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CST Plastics > Plastics & Reconstruction > Flashcards

Plastics & Reconstruction Flashcards

1
Q

What does the term augmentation mean?

A

The process of making or becoming greater in size and amount.

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2
Q

In what procedure would a dermatome be used?

A

Split-thickness skin graft

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3
Q

What are the two types of dermatomes?

A

Oscillating-blade/hand held knife

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4
Q

What is the next step in preparation after the blade has been inserted into the dermatome?

A

Place 1 of 4 guard plates on and secure with screws.

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5
Q

What is the purpose of the guard plates on a dermatome?

A

It will determine the width of the skin graft.

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6
Q

The sizes of guard plates vary from _______ to _______.

A

1-4 inches

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7
Q

What instrument can expand the size of a skin graft?

A

Mesh graft device

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8
Q

What disposable supply is needed with a mesh graft device?

A

Derma-carrier

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9
Q

What are the categories that skin grafts fall into?

A

Split-thickness & Full thickness

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10
Q

What sources can skin grafts be procured from? Use medical terms

A

Autograft, allograft, heterograft( xenograft)

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11
Q

An auto graft is procured from

A

the patient’s own self.

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12
Q

An allograft is harvested from

A

another person or a cadaver.

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13
Q

A heterograft is procured from

A

another species like a pig or cow. Bovine/Porcine.

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14
Q

A split-thickness skin graft (STSG) is composed of the

A

epidermis and half of the dermis.

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15
Q

A full-thickness skin graft (FTSG) is composed of

A

epidermis and ALL of the dermis.

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16
Q

FTSG are primarily used to cover

A

small defects (after excision of lesions like basal cell and squamous cell carcinoma).

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17
Q

A STSG is primarily used to cover

A

larger areas such as with burn victims.

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18
Q

When the pt. is scheduled for an autograft, there will be a __________ surgical site and __________ surgical site.

A

Donor / Recipient

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19
Q

When an autograft is performed, the circulating nurse should have _____ prep sets available.

A

Two

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20
Q

___________ is the largest organ of the body.

A

Skin

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21
Q

List responsibilities of the skin:

A

Protection from external sources, defense from infection/disease, fluid balance, regulate body temp, waste excretion-sweat, sensory input(temp, pain, touch, pressure), Vitamin D synthesis

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22
Q

A hair shaft is embedded in the _________ and extends through the __________.

A

Dermis/Epidermis

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23
Q

Sebaceous glands produce _________

A

sebum

24
Q

What is sebum?

A

oil

25
Q

What is a sudoriferous glad?

A

Sweat gland

26
Q

What is cerumen?

A

Ear wax

27
Q

What instrument is used to clear the external auditory canal of cerumen?

A

A buck curette

28
Q

A burn injury can come from _____,________,___________, ___________, ______.

A

heat, radiation, chemicals, gases, or electricity.

29
Q

A burn is classified according to ___________.

A

degrees

30
Q

First degree burns affect the dermis and are characterized the

A

redness of the skin.

31
Q

Second degree burns are characterized by

A

blisters.

32
Q

Third degree burns affect the full thickness of the skin and possibly underlying structures. They may appear ________ or _________.

A

charred or pearly white

33
Q

Third degree burns are known as

A

eschars.

34
Q

Fourth degree burns are known as

A

char.

35
Q

What is ABSI?

A

Abbreviated Burn Severity Index

36
Q

Name the two ways the severity of the patient’s condition can be assessed.

A

Lund-Browder method, Rule of nines

37
Q

What is used to help the dermatome move effortlessly across the donor site?

A

Sterile Mineral Oil

38
Q

What sterile item may be used for counter traction when using a dermatome?

A

Sterile Tongue Blade

39
Q

Which muscles encircle the eyes?

A

Orbicularis

40
Q

Which muscle opens the eye?

A

Levator

41
Q

What is a blepharoplasty?

A

surgical repair of the eyelid

42
Q

When performing a blepharoplasty, what prophylactic action keeps the eyes from drying out?

A

Instillation of ophthalmic ointment

43
Q

What type incision is made when performing a blepharoplasty?

A

Elliptical

44
Q

What instrument may be used to insure that both incisions are the same length on a bilateral blepharoplasty?

A

Caliper

45
Q

Which bones forms the prominences of the cheeks, and lateral walls and floors of the orbits?

A

zygomatic bones (malar)

46
Q

What is the primary muscle of mastication?

A

Masseter muscle

47
Q

What is mastication?

A

chewing

48
Q

If the patient is having a mentoplasty, what anatomical structure will the procedure be performed on?

A

The patient’s chin

49
Q

What structure is the external auditory meatus located in?

A

Ear

50
Q

Name two procedures an otoplasty can be performed for?

A

Microtia (small or absent ear) & prominent ears

51
Q

Pinnae that abnormally protrude from the sides of the head are known as

A

prominent ears

52
Q

What is the most common form of malignant skin lesion, that spread locally, but does not metastasize?

A

Basal cell carcinoma

53
Q

Tissue that is completely detached from the donor site and transplanted into the recipient site is called a

A

free flap.

54
Q

Augmentation mammoplasty does treat _____ breasts.

A

ptotic

55
Q

What is a Mohs procedure?

A

It is used to remove advanced, recurrent skin cancers with minimal removal of normal tissue

CST Plastics (8 decks)

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