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SURT 2050

FINAL Surgical Technology principals & practices II

QuestionAnswer
Brought into anatomical alignment Reduction
Type of surgical reduction w/ Surgical Incision Open reduction (OR):
Manipulation of the bone or with an external traction device that pulls the bone fragments into position; no incision is made in the skin  Closed reduction (CR)
What's it called when bone fragments are stabilized and protected from shifting out of alignment FIXATION
Surgical fixation that requires surgery to insert or implant a device that holds the bone fragments in place. Internal fixation (IF)
stabilizing bone fragments from outside the body (i.e. cast) External fixation (EF)
Cranium, Facial bones, Bones of the ear, Spinal Column, Sternum, Ribs are all part of what skeletal system of the body AXIAL Skeleton
Upper extremities, lower extremities, pelvic girdle are part of what skeletal system of the body APPENDICULAR Skeleton
Tibia aka Shin bone
largest bone in foot Calcaneus (Heel)
8 bones connected by suture lines Cranium
only movable joint in face Mandible
How many pairs of tibs are there 12
Type of bone found on the surface of bones, surrounds the marrow cavity Cortical (Compact) bone
Type of bone found at the ends of bones and the inner layer; Includes Lymphocytes, Monocytes long bones vertebrae pelvic bones Cancellous (Spongy) bone - less dense than cortical, no geometric structure
Red & Yellow Marrow are found where medullary cavity of Cancellous bone
Lines the inner channels of long bones Endeosteum
Tough bilayered membrane that covers bone Periosteum
Bones of the arms, legs, and digits Long Bones
Bone of the wrists (carpals) and angles (tarsals) Short Bones
Bones of the ribs, scapula, sternum, cranial bones Flat bones
Bone type for the Patella (Ball of foot) Sesamoid (round) Bones
Bones of the vertebrae, spine and facial Irregular bones
Abduction Away from midline
Adduction Toward Midline
Circumduction Circular Motion
Dorsiflexion Bending the foot upward (toes pointed up)
Plantar Flexion Bending the foot downward (toes pointed down)
Flexion Bending a joint
Extension straightening a joint
Pronation pointing body part downward (palm down)
Supination pointing body part upward (palm up)
BONE to BONE provide flexibility and strength and withstand high levels of tension Ligaments
MUSCLE to BONE Help to move Tendons
Specialized dense connective tissue, forms parts of joints and carcel of ribs, nasal septum and ear it along with synovial fluid helps joints to move freely without pain. Cartilage
largest tendon in body Achilles
Ligaments, Tendons and Cartilage are made of Collagen
Tourniquet time Upper extremity 1 Hour
Tourniquet time Lower extremity 1.5 Hour
major infection from compound fracture Osteomyelitis
Tear in ligament SPRAIN
Tear in Tendon STRAIN
a break in the integrity of a bone. (Charted with a # sign) Fracture
Fracture type: bone fragments driven into another bone Impacted
Fracture type: Resulting from disease Pathologic
Fracture type: Cranial fracture in which the fragments are displaced inwardly Depressed
Fracture type: Broken more than two pieces Comminuted
Fracture type: fracture of immature bone that is soft and less brittle than mature bone Incomplete or stress fracture (Greenstick)
Fracture type: Bone Pierces through skin Open (Compound)
Fracture type: Fracture of a long bone that occurs in a spiral pattern as the result of Twisting or Torsion on the bone Spiral Fracture
Bone and other tissues pulled from normal attachments Avulsion
Fracture line that is perpendicular to the long axis of the bone Transverse
Type of transverse fracture that occurs at an angle Oblique
Fracture type: Bone crushed or collapsed into small pieces Compression
Bone ends are out of alignment Displaced
1st phase of bone healing Inflammatory phase
2nd phase of bone healing Reparative phase - gross cells emerging from periosteum, proliferate and form callous ossification occurs,
3rd phase of bone healing Remodeling phase - initial bone matrix is replaced with
Type of saw: Blade moves back and forth Reciprocating saw
Type of saw: Oscillates and oscillates Sagittal saw
Type of saw: blade moves from side to side Oscillating saw
Superior Labrum Anterior to Posterior SLAPP procedure - BANKART REPAIR
subscapularis, infraspinatus, Teres Minor, Supraspinatus 4 Muscles of What? open rotator cuff repair
Femur, Tibia, Patella Components of what Knee
SKIN GRAFTS: contains only the dermis (epidermis and part of the dermis (papillary dermis), which is a highly bioactive portion of the dermis Split Thickness Skin Graft
SKIN GRAFTS: contains epidermis & complete full dermis. Full Thickness skin graft
SKIN GRAFTS: 2 or more types of tissue. Composite graft
SKIN GRAFTS: one individual to another. Aka homograft, harvested from donors and preserved by the tissue bank until needed. Skin, bone, and cartilage are commonly used allografts. Allograft
SKIN GRAFTS: Biological graft, one area of the body and transplanted to another area in the same patient Autograft
SKIN GRAFTS: tissue taken from one species that is grafted into another species Xenograft
porcine pig
BURN CLASSIFICATIONS: Only the outer layer of the epidermis is injured. The skin is red or pink, dry, and painful to touch. Superficial partial-thickness (1st – degree):
BURN CLASSIFICATIONS: epidermis and various degrees of the dermis are injured. blistered, red, and moist. The burn is very sensitive to environmental exposure and touch. partial- thickness (2nd degree)
