

Question 1

how to sterilized instruments?

Answer 1

steam autoclaving
gas autoclaving
dry sterilization
cold sterilization
*the air space must be kept sterile as well

Question 2

how do you measure disinfecting power?

Answer 2

phenol coefficient

Question 3

MC antiseptics for wound lavage?

Answer 3

boric acid 2%
hydrogen peroxide 3%
sterile saline

Question 4

what gauge of needle for local anesthetic

Answer 4

#25
#26
#27

Question 5

mepivacaine is an anesthetic solution

Answer 5

aka carbocaine

Question 6

what is a type of tertiary union

Answer 6

dog bit

Question 7

what type of skin cancer is least common and most dangerous?

Answer 7

melanoma

Question 8

what is firm, rubbery lesions or shiny, fibrous nodules, and can vary from pink to the color of the person’s skin or red to dark brown in color.

Answer 8

keloid

Question 9

are common noncancerous cysts of the skin. Cysts are abnormalities in the body that may contain liquid or semiliquid material.

Answer 9

sebaceous cyst

Question 10

fluid filled cyst usually found at the wrist

Answer 10

ganglia

Question 11

is a skin infection around the fingernails or toenails. It usually affects the skin at the base (cuticle) or up the sides of the nail.

Answer 11

paronychia

Question 12

a form of peripheral vascular disease due to cold exposure, a form of hypothermia

Answer 12

frost bite

Question 13

act of tearing, torn, ragged, mangled wound

Answer 13

laceration

Question 14

not malignant, not recurrent, favorable for recovery

Answer 14

benign

Question 15

to cut off

Answer 15

excise

Question 16

to cut into

Answer 16

incise

Question 17

to probe deep with a blunt instrument

Answer 17

sound

Question 18

to clean away damaged or necrotic tissue

Answer 18

debride

Question 19

inhibits growth/development of microorganisms without necessarily destroying them

Answer 19

antiseptic

Question 20

primary affect is to bring about temporary loss of localized sensory nerve function

Answer 20

anesthetic

Question 21

2 things in our scope of practice:

Answer 21

antiseptic and anesthetic

Question 22

what is the #1 complication to minor surgery?

Answer 22

infection

Question 23

best way to sterilize equipment

Minutes? Temperature? Pressure?

Answer 23

steam autoclave

- 13 min at 120˚ C at a pressure of 750mmHG (14.5psi)

Question 24

phenol coefficient

Answer 24

strength or effectiveness of an antiseptic

Question 25

thymol

Answer 25

colorless, very soluble in alcohol, primary use for additive to mouth wash/astringent gargles e.g. management of hookworm/ringworm

Question 26

boric acid

Answer 26

mild, reduces swelling

Question 27

antiseptic for wound lavage

Answer 27

boric acid 2% hydrogen peroxide 3% sterile saline

Question 28

what percentage of local anesthesia can be used

Answer 28

any answer above 2% is INCORRECT if its injectable

Question 29

epinephrine

Answer 29

acts as vasoconstrictor holds anesthetic at site longer minimizes amount of bleeding

Question 30

disadvantages of epinephrine

Answer 30

con potentiate wound infection can't be used in distal end organs (poor collateral blood circulation) - fingers, nose, ears, penis, toes inc. risk of small bleeder going unnoticed - post op hemorrhage

Question 31

what is field block/parallel margin infiltration

Answer 31

most freq. type of conduction anesthesia | for when wound is dirty

Question 32

what is special about MEPIVACAINE

Answer 32

AKA carbocaine | does not come with Epinephrine (vasoconstrictive)

Question 33

what is the first effect at the site of inoculation?

