Minor Surgery Exam 2

50 Questions | By Wonderlandwitch | Updated: Mar 22, 2022 | Attempts: 167

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1.

The remodeling phase of wound healing generally starts how many days after injury?
- A.
  
  14 days
- B.
  
  60 days
- C.
  
  30 days
- D.
  
  21 days
2.

Which cryogen has the least freezing intensity?
- A.
  
  Liquid nitrogen spray
- B.
  
  Nitrous oxide probe
- C.
  
  Liquid nitrogen applicator
- D.
  
  Carbon dioxide slush
3.

Which of the following is important to good atraumatic technique in incision repair?
- A.
  
  Making sure the knots are as tight as possible
- B.
  
  Placing the stitches as close together as possible
- C.
  
  Using adson forceps to hold the surrounding tissue
- D.
  
  Clamping serrated forceps around the surrounding tissue
4.

Which of the following is best for general irrigation?
- A.
  
  Alcohol
- B.
  
  Saline
- C.
  
  Hydrogen peroxide
- D.
  
  Betadine
5.

A non-fixed mass is palpated in the area of the right parotid gland. Which of the following is the best course of action?
- A.
  
  Tell the patient to watch it for 4 weeks and re-examine as neoplasms occur infrequently here
- B.
  
  Refer because of the salivary glands, in which neoplasms frequently occur
- C.
  
  Immediately send the patient to the emergency room
- D.
  
  Perform a punch biopsy
6.

After removal of a cyst less than 1 cm long, the dead space is best addressed by which of the following?
- A.
  
  Pressure dressing
- B.
  
  Packing the space with gelfoam
- C.
  
  Packing the space with iodoform gauze
- D.
  
  Suturing of the subcutaneous tissues
7.

Contraindications for a punch biopsy include all of the following except with one?
- A.
  
  Malignant melanoma
- B.
  
  Autoimmune disease
- C.
  
  Squamous cell carcinoma
- D.
  
  Areas of vascular compromise
8.

Incisional biopsies are best used for which of the following?
- A.
  
  Lesions that require special histological handling
- B.
  
  Lesions that are located in areas difficult to operate on
- C.
  
  Small, discrete lesions
- D.
  
  Lesions that are too large for complete excision
9.

Cryosurgery is commonly used on all the following except:
- A.
  
  Molluscum contagiosum
- B.
  
  Actinic (solar) keratoses
- C.
  
  Hemorrhoids
- D.
  
  Hemangiomas
10.

Which of the following statements about skin cysts is true?
- A.
  
  Pilar cysts are often inherited in autosomal dominant pattern
- B.
  
  Epidermal and pilar cysts are uncommon
- C.
  
  Sebaceous cysts are usually malignant
- D.
  
  Sebaceous cysts are uncommon
11.

Contraindications to digital block include all of the following EXCEPT which one?
- A.
  
  Scleroderma
- B.
  
  Raynauds disease
- C.
  
  Infections of proximal phalanx area
- D.
  
  Nail-bed lacerations
12.

After a toe nail removal of the left foot, a patient reports edema in the left great toe. Which of the following would be most likely to prevent this occurrence?
- A.
  
  A mild analgesic
- B.
  
  Moderate elevation of the limb
- C.
  
  Local antibiotic gel
- D.
  
  Hot applications
13.

After debriding a particularly deep, infected wound, a drain is placed to facilitate healing. When should it most likely be removed?
- A.
  
  12 hours
- B.
  
  72 hours
- C.
  
  48 hours
- D.
  
  24 hours
14.

In treating a subungual hematoma, what is the typical method of choice?
- A.
  
  Electrocautery
- B.
  
  Incisional removal
- C.
  
  Excisional removal
- D.
  
  Cryosurgery
15.

Of the following, which has the slowest onset time of anesthesia?
- A.
  
  Bupivacaine (marcaine)
- B.
  
  Lidocaine
- C.
  
  Mepivacaine
- D.
  
  Prilocaine
16.

Which of the following is a typical symptom of an allergic reaction to lidocaine?
- A.
  
  Urticaria
- B.
  
  Myocardial ischemia
- C.
  
  Palpitations
- D.
  
  Sudden migraine
17.

A 35-year-old female comes to you after accidentally injecting paint into her finger while trying to clear a blocked high-pressure spray gun. The finger was immediately stiff and she noticed a drop of pain ooze out when she bent her finger. What is the most appropriate next step?
- A.
  
  Hospitilization for intensive therapy and antibiotics
- B.
  
  Referral to hand surgeon as the condition may require wide excision and decompression
- C.
  
  Thorough wound irrigation with sterile saline, followed by antibiotics and immobilization of the finger
- D.
  
  Herbal antimicrobials, ice and elevation for 24 hours, then contrast hydrotherapy frequently
18.

Which of the following statements is true?
- A.
  
  External hemorrhoids can be painlessly banded and frozen
- B.
  
  When using a one layer closure, the loop of suture should be wider deep in the tissue than at the surface
- C.
  
  If properly treated, ganglion cysts will not recur
- D.
  
  First degree hypspadias is an indication for circumcision
19.

Which of the following has the least tissue reactivity?
- A.
  
  Chromic catgut
- B.
  
  Maxon (polyglyconate)
- C.
  
  Silk
- D.
  
  Dacron (mersilene)
20.

Which of the following is a relative contraindication for an in-office incision and drainage of an abscess of the leg?
- A.
  
  Diabetes mellitus
- B.
  
  Patient is on antibiotics
- C.
  
  The patient is elderly and has peripheral neuropathy
- D.
  
  Poor nutrition
21.

Where does paronychia occur?
- A.
  
  In the mouth
- B.
  
  On the penis
- C.
  
  On the nails
- D.
  
  On the scalp
22.

For which of the following would a skin biopsy be necessary for diagnosis?
- A.
  
  Lichen planus
- B.
  
  Erysipelas
- C.
  
  Dermatofibroma
- D.
  
  Squamous cell carcinoma
23.

How long should the packing be left in place following skin abscess removal?
- A.
  
  6 hours
- B.
  
  12 hours
- C.
  
  48 hours
- D.
  
  72 hours
24.

A 24-year-old woman comes to you with a 2 cm laceration to her right shoulder. The wound is a linear, clean cut less than two hours old. What is the suture technique of choice for her?
- A.
  
  Horizontal mattress
- B.
  
  Vertical mattress
- C.
  
  Continuous
- D.
  
  Interrupted
25.

An 8-year-old boy presents with a 1 cm dirty, jagged wound less than ten hours old in freely movable tissue. Which of the following is the most appropriate response?
- A.
  
  Irrigate with hydrogen peroxide and allow to heal by secondary closure
- B.
  
  Refer to a plastic surgeon
- C.
  
  Irrigate with hydrogen peroxide and allow to heal by delayed primary closure
- D.
  
  Excise the entire wound