Minor Surgery Exam 2 assesses knowledge on wound healing, cryogen properties, incision repair techniques, and management of non-fixed masses in salivary glands. This quiz is crucial for medical students specializing in surgical procedures and minor operations.
Alcohol
Saline
Hydrogen peroxide
Betadine
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In the mouth
On the penis
On the nails
On the scalp
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150mg
200mg
100mg
75mg
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Lichen planus
Erysipelas
Dermatofibroma
Squamous cell carcinoma
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Refer to the emergency department for probable torsion
Address his probable strangulated hernia by referring him out
Address his probable strangulated hernia in the office
Refer to a urologist for probable epididymitis
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A mild analgesic
Moderate elevation of the limb
Local antibiotic gel
Hot applications
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If there is an infection
If the patient is not on antibiotics
If the lesion is larger than 5mm in diameter
If you are cutting through the skin
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Felon
Abscess
Furuncle
Carbuncle
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Excision
Cryosurgery
Sclerosing injection
Infrared photocoagulation
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Perpendicular to the skin lines
Parallel to the skin lines
Pinch the skin up with your thumb and forefinger
Spread the skin between your thumb and forefinger
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Sebaceous cyst removal
Ganglion cyst removal
Toe nail removal
Lipoma removal
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Nevus; shave biopsy
Actinic keratosis; punch biopsy
Seborrheic keratosis; hyfrecation
Basal cell carcinoma; total excision
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6-0 vicryl
6-0 prolene
3-0 vicryl
5-0 plain gut
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Liquid nitrogen spray
Nitrous oxide probe
Liquid nitrogen applicator
Carbon dioxide slush
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Tell the patient to watch it for 4 weeks and re-examine as neoplasms occur infrequently here
Refer because of the salivary glands, in which neoplasms frequently occur
Immediately send the patient to the emergency room
Perform a punch biopsy
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Molluscum contagiosum
Actinic (solar) keratoses
Hemorrhoids
Hemangiomas
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Hospitilization for intensive therapy and antibiotics
Referral to hand surgeon as the condition may require wide excision and decompression
Thorough wound irrigation with sterile saline, followed by antibiotics and immobilization of the finger
Herbal antimicrobials, ice and elevation for 24 hours, then contrast hydrotherapy frequently
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Histopathologic diagnosis does not match clinical history
Pathologist is sure of diagnosis
Diagnosis matches clinicians impression
If an automatic second for clinically suspicious skin cancers exists
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Urticaria
Myocardial ischemia
Palpitations
Sudden migraine
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The procedure would only be safe if you had an assistant to help you
The procedure is safe but requires extensive experience to perform as an in-office procedure
The procedure would not be effective under any circumstances
The procedure would be effective if the electrodessication included both electrocautery and hyfrecation
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6 hours
12 hours
48 hours
72 hours
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Malignant melanoma
Autoimmune disease
Squamous cell carcinoma
Areas of vascular compromise
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Electrocautery
Incisional removal
Excisional removal
Cryosurgery
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Diabetes mellitus
Patient is on antibiotics
The patient is elderly and has peripheral neuropathy
Poor nutrition
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It is blocked lateral to the radial artery
It is blocked lateral to the brachioradialis tendon
It is blocked between the tendons of the palmaris longus and abductor pollicis longus
It is blocked between the flexor carpi ulnaris and the ulnar artery
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Making sure the knots are as tight as possible
Placing the stitches as close together as possible
Using adson forceps to hold the surrounding tissue
Clamping serrated forceps around the surrounding tissue
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Pilar cysts are often inherited in autosomal dominant pattern
Epidermal and pilar cysts are uncommon
Sebaceous cysts are usually malignant
Sebaceous cysts are uncommon
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Scleroderma
Raynauds disease
Infections of proximal phalanx area
Nail-bed lacerations
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Bupivacaine (marcaine)
Lidocaine
Mepivacaine
Prilocaine
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24-48 hours
48-72 hours
5-7 days
7-10 days
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Lesions that require special histological handling
Lesions that are located in areas difficult to operate on
Small, discrete lesions
Lesions that are too large for complete excision
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Bupivacaine 0.25% with epinephrine
Prilocaine 1% with epinephrine
Mepivacaine 1% with epinephrine
Mepivacaine 1% without epinephrine
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14 days
60 days
30 days
21 days
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Horizontal mattress
Vertical mattress
Continuous
Interrupted
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Lymphangitis
Erysipelas
Cellulitis
Tetanus
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Chromic catgut
Maxon (polyglyconate)
Silk
Dacron (mersilene)
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Pressure dressing
Packing the space with gelfoam
Packing the space with iodoform gauze
Suturing of the subcutaneous tissues
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Disinfect, irrigate and debride the wound, then advise regarding tetanus prevention
Disinfect, irrigate, and debride the wound, then give broad spectrum antibiotics
Disinfect and irrigate the wound, then elevate the leg for 24 hours
Disinfect, irrigate and then excise the entire wound, following with broad spectrum antibiotics
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Dexon
Plain catgut
Vicryl
Chromic catgut
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The procedure is more painful than cryosurgery
It leaves no scarring
Bleeding is often profuse with this treatment
It obviates the need to biopsy suspicious lesions
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12 hours
72 hours
48 hours
24 hours
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External hemorrhoids can be painlessly banded and frozen
When using a one layer closure, the loop of suture should be wider deep in the tissue than at the surface
If properly treated, ganglion cysts will not recur
First degree hypspadias is an indication for circumcision
Inner thigh
Lateral neck
Axilla
Buttocks
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1 month
Two years
One year
4 months
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Distal to the radial styloid process
Lateral to the palmaris longus tendon
Medial to the flexor carpi radialis tendon
Proximal to the pisiform bone
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Pregnancy
Bleeding disorder
Anemia
Infection
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Runs on a curved course to the primary opening which is in the posterior midline
Runs on a straight curve course to the primary opening which is in the same quadrant
Runs on a curved course to the primary opening which is in the same quadrant
Runs on a straight course to the primary opening which is in the anterior midline
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Irrigate with hydrogen peroxide and allow to heal by secondary closure
Refer to a plastic surgeon
Irrigate with hydrogen peroxide and allow to heal by delayed primary closure
Excise the entire wound
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