Deck 40: Plastic and Reconstructive Surgery

Question 1

How should a graft be handled until the surgeon is ready to apply it?

A)Leave it dry on the corner of the table.
B)Keep the graft moist on a separate sterile graft table.
C)Place it on the mayo stand.
D)Place it in an ice basin.

Answer 1

B
Most grafts are prepared on a separate sterile table and kept moist with normal saline until ready for use.

Question 2

What process increases the surface of the dermal-epidermal layer to create a skin flap?

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

Answer 2

B
A tissue expansion device is implanted subcutaneously to close a defect.This process allows the dermis to stretch and thin out while the epidermis duplicates itself.

Question 3

The goal of a plastic surgeon is to attempt to restore aesthetic appearance and function.

Answer 3

True
Plastic surgeons practice their art on all body parts.They attempt to restore both form (aesthetic appearance)and function of body part if necessary.

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 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 6

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 7

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 8

What necessary environmental controls must be considered when caring for a severe burn patient?

A)Know preexisting medical history
B)Keep skin exposed to air
C)Let family visit to distract them from pain
D)Increase room temperature and practice reverse isolation

Question 9

What type of wound closure material do plastic surgeons prefer?

A)Large staples
B)Small diameter cutting needles
C)No suture
D)Skin glue

Question 10

What kind of solution is used during liposuction?

A)Normal saline
B)Tumescence
C)Glycine
D)Crystalloid solution

Question 11

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 12

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 13

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 first intention

Question 14

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 15

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

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

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

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 before surgery.

Question 18

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 localize and control infection

Question 19

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

Question 20

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

A)Laparoscopic
B)Periareolar
C)Periosteal
D)Intrathoracic

Question 21

The rule of sevens chart is used to estimate burn injury in the adult.