Surg 105--Final Flashcards
1
Q
The portion of the jaw that surrounds and supports the tooth?
A
alveolar process
2
Q
What does orbicularis mean?
A
circular
3
Q
Crescent shaped cartilage found in the TMJ knee joint is?
A
meniscus
4
Q
The synovial joint formed at the bicondylar junction of the mandible and the temporal is the?
A
temporomandibular
5
Q
Another name for the malar joint (bone) is?
A
zygomatic
6
Q
What can be done to treat an intranasal dural tear?
A
cover with fat,fascial,or muscle graft
7
Q
The space between the lip (extending to include the cheeks) and the teeth is the?
A
vestibule
8
Q
The term deciduous refers to the ___ teeth.
A
primary
9
Q
What sucture attaches the tongue to the floor of the buccal cavity?
A
lingual frenulum
10
Q
The skull comprises ____ bones?
A
22
11
Q
Which facial muscle allows for closure of the mouth and protrusion of the chin?
A
masseter
12
Q
What is the term use to desribe a deformity involving an abnormally small jaw?
A
micrognathia
13
Q
What is the source of autogenous graft material?
A
patient
14
Q
Arch bars are fixed into postion with _____?
A
wire
15
Q
Vomiting can lead to aspiration,but in the maxillofacial patient it can also pose a risk of_____.
A
infection
16
Q
Why is nasal intubation preferred when arch bar application is anticipated?
A
to provide access to the oral cavity
17
Q
The term malocclusion refers to?
A
teeth that are not in proper alignment
18
Q
What type of incision is made at the patient’s hairline and can be bilaterally extended?
A
coronal
19
Q
Endoscopic viewing of the joint is called
A
arthroscopy
20
Q
What is the mot common type of midfacial fracture?
A
LaForte I
21
Q
Which diagnotic imaging method provides images of the bony defects?
A
CT scan
22
Q
In which position will the patient be placed to obtain a Waters’ view radiograph?
A
upright with the neck hyperextended
23
Q
Which of the following is an action of epinephrine?
A
vasoconstriction
24
Q
The uvula is considered to be ___tissue?
A
lymphoid
25
There are __ bones of the cranium that enclose and protect the brain.
8
26
All are action of the frontalis muscle EXCEPT?
drawing the scalp backward
27
Anatomical development of the face ocurs along with the development of the cranium around the _____ week of embryological life.
6
28
Which class of dental fractures extend into the dentin of the tooth?
class 2
29
Most LeFort fractures are a result of?
automobile accidents
30
Which radiographic view shows the hard palate,nasal septum,orbital floor, and zygoma?
Caldwell view
31
Frontal sinus repair often requires a?
craniotomy setup
32
LeFort 2 and 3 fractures can also be referred to as __fractures.
panfacial
33
______ is injected into the joint space to distend the capsule during a TMJ arthroscopy.
Lactated Ringer's
34
Temporomandibular joint replacement is usually limited to serve cases of ___.
ankylosis
35
perforations in the mandibular condyle meniscus are usually repaired with?
4-0 chromic
36
Craniofacial screws come in diameters of?
1 to 4 mm
37
Which statement is correct concerning oral procedures?
Oral procedures are not considered sterile ,use the best technique possible
38
The skin is a _membrane.
cutaneous
39
The outermost layer of the epidermis that is composed of dead epidermal cells is the stratum?
corneum
40
What layer binds the skin to the underlying structures?
subcutaneous
41
The process by which strands of though,fibrous proteins develop within the cell membrane is?
keratinization
42
Which layer contain hair follicles ,sweat glands, sebaceous glands, and nerve fibers?
dermis
43
Which cells contribute to the development of the hair at the base of the hair follicle?
dermal
44
Which skin layer contains blood vessels to aid in the regulation of the body temperature?
dermal
45
Sebaceous glands secrete?
sedum
46
What burn classification involves only the epidermis?
1st degree
47
A burn that destroys the epidermis,dermis,and accessory organs of the skin?
full thickness
48
What bones form the hard palate of the mouth?
palatine and maxillary
49
What three nerves innervates the forearm,wrist,and hand?
radial,ulnar,median
50
If skin is taken from an unburned area of the patient and used as a transplant ,it is called?
autograft
51
which muscle is responsible for flexing the hand at the wrist?
palmaris longus
52
What are the two main arteries that supply the forearm and hand?
radial and ulnar
53
The condition causing the contraction of palmar fascia is known as?
