Plastics & Reconstruction COPY

Question 1

What does the term augmentation mean?

Answer 1

The process of making or becoming greater in size and amount.

Question 2

In what procedure would a dermatome be used?

Answer 2

Split-thickness skin graft

Question 3

What are the two types of dermatomes?

Answer 3

Oscillating-blade/hand held knife

Question 4

What is the next step in preparation after the blade has been inserted into the dermatome?

Answer 4

Place 1 of 4 guard plates on and secure with screws.

Question 5

What is the purpose of the guard plates on a dermatome?

Answer 5

It will determine the width of the skin graft.

Question 6

The sizes of guard plates vary from _______ to _______.

Answer 6

1-4 inches

Question 7

What instrument can expand the size of a skin graft?

Answer 7

Mesh graft device

Question 8

What disposable supply is needed with a mesh graft device?

Answer 8

Derma-carrier

Question 9

What are the categories that skin grafts fall into?

Answer 9

Split-thickness & Full thickness

Question 10

What sources can skin grafts be procured from? Use medical terms

Answer 10

Autograft, allograft, heterograft( xenograft)

Question 11

An auto graft is procured from

Answer 11

the patient’s own self.

Question 12

An allograft is harvested from

Answer 12

another person or a cadaver.

Question 13

A heterograft is procured from

Answer 13

another species like a pig or cow. Bovine/Porcine.

Question 14

A split-thickness skin graft (STSG) is composed of the

Answer 14

epidermis and half of the dermis.

Question 15

A full-thickness skin graft (FTSG) is composed of

Answer 15

epidermis and ALL of the dermis.

Question 16

FTSG are primarily used to cover

Answer 16

small defects (after excision of lesions like basal cell and squamous cell carcinoma).

Question 17

A STSG is primarily used to cover

Answer 17

larger areas such as with burn victims.

Question 18

When the pt. is scheduled for an autograft, there will be a __________ surgical site and __________ surgical site.

Answer 18

Donor / Recipient

Question 19

When an autograft is performed, the circulating nurse should have _____ prep sets available.

Answer 19

Two

Question 20

___________ is the largest organ of the body.

Answer 20

Skin

Question 21

List responsibilities of the skin:

Answer 21

Protection from external sources, defense from infection/disease, fluid balance, regulate body temp, waste excretion-sweat, sensory input(temp, pain, touch, pressure), Vitamin D synthesis

Question 22

A hair shaft is embedded in the _________ and extends through the __________.

Answer 22

Dermis/Epidermis

Question 23

Sebaceous glands produce _________

Answer 23

sebum

Question 24

What is sebum?

Answer 24

oil

Question 25

What is a sudoriferous glad?

Answer 25

Sweat gland

Question 26

What is cerumen?

Answer 26

Ear wax

Question 27

What instrument is used to clear the external auditory canal of cerumen?

Answer 27

A buck curette

Question 28

A burn injury can come from _____,________,___________, ___________, ______.

Answer 28

heat, radiation, chemicals, gases, or electricity.

Question 29

A burn is classified according to ___________.

Answer 29

degrees

Question 30

First degree burns affect the dermis and are characterized the

Answer 30

redness of the skin.

Question 31

Second degree burns are characterized by

Answer 31

blisters.

Question 32

Third degree burns affect the full thickness of the skin and possibly underlying structures. They may appear ________ or _________.

Answer 32

charred or pearly white

Question 33

Third degree burns are known as

Answer 33

eschars.

Question 34

Fourth degree burns are known as

Answer 34

char.

Question 35

What is ABSI?

Answer 35

Abbreviated Burn Severity Index

Question 36

Name the two ways the severity of the patient's condition can be assessed.

Answer 36

Lund-Browder method, Rule of nines

Question 37

What is used to help the dermatome move effortlessly across the donor site?

Answer 37

Sterile Mineral Oil

Question 38

What sterile item may be used for counter traction when using a dermatome?

Answer 38

Sterile Tongue Blade

Question 39

Which muscles encircle the eyes?

Answer 39

Orbicularis

Question 40

Which muscle opens the eye?

Answer 40

Levator

Question 41

What is a blepharoplasty?

Answer 41

surgical repair of the eyelid

Question 42

When performing a blepharoplasty, what prophylactic action keeps the eyes from drying out?

Answer 42

Instillation of ophthalmic ointment

Question 43

What type incision is made when performing a blepharoplasty?

Answer 43

Elliptical

Question 44

What instrument may be used to insure that both incisions are the same length on a bilateral blepharoplasty?

Answer 44

Caliper

Question 45

Which bones forms the prominences of the cheeks, and lateral walls and floors of the orbits?

Answer 45

zygomatic bones (malar)

Question 46

What is the primary muscle of mastication?

Answer 46

Masseter muscle

Question 47

What is mastication?

Answer 47

chewing

Question 48

If the patient is having a mentoplasty, what anatomical structure will the procedure be performed on?

Answer 48

The patient's chin

Question 49

What structure is the external auditory meatus located in?

Answer 49

Ear

Question 50

Name two procedures an otoplasty can be performed for?

Answer 50

Microtia (small or absent ear) & prominent ears

Question 51

Pinnae that abnormally protrude from the sides of the head are known as

Answer 51

prominent ears

Question 52

What is the most common form of malignant skin lesion, that spread locally, but does not metastasize?

Answer 52

Basal cell carcinoma

Question 53

Tissue that is completely detached from the donor site and transplanted into the recipient site is called a

Answer 53

free flap.

Question 54

Augmentation mammoplasty does treat _____ breasts.

Answer 54

ptotic

Question 55

What is a Mohs procedure?

Answer 55

It is used to remove advanced, recurrent skin cancers with minimal removal of normal tissue