Deck 19: Plastic and Reconstructive Surgery

Question 1

Which term describes the palmar surface of the hand?

A) dorsal
B) radial
C) volar
D) ulnar

Answer 1

C

Question 2

Split-thickness skin grafts are used to cover which type of burned tissue?

A) erythematous first-degree burns
B) denuded areas of third-degree burns
C) blistered superficial second-degree burns
D) charred necrotic tissue in fourth-degree burns

Answer 2

B

Question 3

Which epidermal stratum is the outermost layer?

A) basale
B) corneum
C) granulosum
D) lucidum

Answer 3

B

Question 4

Which of the following statements regarding routine prepping for skin graft procedures is CORRECT?

A) Donor site is prepped first and considered clean.
B) Donor site is prepped last and considered contaminated.
C) Recipient site is prepped first and considered contaminated.
D) Recipient site is prepped last and considered clean.

Question 5

What is the term for the process of removing necrotic tissue or eschar prior to skin grafting?

A) debridement
B) defacement
C) degradation
D) dessication

Question 6

Which type of gland is found only in the ear canal and is responsible for creation of ear wax?

A) apocrine
B) ceruminous
C) merocrine
D) sebaceous

Question 7

The dermis and epidermis are components of which body system?

A) cardiovascular
B) integumentary
C) musculoskeletal
D) respiratory

Question 8

Which anatomical area is a TRAM flap used to reconstruct?

A) breast
B) hand
C) lip
D) palate

Question 9

What does a mesh graft device do?

A) It attaches a skin graft to the donor site.
B) It expands the size of the skin graft.
C) It slices a split thickness of donor skin.
D) It smoothes the skin graft to prevent bunching up.

Question 10

Which epidermal stratum is present only on the palms of hands and soles of feet?

A) basale
B) corneum
C) granulosum
D) lucidum

Question 11

The rule of nines is used in burn patients to estimate:

A) body surface area burned
B) depth of tissue destruction
C) length of estimated healing time
D) protocols for burn dressing changes

Question 12

Any of the following may be used topically for hemostasis of the STSG donor site EXCEPT:

A) epinephrine
B) mineral oil
C) phenylephrine
D) thrombin

Question 13

Which of the following are oil-producing glands?

A) apocrine
B) ceruminous
C) merocrine
D) sebaceous

Question 14

What is the name of the oil that is secreted from glands in the skin?

A) sebum
B) septum
C) sputum
D) stratum

Question 15

Which term describes the thumb side of the hand?

A) dorsal
B) radial
C) volar
D) ulnar

Question 16

Relaxation and hypertrophy of the eyelid skin is also known as:

A) arthrodesis
B) cheiloschisis
C) dermachalasis
D) micrognathia

Question 17

Which glands are found only in the external genitalia and axillae?

A) apocrine
B) ceruminous
C) merocrine
D) sebaceous

Question 18

How many degree classifications of skin burns are there?

A) two
B) three
C) four
D) five

Question 19

In which degree of skin burn does the tissue appear as pearly white or charred and will likely require debridement of eschar?

A) first
B) second
C) third
D) fourth

Question 20

Cheiloplasty and palatoplasty are corrective procedures for which of the following?

A) breast prolapse
B) cleft lip and palate
C) conjoined fingers
D) drooping and baggy eyelids

Question 21

Which method of anesthesia is preferred for rhytidectomy procedures?

A) Bier block
B) epidural
C) monitored (MAC)
D) topical

Question 22

In which procedure would the procerus and corrugator muscles be ablated, avulsed, resected, or separated?

A) augmentation mammoplasty
B) tumescent liposuction
C) endoscopic brow lift
D) mentoplasty

Question 23

Which type of incision is MOST frequently used to excise excess skin in a blepharoplasty procedure?

A) elliptical
B) oblique
C) paramedian
D) Z-shaped

Question 24

Which type of scissors would most likely be used to trim a full-thickness skin graft (FTSG) to size?

A) bandage
B) Jorgenson
C) reverse Potts
D) tenotomy

Question 25

For which procedure would the surgeon require a sterile tattoo machine and inks?

A) cleft lip repair
B) endoscopic brow lift
C) nipple reconstruction
D) reduction mammoplasty

Question 26

Which of the following letters represents the incisional configuration MOST commonly used for scar revision procedures?