Dupuytren's disease
54
What medical term refers to the surgical procedure commonly known as a face-lift?
rhytidectomy
55
A cosmetic procedure performed on the eyelid is?
blepharoplasty
56
which type of donor skin graft includes the epidermis ,dermis,and possibly subcutaneous?
full thickness skin graft
57
Which body site is not ideal for a split-thickness skin graft?
calf
58
Which procedure may involve the use of the local anesthetic cocaine?
rhinoplasty
59
Which of the following is a synovial fluid-filled cyst that can arise from a tendon sheath or wrist joint?
ganglion cyst
60
Which of the following best describes the perimeter of the skin preparation for a ganglion cystectomy?
hand and wrist circumferentially
61
Reimplantation of a digit begins with ___ attachment.
bone-to bone
62
What surgical procedure is performed to remove hypertrophic breast tissue?
reduction mammoplasty
63
Which instrument is responsible for expanding the surface area of a skin graft?
mesh grafter
64
Which nerve must be avoided during a rhytidectomy?
facial
65
The main reason for using mineral oil during procurement of a skin graft using a dermatome is to?
minimize friction
66
All of the following are fase for the type of dressing required for the recipient skin graft site EXCEPT the dressing should?
be dry
67
Which type of suture is most often used to close the skin in place in plastic surgery to achieve a cosmetic closure?
nylon
68
Which layer of the epidermis is found only in the thick areas such as the palms of the hands and soles of the feet?
stratum lucidum
69
The thick-strength layer of the dermis is known as?
reticular layer
70
Congenital malformation of the palate occur during which part of the pregnancy?
1st trimester
71
How many phalanges are in a normal hand?
14
72
A freely movable joint is known as which type of joint?
diarthrosis
73
The term given to the condition known as clubhand is?
radial dysplasia
74
Which surgical procedure is performed to improve the cosmetic appearance of the chin by correcting micrognathia?
mentoplatsy
75
Where would an autograft be taken from to replace the congenital absence of an ear?
costal cartilage
76
Besides anticipating the needs of the surgeon ,the main role of surgical technologist during a cleft lip repair is to?
retract
77
Which instrument would a surgeon need to dissect the nasal mucosa during a cleft palate repair?
cottle elevator
78
Which type of flap allows the tissue to be transferred to remain attached to its blood supply?
pedicle flap
79
How many carpal bones compose each wrist?
8
80
what structure is referred to as the pacemaker of the heart?
SA node
81
what portion of the heart is responsible for pumping blood into the pulmonary artery
right ventricle
82
where does the coronary vein empty?
coronary sinus
83
which artery supplies blood to the walls of the left atrium and ventricle?
circumflex
84
which structure is attached to the valvular cusps and prevents valves from swinging back into the atria?
chordae tendineae
85
there are how many pulmonary veins?
4
86
which structure prevents the trachea from collapsing
cricoid cartilage
87
the structure between an alveoli and bronchiole is the?
alveolar duct
88
the right lung is divided into how may lobes
3
89
the heart lies
slightly to the left within the mediastinum
90
the heart is surrounded by the
pericardium
91
the cardiac cycle refers to the events taking place during a
single heartbeat
92
when does the fetal heart begin developing
third
93
what is the most common congential chest deformity
pectus excavatur (funnel chest)
94
what medical term refers to the abnormal accumulation of air in the pleural cavity
pneumothorax
95
an abnormal opening in the wall between the right and left ventricle of the heart is known as
ventricular septal defect
96
which surgical instrument is preferred for the removal of a foreign body in the bronchial tree of infants and children
rigid bronchoscope
97
what is the surgical position for a lobectomy
posterolateral
98
which intercostal space is entered for a thoracotomy
5th
99
which piece of equipment assumes the role of the heart and lungs while undergoing cardiopulmonary bypass
pump oxygenator
100
what protects the heart from damage during cardiopulmonary bypass
hypothermia
101
what mechanical devise is designed for circulatory support after cardiac procedures
intra-aortic balloon pump
102
which portion of the heart is the cannula placed to achieve venous cannulation for cardiopulmonary bypass
right atrium
103
which type of hemostatic agent is placed on each side of the sternum after a median sternotomy
bone wax
104
the parts of the sternum from superior to inferior are
manubrium, body, and xiphoid process
105
the trachea divides at what structure into right and left bronchi
carina
106
oxygenaed blood leaves the lungs through the
pulmonary veins
107
another name for the mitral valve is
bicuspid
108
a normal adult heart rate averages how many beats per minute
72
109
