Question 1

Which cream helps make dressing removal less painful for the burn patient when applied directly to the area burned?

Accepted Answer

A) Sulfonamide acetate 
B) Silver centrate 
C) Silver sulfadiazine 
D) Sulfa methotrexate 
A) Sulfonamide acetate 
B) Silver centrate 
C) Silver sulfadiazine 
D) Sulfa methotrexate C

Question 2

Which type of graft remains attached at one or both ends of the donor site during its transfer to the recipient site?

Accepted Answer

A) Free graft 
B) Free flap 
C) Pedicle flap 
D) Vascular flap 
A) Free graft 
B) Free flap 
C) Pedicle flap 
D) Vascular flap C

Question 3

Which type of surgical treatment is preferred for deep partial-thickness burns of the hands,arms,or legs?

Accepted Answer

A) Excisional debridement 
B) Escharectomy 
C) Tangential excision 
D) Partial hyperbaric oxygen 
A) Excisional debridement 
B) Escharectomy 
C) Tangential excision 
D) Partial hyperbaric oxygen C

Question 4

The goal of a plastic surgeon is to attempt to restore aesthetic appearance and function.

Accepted Answer

A) True 
 B)False

Question 5

Which is an augmentation mammoplasty approach in which a breast implant is inserted?

Accepted Answer

A) Laparoscopic 
B) Periareolar 
C) Periosteal 
D) Intrathoracic 
A) Laparoscopic 
B) Periareolar 
C) Periosteal 
D) Intrathoracic

Question 6

The rule of sevens chart is used to estimate burn injury in the adult.

Accepted Answer

A) True 
 B)False

Question 7

What might be included in typical preoperative instructions for a patient about to undergo an elective plastic surgical procedure?

Accepted Answer

A) Avoid eating red meat for a week before surgery. 
B) Avoid aspirin and smoking for at least 2 weeks before surgery. 
C) No heavy lifting for 2 months before surgery. 
D) Ensure all tattoos are removed before surgery. 
A) Avoid eating red meat for a week before surgery. 
B) Avoid aspirin and smoking for at least 2 weeks before surgery. 
C) No heavy lifting for 2 months before surgery. 
D) Ensure all tattoos are removed before surgery.

Question 8

Which of the following is not a source for replacement tissue?

Accepted Answer

A) Polygraft 
B) Allograft 
C) Isograft 
D) Xenograft 
A) Polygraft 
B) Allograft 
C) Isograft 
D) Xenograft

Question 9

What kind of solution is used during liposuction?

Accepted Answer

A) Normal saline 
B) Tumescence 
C) Glycine 
D) Crystalloid solution 
A) Normal saline 
B) Tumescence 
C) Glycine 
D) Crystalloid solution

Question 10

How should a graft be handled until the surgeon is ready to apply it?

Accepted Answer

A) Leave it dry on the corner of the table. 
B) Keep the graft moist on a separate sterile graft table. 
C) Place it on the mayo stand. 
D) Place it in an ice basin. 
A) Leave it dry on the corner of the table. 
B) Keep the graft moist on a separate sterile graft table. 
C) Place it on the mayo stand. 
D) Place it in an ice basin.

Question 11

Which is a benefit of using a split-thickness mesh graft of skin?

Accepted Answer

A) Can be cut to fit exactly to the recipient site 
B) Prevents serum from escaping the openings in the recipient site 
C) Can be placed over the recipient site with slight tension 
D) Heals by first intention 
A) Can be cut to fit exactly to the recipient site 
B) Prevents serum from escaping the openings in the recipient site 
C) Can be placed over the recipient site with slight tension 
D) Heals by first intention

Question 12

Which type of skin graft involves the epidermis,dermis,and sometimes subcutaneous fat deeper than 1 mm?

Accepted Answer

A) Composite graft 
B) Split-thickness graft 
C) Full-thickness graft 
D) End graft 
A) Composite graft 
B) Split-thickness graft 
C) Full-thickness graft 
D) End graft

Question 13

Which statement would not be included in the plan of care for a patient undergoing a procedure involving a tissue allograft?

Accepted Answer

A) A dark antiseptic agent, such as Betadine, is used to prep the skin in the sterile field. 
B) Hypothermia is to be avoided. 
C) The patient is positioned on a gel mattress to prevent pressure sores. 
D) Donor and recipient sites are draped separately. 
A) A dark antiseptic agent, such as Betadine, is used to prep the skin in the sterile field. 
B) Hypothermia is to be avoided. 
C) The patient is positioned on a gel mattress to prevent pressure sores. 
D) Donor and recipient sites are draped separately.