BURN CLASSIFICATIONS: the epidermis and full dermis are injured. White, smooth, shiny surface with dry blisters and edema. full- thickness (2nd degree)
BURN CLASSIFICATIONS: the subcutaneous tissue, muscle, and bone are burned. Skin may be white, brown, or black, and appears waxy. There is no pain because nerves have been destroyed. develop eschar full- thickness (3rd degree)
BURN CLASSIFICATIONS: damaged blood vessels, nerves muscles tendons can affect bone density. Surgery to remove necrotic tissue & for extensive reconstruction. Char burns (4th degree)
Estimates % of body surface burned – to assess the extent of burn injuries & estimate how much fluid a patient needs. Rule of Nines
TYPES OF GRAFT MATERIAL: Derived from living tissue Biological
TYPES OF GRAFT MATERIAL: Derived from manufactured materials Synthetic
TYPES OF GRAFT MATERIAL: Absorbed by the body or enhances healing but is not derived from biological tissue  Biosynthetic
PROCEDURES: Redundant and sagging supportive tissue of the face is reduced Rhytidectomy – aka facelift
cheek augmentation = increase the height of the cheekbone for aesthetic improvement Malar augmentation
Chin augmentation Mentoplasty
reduction of a loose apron of tissue that arises from the lower abdomen. Panniculectomy
performed to increase the size and improve the shape of the breast or to create a new breast after mastectomy Breast Augmentation (muscle pocket) -
implant inserted over the pectoralis minor & pectoralis major muscles. Subglandular approach
implant is fully inserted under the pectoralis major & above the pectoralis minor muscles. Submuscular
flap is breast reconstruction w/o implants Transverse Rectus Abdominis Mycutaneous
aka “flap graft” is raised from the donor site but not immediately severed free Pedicle grafts
remove excess deep fat – Liposuction
lip augmentation, modified the lips either to repair defect or to change shape. Primary cleft lip repair - removes skin and tissue from the lips to change their size and shape Cheiloplasty
surgical procedure that corrects or reconstructs a cleft palate Palatoplasty
solution is injected first in Lyposuction; silicone, lidocaine, w/ epi & wydase. Tumescent
Dermachalasis relaxation & hypertrophy of eyelid skin
STRATUM of EPIDERMUS: most superficial (outermost) layer. Composed of dead keratinocytes that are filled with protein keratin.  Stratus Corneum
STRATUM of EPIDERMUS: composed of dead or dying cells that are flattened and densely packed. Extremely thin.  Stratus Lucidium
STRATUM of EPIDERMUS: several cells thick and produces keratin.  Stratus Granulosm
STRATUM of EPIDERMUS: contains undifferentiated cells that become specialized as they migrate to the skin surface.  Stratum Spinosum
STRATUM of EPIDERMUS: deepest layer that’s attached to the dermis. These cells undergo mitosis, producing daughter keratinocytes that migrate through the other layers. Also contains melanocytes which produce melanin  Stratum Basale
Type of Sweat glands: arise from the dermis and are located mainly in the axilla and groin Apocrine sweat glands
Type of Sweat glands: sweat over the surface of the body through small tubules Eccrine glands secrete
produce sebum (wax, lipids, cholesterol, and triglycerides) sebaceous glands
Bolar Surface-palm side of hand
L, Y, H, T are Plate configurations for OMF surgery
uneven bite or misaligned teeth Malocclusion of the jaw
Procedure to fix malocclusion of the jaw Orthognathic surgery
Division of Face: FRONTAL BONE UPPER FACE
Division of Face: ETHMOID BONE, NASAL BONE, ZYGOMA, MAXILLARY MID FACE
Division of Face: MANDIBLE only movable bone of the face and the largest and strongest facial bone. LOWER FACE
ENAMAL, SOFT, DENTIN and Inner VASCULAR PULP are layers of what Teeth
Any screw that has entered a patient cannot be re-sterilized &/and reused - must be disposed of
LARGEST (located under and in front of each ear) (alongside ear, drains into Stensen’s duct) PAROTID Glands
WHARTON DUCT - 2nd largest salivary gland SUBMANDIBULAR Gland
DUCT of RIVNUS (10 small ducts) - SMALLEST GLAND DUCT SUBLINGUAL Gland
Regulates calcium concentration PARATHYROID GLANDS
increases calcium removal from the bone PTH
separates 2 lobes of the Thyroid Gland ISTHMUS
Thyroid Hormones - Stimulate the rate of metabolism T3 = Triiodothyronine & T4 = Thyroxine
performed to remove the vitreous from the anterior chamber VITRECTOMY
1. Maxilla 2. Frontal bone 3. Zygomatic bone 4. Ethmoid bone 5. Lacrimal bone 6. Sphenoid bone 7. Palatine bone Bones of the Orbital Cavity
Abbreviation for Right eye OD
Abbreviation for Left eye OS
Abbreviation for Both eyes OU
Thin transparent mucous membrane that lines the each eyelid and covers the sclera. CONJUNCTIVA
BICONVEX, clear structure encompassed by a transparent capsule. LENS
Drape used to cover the hair TURBIN
BALANCE SALT SOLUTION “BSS” used for what Irrigation Eye procedures
MYDRIATICS Dilates the eyes
MIOTICS Constriction
an opening of the lacrimal duct on the edge of the eyelid PUNCTUM
Junction where the inner eyelids meet. MEDIAL CAMPUS
located on the upper lid & outer angle of the orbit LACRIMAL DUCTS
DACRYOCYSTORHINOSTOMY creation of a permanent opening in the tear duct for drainage of tears.
INTRACAPSULAR EXTRACTION LARGE INCISION, through which entire lens is removed In one piece.
EXTRACAPSULAR EXTRACTION SMALL INCISION, lens extracted using phacoemulsification
Phacoemulsification tuned to a frequency that destroys only the target tissue.
involuntary contraction of muscles leading to cramps, spasms and overactive reflexes TETANY
GLOSSECTOMY Removal of tongue
Created by: kinseyj27
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