Office Surgical Procedures Flashcards
Determine which of the following is an important part of a preprocedural preparation for a patient undergoing skin biopsy.
Premedication with anxiolytics
Informed consent
Application of topical steroid
Tuberculin skin test
Informed consent
Identify the patient who should be referred to a specialist for a skin biopsy.
A 44-year-old male who needs a left upper extremity biopsy
A 64-year-old female with a recent coronary stent placement
A 38-year-old female with history of preeclampsia
A 72-year-old female with family history of myocardial infarction
A 64-year-old female with a recent coronary stent placement
Determine an advantage of the scissor excision technique.
No need for expert assistance
Faster healing
Does not need any surgical instrument
Appropriate for lesions that do not involve the dermis
Faster healing
Determine which of the following is a true statement regarding burn wounds.
The duration of exposure is the only determinant of the extent of burn injury.
The zone of stasis has the most damaged area within the burn.
The zone of coagulation has the least amount of injury within the burn.
The zone of hyperemia has increased blood flow.
The zone of hyperemia has increased blood flow.
Determine an appropriate time frame for leaving the sutures for a biopsy procedure done on the face.
10 days
14 days
5 days
2 days
5 days
Determine a factor that affects wound healing after a biopsy procedure.
Obesity
Use of corticosteroids
Presence of prosthetic devices
Remote history of smoking
Use of corticosteroids
Judge an advantage of a punch biopsy.
Should not be used in cosmetically sensitive areas
Creates significant scarring
Useful for lesions that extend to deeper tissues
No many complications expected
No many complications expected
Determine what could be a potential complication of skin biopsy that should be discussed with a patient.
Hyperhidrosis
Hypopigmentation
Wound infection
Formation of arteriovenous fistula
Wound infection
Identify the lesion that is appropriate for a punch biopsy.
A large superficial lesion that involves the upper back
A superficial lesion that involves the face
A superficial lesion with 8 mm in size
A deep lesion with 3 mm in size
A superficial lesion that involves the face
Identify the patient who has the highest risk of complications from a punch biopsy.
A 21-year-old with family history of melanoma
A 36-year-old male with recent hospitalization
64-year-old male with diabetes mellitus
A 48-year-old female with a history of smoking
64-year-old male with diabetes mellitus
Identify a patient who has the highest chance of complications after a partial thickness wound.
A 54-year-old female with diabetes mellitus
A 29-year-old male with a history of marijuana use
A 19-year-old with asthma-on inhaled steroids
A 58-year-old female with family history of diabetes
A 54-year-old female with diabetes mellitus
Determine what could be a potential complication of skin biopsy that should be discussed with a patient.
Formation of arteriovenous fistula
Hypopigmentation
Need for taking long-term systemic antibiotics
Wound dehiscence
Wound dehiscence
Determine a management strategy that can be used for a minor burn injury.
Burn wounds should not be covered with the dressing.
Burn wounds should not be washed.
Tetanus prophylaxis is indicated for contaminated wounds.
Antipyretics are the mainstay of treatment.
Tetanus prophylaxis is indicated for contaminated wounds.
Identify the patient who should be referred to a specialist for a skin biopsy.
A 49-year-old male with diabetes and peripheral vascular disease
An 81-year-old male who needs a biopsy for upper back lesion
A 38-year-old female with history of preeclampsia
A 44-year-old male who needs a left upper extremity biopsy
A 49-year-old male with diabetes and peripheral vascular disease
Determine which of the following is a characteristic of wound healing by secondary intention.
Preferred method of healing
Minimal scarring
No wound complication
Causes prolonged healing
Causes prolonged healing
