Take home test

Question 1

usual instruments found in surgical pack

Answer 1

Needle driver
scissors
scapel
forceps
Hemostat
Gauze

Question 2

List at three surgical use of hemostat

Answer 2

Not for holding needle

• Retrieving foreign bodies
• clamping bleeding vessels
• clamping tourniquet

Question 3

what is the best pre surgical antiseptic

Answer 3

betadine

Question 4

advantages of iodine

Answer 4

• inexpensive
• super effective
• broad spectrum antimicrobial
• can use to sterilize surgical

Question 5

disadvantages

Answer 5

• 2 minutes of contact time
• don’t last for long time
• Quickly inactivated by organic materials , blood
• allergies/intolerances

Question 6

what is meant by sterile field

Answer 6

• can never get completely sterile or organism

- more like few germs

Question 7

risk factors that can determine change of infections

Answer 7

• virulence of bacteria
• strength of patients immune system
• number of microorganisms entering wound
• type of wound

Question 8

what should you include in the description of procedures section 6

Answer 8

• size of lesion
• amount of anesthesia/bicarbonate
• skin prep
• suture type, number, location, size
• amount of blood lost
• duration of procedure

Question 9

which class of anesthetics is primarily metabolized by the liver?

Answer 9

Amides

- primarily metabolized by endoplasmic reticulum in live. use in caution in patients with impaired liver function.

Question 10

early warning of anaphylaxis

Answer 10

• sensation of warmth/flushing
• itching
• light headedness
• sudden fatigue
• sense something isn’t right

Question 11

why add epinephrine to local

Answer 11

• decrease bleeding make surgery easier
• prolong duration of anesthesia by reducing absorption at injection site
• decrease amount anesthesia needed. decrease systemic toxicity

Question 12

Phases of wound healing

Answer 12

Phase 1 : Inflammation 0 - 5 days
Phase 2: Proliferation 5 - 3 weeks
Phase 3: contraction 3weeks -2 years

Question 13

debridemet

Answer 13

• take out old necrotic tissue
• make smooth edges and allows good approximation
• reduce risk of infection

Question 14

dead space

Answer 14

space remaining in tissue after surgery,

allows accumulation of blood or serum hematoma

Question 15

Why use Marcaine over lidocane

Answer 15

Marcaine has longer duration of action

Question 16

why undermine

Answer 16

• reduces tension to reduce scarring

Question 17

3-0 surgery

Answer 17

General body, under tension

Question 18

4-0

Answer 18

general body, under tension,

Question 19

5 -0

Answer 19

face or head
small wounds or with no tension
extremities

Question 20

6-0

Answer 20

Face or head,

small wounds with no tension

Question 21

criteria for choosing anesthetic for toenail

Answer 21

NO epinephrine

Question 22

pros of 30g needle

Answer 22

minimal pain on incertion

Question 23

cons of 30g needle

Answer 23

Diameter is smaller or takes longer to inject anesthesia

Question 24

how does autoclave work

Answer 24

Pressure/steam

• 14lbs sq inch
• 30 minutes
• 250 degrees R

Question 25

Concerns when using betadine

Answer 25

• iodine allergies

- wash off after

Question 26

infiltration

Answer 26

• 25-30 g needle

- inject around/withing the skin in the area to be removed or treated

Question 27

Field block

Answer 27

DO not inject in lesion
- the two Vs - inject proximal and move distal while injecting
do not locate specific nerves

Question 28

Digital block

Answer 28

Attempt to locate specific nerve

• inject webbing in and around digital nerve
• no epinephrine

Question 29

first intention healing

Answer 29

sutureing the edges together

Question 30

second intention

Answer 30

wound left open or splits open and its not allowed to heal

Question 31

third intention

Answer 31

leave open intentionally then suture/close later