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SGT 210
Chapter 19 Plastic & Reconstructive Surgery
| Question | Answer |
|---|---|
| 1. The dermis and epidermis are components of which body system? | B. Integumentary |
| 2. Which epidermal stratum is present only on the palms of hands and soles of feet? | D. Lucidum |
| 3. Which epidermal stratum is the outermost layer? | B. Corneum |
| 4. Which of the following are oil-producing glands? | D. Sebaceous |
| 5. What is the name of the oil that is secreted from glands in the skin? | A. Sebum |
| 6. Which type of gland is found only in the ear canal and is responsible for creation of ear wax? | B. Ceruminous |
| 7. How many degree classifications of skin burns are there? | C. Four |
| 8. In which degree of skin burn does the tissue appear as pearly white or charred and will likely require debridment of eschar? | C. Third |
| 9. Split-thickness skin graft are used to cover which type of burned tissue? | B. denuded areas of third degree burns |
| 10. The rule of nines is used in burn patients to estimate: | A. Body surface area burned |
| 11. What is the term for the process of removing necrotic tissue or eschar prior to skin grafting? | A. Debridment |
| 12. Which glands are found only in the external genitalia and axillae? | A. Apocrine |
| 13. What does a mesh graft device do? | B. It Expands the size of the skin graft |
| 14. Which of the following statements regarding routine prepping for skin graft procedures is CORRECT? | A. Donor site is prepped first and considered clean |
| 15. Any of the following may be used topically for hemostats of the STSF donor site EXCEPT: | B. Mineral oil |
| 16. Relaxation and hypertrophy of the eyelid skin is also known as: | C. Dermatochalasis |
| 17. Cheiloplasty and palatoplasty are corrective procedures for which of the following? | B. cleft lip and palate |
| 18. Which term describes the palmar surface of the hand? | A. Volar |
| 19. Which term describes the thumb side of the hand? | B. Radial |
| 20. Which anatomical area is a TRAM flap used to reconstruct? | A. Breast |
| 21. For which would the surgical technologist prepare a tumescent solution? | B. Liposuction |
| 22. What is the term for webbed digits of the hand or foot? | D. Syndactyly |
| 23. Submalar augmentation is performed to address structural deficiency in the: | B. Cheeks |
| 24. Which procedure is performed for dermachalasis? | B. Blepharoplasty |
| 25. Which cosmetic procedure is performed for micrognathia? | C. Mentoplasty |
| 26. The mandibular symphysis is better known as the: | A. Chin |
| 27. The pinna, helix, crus, and tragus are all portions of the: | A. Ear |
| 28. For which procedure would the surgical technologist possibly need a second setup for obtaining a cartilage graft? | B. Otoplasty For microtia |
| 29. Which type of scissors would most likely be used to trim a full-thickness skin graft (FTSG) to size? | D. Tenotomy |
| 30. Which of the following letters represents the incisional configuration MOST commonly used for scar revision procedures? | D. Z |
| 31. Which type of incision is MOST frequently used to excise excess skin in a blepharoplasty procedure? | A. Elliptical |
| 32. Breast ptosis is surgically corrected by: | B. Mastopexy |
| 33. In which procedure would the procures and corrugator muscles be ablated, avulsed, resected, or separated? | C. Endoscopic brow lift |
| 34. Which of the following terms is more commonly referred to as a full face lift? | D. Rhytidectomy |
| 35. Which method of anesthesia is preferred to rhytidectomy procedures? | C. Monitored MAC |
| 36. "Cupid's bow" is reconstructed in which of the following procedures? | A. Cleft lip repair |
| 37. For which procedure would the surgeon require a sterile tattoo machine and inks? | C. Nipple reconstruction |
| 38. A full-thickness skin graft may be taken from the inner thigh or labial fold to re-create which area? | A. Areola |
| 39 .Crescent, Benelli, and Benelli-lollipop lifts are techniques used during: | A. Mastopexy |
| 40. Anchor-shaped incisions with joining of tissue envelope folds are performed in which procedure? | C. Mastopexy |
| 41. Which of the following might be used for stabilization in a Dupaytren's contracture release if an _ is unavailable? | C. Lead hand |