Answer 33

pain is the first to go

Question 34

tertiary union

Answer 34

closed by suture 3-4 days after observation aka delayed closure too contaminated to close initially EG. animal bites

Question 35

waht is the MC complication of wound laceration repair

Answer 35

infection

Question 36

absorbable suture material

Answer 36

polyglycolic acid: suture of choice, deep closure, resist inf, half of tensile strength for 25 days

Question 37

5-0 and 6-0 used for

Answer 37

face | its braided silk

Question 38

75% of all head/neck malignancies begin in

Answer 38

oral cavity

Question 39

___% of MC cancers can be found early by simple/thorough physical exam

Answer 39

80

Question 40

MC vermillion border of upper lip, paranasal folds, ears, cheeks, axillary region

Answer 40

squamous cell carcinoma

Question 41

bfldgin from excess formation of collagen during healing stages

Answer 41

kloids

Question 42

affixed to overlying skin (not the base, like a lipoma) - moves freely

Answer 42

sebaceous cyst

Question 43

verrucae vulgaris

Answer 43

AKA warts | cutenous, best tx for hands/feet

Question 44

animals harbor what kind of bacteria?

Answer 44

gram neg. bacillus pasteurella multocida

Question 45

predisposing factors for frostbite

Answer 45

diabetics PVD arteriosclerosis

Question 46

pain around/near anal region

Answer 46

proctalgia

Question 47

may be end result of thromboses external hemorrhoids (or IBS)

Answer 47

external skin tags

Question 48

symptomatic, swollen submucosal vascular tissue located above dentate line

Answer 48

internal hemorrhoids

Question 49

classification of internal hemorrhoids

Answer 49

1st degree: no protrusion, but bulge into lumen 2nd: protrude at stool and reduce spontaneously 3rd: protrude at stool but manually reduced 4th: protrude at stool and cannot be reduced

Question 50

MC parasite for children

Answer 50

pinworms - enterobius vermicularis

Question 51

what technique is used for the 3rd degree internal hemorrhoid?

Answer 51

Keesay technique

Question 52

painful linear ulcer in anal canal

Answer 52

anal fissures

Question 53

MC seen STI of anorectum? | Caused by what virus?

Answer 53

condylomata acuminatoa, caused by papilloma virus | greatest frequency in homosexual males

Question 54

rolled, everted edges, central ulceration. 4x more common in males, ave age 63.

Answer 54

squamous cell carcinoma

Question 55

herniation (bulge) of the front wall of the rectum into the back wall of the vagina

Answer 55

rectocele

Question 56

what local anesthetic has no epi?

Answer 56

mepivacaine (carbocaine)

Question 57

what helps stop bleeding on the head

Answer 57

arterial pressure | temporal artery

Question 58

anal crypts

Answer 58

crypts of morgagni

Question 59

discrete masses of thick submucosa which contain BL, smooth mm, elastic and Connective tissue

Answer 59

hemorrhoids

Question 60

what type of hemorrhoid protrudes at the time of BM, must be manually reduced and may/may not bleed

Answer 60

3rd degree

Question 61

dilated venues of inferior hemorrhoidal venus plexus located below the anorectal line and covered by squamous/modified squamous epithelium

Answer 61

external hemorrhoids

Question 62

negative galvanic treatment/ Keesey treatment is

Answer 62

non-surgical tx for hemorroids

Question 63

MC virus in the perianal region

Answer 63

papilloma virus (causes condylomata acuminata disease)

Question 64

MC parasite in children

Answer 64

pinworms, enterobius cermicularis

Question 65

the midpoint of the anal canal there is an undulating demarcation referred to as

Answer 65

dentate line

Question 66

longitudinal folds

Answer 66

columns of morgagni

Question 67

anal skin tags are considered

Answer 67

previous external hemorrhoidal disease | end results of thromboses external hemorrhoids

Question 68

MC cancer of the anal canal

Answer 68

squamous cell carcinoma

Question 69

neoplasms of the anal canal

Answer 69

SCC ** MC BCC Bowen's disease Perianal Paget's disease

Question 70

utilization of a non-absorbable suture placed through the tract to encircle the sphincter muscle

Answer 70

Seton technique | for fistulas

Question 71

Condylomata lata is a symptom of what STI?

Answer 71

Syphillus