Question 14

What type of wound closure material do plastic surgeons prefer?

Accepted Answer

A) Large staples 
B) Small diameter cutting needles 
C) No suture 
D) Skin glue 
A) Large staples 
B) Small diameter cutting needles 
C) No suture 
D) Skin glue

Question 15

Which is an advantage to using a biologic dressing before a wound is ready for an autograft?

Accepted Answer

A) Decreases the amount of developing granulation tissue 
B) Stimulates nerve endings and increases tactile sensation to wound 
C) Increases and maintains the amount of serum created within the wound 
D) Controls infection by covering denuded areas of the wound 
A) Decreases the amount of developing granulation tissue 
B) Stimulates nerve endings and increases tactile sensation to wound 
C) Increases and maintains the amount of serum created within the wound 
D) Controls infection by covering denuded areas of the wound

Question 16

Which is a reason that replantation of amputated parts would be contraindicated?

Accepted Answer

A) The ischemic part has been kept dry at a cooled temperature. 
B) Intact subcutaneous venous circulation is present in the skin bridges. 
C) The injury involves severe bruising or a crushing injury. 
D) The patient has not received a tetanus shot. 
A) The ischemic part has been kept dry at a cooled temperature. 
B) Intact subcutaneous venous circulation is present in the skin bridges. 
C) The injury involves severe bruising or a crushing injury. 
D) The patient has not received a tetanus shot.

Question 17

Which is a benefit of using omentum as a graft?

Accepted Answer

A) Will resorb into tissue when grafted 
B) Does not usually require a split-thickness skin graft 
C) Has very few blood vessels for anastomosis 
D) Helps localize and control infection 
A) Will resorb into tissue when grafted 
B) Does not usually require a split-thickness skin graft 
C) Has very few blood vessels for anastomosis 
D) Helps localize and control infection

Question 18

What type of dermatome is used when the surface can be stabilized for precision cutting?

Accepted Answer

A) Drum-style dermatome 
B) Powered skin graft dermatome 
C) Oscillating blade-type dermatome 
D) Freehand knife dermatome 
A) Drum-style dermatome 
B) Powered skin graft dermatome 
C) Oscillating blade-type dermatome 
D) Freehand knife dermatome

Question 19

What necessary environmental controls must be considered when caring for a severe burn patient?

Accepted Answer

A) Know preexisting medical history 
B) Keep skin exposed to air 
C) Let family visit to distract them from pain 
D) Increase room temperature and practice reverse isolation 
A) Know preexisting medical history 
B) Keep skin exposed to air 
C) Let family visit to distract them from pain 
D) Increase room temperature and practice reverse isolation

Question 20

Which is an abnormal deposit of collagen in a healing skin wound?

Accepted Answer

A) Melanoma 
B) Basal cell carcinoma 
C) Keloid 
D) Squamous cell carcinoma 
A) Melanoma 
B) Basal cell carcinoma 
C) Keloid 
D) Squamous cell carcinoma

Exam 40: Plastic and Reconstructive Surgery

Which cream helps make dressing removal less painful for the burn patient when applied directly to the area burned?

Which type of graft remains attached at one or both ends of the donor site during its transfer to the recipient site?

Which type of surgical treatment is preferred for deep partial-thickness burns of the hands,arms,or legs?

The goal of a plastic surgeon is to attempt to restore aesthetic appearance and function.

Which is an augmentation mammoplasty approach in which a breast implant is inserted?

The rule of sevens chart is used to estimate burn injury in the adult.

What might be included in typical preoperative instructions for a patient about to undergo an elective plastic surgical procedure?

Which of the following is not a source for replacement tissue?

What kind of solution is used during liposuction?

How should a graft be handled until the surgeon is ready to apply it?

Which is a benefit of using a split-thickness mesh graft of skin?

Which type of skin graft involves the epidermis,dermis,and sometimes subcutaneous fat deeper than 1 mm?

Which statement would not be included in the plan of care for a patient undergoing a procedure involving a tissue allograft?

What type of wound closure material do plastic surgeons prefer?

Which is an advantage to using a biologic dressing before a wound is ready for an autograft?

Which is a reason that replantation of amputated parts would be contraindicated?

Which is a benefit of using omentum as a graft?

What type of dermatome is used when the surface can be stabilized for precision cutting?

What necessary environmental controls must be considered when caring for a severe burn patient?

Which is an abnormal deposit of collagen in a healing skin wound?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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