Surg Tech Plastics & Reconstructive
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| For the tumescent liposuction, extensive suctioning of greater than ______ mL or cc can cause hypovolemia or other fluid/hemodynamic complications | 1000
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| The tumescent solution is a mixture of | 250 mL NaCl, 75 mL Lidocaine with epi, 2 mL Wydase
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| Rapid side-to-side movement used for sharp dissection | oscillating
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| Dead tissue that sloughs off of healthy skin | eschar
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| Excoriated tissue; loss of intact coverings | denuded
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| For which procedure would the ST prepare a tumescent solution? | suction lipectomy (liposcution)
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| ____ or ____ may power an oscillating-blade dermatome | electricity or nitrogen
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| What is used on donor site of a skin graft as a lubricant? | sterile mineral oil
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| 3 types of handheld knife dermatomes | Ferris-Smith, Watson, and Wek-Cel
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| What is a FTSG composed of? | epidermis and all of dermis
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| What is a STSG composed of? | epidermis and approx. half of dermis
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| What is done for a FTSG to heal by primary intention? | donor site wound must be sutured
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| What is done for a STSG to heal? | dressed and allowed to heal b/c epithelium growth occurs due to dermis that is left in place
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| The intugumentary system contains ___ main layers: | 2 - epidermis (outer) and dermis (inner)
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| Epidermis consists of ____ or ____ layers called _____ | 4 or 5; Strata
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| Epidermis layers (from innermost to outermost) | Stratum basale, Stratum spinosum, Stratum granulosum, Stratum lucidum, Stratum corneum
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| Other name for dermis | Stratum cornium
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| 2 layers of dermis | Reticular layer, Papillary layer
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| Subcutaneous layer (hypodermis) consists of | adipose and loose connective tissue
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| Oil producing glands | sebaceous glands
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| Oil produced by sebaceous glands is called | sebum
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| Sebum | helps with fluid regulation and keeps skin and hair soft/pliable
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| Sweat glands | sudoriferous glands
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| 3 types of sudoriferous glands | Merocrine glands and Apocrine glands, ceruminous gland
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| Merocrine glands | distributed over most of body and open directly to skin surface through pores
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| Apocrine glands | larger than Merocrine glands; located in external genitalia and axillae
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| Ceruminous gland | only found in external auditory canal that secretes cerumen
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| 3 locations with no sweat glands | portions of external genitalia, nipples, lips
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| 1st degree burn | just epidermis - erythema, no blisters
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| 2nd degree burn | dermis to varying degrees - blister/extremely painful
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| 3rd degree burn | completely penetrate full thickness of skin and often underlying structures - permanent tissue damage
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| 4th degree burn | "char burns" - damage blood vessels, nerves, muscles, and tendons, bone density
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| Rule of Nines | Head/neck - 9%
Ant/Post trunk - 18% each
Upper extremities - 9%
Lower extremities - 9 %
Perineum - 1%
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| What instrument do you use to handle skin grafts? | Adson smooths
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| I&D | irrigation and debridement
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| What should be done with the harvested skin graft while awaiting meshing or application? | placed in body temp saline
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| Dermachalasis | relaxation and hypertrophy of eyelid skin
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| What causes dermachalsis? | sun exposure and age
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| Name of incision for blepharoplasty? | elliptical (made along ciliary margin following natural curve of eyelid)
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| Contraction of the palmar fascia | Dupuytren's contracture
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| Med term for "clubhand" | radial dysplasia or hypoplasia
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| What age is a correction for radial dysplasia performed? | 12 months
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| Best type of laser for endoscopic brow lift? | CO2
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| Why are malar implants done? | for pts who have deficient bone structure or severe atrophy of overlying soft tissue
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| Incision for malar implants | gingivobuccal sulcus over canine fossae
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| Mentoplasty | chin repair
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| Why is a mentoplasty performed? | cosmetic, correcting micrognathia (underdevelopment of jaw), or restoring post-traumatic facial disfigurement
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| Rhytidectomy | full face lift
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| What must be avoided when using retractors during a rhytidectomy? | facial nerve (VII)
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| Where are mentoplasty implants placed? | subperiosteal pocket
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| Why are there 2 setups for an otoplasty? | one for primary procedure and one for removing and forming costal cartilage graft
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| Cheiloschisis | cleft lip
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| 2 methods of cheiloschisis repair | rotation advancement and triangular flap (imitates z-plasty)
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| Blade used for a cheiloscisis repair | #11 or #15
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| ____ carpal bones compose each wrist (carpus) | 8
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| Carpal bones | Scaphoid, Lunate, Triquetral, Pisiform, Trapezium, Trapezoid, Capitate, Hamate
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| ____ flexor tendons and median nerve pass through carpal tunnel | 9
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