SFA 204 Flashcards
WHICH BLOOD CELLS ARE MOST INTIMATELY INVOLVED IN THE HEMOSTATIC PROCESS?
PLATELETS
CONTROL OF MAJOR VASCULAR BLEEDING BOTH ARTERIAL OR VENOUS USUALLY REQUIRE?
HEMOSTATIC CLAMPS & LIGATURE
THE PRIMARY DISADVANTAGE OF CAUTERY TO OBTAIN SURGICAL HEMOSTASIS IS THE:
POTENTIAL FOR SEVERE TISSUE DAMAGE WHICH CAN DELAY WOUND HEALING
THIS SUBSTANCE BREAKS DOWN FIBRINOGEN AND MAY BE SPRAYED ONTO SURFACES TO INHIBIT BLEEDING?
THROMBIN
FIBRIN GLUE IN A MIXTURE OF:
FIBRINOGEN & THROMBIN
CAN TOPICAL HEMOSTATS BE USED ALONE TO CONTROL ARTERIAL BLEED?
NO, NOT FOR ARTERIAL BLEEDING
THE TYPE OF TOPICAL HEMOSTAT THAT PROVIDES THE FASTEST HEMOSTASIS IS?
FIBRIN GLUE
WHAT IS THE SUTURING TENSIL STRENGTH OF A WOUND AFTER 7 DAYS?
20% OF UNINJURED TISSUE
WHAT WILL BE THE TENSILE STRENGTH OF A COMPLETELY HEALED WOUND?
80% OF UNINJURED TISSUE
BACTERMEMIA IS:
THE PRESENCE OF BACTERIA IN THE BLOOD
CELLULITIS IS:
INFLAMMATION OF SKIN, USUALLY AFFECTS LOWER LEGS
WHAT IS A CICATRIX?
SCAR
COLLAGEN IS:
THE PROTEIN SUBSTANCE OF COMMECTIVE TISSUES
DEBRIDMENT IS:
THE REMOVAL OF FOREIGN MATERIAL OR DEAD TISSUE
DEHISCENCE IS:
THE SEPARATION OF THE LAYERS OF A SURGICAL WOUND AND/OR THE FALLING APART OF A WOUND
DEVITALIZED IS:
TO DEPRIVE OF VITALITY OF LIFE AND/OR THE DEATH OF TISSUE
AN ELECTROLYTE IS:
CAN INCLUDE: SODIUM, CHLORIDE, SUBSTANCE THAT DISSOCIATES-ASSOCIATES INTO IONS WHEN IN SOLUTION, POTASSIUM
ENDOCRINE MEANS:
PERTAINING TO INTERNAL SECRETION OF A HORMONAL NATURE
ENZYME MEANS:
A PROTEIN MOLECULE THAT PARTICIPATES IN A CHEMICAL REATION BY SPEEDING THE CHEMICAL REACTION
EPINEPHRINE IS:
A VOSOCONSTRICTIVE AGENT THAT CAUSES BLOOD VESSELS TO NARROW OR SHRINK DOWN
ERYTHEMATOUS MEANS:
REDNESS OF THE SKIN
FIBROBLASRS ARE:
CONNECTIVE-TISSUE CELL PRODUCING COLLAGEN
GANGRENE IS:
DEATH OF TISSUE DUE TO A LOSS OF VASCULAR SUPPLY FOLLOWED BY INFECTION
MOST COMMONLY CAUSED BY BACTERIA CLOSTRIDIUM PERFRINGENS
THE FORMATION IN WOUNDS OR FLESHY MASSES, WHICH INCLUDE A LARGE AMOUNT OF NEW BLOOD VESSELS, DURING THE HEALING PROCESS IS:
GRANULATION TISSUE
A COLLECTION OF BLOOD IN AN ORGAN OR TISSUE DUE TO A BREAK IN TEH WALL OF THE BLOOD VESSEL IS:
HEMATOMA, THE SWOLLEN SPACE THAT CONTAINS BLOOD
THE INTERRUPTION OF THE FLOW OF BLOOD THROUGH ANY VESSEL TO ANY ANATOMICAL AREA IS KNOWN AS:
HEMOSTASIS
THE OVERGROWTH OF SCAR TISSUE IS KNOWN AS:
HYPERTROPHIC SCAR
THE BODY SYSTEM THAT PROTECTS AGAINS INFECTION AND INFECTIOUS DISEASE IS KNOWN AS:
THE IMMUNE SYSTEM
THE BODY’S PROTECTIVE RESPONSE CAUSE BY INJURY OR DESTRUCTION OF TISSUE IS KNOWN AS:
INFLAMMATION
KELOIDS ARE:
ENLARGED SCAR DUE TO FORMATION OF EXCESSIVE AMOUNTS OF COLLAGEN
LYMPHOCYTES ARE:
WBCS FOUND I THE BLOOD, LYMPH, AND LYMPHOID TISSUES
