Minor Surgery Exam 2

50 Questions | Total Attempts: 88

SettingsSettingsSettings
Please wait...
Minor Surgery Exam 2

.


Questions and Answers
  • 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