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122 > Plastics & Reconstruction Yellow Book > Flashcards

Plastics & Reconstruction Yellow Book Flashcards

1
Q

A dressing that is held in place by long suture ends crisscrossed and tied is called

A

stent

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2
Q

All of the following statements regarding the preparation for a skin graft are true EXCEPT

A

the dermatome is placed on the recipient table

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3
Q

How many layers does the epidermis contain

A

five

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4
Q

Colorless prep solution may be indicated for

A

plastic surgery

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5
Q

A graft containing epidermis and only a portion of the dermis is called a

A

split-thickness graft

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6
Q

A progressive disease of the palmar fascia is termed

A

Dupuytren’s contracture

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7
Q

Microtia refers to

A

underdeveloped external ear

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8
Q

Good contact between a skin graft and the recipient site is facilitated by use of a/an

A

stent dressing

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9
Q

Syndactyly refers to

A

webbing of the digits

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10
Q

A facelift is termed a

A

rhytidectomy

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11
Q

The intraoperative use of bone allografts requires all of the following responses from the scrub team EXCEPT

A

completely thaw

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12
Q

Bulky dressings added to the intermediate layer of a three-layer dressing are used to

A

eliminate dead space and immobilize a body part

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13
Q

All of the following rules cover handling of prosthetic devices during plastic surgery procedures EXCEPT

A

prosthesis must be dried completely before implanting it

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14
Q

Free jejunal tissue transfer are frequently successful as adjunct surgical revisions following

A

laryngectomy and esophagectomy

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15
Q

What bandage affects the process of exsanguination of a limb prior to the use of a tourniquet

A

esmarch

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16
Q

Which muscle is utilized to effect a TRAM flap in breast reconstruction

A

transverse rectus abdominis

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17
Q

The most widely used method of scar revision next to scar removal is

A

z-plasty

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18
Q

A scar that is hypertrophic and bulbous and usually does not reduce over time is a/an

A

split-thickness skin graft

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19
Q

Burned tissue that is nonelastic and may constrict underlying structures is

A

eschar

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20
Q

Which graft is derived from pig tissue

A

porcine

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21
Q

The skin provides which of the following vital functions

A

all of the above

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22
Q

The most common type of skin cancer is

A

basal cell

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23
Q

A graft transferred from one individual to another is a/an

A

allograft

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24
Q

A graft made up of tissue taken from one species and grafted to another species is

A

xenograft

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25
Q

Removal of nonviable tissue from a nonhealing or traumatic wound is known as

A

debridement

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26
Q

A mentoplasty involves augmentation of

A

chin

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27
Q

Macromastia in males is referred to as

A

gynecomastia

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28
Q

A panniculectomy is

A

a surgical procedure performed to remove excess skin and fat from the lower abdomen

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29
Q

In order to reduce friction between the skin and the blade of the dermatome, the site is prepped with

A

mineral oil

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30
Q

What are natural lines in the skin that are used as landmarks for plastic surgeons to provide optimum cosmetic results

A

Langer’s

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31
Q

Place the following layers in the correct order from most superficial to deepest layer
1. subcutaneous
2. muscle
3. fascia
4. skin

A

4,1,3,2

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32
Q

The large scar with a raised, nodular, and reddish appearance is termed

A

keloid

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33
Q

When using the rule of nines burn assessment chart, what percentage is given to both legs together front and back

A

36%

34
Q

What burn is characterized by a white pearly skin appearance and includes all of the epidermis, dermis, and subcutaneous tissue

A

third degree

35
Q

What burn is characterized by destruction of skin, muscles, tendons, vessels, and bone

A

fourth degree

36
Q

What is the manual instrument used to harvest thin slices of skin from a donor area for use in skin grafting

A

Padgett

37
Q

Which dermatome is commonly used to retrieve skin for a graft and contains an oscillating blade

A

Brown

38
Q

Which of the following is a handheld knife dermatome

A

all of the above

39
Q

A pedicle flap is

A

a full-thickness skin graft that remains attached to an area where it continues to receive blood supply

