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MSP & OGG study - Beck > MSP > Flashcards

MSP Flashcards

1
Q

how to sterilized instruments?

A 
steam autoclaving
gas autoclaving
dry sterilization
cold sterilization
*the air space must be kept sterile as well
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2
Q

how do you measure disinfecting power?

A

phenol coefficient

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3
Q

MC antiseptics for wound lavage?

A

boric acid 2%
hydrogen peroxide 3%
sterile saline

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4
Q

what gauge of needle for local anesthetic

A 
#25
#26
#27
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5
Q

mepivacaine is an anesthetic solution

A

aka carbocaine

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6
Q

what is a type of tertiary union

A

dog bit

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7
Q

what type of skin cancer is least common and most dangerous?

A

melanoma

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8
Q

what is firm, rubbery lesions or shiny, fibrous nodules, and can vary from pink to the color of the person’s skin or red to dark brown in color.

A

keloid

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9
Q

are common noncancerous cysts of the skin. Cysts are abnormalities in the body that may contain liquid or semiliquid material.

A

sebaceous cyst

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10
Q

fluid filled cyst usually found at the wrist

A

ganglia

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11
Q

is a skin infection around the fingernails or toenails. It usually affects the skin at the base (cuticle) or up the sides of the nail.

A

paronychia

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12
Q

a form of peripheral vascular disease due to cold exposure, a form of hypothermia

A

frost bite

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13
Q

act of tearing, torn, ragged, mangled wound

A

laceration

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14
Q

not malignant, not recurrent, favorable for recovery

A

benign

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15
Q

to cut off

A

excise

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16
Q

to cut into

A

incise

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17
Q

to probe deep with a blunt instrument

A

sound

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18
Q

to clean away damaged or necrotic tissue

A

debride

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19
Q

inhibits growth/development of microorganisms without necessarily destroying them

A

antiseptic

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20
Q

primary affect is to bring about temporary loss of localized sensory nerve function

A

anesthetic

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21
Q

2 things in our scope of practice:

A

antiseptic and anesthetic

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22
Q

what is the #1 complication to minor surgery?

A

infection

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23
Q

best way to sterilize equipment

Minutes? Temperature? Pressure?

A

steam autoclave

- 13 min at 120˚ C at a pressure of 750mmHG (14.5psi)

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24
Q

phenol coefficient

A

strength or effectiveness of an antiseptic

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25
Q

thymol

A

colorless, very soluble in alcohol, primary use for additive to mouth wash/astringent gargles e.g. management of hookworm/ringworm

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26
Q

boric acid

A

mild, reduces swelling

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27
Q

antiseptic for wound lavage

A

boric acid 2%
hydrogen peroxide 3%
sterile saline

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28
Q

what percentage of local anesthesia can be used

A

any answer above 2% is INCORRECT if its injectable

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29
Q

epinephrine

A

acts as vasoconstrictor
holds anesthetic at site longer
minimizes amount of bleeding

30
Q

disadvantages of epinephrine

A

con potentiate wound infection
can’t be used in distal end organs (poor collateral blood circulation) - fingers, nose, ears, penis, toes
inc. risk of small bleeder going unnoticed - post op hemorrhage

31
Q

what is field block/parallel margin infiltration

A

most freq. type of conduction anesthesia

for when wound is dirty

32
Q

what is special about MEPIVACAINE

A

AKA carbocaine

does not come with Epinephrine (vasoconstrictive)

33
Q

what is the first effect at the site of inoculation?

A

pain is the first to go

34
Q

tertiary union

A

closed by suture 3-4 days after observation
aka delayed closure
too contaminated to close initially
EG. animal bites

35
Q

waht is the MC complication of wound laceration repair

A

infection

36
Q

absorbable suture material

A

polyglycolic acid: suture of choice, deep closure, resist inf, half of tensile strength for 25 days

37
Q

5-0 and 6-0 used for

A

face

its braided silk

38
Q

75% of all head/neck malignancies begin in

A

oral cavity

39
Q

___% of MC cancers can be found early by simple/thorough physical exam

A

80

40
Q

MC vermillion border of upper lip, paranasal folds, ears, cheeks, axillary region

A

squamous cell carcinoma

41
Q

bfldgin from excess formation of collagen during healing stages

A

kloids

42
Q

affixed to overlying skin (not the base, like a lipoma) - moves freely

A

sebaceous cyst

43
Q

verrucae vulgaris

A

AKA warts

cutenous, best tx for hands/feet

44
Q

animals harbor what kind of bacteria?

A

gram neg. bacillus pasteurella multocida

45
Q

predisposing factors for frostbite

A

diabetics
PVD
arteriosclerosis

46
Q

pain around/near anal region

A

proctalgia

47
Q

may be end result of thromboses external hemorrhoids (or IBS)

A

external skin tags

48
Q

symptomatic, swollen submucosal vascular tissue located above dentate line

A

internal hemorrhoids

49
Q

classification of internal hemorrhoids

A

1st degree: no protrusion, but bulge into lumen

2nd: protrude at stool and reduce spontaneously
3rd: protrude at stool but manually reduced
4th: protrude at stool and cannot be reduced

50
Q

MC parasite for children

A

pinworms - enterobius vermicularis

51
Q

what technique is used for the 3rd degree internal hemorrhoid?

A

Keesay technique

52
Q

painful linear ulcer in anal canal

A

anal fissures

53
Q

MC seen STI of anorectum?

Caused by what virus?

A

condylomata acuminatoa, caused by papilloma virus

greatest frequency in homosexual males

54
Q

rolled, everted edges, central ulceration. 4x more common in males, ave age 63.

A

squamous cell carcinoma

55
Q

herniation (bulge) of the front wall of the rectum into the back wall of the vagina

A

rectocele

56
Q

what local anesthetic has no epi?

A

mepivacaine (carbocaine)

57
Q

what helps stop bleeding on the head

A

arterial pressure

temporal artery

58
Q

anal crypts

A

crypts of morgagni

59
Q

discrete masses of thick submucosa which contain BL, smooth mm, elastic and Connective tissue

A

hemorrhoids

60
Q

what type of hemorrhoid protrudes at the time of BM, must be manually reduced and may/may not bleed

A

3rd degree

61
Q

dilated venues of inferior hemorrhoidal venus plexus located below the anorectal line and covered by squamous/modified squamous epithelium

A

external hemorrhoids

62
Q

negative galvanic treatment/ Keesey treatment is

A

non-surgical tx for hemorroids

63
Q

MC virus in the perianal region

A

papilloma virus (causes condylomata acuminata disease)

64
Q

MC parasite in children

A

pinworms, enterobius cermicularis

65
Q

the midpoint of the anal canal there is an undulating demarcation referred to as

A

dentate line

66
Q

longitudinal folds

A

columns of morgagni

67
Q

anal skin tags are considered

A

previous external hemorrhoidal disease

end results of thromboses external hemorrhoids

68
Q

MC cancer of the anal canal

A

squamous cell carcinoma

69
Q

neoplasms of the anal canal

A

SCC ** MC
BCC
Bowen’s disease
Perianal Paget’s disease

70
Q

utilization of a non-absorbable suture placed through the tract to encircle the sphincter muscle

A

Seton technique

for fistulas

71
Q

Condylomata lata is a symptom of what STI?

A

Syphillus

MSP & OGG study - Beck (2 decks)

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