Deck 40: Plastic and Reconstructive Surgery

Question 1

Which type of burn involves the epidermis and some layers of the dermis?

A) First-degree burn
B) Second-degree burn
C) Third-degree burn
D) Fourth-degree burn

Answer 1

B
In a second-degree burn,all epidermis and varying depths of the dermis are destroyed.It is characterized by blister formation,pain,and a moist,mottled appearance.

Question 2

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

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

Answer 2

C
The tangential excision procedure involves excising burned tissue until normal dermal tissue is reached below the depth of the wound.The wound is usually covered with a split-thickness autograft.

Question 3

Which type of graft comes from a genetically identical person?

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

Answer 3

D
A tissue donation from a person with identical genetic makeup is an isograft.

Question 4

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

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 5

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

A) Laparoscopic
B) Periareolar
C) Periosteal
D Intrathoracic

Question 6

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

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 7

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

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

Question 8

Which is a benefit of using omentum as a graft?

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 to localize and control infection

Question 9

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

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 prior to surgery

Question 10

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

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

Question 11

A Marjolin ulcer is type of ulceration that is caused by massive bleeding from a stress ulcer in the stomach and duodenum.

Question 12

During replantation of digits or extremities,the surgeon will anastomose more veins than arteries.

Question 13

Which category of plastic surgery deals especially with areas of the body such as the breast and face?

A) Congenital anomalies
B) Aesthetic appearance
C) Neoplasms
D) Traumatically acquired disfigurements

Question 14

Which procedure involves reshaping of the nose either to correct a defect or for cosmetic alteration?

A) Mentoplasty
B) Rhinoplasty
C) Otoplasty
D) Rhytidoplasty

Question 15

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

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

Question 16

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

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

Question 17

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

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

Question 18

What process increases tissue for coverage of a large surface area?

A) Rotational flap
B) Tissue expansion with a tissue expander
C) Subcutaneous flap
D) Arterialized flap

Question 19

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

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

Question 20

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

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 secondary inanition

Question 21

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Skin resurfacing

Question 22

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Removal of excess abdominal skin

Question 23

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Aspiration of adipose tissue

Question 24

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Removal of excess eyelid skin

Question 25

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

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 26

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Removal of loose facial skin

Question 27

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Scar revision

Question 28

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Layered excision of skin cancer

Question 29

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Revising the shape and size of the chin

Question 30

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Ear reconstruction

Question 31

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Nose reshaping

Question 32

MATCHING
Match each procedure with its definition.
a.Rhytidoplasty
b.Rhinoplasty
c.Blepharoplasty
d.Otoplasty
e.Liposuction
f.Mentoplasty
g.Panniculectomy
h.Plication
i.Z-plasty
j.Mohs' micrograph
k.Dermabrasion
Securing edges of rectus muscle