THE SUM OF ALL THE PHYSICAL AND CHEMICAL PROCESS BY WHICH LIVING ORGANISMS MAINTAIN THEIR FUNCTION AND SURVIVE IS KNOWN AS:
METABOLIC FUNCTIONS
A SEROMA IS ALSO KNOWN AS:
A COLLECTION OF SERUM IN THE TISSUES
SERUM IS:
A BODY FLIUID CONSISTING OR VASCULAR FLUID DEVOID OF RBCS
VISCERA DESCRIBES:
THE INTERNAL ORGANS LOCATED INSIDE THE BODY CAVITY
THE REMOVAL OF DAMAGED AND DEAD TISSUE IN A WOUND OCCURS DURING (STAGE);
THE INFLAMMATION STAGE
SCAR MATURATION;
HAS A VARIABLE DURATION DEPENDING UPON THE SPECIFIC TYPE OF TISSUES THAT ARE WOUNDED
THE EPIDERMIS IS PART OF THE:
SKIN (OUTER)
PERIOSTEUM COVERS BONE LIKE FASCIA COVERS:
MUSCLE
SUBCUTANEOUS TISSUE INCLUDES:
CONNECTIVE TISSUE AND FAT
SCAR MATURATION OCCURS:
AS THE LAST STAGE OF TISSUE REPAIR
AFTER ALL WOUNDING INCLUDING TATTOOS
AFTER THE INFLAMMATORY STAGE
THE ONLY STAGE IN WHICH COLLAGEN FIBERS DO NOT PLAY A MAJOR ROLE IS:
INFLAMMATION
WOUND CLOSURE USING SUTURES IS TERMED:
CLOSURE BY PRIMARY INTENTION
iF DURING THE COURSE OF AN OPERATION IN WHICH AN INITIALLY CLEAN WOUND WAS MADE AND THE PHARYNGEAL CAVITY WAS ENTERED, THE WOUND IS NOW:
A CLEAN, CONTAMINATED WOUND
DIRTY WOUNDS ARE:
AN ALREADY CONTAMINATE WOUND, EXAMPLE ABSCESS
FACTORS WHICH AFFECT WOUND HEALING INCLUDE:
AGE
STEROIDS
ANTI-NEOPLASTIC DRUGS
WEIGHT
FACTORS WHICH AFFECT BLOOD SUPPLY, AND THEREFORE WOUND HEALING, INCLUDE:
POOR CIRCULATION SECONDARY TO CARDIAC DYSFUNTION
DIABETES
VARIOUS VASCULAR ILLNESSES
FACTORS WHICH AFFECT WOUND HEALING INCLUDE:
CHRONIC ILLNESS
REDIATION THERAPY
NUTRITION (WHEN PATEINTS ARE MALNUTITION = HIGH RISK FOR WOUND INFECTION)
AFTER PRIMARY CLOSURE ABOUT 95% OIF WOUND STRENGTH IS REACHED BY:
6 WEEKS
THE METHOD OS WOUND CLOSURE DURING WHICH THE WOUND IS ONLY ALLOWED TO GRANULATE CLOSED IS CALLED:
HEALING BY SECONDARY INTENTION
HEMATOMAS USUALLY RESULT FROM:
FAILURE TO OBTAIN HEMOSTASIS AT SURGERY
RELAXED SKIN TENSION LINES ARE:
IMPORTANT FOR PLANNING INCISIONS
THE LINES OF MINIMAL INTENTION OF THE SKIN
AREAS OF THE WOUND THAT HOAVE NOT BEEN ADEQUATELY CLOSED ARE CALLED:
DEAD SPACES
THE GAUGE OF A NEEDLE REFERS TO:
THE NEEDLE BORE
THE NEEDLE DIAMETER
BY KERN’S RULE, A 2% LIDOCAINE SOLUTION HAS:
20 MG OF DRUG PER CC
SKIN FLAPS CAN BE USED TO:
PROVIDE TISSUE COVERAGE
IMPROVE COSMETIC RESULTS
THE ROTATION FLAP:
IS USED TO PROVIDE SKIN COVERAGE WHEN THERE IS SKIN LOSS
IS APPROPRIATE FOR CLOSING A TRIANGULAR DEFECT
THE Z-PLASTY;
IS USEFUL IN REORIENTING THE DIRECTION OF SCARS
WHAT ARTERY SUPPLIES A LATISSIMUS DORSI FLAP USED FOR BREAST RECONSTRUCTION SURGERY?
THORACODORSAL
WHAT INTERSPACE WOULD A 30FR. CHEST TUBE FOR AN ADULT PATIENT BE PLACED?
8TH OR 9TH INTERSPACE
TO REDUCE INFECTION & STATIC ELECTRIVITY WHAT SHOULD BE THE HUMIDITY LEVEL IN THE OR?
