SFA 204 Flashcards

1
Q

WHICH BLOOD CELLS ARE MOST INTIMATELY INVOLVED IN THE HEMOSTATIC PROCESS?

A

PLATELETS

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2
Q

CONTROL OF MAJOR VASCULAR BLEEDING BOTH ARTERIAL OR VENOUS USUALLY REQUIRE?

A

HEMOSTATIC CLAMPS & LIGATURE

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3
Q

THE PRIMARY DISADVANTAGE OF CAUTERY TO OBTAIN SURGICAL HEMOSTASIS IS THE:

A

POTENTIAL FOR SEVERE TISSUE DAMAGE WHICH CAN DELAY WOUND HEALING

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4
Q

THIS SUBSTANCE BREAKS DOWN FIBRINOGEN AND MAY BE SPRAYED ONTO SURFACES TO INHIBIT BLEEDING?

A

THROMBIN

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5
Q

FIBRIN GLUE IN A MIXTURE OF:

A

FIBRINOGEN & THROMBIN

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6
Q

CAN TOPICAL HEMOSTATS BE USED ALONE TO CONTROL ARTERIAL BLEED?

A

NO, NOT FOR ARTERIAL BLEEDING

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7
Q

THE TYPE OF TOPICAL HEMOSTAT THAT PROVIDES THE FASTEST HEMOSTASIS IS?

A

FIBRIN GLUE

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8
Q

WHAT IS THE SUTURING TENSIL STRENGTH OF A WOUND AFTER 7 DAYS?

A

20% OF UNINJURED TISSUE

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9
Q

WHAT WILL BE THE TENSILE STRENGTH OF A COMPLETELY HEALED WOUND?

A

80% OF UNINJURED TISSUE

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10
Q

BACTERMEMIA IS:

A

THE PRESENCE OF BACTERIA IN THE BLOOD

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11
Q

CELLULITIS IS:

A

INFLAMMATION OF SKIN, USUALLY AFFECTS LOWER LEGS

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12
Q

WHAT IS A CICATRIX?

A

SCAR

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13
Q

COLLAGEN IS:

A

THE PROTEIN SUBSTANCE OF COMMECTIVE TISSUES

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14
Q

DEBRIDMENT IS:

A

THE REMOVAL OF FOREIGN MATERIAL OR DEAD TISSUE

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15
Q

DEHISCENCE IS:

A

THE SEPARATION OF THE LAYERS OF A SURGICAL WOUND AND/OR THE FALLING APART OF A WOUND

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16
Q

DEVITALIZED IS:

A

TO DEPRIVE OF VITALITY OF LIFE AND/OR THE DEATH OF TISSUE

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17
Q

AN ELECTROLYTE IS:

A

CAN INCLUDE: SODIUM, CHLORIDE, SUBSTANCE THAT DISSOCIATES-ASSOCIATES INTO IONS WHEN IN SOLUTION, POTASSIUM

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18
Q

ENDOCRINE MEANS:

A

PERTAINING TO INTERNAL SECRETION OF A HORMONAL NATURE

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19
Q

ENZYME MEANS:

A

A PROTEIN MOLECULE THAT PARTICIPATES IN A CHEMICAL REATION BY SPEEDING THE CHEMICAL REACTION

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20
Q

EPINEPHRINE IS:

A

A VOSOCONSTRICTIVE AGENT THAT CAUSES BLOOD VESSELS TO NARROW OR SHRINK DOWN

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21
Q

ERYTHEMATOUS MEANS:

A

REDNESS OF THE SKIN

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22
Q

FIBROBLASRS ARE:

A

CONNECTIVE-TISSUE CELL PRODUCING COLLAGEN

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23
Q

GANGRENE IS:

A

DEATH OF TISSUE DUE TO A LOSS OF VASCULAR SUPPLY FOLLOWED BY INFECTION
MOST COMMONLY CAUSED BY BACTERIA CLOSTRIDIUM PERFRINGENS

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24
Q

THE FORMATION IN WOUNDS OR FLESHY MASSES, WHICH INCLUDE A LARGE AMOUNT OF NEW BLOOD VESSELS, DURING THE HEALING PROCESS IS:

A

GRANULATION TISSUE

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25
Q

A COLLECTION OF BLOOD IN AN ORGAN OR TISSUE DUE TO A BREAK IN TEH WALL OF THE BLOOD VESSEL IS:

A

HEMATOMA, THE SWOLLEN SPACE THAT CONTAINS BLOOD

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26
Q

THE INTERRUPTION OF THE FLOW OF BLOOD THROUGH ANY VESSEL TO ANY ANATOMICAL AREA IS KNOWN AS:

A

HEMOSTASIS

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27
Q

THE OVERGROWTH OF SCAR TISSUE IS KNOWN AS:

A

HYPERTROPHIC SCAR

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28
Q

THE BODY SYSTEM THAT PROTECTS AGAINS INFECTION AND INFECTIOUS DISEASE IS KNOWN AS:

A

THE IMMUNE SYSTEM

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29
Q

THE BODY’S PROTECTIVE RESPONSE CAUSE BY INJURY OR DESTRUCTION OF TISSUE IS KNOWN AS:

A

INFLAMMATION

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30
Q

KELOIDS ARE:

A

ENLARGED SCAR DUE TO FORMATION OF EXCESSIVE AMOUNTS OF COLLAGEN

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31
Q

LYMPHOCYTES ARE:

A

WBCS FOUND I THE BLOOD, LYMPH, AND LYMPHOID TISSUES

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32
Q

THE SUM OF ALL THE PHYSICAL AND CHEMICAL PROCESS BY WHICH LIVING ORGANISMS MAINTAIN THEIR FUNCTION AND SURVIVE IS KNOWN AS:

A

METABOLIC FUNCTIONS

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33
Q

A SEROMA IS ALSO KNOWN AS:

A

A COLLECTION OF SERUM IN THE TISSUES

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34
Q

SERUM IS:

A

A BODY FLIUID CONSISTING OR VASCULAR FLUID DEVOID OF RBCS

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35
Q

VISCERA DESCRIBES:

A

THE INTERNAL ORGANS LOCATED INSIDE THE BODY CAVITY

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36
Q

THE REMOVAL OF DAMAGED AND DEAD TISSUE IN A WOUND OCCURS DURING (STAGE);

A

THE INFLAMMATION STAGE

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37
Q

SCAR MATURATION;

A

HAS A VARIABLE DURATION DEPENDING UPON THE SPECIFIC TYPE OF TISSUES THAT ARE WOUNDED

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38
Q

THE EPIDERMIS IS PART OF THE:

A

SKIN (OUTER)

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39
Q

PERIOSTEUM COVERS BONE LIKE FASCIA COVERS:

A

MUSCLE

40
Q

SUBCUTANEOUS TISSUE INCLUDES:

A

CONNECTIVE TISSUE AND FAT

41
Q

SCAR MATURATION OCCURS:

A

AS THE LAST STAGE OF TISSUE REPAIR
AFTER ALL WOUNDING INCLUDING TATTOOS
AFTER THE INFLAMMATORY STAGE

42
Q

THE ONLY STAGE IN WHICH COLLAGEN FIBERS DO NOT PLAY A MAJOR ROLE IS:

A

INFLAMMATION

43
Q

WOUND CLOSURE USING SUTURES IS TERMED:

A

CLOSURE BY PRIMARY INTENTION

44
Q

iF DURING THE COURSE OF AN OPERATION IN WHICH AN INITIALLY CLEAN WOUND WAS MADE AND THE PHARYNGEAL CAVITY WAS ENTERED, THE WOUND IS NOW:

A

A CLEAN, CONTAMINATED WOUND

45
Q

DIRTY WOUNDS ARE:

A

AN ALREADY CONTAMINATE WOUND, EXAMPLE ABSCESS

46
Q

FACTORS WHICH AFFECT WOUND HEALING INCLUDE:

A

AGE
STEROIDS
ANTI-NEOPLASTIC DRUGS
WEIGHT

47
Q

FACTORS WHICH AFFECT BLOOD SUPPLY, AND THEREFORE WOUND HEALING, INCLUDE:

A

POOR CIRCULATION SECONDARY TO CARDIAC DYSFUNTION
DIABETES
VARIOUS VASCULAR ILLNESSES

48
Q

FACTORS WHICH AFFECT WOUND HEALING INCLUDE:

A

CHRONIC ILLNESS
REDIATION THERAPY
NUTRITION (WHEN PATEINTS ARE MALNUTITION = HIGH RISK FOR WOUND INFECTION)

49
Q

AFTER PRIMARY CLOSURE ABOUT 95% OIF WOUND STRENGTH IS REACHED BY:

A

6 WEEKS

50
Q

THE METHOD OS WOUND CLOSURE DURING WHICH THE WOUND IS ONLY ALLOWED TO GRANULATE CLOSED IS CALLED:

A

HEALING BY SECONDARY INTENTION

51
Q

HEMATOMAS USUALLY RESULT FROM:

A

FAILURE TO OBTAIN HEMOSTASIS AT SURGERY

52
Q

RELAXED SKIN TENSION LINES ARE:

A

IMPORTANT FOR PLANNING INCISIONS
THE LINES OF MINIMAL INTENTION OF THE SKIN

53
Q

AREAS OF THE WOUND THAT HOAVE NOT BEEN ADEQUATELY CLOSED ARE CALLED:

A

DEAD SPACES

54
Q

THE GAUGE OF A NEEDLE REFERS TO:

A

THE NEEDLE BORE
THE NEEDLE DIAMETER

55
Q

BY KERN’S RULE, A 2% LIDOCAINE SOLUTION HAS:

A

20 MG OF DRUG PER CC

56
Q

SKIN FLAPS CAN BE USED TO:

A

PROVIDE TISSUE COVERAGE
IMPROVE COSMETIC RESULTS

57
Q

THE ROTATION FLAP:

A

IS USED TO PROVIDE SKIN COVERAGE WHEN THERE IS SKIN LOSS
IS APPROPRIATE FOR CLOSING A TRIANGULAR DEFECT

58
Q

THE Z-PLASTY;

A

IS USEFUL IN REORIENTING THE DIRECTION OF SCARS

59
Q

WHAT ARTERY SUPPLIES A LATISSIMUS DORSI FLAP USED FOR BREAST RECONSTRUCTION SURGERY?

A

THORACODORSAL

60
Q

WHAT INTERSPACE WOULD A 30FR. CHEST TUBE FOR AN ADULT PATIENT BE PLACED?

A

8TH OR 9TH INTERSPACE

61
Q

TO REDUCE INFECTION & STATIC ELECTRIVITY WHAT SHOULD BE THE HUMIDITY LEVEL IN THE OR?

A

50-55%

62
Q

WHAT TYPE OF LASER MAY BE UTILIZED AFTER CATARACT SURGERY TO VAPORIZE RESIDUAL LENS?

A

YAG

63
Q

HOW DOES PROTAMINE AFFECT INSULIN?

A

DELAY ITS ABSORPTION

64
Q

WHAT IS THE IDEA RANGE FOR THE INSUFFLATOR?

A

12-16 mm Hg

65
Q

WHAT TYPE OF STERILANT IS UTILIZED BY THE STERIS?

A

PERACETIC ACID

66
Q

THE THING SPEAKS FOR ITSELF:

A

RES IPSA LOQUITOR

67
Q

WHAT IS GLUTARADEHYDE?

A

HIGH LEVEL DISINFECTION AGENT

68
Q

WHAT STRCUTURE WOULD THE TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) BE USED TO VISUALIZE?

A

HEART

69
Q

HOW MANY DAYS POSTOP MAY DEHISCENCE OCCUR?

A

5-10 DAYS

70
Q

NAME THE 3 TYPES OF WOUND HEALING:

A

INFLAMMATORY
PROFILERATIVE (FIBROPLASTIC)
REMODELING

71
Q

WHEN ARE SKIN STAPLES USUALLY REMOVED?

A

5-7 DAYS

72
Q

WHAT IS A EVISCERATION?

