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SURT 2020
FINAL - Surgical Technology P&P II
| Question | Answer |
|---|---|
| Small hole or tunnel in the skin usually filled with fluid or pus that causes cyst or abscess. It occurs at the top of the buttocks | Pilonidal Cyst (surgical position = Jackknife (Kraske) or lateral) |
| CN Responsible for sense of smell | CN I Olfactory |
| CN that conveys impulses for sight | CN II Optic |
| CN that controls the muscles that move the eye and iris | CN III Oculomotor |
| CN that controls the oblique muscle of the eye | CN IV Trochlear |
| CN that is a sensory nerve that controls sensations of the face, forehead, mouth, nose, and top of head | CN V Trigeminal |
| CN that controls lateral movement of the eye | CN VI Abducens |
| CN that is a motor nerve that controls the muscles in the face, scalp, as well as tears and salivation | CN VII Facial |
| CN that controls hearing and equilibrium | CN VIII Vestibulocochlear |
| CN that controls the sense of taste and pharyngeal movement as well as the parotid gland and salivation | CN IX Glossopharyngeal |
| CN that innervates the pharyngeal and laryngeal muscles, heart, pancreas, lungs, and digestive system; also controls the sensory paths of the abdominal viscera, the pleura and thoracis viscera | CN X Vagus |
| CN with 3 parts; a cranial portion and spinal portion. Cranial portion joins the Vagus nerve to help control pharyngeal and laryngeal muscles. Spinal portion controls the trapezius and sternocleidomastoid muscles | CN XI Accessory |
| CN that innervates the muscles of the tongue | CN XII Hypoglossal |
| If you drop an implant can you flash it? | No |
| SKIN GRAFT: 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 – (STSG) |
| SKIN GRAFT: contains epidermis & complete full dermis. | Full Thickness skin graft – (FTSG) |
| SKIN GRAFT: 2 or more types of tissue. | Composite graft |
| SKIN GRAFT: 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 GRAFT: Biological graft, one area of the body and transplanted to another area in the same patient | Autograft |
| SKIN GRAFT: tissue taken from one species that is grafted into another species | Xenograft |
| BURN CLASSIFICATION: 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 CLASSIFICATION: 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 CLASSIFICATION: the epidermis and full dermis are injured. o White, smooth, shiny surface with dry blisters and edema. | full- thickness (2nd degree) |
| BURN CLASSIFICATION: the subcutaneous tissue, muscle, and bone are burned. o Skin may be white, brown, or black, and appears waxy. There is no pain because nerves have been destroyed. o develop eschar | full- thickness (3rd degree) |
| BURN CLASSIFICATION: damaged blood vessels, nerves muscles tendons can affect bone density. Surgery to remove necrotic tissue & for extensive reconstruction. | Char burns (4th degree) |
| How many degrees of burns are there? | 4 |
| SKIN GRAFT MATERIAL: Derived from living tissue | Biological |
| SKIN GRAFT MATERIAL: Derived from manufactured materials | Synthetic |
| SKIN GRAFT MATERIAL: Absorbed by the body or enhances healing but is not derived from biological tissue | Biosynthetic |
| Estimate % of body surface burned – to assess the extent of burn injuries & estimate how much fluid a patient needs. | Rule of 9's |
| What procedure involves the following anatomy; • talocalcaneal • talonavicular • calcaneocuboid | Triple Arthrodesis |
| What medication should never be kept in a syringe on the back table | Thrombin |
| Cookie cutter for graft | Trephine |
| LAYERS OF SKIN: protective barrier, shielding the body from harmful substances like bacteria, chemicals, and UV radiation while also maintaining hydration by preventing excessive water loss | Epidermis |
| LAYERS OF SKIN: Lies directly beneath the epidermis & above the subcutaneous fatty layer. Contains nervous and blood supply of skin Contains hair follicles and sebaceous and sweat glands | Dermis |
| LAYERS OF SKIN: store energy as fat, insulate the body by regulating temperature, connect the skin to underlying muscles & bones, a shock absorber, protects organs from impact. houses nerves & blood vessels; protective cushion and anchor for the skin | Hypodermis aka Sub-Q: |
| 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 attached to the dermis. Cells undergo mitosis, producing daughter keratinocytes that migrate through the other layers. Contains melanocytes which produce melanin, a substance that gives rise to skin pigmentation. | Stratum Basale |
| # of bones of the face | 7 |
| PROCEDURE: Redundant and sagging supportive tissue of the face is reduced | • Rhytidectomy – aka facelift |
| PROCEDURE: cheek augmentation = increase the height of the cheekbone for aesthetic improvement | |
| PROCEDURE: Chin augmentation | |
| PROCEDURE: reduction of a loose apron of tissue that arises from the lower abdomen. | |
| PROCEDURE: performed to increase the size and improve the shape of the breast or to create a new breast after mastectomy where the implant is inserted over the pectoralis minor & pectoralis major muscles. | Breast Augmentation | Sub glandular approach |
| PROCEDURE: performed to increase the size and improve the shape of the breast or to create a new breast after mastectomy - the implant is fully inserted under the pectoralis major & above the pectoralis minor muscles. | Breast Augmentation | Submuscular approach |
| GRAFT: entire graft is raised (excised) and transferred to the recipient site; abdomen to chest wall to reconstruct a breast after mastectomy. | Pedicle grafts – free graft |
| PROCEDURE: remove excess deep fat | Liposuction |
| PROCEDURE: 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 |
| PROCEDURE: surgical procedure that corrects or reconstructs a cleft palate | Palatoplasty |
| relaxation & hypertrophy of eyelid skin | Dermochalasis |
| PROCEDURE: for Dermacholasis | Blepharoplasty |
| Muscles involved in Submuscular approach for a breast augmentation | Pectoralis Minor & Pectoralis Major |
| 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 |
| Most common. Horizontal fracture of the maxilla between the teeth and nose | LE FORT I |
| Pyramidal in shape and extends from the nasal bone to the frontal process of the maxilla, lacrimal bones and the inferior orbital floor and may extend into the orbital foramen. | LE FORT II |
| Most extensive damage. Separation of all facial bones form their cranial base includes fractures of the zygomatic, maxilla and nasal bones. | LE FORT III |
| # of vertebrae that make up the spine | 33 |
| Bone of the wrists (carpals) and angles (tarsals) | Short Bones |
| Bones of the ribs, scapula, sternum, cranial bones | Flat bones |
| Bones of the arms, legs, and digits | Long Bones |
| Bone type for the Patella (Ball of foot) | Sesamoid (round) Bones |
| Bones of the vertebrae, spine and facial | Irregular bones |
| Surgical position; bilateral access to occipital, cerebellum, or brain stem. Chest rolls, pillow or Mayfield horseshoe headrest | Prone |
| Position allows bilateral access to occipital, brain stem or cerebellum. Requires the use of 3-pin skull fixation device attached to a frame | Sitting |
| Surgical position that allows position used for exposure of the unilateral temporal, occipital lobe, brain stem, or cerebellum. | Lateral or Semi Lateral |
| Skull tongs used to secure the patient’s head in a particular position and as a means for attaching traction devices | Gardner Wells |
| Head Stabilizer commonly used in cranial surgeries | Mayfield Headrest |
| Headrest that looks like a horseshoe | Mayfield |
| Type of screws that exert compression on bone fragments either directly or with a plate | Lag screws |
| Type of screw that is used with a special plate that has threaded holes to secure the screwhead to the plate. | Locking screws |
| Head, Shaft, Threads, & Tip are parts of what? | Screw |
Created by:
kinseyj27
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