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Chapter 10
Chapter 10 Minor surgery
| Question | Answer |
|---|---|
| What is the purpose of a biopsy? | To find out if it is benign or malignant |
| After sterile dressing change a medical assistant should instruct the patient to? | keep clean and dry report any signs that the wound is infected which include fever, increased pain, swelling, redness, warmth and discharge |
| All of the following are characteristics of a benign mole except? | painful and tender |
| All of the following are characteristics of dysplastic nevi except? | always develops into malignant melanoma |
| All of the following are examples of materials used for nonabsorbable sutures except? A) silk B) surgical gut C) nylon D) polypropylene | B) surgical gut |
| Surgical cryosurgery is usually used most often in the treatment of? | cervical dysplasia |
| Surgical cryosurgery operates on the bases of what? | freezing |
| Cryosurgery could also be used for? A) remove freckles B) remove warts and skin tags C) control bleeding D) treat dermatitis | B) remove warts and skin tags |
| Which of the following wounds would the provider be most likely to order a tetanus booster? A) cut B) puncture C) laceration D) abrasion | B) puncture |
| Laser mole surgery is used to remove what? A) raised moles B) smaller flat moles C) dysplastic nevi D) melanoma | B) smaller flat moles |
| Shave excision is often used to remove? A) skin tags B) melanoma C) flat moles D) dysplastic nevi | A) skin tags |
| Something that is sterile is considered contaminated if it? A) comes in contact with a pathogen B) comes in contact with a non pathogen C) becomes wet D) touches something clean E) All of these | E) All of these |
| Sutures usually inserted into the arm or leg are usually removed? | 7 to 14 days |
| A dark color of a mole is caused by? | melanin |
| What is the function of a bandage? A) support a body part B) control bleeding C) immobilize part of the body D) hold a dressing in place E) All of these | E) All of these |
| What is the function of the healing process of a wound? A) restore the structure and function of damaged tissues B) prevent infection of the wound C) prevent inflammation of the wound D) control bleeding | A) restore the structure and function of damaged tissues |
| Protective response of the body to trauma in the entrance of a foreign substance is called? | inflammation |
| What is the purpose of a fenestrated drape? | to provide a sterile area of the operative site |
| What is the purpose of adding epinephrine to a local anesthetic? | prolongs the effects of the anesthetic |
| What is the purpose of inserting a gauze packing after an incision of a localized infection? | it facilitates the drainage of the exudate |
| What is the purpose of practicing surgical asepsis during minor office surgery? | to protect the patient from pathogenic organism |
| What information is found on the label of a swaged suture package? | type, size and length of suture material type of needle point and the needle shape |
| What is an abscess? | a collection of pus in a cavity surrounded by inflamed tissue |
| What is a furuncle known as? | a boil |
| What is the first line of defense of the body? | skin |
| What is the function of a sterile dressing? | protect the wound from contamination and trauma to absorb drainage restrict motion |
| What is the function of an exudate? | flush foreign debris and dead tissue from the wound to provide a moist envirnment to assist in healing |
| What is the term for a break in the skin surface or mucous membrane that exposes the underlying tissues? | open wound |
| What is the term for a mole that is present at birth? | congenital nevi |
| What is the name given to a wound in which the tissues are torn apart, leaving ragged and irregular edges? | laceration |
| What occurs during the inflammatory phase in the healing process? | plugs up the opening of the wound and stops the flow of blood |
| What occurs during the maturation phase of the healing process? | collagen continues to be synthesized and the granulation tissue eventually hardens to a scar |
| What should the medical assistant do if in doubt about the sterility of an article? | replace it with a sterile article |
| What type of suture needle has a sharp point? | a cutting needle |
| What would a provider do if a sebaceous cyst is infected? | drain the cyst |
| When not in use the instrument with a ratchet should be stored? | In an open position |
| Which of the following bandage turns is used to anchor a bandage? | Circular turn |
| Which of the following bandage turn is used for a part that varies in width? | Spiral-reverse turn |
| Which of the following instruments has serrated tips, ratchets, ring handles, and box locks and are used to clamp off blood vessels? | Hemostatic forceps |
| What are some characteristics of a local anesthetic? | Produces a loss of sensation in that area, causes brief burning or stinging, begins working in 5 to 15 minutes, lasts for 1 to 3 hours |
| Which of the following is a characteristic of granulation tissue? | Translucent red or dark pink in color, soft and moist to the touch, consists primarily of collagen and microscopic blood vessels, fills the wound and protects the surface of the wound |
| What are the characteristics of melanoma? | Asymmetric, irregular borders, painful or tender, can bleed or ooze |
| What are the characteristics of a skin tag? | Small, painless, benign growths that project from the skin, are flesh color or slightly darker, often appear in groups |
| Why are surgical staples used over sutures? | Fastest method of closure of long skin incisions |
| What part of the body cannot have a sebaceous cyst? | Palms of the hands and soles of the feet |
| What is NOT a characteristic of minor office surgery? | Requires a general anesthetic |
| Which of the following is NOT a sign of inflammation? A) redness B) fever C) swelling D) pain | B) fever |
| What are post-op instructions for surgical cryosurgery? | Normal activities can be resumed the day after cryosurgery, on the first post-operative day, a clear watery vaginal discharge occurs which lasts 2 to 4 weeks, do not douche, use tampons, or have intercourse for 2 to 3 weeks after procedure |
| Which of the following is used to immobilize a sprained ankle? | figure-eight turn |
| What type of suture needle requires the use of a needle holder? | Curved needle |
| Which of the following would NOT cause an ingrown toenail? A) tight shoes B) trauma C) improper nail trimming D) long periods of standing | D) long periods of standing |