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ABSITE > Skin/Soft Tissue > Flashcards

Skin/Soft Tissue Flashcards

1
Q

Incision for excisional bx of skin lesion

A

Longitudinal, elliptical

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2
Q

Diabetic foot ulcer; tx

A

Debridement, off-loading, tx of PAD and glycemic control

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3
Q

Acute paronychia; initial management

A

Warm compresses

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4
Q

Purulent paronychia; common bacteria and tx

A

MSSA, incision and drainage

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5
Q

Predictor used for NSTI

A

LRNEC: Na<135, WBC>15, CRP>15, Cr>1.6, Glu>180

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6
Q

Split-thickness donor sites

A

Lateral thigh, buttock, scalp

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7
Q

Full-thickness donor sites

A

Pre/post-auricular, Supraclvicular, Groin, Medial arm, abdomen

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8
Q

Pilonidal abscess; tx

A

I&D

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9
Q

Margin for cutaneous SCC

A

1cm

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10
Q

Firm, flesh colored, red plaques with finger-like projections of spindle cells

A

Dermatofibrosarcoma protuberans

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11
Q

Indication for SLNB in non-metastatic melanoma

A

No clinically positive nodes, <0.8mm with ulceration or 0.8-1.0mm with or without ulceration

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12
Q

NSTI bacteria

A

Polymicrobial

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13
Q

Securing STSG with mild oozing

A

Fibrin glue, provides some hemostasis

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14
Q

Crucial step for repair fo lip lacerations

A

Vermillion border reapproximation

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15
Q

Lymphadema management

A

Massage, ROM, elevation, compression

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16
Q

Pressure wound classification

A

Stage 1 - Nonblanching erythema
Stage 2 - Dermis
Stage 3 - Exposed subcu
Stage 4 - Exposed muscle/fascia/bone

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17
Q

Locations requiring FTSG

A

Small wounds, face, joints

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18
Q

Advantages to STSG

A

Can cover large area

19
Q

Advantages to FTSG

A

Less contraction, better cosmesis

20
Q

Source of re-epithelialization in STSG

A

Stem cells in the hair follicles

21
Q

Moh’s surgery indications

A

Higher-risk BCC/SCC

22
Q

Drooping of the corner of the mouth after subplatysmal flap carried above inferior border of mandible; dx

A

Injury to marginal mandibular br of facial nerve

22
Q

Drooping of the corner of the mouth after subplatysmal flap carried above inferior border of mandible; dx

A

Injury to marginal mandibular br of facial nerve

23
Q

Difference between keloid and hypertrophic scars

A

Both are raised, erythematous and often pyritic but hypertrophic do not exceed boundaries of original scar

24
Q

Most commonly mutated somatic gene in melanoma

A

BRAF V600E mutation

25
Q

Scaly, irregular, dark brown lesions over skin exposed areas

A

Actinic keratosis

26
Q

First cells to populate wound and initiate inflammatory reponse

A

Platelets

27
Q

Additional workup for melanoma stage I and II

A

none

28
Q

Melanoma with clinically pos nodes; next step

A

FNA or core needle bx

29
Q

Cut on foot now with streaks of erythema and palpable nodes; dx and tx

A

Lymphangitis, abxs

30
Q

Actinic keratosis; precursor to what and tx

A

SCC, curettage and electrodesiccation, creo Mohs or simple excision

31
Q

Strawberry hemangioma tx

A

Observation unless complication, then propranolol

32
Q

Brown or violet cutaneous lesions in HIV; dx and association

A

Kaposi sarcoma, HHV8

33
Q

Refractory Hurley stage III hidradenitis suppurative, tx

A

Wide excision with reconstruction via STSG or advancement flaps

34
Q

Empiric tx for NSTI, MOA

A

Vanc, augmentin, clinda
Gram+, gram-, anaerobic, anti-toxin

35
Q

Rectal urgency, new bleeding, pain, incontinence after prostate brachytherapy; dx and tx

A

Radiation proctitis, medical management

36
Q

Indications for deep inguinal lymph node dissection

A

4+ pos on sup dissection
Pos cloquet node
Enlarged oleo-obturator LNs on CT
Clinically palpable or extra capsular invasion

37
Q

Frostbite with erythema, edema, hyperemia; grade and tx

A

Grade I, rapid rewarming with circulating bath

38
Q

Frost bite with clear blisters, edema, desquamation; grade and tx

A

Grade II, active rewarming with circulating bath

39
Q

Frostbite with hemorrhagic blisters, blue-grey; grade and tx

A

Garde III, active rewarming with circulating bath

40
Q

Frostbite with full-thickness, mottled, red, dry, black, mummified skin; grade and tx

A

Grade IV, active rewarming with circulating bath

41
Q

Fingertip pad infection; organism and tx

A

Staph, I&D can start with abx, soaks, elevation

42
Q

> 50 nevi with first or second degree fam hx of melanoma; dx and tx

A

Dysplastic nevus syndrome, bx and removal of suspicious lesions and skin surveillance

ABSITE (34 decks)

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