| 42. Which cranial nerve must NOT be compromised by retractor placement during rhytidectomy? | C. seventh |
| 43. Which position should facial procedure patients maintain postoperatively to minimize edema? | D. Head elevated |
| 44. When would a congenital facial deformity likely occur? | B. First trimester |
| 45. Which type of suture would MOST likely be used during a cleft lip repair? | A. Fine absorbable |
| 46. Which of the following bones make up the palm of the hand? | B. Metacarpals |
| 47. Approximately how many muscles and their tendons control movement of the wrist, hand, and fingers? | C. 40 |
| 48. Which nerves passes through the carpel tunnel? | A. Median |
| 49. Which of the following order of steps for replantation of a digit is CORRECT? | D. Bones, tendons, vessels then nerves |
| 50. Vessel loops are available in all of the following colors EXCEPT: | A. Green |
| 51. What suturing technique would the surgeon use to attach tendons in a toe-to-thumb transfer procedure? | B. Figure of eight |
| 52. Which of the following terms means surgical fixation of joint, eventually resulting in international bone fusion? | D. Arthrodesis |
| 53. What is the medical term for the congenital deformity commonly called "Club hand"? | D. Radial Dysplasia |
| 54. A patient scheduled for centralization of radial dysplasia would be about what age? | B. 12 months old |
| 55. Which of the following statements describing variations of polydactyly is NOT correct? | A. The condition mainly involves the carpal and metacarpal bones |
| 56. Before closure in augmentation mammoplasty, what is done to verify correct size? | D. temporary sizers are placed and filled with saline and the table is raised to sitting position to evaluate appearance |
| 57. All of the following are locations for incision in augmentation mammoplasty EXCEPT: | B. Subclavicular |
| 58. How would a transverse rectus abdomens musculocutaneous flap be classified? | B. Pedicle flap graft |
| 59. Why would two separated setups be required for immediate reconstruction following mastectomy? | D. To prevent seeding of cancer cells if same instruments are used for both |
| 60. Which sterile device will be used during TRAM flap reconstruction to verify the blood supply of the remains instant? | A. Doppler probe |
| 61. Which of the following his NOT a type of liposuction? | A. Electrosurgery |
| 62. Which muscles are tightened in an abdominoplasty procedure? | B. Rectus abdominis |
| 63. Under which muscle is the pocket for breast implant often crated for greater support? | C. Pectoralis Major |
| 64. Which type of specialized retractor enhances visualization in many breast and abdominoplasty procedures? | B. Fiber optic |
| 65. Which type of grafted tissue would have skin sensation preserved? | B. Pedicle flap |
| 1. Type of dressing used for frequent dressing changes and wound assessment; prevents excoriation from tape application and removal. | G. Montgomery straps |
| 2. Severe blood and fluid loss, making it difficult for the heart to pump; post-op complication of aggressive liposuctioning. | D. Hypovolemia |
| 3. Rapid side-to-side movement used for sharp dissection. | J. Oscillating |
| 4. Tissue transplanted from another person or cadaver | B. Heterograft |
| 5. Distinct individual tissue layer. | E. Stratum |
| 6. Dead tissue that sloughs off of healthy skin. | A. Eschar |
| 7. Excoriated tissue; loss of intact coverings. | I. Denuded |
| 8. Type of procedure performed to improve appearance rather than to strictly treat pathological conditions. | F. Anesthetic |
| 9. Type of drape designed to encase and cover the hair of the head. | C. Turban |
| 10. Device used to measure distance between two opposite sides. | H. Caliper |
| Plastic and reconstructive surgeries must be done only after an individual has stopped growing, due to potential changes in anatomy of younger patients. | F |
| Patients with cleft palates may have difficulty sucking, swallowing, or forming sounds. | T |
| Incisions made for endoscopic brow lifts and rhytidectomy are often placed within the hairline for camouflage. | T |
| Abdominoplasty procedures cannot be performed on patients who have undergone cesarean sections, due to excessive adhesions in the lower abdomen | F |
| Severed digits should be kept tightly covered and warm to prevent clot formation and necrosis, preventing replantation. | F |