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71 Cards in this Set
- Front
- Back
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giant hairy nevus
% malignancy |
0 - 10%
(also called a congenital melanocytic nevus) |
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prominent nasolabial folds
injectable |
hyaluronic acid (restylane)
fat, collagen |
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most common skin lesion in fitpatrick type VI
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dermatosis papulosa nigra
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spitz nevus
rx |
excision with narrow margins
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avm
rx |
selective embolization and surgical excision
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botox related ptosis
which muscle |
levator
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cartilage graft to nose
best to prevent warping |
symmetrical design
(test answer) |
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removal of yellow tatoo
wave length of laser |
532 nm
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two months post wounding
process of maturation |
type III collagen laid down early and replaced with type I until normal 4:1 ratio established
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infectious folliculitis
most com organism |
staph aureus
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best method of monitoring a buried free flap
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implantable dopler
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best method of monitoring an exposed free flap
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clinical observation
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mild wound infection post breast implant
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antibiotics
(not necess to remove implant in mild infection) |
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enlarging hemangiomas in 18 month old
Rx |
corticosteroid
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ischial pressure ulcer
best flap |
v-y hamstring advancement flap
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anesthetic agent that helps prevent nausea
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propofol
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best evidenced based study
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multicenter, radonmized, controlled study
level I |
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a mass in the axilla that becomes tender at time of menses is ?
Rx = ? |
breast tissue
excision |
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what is advantage of cultured epithelial grafts
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no donor site
large amount can be obtained |
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disadvantage of cultured epithelia grafts
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expense
lack elasticity (no dermis) slow basement membrane formation = blisters delay = n2 - 3 weeks |
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disadvantage of adherent perichondrium on a cartilage graft
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warping of the graft
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antibiotic for use with leech therapy
organism |
cipro
aeromonas hydrophilia |
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how long to treat patient when leech Rx has been used
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till all wounds are healed
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Alloplastic material that releases heat
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methylmethacrylate
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Sturge-Weber = what vascular anomaly
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capillary malformation (port wine stain)
+ipsilateral ocular or leptomeningeal vascular anomalies |
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EMLA cream is ?
minimun time for best result |
prilocaine-lidocaine
60 minutes |
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which phase of wound healing has the most greatest rate of collagen production
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fibroblastic
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Rx of a rapidly increasing bright red skin lesion on an infant
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Dx = hemangioma
Rx = observation |
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Rx of rapidly increasing hemangioma threatening an orifice or obstructing vision
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coriticosteriods
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Xeroderma pigmentosum
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presents as child
acute sun sensativity pigmented lesions early development cut. malignancies |
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Neviud Basal Syndrome
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presents birth through childhood
sun sensative cutaneous malignancies dental cysts PALMAR PITS |
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Basex syndrome
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BCC face,
no palmar pits skin abnormalities |
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Erythroplasia of Queyrat
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SCC insitu penis
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which vitamin reverses wound healing consequences of corticosteriods
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vitimin A
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Rx for sudden onset of extreme pain immedialtely after tissue expansion
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remove some fluid
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best route to provide nutrition to burn victims
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enteral, even with n/g tube if necessary
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what technique adresses anterior and posterior trunkal excessive tissue in the massive wgt loss patient
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circumferential lower body lift (belt lipectomy, hemi-body lift)
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Best selection for reconstruction of floor of mouth resection post radiation Rx
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free flap, usually radial forearm
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marginal mandible resection = definition
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resection of inner cortex only, mandible structurally intact
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harvest of both internal mammary arteries threatens which flap
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rectus
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maximus angle recommended between primary and seconday flap of bilobe flap
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100 degrees
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adriamycin
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doxorubicin hcl
highly cytotoxic |
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agent commonly used for thrombolysis post microvasculat occlusion
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TPA (tissue plasminogen activator)
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use of papain-urea ointment in full thickeness escar
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none
not usuful in full thickness wounds |
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with ring avulsion injuries what can be done to optimize the possibililty of replantation
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resect all abnormal vessels and vein graft
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wound failure SIX YEARS post radiation for breast cander is ?
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radionecrosis (can be osteoradionec)
recurrent CA usually within 5 yrs |
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Rx of acute onset pain swelling erythema groin with diabetes, and sepsis
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debriedement
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predispostion ot Fournier disease
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diabetes, obesity, alcoholism. AIDS, smoking, leukemia
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Giant harry nevi result in what life threatenting condition
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leptomeningeal involvement presents before 2 years age
melanoma 4 - 8 % lifetime risk |
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where do the motor nerves enter the rectus muscles
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from lateral edge
(therefore, "turn over" flap denervates the muscle) |
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advantage of tricloracetic acid peel over pehnol peel
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less pigment change
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Mathes/nahai flap class
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I single dom ped
II 1 dom and 1 minor III 2 com IV multiple ped V 1 dom. mult minor |
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1st 24 hour post op low grade temp.
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most common cause = pulmonary
Rx pulmonary toilet, incen spir etc. |
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Parkland formula
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4 cc/%burn/kg
1/2 given in 1st 8 hours POST BURN (not admission) |
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dose hyperbaric O2 improve survival in abdomenal wall necrotizing fasciitis
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yes
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may you legally enter a note in the patients outpatient record after the date of the visit
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yes, as long as the date of the entry is correct.
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one "advanatage" of Mohs
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indistinct margins of the lesion
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only filler used for contour defects in AIDs
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Sculptra (poly-l-lactic acid)
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where is Sculptra injected
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subcutaneousy cheek
submusclular orbit |
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how ofter sculptra is injected
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multiple times over 4 - 6 weeks
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how long does sculptra last
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over two years ???????test answer on this inservice
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Apligraf
def. use theory on value |
dermal-epidermal matrix
used for diabetic foot ulcers apply repeatly up to 5 grafts dermal fibroblasts secredt growth factors |
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after snake bite with no information on immunization status
1st rx |
tetanus toxoid
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general indicaiton for antivenum for snake bites
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progressive vinum injury, worsening loval injury or systemic sx
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necrotizing fasciitis
organism |
staph aureus and Group A hemolytic strept.
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dehiscence of abdomenal incision post body lift 6 weeks post op
eitol? |
seroma
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cicritricial upper lid ectropion
Rx post attempted stsg |
stsg
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malignant hyperthermia
Sx and signs |
temp elev., tachycardia, decrease O2, hypercarbia, difficult ventilation
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Rx hyperthermia
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cooling, dantrolene, stop inhalation agents, O2
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drainage from naval in infant
etiol? |
urachal sinus
urachal cyst usually Asx |
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is it necessary to inform patients of rare, nonserious potential complictions
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no
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