50-55%
WHAT TYPE OF LASER MAY BE UTILIZED AFTER CATARACT SURGERY TO VAPORIZE RESIDUAL LENS?
YAG
HOW DOES PROTAMINE AFFECT INSULIN?
DELAY ITS ABSORPTION
WHAT IS THE IDEA RANGE FOR THE INSUFFLATOR?
12-16 mm Hg
WHAT TYPE OF STERILANT IS UTILIZED BY THE STERIS?
PERACETIC ACID
THE THING SPEAKS FOR ITSELF:
RES IPSA LOQUITOR
WHAT IS GLUTARADEHYDE?
HIGH LEVEL DISINFECTION AGENT
WHAT STRCUTURE WOULD THE TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) BE USED TO VISUALIZE?
HEART
HOW MANY DAYS POSTOP MAY DEHISCENCE OCCUR?
5-10 DAYS
NAME THE 3 TYPES OF WOUND HEALING:
INFLAMMATORY
PROFILERATIVE (FIBROPLASTIC)
REMODELING
WHEN ARE SKIN STAPLES USUALLY REMOVED?
5-7 DAYS
WHAT IS A EVISCERATION?
WHEN THE VISCERA IS EXPOSED, REQUIRES IMMEDIATELY SURGERY
TYPE OF SUTURING TECHNIQUE WHERE SUTURE IS PLACED THROUGH THE SEROMUSCULAR LAYER AND SUBMUCOSA?
LEMBERT
TOURNIQUE RANGE FOR UPPER EXTREMITIES:
250-300 mm Hg (THIS OFTEN DEPENDS ON THE PATIENTS SYSTOLIC BP - NOT INFLATED 50-75 mm Hg ABOVE)
PATHOGEN FOR DECUBITIS ULCERS:
STAPHYLOCCUS AUREUS
TECHNIQUE UTILIZED BY SURGEON TO CONTROL HEMORRAGING TO BE ABLE TO FIND THE SOURCE OF BLEEDING? (SUCXH AS CLAMING THE HEPATIC PEDICLE TO LIMIT BLOOD LOSS IN A TRAUMA CASE)
PINGLE MANEUVER
WHAT LASER TARGETS WATER IN CELLS?
CO2
WHICH WOUND HEALING PHASE HAS EXTENSIVE GROWTH OF EPITHELIAL CELLS BENEATH THE SCAB?
PROLIFERATION
MICROORGANIMS THAT CAUSES GANGRENE:
C. PERFRINGENS
HOW IS STAPHYLOCOCCUS MOST LIKELY TRANSMITTED?
NOSE AND MOUTH
BACTERIA FOUND IN THE INTESTINAL TRACT?
E. COLI
DRUG FOR MRSA?
VANCOMYCIN
WHICH CLASSIFICATION OF WOUND HEALING IS FOR PERFORATED BOWEL?
THIRD INTENTION
CIRCUMFERENTIAIL BANDAGE SHOULD BE APPLIED TO AN EXTREMEITY (DIRECTION)?
DISTAL TO PROXIMAL
CHOLECYSTECTOMY WITH NO BREAK IN TECHNIQUE AND NO SPILLAGE FROM THE GALLBLADDER IS CONSIDRED WHAT WOUND CLASSIFICATION?
CLASS II WOUND
A PENETRATING FRACTURED TIBIA WOULD BE CLASSIFIED?
CONTAMINATED WOUND/CLASS III
DURING WHICH PHASE OF WOUND HEALING IS THE STRENGTH OF THE WOUND LIMITED TO THE SUTURE HOLDING IT TOGETHER?
LAG PHASE (INFLAMMATORY)
THE NEEDLE POINT MOST APPROPRIATE FOR SUTURING LIVER?
BLUNT
WHICH SUTURE IS CONTRAINDICATED BOTH IN THE PRESENCE OF INFECTION AND IN THE URINARY OR BILIARY TRACT?
SILK
IN WHICH LAYER OF EPIDERMIS IS KERATIN PRODUCED?
STRATUM BASALE
SWEAT IS PRODUCED BY WHICH GLANDS?
SUDORIFEROUS GLANDS
WHICH LAYER OF SKIN CONSISTS OF FOUR TO FIVE LAYERS CALLED STRATA?
EPIDERMIS
ANOTHER NAME FOR DERMIS
STRATUM CORIUM
WHICH INCISIONS WOULD ALLOW A SINGLE-LAYER FASCIAL CLOSURE?
MIDLINE
WHICH INCISION IS DESIGNED AS ANTERIOR ACCESS TO THE SPLEEN, AND AVOIDS CUTANEOUS NERVES AND INNERVATION TO THE RECTUS MUSCLE?
PARAMEDIAN
WHICH INCISION WOULD AVOID CONTACT WITH THE POSTERIOR RECTUS SHEATH?
PFANNENSTIEL