40
Q

The most aggressive skin cancer that can spread to other organs is

A

melanoma

41
Q

Sites of pressure ulcers include

A

all of the above

42
Q

The blood supply that maintains the TRAM flap is

A

superior epigastric artery and vein

43
Q

A DIEP (deep inferior epigastric perforator artery) flap procedure involves all EXCEPT

A

it involves the latissimus dorsi muscle

44
Q

What procedure is performed to increase the size of the breasts

A

augmentation mammoplasty

45
Q

The procedure performed to reduce the size of extremely large breasts is termed

A

reduction mammoplasty

46
Q

When performing the procedure for reimplantation of a finger, the order of repair is
1. nerve repair
2. bone-to-bone fixation
3. debridement
4. artery and vein repair
5. skin
6. tendon

A

3,2,6,1,4,5

47
Q

A congenital deformity of the pinna is termed

A

microtia

48
Q

What procedure is performed to reduce the wrinkle lines across the forehead and raise the sagging eyebrows and the bridge of the nose

A

all of the above

49
Q

A blepharoplasty is performed to remove fat deposits and excess skin from the eyelids. Incisions include:

A

subciliary and transconjunctival

50
Q

Dermatochalasis is the diagnosis for what procedure

A

blepharoplasty

51
Q

Tattoo removal is performed with which laser

A

Q-switched laser

52
Q

Which of the following pertain(s) to liposuction

A

all of the above

53
Q

The term used for large breast is

A

macromastia

54
Q

Malar implants are inserted into

A

cheeks

54
Q

A rhinoplasty is

A

nose job

55
Q

The burn classification that is characterized by a dry, pearly white, or charred-appearing surface is

A

third degree

56
Q

The Occupational Safety and Health Administration (OSHA) is a governmental regulating agency whose aim is to

A

execute requirements designed to prevent transmission of blood-borne pathogens in the work environment

57
Q

Inflammation is characterized by pain, redness, heat, swelling, and loss of function. The redness can be attributed to

A

vasodilation bringing more blood to the area

58
Q

The congenial deformity of radial dysplasia

A

all of the above

59
Q

If tissue is approximated too tightly, it can cause

A

ischemia

60
Q

Tensile strength of a wound refers to

A

the ability of tissue to resist rupture

61
Q

The substance that unites with thrombin to form fibrin, the basic structural material of blood clots, is

A

fibrinogen

62
Q

A cicatrix is

A

a scar

63
Q

Why is a mesh device used on a skin graft

A

it expands the size of the skin graft by making small cuts in the graft

64
Q

A wound that is infected or in which there is excessive loss of tissue heals by

A

secondary intention

65
Q

The type of wound healing that requires debridement is

A

third intention

66
Q

To promote healing, a surgical wound must have all of the following requisites EXCEPT

A

loose sutures

67
Q

Wound healing that employs a technique allowing the wound to heal from the INSIDE OUT is called

A

second intention

68
Q

A band of scar tissue that binds together two anatomical surfaces that are normally separated from each other is called

A

adhesion

69
Q

What is the classification of a wound that is indicated by a delayed closure

A

third intention

70
Q

A complication of wound closure when the organs protrude through the edges of the wound is called

A

evisceration

71
Q

Arrange the three phases of wound healing in the correct order
1. proliferation
2. inflammatory
3. remodeling

A

2,1,3

72
Q

Tissue breakdown at the wound margin is

A

dehiscence

73
Q

Wound complications include

A

all of the above

74
Q

A wound is described as __________ when there is a collection of pus around the incision

A

suppurative

75
Q

Which of the following statements regarding routine prepping for skin graft procedures is correct

A

donor site is prepped first and considered clean

76
Q

What would be used to confirm adequate blood supply to the pedicle flap during the TRAM flap procedure

A

Doppler

77
Q

Which type of skin graft/flap would preserve skin sensation

A

pedicle

78
Q

All are glands found in the body EXCEPT

A

papilloma

79
Q

For which procedure would the surgeon require a sterile tattoo machine

A

nipple reconstruction

80
Q

The natural outline of the upper lip is known as Cupid’s bow because of the obvious curve of the border of the upper lip. What surgical procedure would use this as a guideline

A

cleft lip

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