Minor Surgery Exam 2
.
- 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
Back to top