Skin & Subcutaneous Flashcards

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1
Q

Wound where skin microflora is the potential contaminant

A

Clean

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2
Q

Wounds that occurs in early traumatic injury of less that 6 hours

A

Contaminated

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3
Q

Type of wound: occurs in operations involving hollow viscous organ

A

Clean contaminated

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4
Q

Type of skin injury: skin necrosis, non viable, perforated diverticulitis and human bites

A

Dirty

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5
Q

Wound closure where the surgeon decides when to close the wound. There should be presence of granulation tissue

A

Tertiary wound closure

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6
Q

What kind of suture should be used in subdermal facial area?

A

Absorbable suture

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7
Q

How many days does suture in the head and neck removed?

A

4-5 days

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8
Q

How many days does suture in mist of the body parts removed?

A

10-14 days

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9
Q

How many plain LR do we give in burn patients at day 1?

A

4 cc/kg TBSA

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10
Q

Cells that are precursor of paget’s disease

A

Toker cells

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11
Q

Acids causes what necrosis?

A

Coagulation necrosis

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12
Q

Alkali causes what necrosis?

A

Liquefactive

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13
Q

What are the 3 zones in hyperthermic injuries?

A

Zone of coagulation: center, necrosis
Zone of stasis: most important! Amenable for salvage, with minimal perfusion
Zone of hyperemia: has their own blood supply hence heal on their own

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14
Q

Treshold of pressure injury

A

60 mmHg

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15
Q

Sacral pressure when lying

A

150 mmHg

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16
Q

Ischial pressure when sitting

A

300 mmHg

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17
Q

Type of UV radiation with low energy, abundant and involved in aging

A

UVA (400-315 nm)

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18
Q

UV invloved in acute and chonic skin effects

A

UVB (315-290 nm)

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19
Q

Most common sites of complicates soft tissue infection

A

External genitalia
Perinium
Abdominal wall

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20
Q

Histologic analysis shows (+) sulfur granules

A

Actinomycosis

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21
Q

Most common site of dermoid cyst?

A

Eyebrow

22
Q

Sudden multiple eruptions associated with internal malignancy

A

Lesser-Trelat sign (Seborrheic Keratosis)

23
Q

Premalignant lesion of SCC

A

Seborrheic and solar (actinic) keratoses

24
Q

Occur in swimming trunk distribution

A

Giant hairy nevi

Tx: serial excision

25
Q

Stages that split thickness graft have to go

A

Serum imbibation
Inoculation
Angiogenesis

26
Q

Benign neoplasm of neuromyoarterial apparatus commonly in the hand

A

Glomus tumor (glomus bodies)

27
Q

Presenta with subungual discoloration, severe pain, point tenderness and cold sensitivity

A

Glomus tumor

28
Q

Other name for skin tag

A

Acrocordon

29
Q

(+) rossettes

A

Neurilemomma

30
Q

Most common type of skin cancer

A

BCC

31
Q

MC type of basal cell carcinoma

A

Nodulocystic/ nodulocerative

32
Q

Waxy cream colored with rolled pearly borders surroung a central ulcer

A

Basal cell carcinoma

33
Q

3 types of Basal cell carcinoma

A

Nodulocystic
Morpheaform
Basosquamous

34
Q

Aggressive types of BCC (cheek, nose, lips) are managed by:

A

Moh’s surgery

-excision with 6 mm margin

35
Q

In situ SCC

A

Bowen’s disease (anal area)

36
Q

In situ SCC specific to penis

A

Erythroplasia of queyrat

37
Q

Signs of high risk SCC

A

Early metastasis
>2cm
Extension to SQ

38
Q

In situ SCC from burn areas

A

Marjolin’s ulcer

39
Q

Most common type of malignant melanoma

A

Superficial spreading

  • occurs anywhere except hands and feet
  • prolong RADIAL growth phase
40
Q

Type of malignant melanoma with best prognosis

A

Lentigi maligna

41
Q

(+) hutchinson’s sign

A

Acral lentiginious

42
Q

3 types of Basal cell carcinoma

A

Nodulocystic
Morpheaform
Basosquamous

43
Q

Aggressive types of BCC (cheek, nose, lips) are managed by:

A

Moh’s surgery

-excision with 6 mm margin

44
Q

In situ SCC

A

Bowen’s disease (anal area)

45
Q

In situ SCC specific to penis

A

Erythroplasia of queyrat

46
Q

Signs of high risk SCC

A

Early metastasis
>2cm
Extension to SQ

47
Q

In situ SCC from burn areas

A

Marjolin’s ulcer

48
Q

Most common type of malignant melanoma

A

Superficial spreading

  • occurs anywhere except hands and feet
  • prolong RADIAL growth phase
49
Q

Type of malignant melanoma with best prognosis

A

Lentigi maligna

50
Q

(+) hutchinson’s sign

A

Acral lentiginious