A) C
B) H
C) U
D) Z

Question 27

Crescent, Benelli, and Benelli-lollipop lifts are techniques used during:

A) mastopexy
B) rhinoplasty
C) rhytidectomy
D) blepharoplasty

Question 28

Which of the following terms is more commonly referred to as a full face lift?

A) blepharoplasty
B) cheiloplasty
C) mentoplasty
D) rhytidectomy

Question 29

The mandibular symphysis is better known as the:

A) chin
B) lower lip
C) upper lip
D) nasal septum

Question 30

A full-thickness skin graft may be taken from the inner thigh or labial fold to re-create which anatomic area?

A) areola
B) Cupid's bow
C) mammary crease
D) umbilicus

Question 31

For which procedure would the surgical technologist possibly need a second setup for obtaining a costal cartilage graft?

A) cleft lip repair
B) otoplasty for microtia
C) TRAM flap reconstruction
D) fasciectomy for Dupuytren's contracture

Question 32

Anchor-shaped incisions with joining of tissue envelope folds are performed in which procedure?

A) centralization of radial dysplasia
B) cheiloplasty
C) mastopexy
D) rhinoplasty

Question 33

Which procedure is performed for dermachalasis?

A) abdominoplasty
B) blepharoplasty
C) mentoplasty
D) otoplasty

Question 34

For which procedure would the surgical technologist prepare a tumescent solution?

A) abdominoplasty
B) liposuction
C) mastopexy
D) syndactyly release

Question 35

Which cosmetic procedure is performed for micrognathia?

A) abdominoplasty
B) blepharoplasty
C) mentoplasty
D) otoplasty

Question 36

Breast ptosis is surgically corrected by:

A) malar implants
B) mastopexy
C) mentoplasty
D) marsupialization

Question 37

What is the term for webbed digits of the hand or foot?

A) contracture
B) dermachalasis
C) polydactyly
D) syndactyly

Question 38

Submalar augmentation is performed to address structural deficiency in the:

A) breasts
B) cheeks
C) eyes
D) nares

Question 39

The pinna, helix, crus, and tragus are all portions of the:

A) ear
B) eye
C) hand
D) nose

Question 40

"Cupid's bow" is reconstructed in which of the following procedures?

A) cleft lip repair
B) malar implants
C) nipple recreation
D) syndactyly release

Question 41

How would a transverse rectus abdominis musculocutaneous flap be classified?

A) free-flap graft
B) pedicle-flap graft
C) full-thickness skin graft
D) split-thickness skin graft

Question 42

Which cranial nerve must NOT be compromised by retractor placement during rhytidectomy?

A) fifth (V)
B) sixth (VI)
C) seventh (VII)
D) eighth (VIII)

Question 43

Which nerve passes through the carpal tunnel?

A) median
B) peroneal
C) radial
D) ulnar

Question 44

Which of the following statements describing variations of polydactyly is NOT correct?

A) The condition mainly involves the carpal and metacarpal bones.
B) The digits of the hands or feet may be involved.
C) The fifth finger duplications are the most common.
D) The duplication can be a partial digit or a complete additional digit.

Question 45

Which of the following might be used for stabilization in a Dupuytren's contracture release if an assistant is unavailable?

A) Derma-carrier
B) K-wires
C) lead hand
D) Senn retractors

Question 46

Vessel loops are available in all of the following colors EXCEPT:

A) green
B) red
C) white
D) yellow

Question 47

What is the medical term for the congenital deformity commonly called "club hand"?

A) carpal tunnel syndrome
B) Dupuytren's contracture
C) polydactyly
D) radial dysplasia

Question 48

What suturing technique would the surgeon use to attach tendons in a toe-to-thumb transfer procedure?

A) horizontal mattress
B) figure of eight
C) purse-string
D) vertical mattress

Question 49

All of the following are locations for incision in augmentation mammoplasty EXCEPT:

A) periareolar
B) subclavicular
C) axillary crease
D) inframammary crease

Question 50

Which of the following order of steps for replantation of a digit is CORRECT?

A) tendons, vessels, nerves, then bones
B) nerves, vessels, bones, then tendons
C) vessels, tendons, bones, then nerves
D) bones, tendons, vessels, then nerves

Question 51

When would a congenital facial deformity likely occur?