what percentage of all patients with carcinoma of the lung are cigarette smokers
90
110
after birth, with the elimination of placental circulation, which structure closes
ductus arteriosus
111
what is the most common complaint in the patient with a thoracic aorta aneurysm
chest pain
112
truncus arteriosus is characterized by
a single artery arising from both ventricles
113
a teflon patch being used to close the ventricular septal defect, the middle pulmonary artery is transected, and a channel is placed from the right ventricular outflow to the pulmonary artery is known as
the Rastelli procedure
114
what study is best for determining the overall size of the heart and great vessel configuration
AP and lateral X-rays
115
a closed system of blood vessels that transports blood away from the heart to the body's tissues and back to the heart refers to the
peripheral vascular system
116
microscopic vessels designed to exchange nutrients and wastes between blood and tissue fluid around the cells are known as
capillaries
117
describe one characteristic of a vein
veins have specialized structures called valves
118
which structure supplies the myocardium with oxygenated blood
coronary arteries
119
which artery is one of the three major branches of the aortic arch
brachiocephalic
120
which arteries supply the pelvis and perineum with blood
internal iliac
121
superficial blood supply to the head and neck is supplied from which artery
external carotid
122
which arteries communicate with the basilar artery to form the circle of Willis
internal carotid
123
what arteries supply blood to the spinal cord and its meninges
lumbar
124
which veins receive blood from the brain, meninges, and deeper regions of the face and neck
internal jugular
125
which is the longest vein in the body
greater saphenous
126
claudication is the term used to refer to
cramping
127
endarterectomy is performed to alleviate occlusion of an artery (T or F)
True
128
which graft requires preclotting by the surgical team
porous Dacron grafts
129
the typical suture gauge for a femoral vascular anastomosis is
4-0
130
which procedure could necessitate the use of a Javid shunt
carotid endarterectomy
131
which vessel must be clamped during a carotid endarterectomy
external carotid artery
132
with which instrument is an arteriotomy initiated
#11 blade on a #7 handle
133
the primary purpose of a femoral-poplieteal bypass is to
restore blood flow to the lower limb
134
which clamp is removed last during a carotid endarterectomy
internal carotid artery
135
which gauge suture is appropriate for closing a carotid arteriotomy
6-0
136
which type of suture is appropriate for closing an arteriotomy
polypropylene
137
which type of needle is appropriate for closing a blood vessel
taper
138
which arteries supply the upper portion of the digestive tract, spleen, and the liver
celiac
139
a Fogarty balloon catheter is used for
arterial embolectomy
140
which medication is always added to injectable saline for the use of intra-arterial irrigation
heparin
141
after exposure of the femoral artery, the surgeon will want to isolate the aartery and will ask for
right angle clamp
142
an iliac artery obstruction can be bypassed with
femoral-femoral bypass
143
which self-retaining retractor is used during an aortofemoral bypass procedure
Weitlaner
144
during vascular surgery, pledgets are used to
reinforce the graft
145
the incision for a femorofemoral bypass is made over the
groin
146
the amount of blood ejected by the left ventricle into the aorta with one contraction is known as
stroke volume
147
arterial blood volume is decreased when
cardiac output is decreased
148
the external iliac arteries branch into the
femoral arteries
149
which aratery supplies blood to the head and the arm
brachiocephalic
150
what is the name of the vascular needle holder preferred for vascular anastomosis
castroviejo
151
a bulldog is used in vascular surgery to
clamp a blood vessel
152
the right common carotid artery originates from the
brachiocephalic artery
153
gas exchange takes place in the
arterioles
154
the relaxation phase of the heart is known as
diastole
155
what might be included in a typical pre op instruction for a patient about to undergo elective plastic surgical procedure
avoid aspirin and smoking 2 weeks prior
156
What categorical of plastic surgery deal with head and face
asthetic
157
type of dermatome when surface can be stabilized for precision cutting
free-hand knife
158
graft from genetically identical person
allograft
159
where is thymus located
anterior section of mediastinum
160
effective treatment for spontaneous pneumothorax
pleurodesis
161
vessel that has best long-term patency rate
internal mammary
162
valve that consists pulmonary and aortic valve
semilunar valve
163
incision made to left or right of sternum, patient in supine position
paramedian thoracotomy
164
which drug is used to suppress arterial vasospasm
papaverine
165
dvt prophylaxis
compression stockings
166
layer of arterial wall
intima
