Cmt Prep Challenge #41

Front 1

A long tradition of keeping healing wounds scrupulously dry and using loose gauze dressings to "let oxygen reach the tissues"

A is included in the current dressing changes and protection from mechanical injury and contamination protocol.
B is the proper postoperative care strived for.
C is currently replaced by a care standard calling for occlusive dressings and judicious use of ointment to prevent crust formation and maintain tissue hydration.
D produces the desired result after plastic repair.

Back 1

C is currently replaced by a care standard calling for occlusive dressings and judicious use of ointment to prevent crust formation and maintain tissue hydration.

Front 2

The "plastic" in plastic surgery

A has nothing to do with the Greek words cytoplasm, dysplasia and hyperplastic.
B references shaping, forming or modeling.
C refers to synthetic materials such as those used to make clothing, furniture, automobile transmissions and credit cards.
D means pliability.

Back 2

B references shaping, forming or modeling.

Front 3

Ground rules of plastic repair gradually assembled during the past century through careful experimentation and documentation that the author believes are to be applied to all forms of operative surgery without exception:

A do not include mechanical removal of foreign material.
B do not include the location and purpose of an incision as well as the ideal direction and length.
C include the appearance of wound edges before closure, a beveled incision, and scar tissue.
D include the primary repair of open wounds, the excision of cutaneous lesions with plastic closure, and the revision of scars.

Back 3

D include the primary repair of open wounds, the excision of cutaneous lesions with plastic closure, and the revision of scars.

Front 4

Mechanical stability of tissues until healing is complete

A fails to prevent dehiscence.
B is achieved by adhesive taping.
C is not one factor considered in the timing of stitch removal, depending on balancing estimated healing time against the perceived risk that stitches retained too long may generate scarring on their own.
D is unimportant in the ground rules of plastic repair.

Back 4

B is achieved by adhesive taping.

Front 5

What percentage of men and women undergo cosmetic surgery or liposuction?

A 53% of women and 12% of men
B 48% of women and 23% of men
C 67% of women and 18% of men
D 23% of women and 48% of men

Back 5

B 48% of women and 23% of men

Front 6

The only types of tissues that can be reshaped during plastic surgery are:

A subcutaneous fat and skin
B cartilage, skin and subcutaneous fat
C bone, muscle, subcutaneous fat, skin, and cartilage
D skin, muscle, cartilage, and subcutaneous fat

Back 6

C bone, muscle, subcutaneous fat, skin, and cartilage

Front 7

The preservation of tissue continuity and appearance after surgical removal of malignant tumors, particularly those of the skin and breast

A includes the correction of congenital deformities.
B is a major application of plastic surgery.
C is a subspecialty of plastic surgery.
D is realized without the repair of injuries.

Back 7

B is a major application of plastic surgery.

Front 8

Cosmetic surgery today

A is a branch of plastic surgery that has sound medical indications.
B is not concerned with aesthetic surgery.
C is rarely covered under health insurance.
D is solely concerned with vanity procedures.

Back 8

A is a branch of plastic surgery that has sound medical indications.

Front 9

Dermabrasion, chemosurgery (chemical peels), laser surgery, and liposuction

A are all inpatient procedures.
B cannot be performed congruently.
C are subspecialties of plastic surgery.
D are unique methods employed by cosmetic surgeons.

Back 9

D are unique methods employed by cosmetic surgeons.

Front 10

German surgeons in the early nineteenth century

A failed to convince others that plastic surgery was important enough to include in English-language medical literature.
B failed to publish their surgical methods.
C helped develop early cosmetic surgery.
D performed plastic surgery in collaboration with caregivers from India in the eighteenth century.

Back 10

C helped develop early cosmetic surgery.

Front 11

How many cosmetic surgical procedures were performed in the United States in 2006?

A at least 15 million
B less than 90,000
C more than 10 million
D not more than 5 million

Back 11

C more than 10 million

Front 12

An example of the intimate relationship between form and function and the implied dichotomy of reconstruction plastic surgery and purely cosmetic surgery not holding up in practice:

A is early correction of a cleft palate necessary for proper feeding and the development of normal speech.
B is not shown in the revision of unsightly traumatic scars, removal of tattoos, and treatment of pitting and scarring due to acne necessary to improve body image, control depression and social alienation, and enhance employability
C is not the livelihood of an actor, model, telecaster, politician, or other celebrity depending on maintaining a youthful or glamorous appearance.
D is the narrowing and flattening of a normal nose.

Back 12

A is early correction of a cleft palate necessary for proper feeding and the development of normal speech.

Front 13

Practitioners of dermatology, cosmetic dentistry and oral surgery, ophthalmology,
otorhinolaryngology, general surgery, head and neck surgery and orthopedics

A never manage patients in consultation with other healthcare providers
B often perform procedures that are largely plastic in intent and often collaborate or consult with plastic surgeons
C should consult with clinical psychologists
D rarely consult with cosmetologists

Back 13

B often perform procedures that are largely plastic in intent and often collaborate or consult with plastic surgeons