A

WHEN THE VISCERA IS EXPOSED, REQUIRES IMMEDIATELY SURGERY

73
Q

TYPE OF SUTURING TECHNIQUE WHERE SUTURE IS PLACED THROUGH THE SEROMUSCULAR LAYER AND SUBMUCOSA?

A

LEMBERT

74
Q

TOURNIQUE RANGE FOR UPPER EXTREMITIES:

A

250-300 mm Hg (THIS OFTEN DEPENDS ON THE PATIENTS SYSTOLIC BP - NOT INFLATED 50-75 mm Hg ABOVE)

75
Q

PATHOGEN FOR DECUBITIS ULCERS:

A

STAPHYLOCCUS AUREUS

76
Q

TECHNIQUE UTILIZED BY SURGEON TO CONTROL HEMORRAGING TO BE ABLE TO FIND THE SOURCE OF BLEEDING? (SUCXH AS CLAMING THE HEPATIC PEDICLE TO LIMIT BLOOD LOSS IN A TRAUMA CASE)

A

PINGLE MANEUVER

77
Q

WHAT LASER TARGETS WATER IN CELLS?

A

CO2

78
Q

WHICH WOUND HEALING PHASE HAS EXTENSIVE GROWTH OF EPITHELIAL CELLS BENEATH THE SCAB?

A

PROLIFERATION

79
Q

MICROORGANIMS THAT CAUSES GANGRENE:

A

C. PERFRINGENS

80
Q

HOW IS STAPHYLOCOCCUS MOST LIKELY TRANSMITTED?

A

NOSE AND MOUTH

81
Q

BACTERIA FOUND IN THE INTESTINAL TRACT?

A

E. COLI

82
Q

DRUG FOR MRSA?

A

VANCOMYCIN

83
Q

WHICH CLASSIFICATION OF WOUND HEALING IS FOR PERFORATED BOWEL?

A

THIRD INTENTION

84
Q

CIRCUMFERENTIAIL BANDAGE SHOULD BE APPLIED TO AN EXTREMEITY (DIRECTION)?

A

DISTAL TO PROXIMAL

85
Q

CHOLECYSTECTOMY WITH NO BREAK IN TECHNIQUE AND NO SPILLAGE FROM THE GALLBLADDER IS CONSIDRED WHAT WOUND CLASSIFICATION?

A

CLASS II WOUND

86
Q

A PENETRATING FRACTURED TIBIA WOULD BE CLASSIFIED?

A

CONTAMINATED WOUND/CLASS III

87
Q

DURING WHICH PHASE OF WOUND HEALING IS THE STRENGTH OF THE WOUND LIMITED TO THE SUTURE HOLDING IT TOGETHER?

A

LAG PHASE (INFLAMMATORY)

88
Q

THE NEEDLE POINT MOST APPROPRIATE FOR SUTURING LIVER?

A

BLUNT

89
Q

WHICH SUTURE IS CONTRAINDICATED BOTH IN THE PRESENCE OF INFECTION AND IN THE URINARY OR BILIARY TRACT?

A

SILK

90
Q

IN WHICH LAYER OF EPIDERMIS IS KERATIN PRODUCED?

A

STRATUM BASALE

91
Q

SWEAT IS PRODUCED BY WHICH GLANDS?

A

SUDORIFEROUS GLANDS

92
Q

WHICH LAYER OF SKIN CONSISTS OF FOUR TO FIVE LAYERS CALLED STRATA?

A

EPIDERMIS

93
Q

ANOTHER NAME FOR DERMIS

A

STRATUM CORIUM

94
Q

WHICH INCISIONS WOULD ALLOW A SINGLE-LAYER FASCIAL CLOSURE?

A

MIDLINE

95
Q

WHICH INCISION IS DESIGNED AS ANTERIOR ACCESS TO THE SPLEEN, AND AVOIDS CUTANEOUS NERVES AND INNERVATION TO THE RECTUS MUSCLE?

A

PARAMEDIAN

96
Q

WHICH INCISION WOULD AVOID CONTACT WITH THE POSTERIOR RECTUS SHEATH?

A

PFANNENSTIEL