Plastics

Question 1

what layers of skin are involved in a split thickness skin graft?

Answer 1

100% epidermis and part of dermis

Question 2

what layers of skin are involved in a full thickness skin graft?

Answer 2

100% epidermis, 100% dermis +/- fat

Question 3

which has a higher risk of graft failure - full thickness or split thickness skin graft?

Answer 3

Full thickness

Question 4

which is better for use over a larger area - split thickness or full thickness skin graft?

Answer 4

Split thickness

Question 5

True or false - for free flaps they can take regardless of the underlying tissue bed

Answer 5

True

Question 6

which type of burn typically appears mottled and red?

Answer 6

Deep partial thickness

Question 7

which type of burn typically appears dry leathery and hard?

Answer 7

Full thickness

Question 8

what rate of fluids are given for a flame burn in an adult?

Answer 8

2ml x hartmann x kg x TBSA

Question 9

what rate of fluids are given for an electric burn in an adult?

Answer 9

4ml x hartmann x kg x TBSA

Question 10

what urine output is aimed or in a child with burns?

Answer 10

1ml/kg/hr

Question 11

which is more painful - Superficial partial thickness or deep partial thickness burns?

Answer 11

Superficial partial thickness burn

Question 12

what type of burn characteristically has a blotchy red appearance?

Answer 12

Deep partial thickness

Question 13

in what burns is Eschar found?

Answer 13

Full Thickness (coagulated dead skin with a leathery appearance)

Question 14

can deep partial thickness burns blister?

Answer 14

Yes

Question 15

can actinic keratosis be treated with liquid nitrogen?

Answer 15

yes

Question 16

how do donor sites of split thickness skin graft heal?

Answer 16

Epithelialisation

Question 17

Primary wound healing occurs within how many hours of closure

Answer 17

12-24 hours

Question 18

Granulation, wound contraction + epithelialisation are a part of what type of healing?

Answer 18

Secondary intention

Question 19

which of actinic keratoses or seborrhoeic keratoses can develop into SCC?

Answer 19

Actinic keratoses

Question 20

infection by which organism is common in burns pateitns?

Answer 20

pseudomonas aergoginosa

Question 21

what is the most common type of melanoma?

Answer 21

superficial spreading

Question 22

what excision margin should be used for an SCC >20mm?

Answer 22

6mm

Question 23

what excision margin should be used for an SCC <20mm?

Answer 23

4mm