A) at conception
B) first trimester
C) second trimester
D) third trimester

Question 52

Which position should facial procedure patients maintain postoperatively to minimize edema?

A) prone
B) lateral
C) strict supine
D) head elevated

Question 53

Which type of suture would MOST likely be used during a cleft lip repair?

A) fine absorbable
B) heavy absorbable
C) fine nonabsorbable
D) heavy nonabsorbable

Question 54

Which sterile device will be used during TRAM flap reconstruction to verify the blood supply of the graft remains intact?

A) Doppler probe
B) manometer
C) pulse oximeter
D) stethoscope

Question 55

Before closure in augmentation mammoplasty, what is done to verify correct size?

A) Permanent implants are placed, and the nipple-to-nipple distance is measured for symmetry.
B) Permanent implants are placed and filled with measured amount of saline to determine volume.
C) Temporary sizers are placed and filled with measured amounts of saline to determine volume.
D) Temporary sizers are placed and filled with saline, and the table is raised to sitting position to evaluate appearance.

Question 56

A patient scheduled for centralization of radial dysplasia would be about what age?

A) neonate
B) 12 months old
C) 10 years old
D) 21 years or older

Question 57

Which of the following terms means surgical fixation of joint, eventually resulting in intentional bone fusion?

A) anastomosis
B) ankylosis
C) arthrodesis
D) arthroplasty

Question 58

Why would two separate setups be required for an immediate reconstruction following mastectomy?

A) to prevent confusion because multiple surgeons will work simultaneously
B) to prevent potential for retained foreign objects in the wounds
C) to prevent overcrowding of the back table with multiple trays
D) to prevent seeding of cancer cells if same instruments are used for both

Question 59

Which of the following bones make up the palm of the hand?

A) carpals
B) metacarpals
C) phalanges
D) radii

Question 60

Approximately how many muscles and their tendons control movement of the wrist, hand, and fingers?

A) 20
B) 30
C) 40
D) 50

Question 61

Which muscles are tightened in an abdominoplasty procedure?

A) transversus abdominis
B) rectus abdominis
C) latissimus dorsi
D) pectoralis major

Question 62

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Rapid side-to-side movement used for sharp dissection

Question 63

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Type of drape designed to encase and cover the hair of the head

Question 64

Severed digits should be kept tightly covered and warm to prevent clot formation and necrosis, preventing replantation.

Question 65

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Device used to measure distance between two opposite sides

Question 66

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Severe blood and fluid loss, making it difficult for the heart to pump; post-op complication of aggressive liposuctioning

Question 67

Patients with cleft palates may have difficulty sucking, swallowing, or forming sounds.

Question 68

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Dead tissue that sloughs off of healthy skin

Question 69

Abdominoplasty procedures cannot be performed on patients who have undergone cesarean sections, due to excessive adhesions in the lower abdomen.

Question 70

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Excoriated tissue; loss of intact coverings

Question 71

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Tissue transplanted from another person or cadaver

Question 72

Under which muscle is the pocket for breast implant often created for greatest support?

A) internal oblique
B) latissimus dorsi
C) pectoralis major
D) serratus anterior

Question 73

Plastic and reconstructive surgeries must be done only after an individual has stopped growing, due to potential changes in anatomy of younger patients.

Question 74

Which type of specialized retractor enhances visualization in many breast and abdominoplasty procedures?

A) Bookwalter
B) fiber-optic
C) Greenberg
D) Weitlaner

Question 75

Incisions made for endoscopic brow lifts and rhytidectomy are often placed within the hairline for camouflage.

Question 76

Which type of grafted tissue would have skin sensation preserved?

A) free flap
B) full thickness
C) pedicle flap
D) split thickness

Question 77

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Type of procedure performed to improve appearance rather than to strictly treat a pathological condition

Question 78

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Distinct individual tissue layer

Question 79

Match each term below with its description.
a.Eschar
b.Heterograft
c.Turban
d.Hypovolemia
e.Stratum
f.Aesthetic
g.Montgomery straps
h.Caliper
i.Denuded
j.Oscillating
Type of dressing used for frequent dressing changes and wound assessment; prevents excoriation from tape application and removal

Question 80

Which of the following is NOT a type of liposuction?

A) electrosurgery
B) laser
C) tumescent
D) ultrasonic